2023-11-01T09:13:35-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2022-01-01 370818454 LUTHERAN HILLSIDE VILLAGE INC C/O LUTHERAN SENIOR SERVICES LUTH 3149689313 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 CHAD SNEED CHIEF FINANCIAL OFFICER 3149689313 2023-10-16 1 CHAD SNEED 999009999 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2023-10-16 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X ADAM MARLES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 24252229 0 X WWW.LSSLIVING.ORG/COMMUNITIES/LUTHERAN-HI X 1960 IL FAITH BASED ORGANIZATION PROVIDING A NETWORK OF SUPPORTIVE SERVICES FOR OLDER ADULTS. SEE BELOW FOR SUMMARY OF LSS CONSOLIDATED OPERATIONS. X 13 12 373 25 0 0 966951 2133816 20360157 21736438 163740 151553 160534 204560 21651382 24226367 0 0 0 0 10597033 10694782 0 0 0 12856211 14283817 23453244 24978599 -1801862 -752232 68145212 0 98701835 0 -30556623 0 X TO ADDRESS AND MEET THE NEEDS OF AGED PERSONS, INCLUDING HOUSING, HEALTHCARE, AND FINANCIAL SECURITY. 0 1 19486627 0 21736438 OPERATION OF A LIFE PLAN COMMUNITY THAT OFFERS A CONTINUUM OF CARE THAT INCLUDES 126 INDEPENDENT LIVING APARTMENTS, 48 PATIO HOMES, 63 ASSISTED LIVING UNITS, 20 ASSISTED LIVING MEMORY CARE UNITS AND 88 SKILLED NURSING BEDS, WHICH INCLUDE 18 MEDICAID CERTIFIED BEDS. BENEVOLENT CARE ASSISTANCE IS ALSO PROVIDED, WHICH INCLUDES MEDICAID CONTRACTUAL ALLOWANCES. TOTAL BENEVOLENT CARE ASSISTANCE PROVIDED WAS $611,416 , OF WHICH, $611,416 IS OFFSETTING PROGRAM SERVICE REVENUE.THE CORPORATION'S RESIDENTIAL FACILITIES AND PROGRAMS ARE SPECIFICALLY DESIGNED TO MEET AND MAINTAIN ITS AGED RESIDENTS PHYSICAL AND EMOTIONAL WELL-BEING, AS WELL AS MEET THEIR RECREATIONAL, SOCIAL, AND RELIGIOUS NEEDS. 19486627 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 373 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CHAD SNEED 3149689313 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 GARRY ANDERSON CHIEF OPERATING OFFICER 1.00 39.00 X X 0 331178 28172 PEPPER BAUER DIRECTOR 1.00 0.00 X 0 0 0 LINDA COURI DIRECTOR 1.00 0.00 X 0 0 0 KRISTI EMBRY DIRECTOR 1.00 0.00 X 0 0 0 CONNIE IVERSON DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL JONES BOARD CHAIR 1.00 0.00 X X 0 0 0 MICHAEL LELM DIRECTOR 1.00 0.00 X 0 0 0 LISA MACK DIRECTOR 1.00 0.00 X 0 0 0 REV JOHN ROTHFUSZ DIRECTOR 1.00 0.00 X 0 0 0 REV LISA STRADER DIRECTOR 1.00 0.00 X 0 0 0 BEVERLY TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 CINDY WEGNER DIRECTOR 1.00 0.00 X 0 0 0 JIM YOCUM DIRECTOR 1.00 0.00 X 0 0 0 ADAM MARLES PRESIDENT AND CEO 1.00 39.00 X 0 435108 30824 BECKY ZIMMER EX DIR OF PLANNED GIVING 1.00 39.00 X 0 129731 4794 BEN CAFFEY EX DIR OF REVENUE ENHANCEMENT 1.00 39.00 X 0 152876 17279 BRIAN REINHOLD VP RISK/ SAFETY/ COMPLIANCE 1.00 39.00 X 0 167582 33711 CHAD SNEED CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 309920 34816 COLLEEN BOTTENS VP HCBS 1.00 39.00 X 0 180124 29494 JOSH KING VP OF INFORMATION TECHNOLOGY 1.00 39.00 X 0 174296 32909 LISA NORWINE CHIEF ADVANCEMENT OFFICER 1.00 39.00 X 0 295896 29156 LISA WILLIAMS SR VP OF WORKFORCE EXCELLENCE 1.00 39.00 X 0 215296 8785 MARYANNE WALLACE EX DIR OF MARKETING & COMMUNICATION 1.00 39.00 X 0 122072 22473 SHELLY HEIDEN EXECUTIVE DIRECTOR 40.00 0.00 X 0 142283 15639 VALERIE COOPER VP OF LIFE PLAN COMMUNITIES 1.00 39.00 X 0 196349 29657 BETH RUSERT CHIEF EXPERIENCE OFFICER 1.00 39.00 X 0 71522 654 AMY THOMAS CONTROLLER 1.00 39.00 X 0 153900 7284 MARY HEMPHILL RN 1.00 39.00 X 0 164184 12538 RACHEL LITTLE DIR OF CLINICAL COMPLIANCE 1.00 39.00 X 0 156008 9649 TODD YOUNG NETWORK DIRECTOR 1.00 39.00 X 0 152144 6116 DENIS THIEN DIR OF BENEFITS & COMPENSATION 1.00 39.00 X 0 137815 13269 0 3688284 367219 0 0 1 0 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 MANAGEMENT SERVICES 1543947 KREILING ROOFING CO INC 2335 W ALTORFER DR PEORIA IL 61615 ROOFING/CONSTRUCTION 1018719 NEXTAFF GROUP LLC 8000 MARYLAND AVE 1170 ST LOUIS MO 63105 OUTSIDE STAFFING 500780 SYMBRIA REHAB 28100 TORCH PARKWAY WARRENVILLE IL 60555 REHABILITATION 472205 BIRD IN THE HAND STAFFING 614 IL-116 METAMORA IL 61548 OUTSIDE STAFFING 466814 11 1330547 803269 2133816 RESIDENT SERVICE FEES 623000 20880166 20880166 AMORTIZATION OF ENTRANCE FEES 623000 856272 856272 21736438 151553 151553 5837 25862 -20025 -20025 MEALS 623000 86402 86402 BEAUTY & BARBER 623000 53500 53500 GUEST ROOM 623000 30217 30217 54466 54466 224585 24226367 21736438 0 356113 X 157922 157922 8991171 8111239 879932 35717 31665 4052 843932 748198 95734 666040 590486 75554 1543947 1543947 19961 19961 13411 13411 3064020 3015277 48743 26417 26417 943887 724184 219703 70110 66686 3424 1085739 1032720 53019 61167 59580 1587 2430 2430 2082282 112 2082170 3850701 3662663 188038 360409 342809 17600 FOOD/DIETARY 1058740 1039560 19180 MISCELLANEOUS EXPENSE 38785 12674 26111 BAD DEBT EXPENSE 33527 33527 ENTERTAINMENT 15247 15247 13037 13037 24978599 19486627 5491972 0 X 2650 0 18140956 0 0 667704 0 0 0 310080 0 62313 0 124072 0 0 0 48837437 0 0 0 0 0 0 68145212 0 1131718 0 2863922 0 51426741 0 43279454 0 98701835 0 X -30556623 0 -30556623 0 68145212 0 X -752232 31308855 X X 0 1 X 1 1 1 X 490951 3296683 2125282 966951 2133816 9013683 20353592 21467836 20144881 20360157 21736438 104062904 11683 9067 7730 174521 217373 420374 20856226 24773586 22277893 21501629 24087627 113496961 0 0 0 113496961 167676 226427 187475 158170 151553 891301 167676 226427 187475 158170 151553 891301 268539 280615 156982 10672 7212 724020 21292441 25280628 22622350 21670471 24246392 115112282 0.98600 0.98250 0.00770 0.00830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 20,509. 2019 AMOUNT: $ 9,242. 2020 AMOUNT: $ 8,242. 2021 AMOUNT: $ 10,672. 2022 AMOUNT: $ 7,212. BEAUTY BARBER - 2018 AMOUNT: $ 59,384. 2019 AMOUNT: $ 65,673. 2020 AMOUNT: $ 30,497. MEALS - 2018 AMOUNT: $ 105,471. 2019 AMOUNT: $ 122,206. 2020 AMOUNT: $ 78,286. TRANSPORTATION - 2018 AMOUNT: $ 17,590. 2019 AMOUNT: $ 17,653. 2020 AMOUNT: $ 11,226. HOUSEKEEPING LAUNDRY - 2018 AMOUNT: $ 7,033. 2019 AMOUNT: $ 3,720. 2020 AMOUNT: $ 3,079. GUEST ROOM - 2018 AMOUNT: $ 26,709. 2019 AMOUNT: $ 30,740. 2020 AMOUNT: $ 4,335. MAINTENANCE SERVICES/REFURBISHMENT - 2018 AMOUNT: $ 31,843. 2019 AMOUNT: $ 31,381. 2020 AMOUNT: $ 21,317. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 0 1 0 0 0 0 0 0 0 ADAM MARLES PRESIDENT AND CEO 0 429459 0 5409 0 240 0 20000 0 10824 0 465932 0 0 GARRY ANDERSON CHIEF OPERATING OFFICER 0 300936 0 28841 0 1401 0 22836 0 5336 0 359350 0 0 CHAD SNEED CHIEF FINANCIAL OFFICER 0 288731 0 20637 0 552 0 22948 0 11868 0 344736 0 0 LISA NORWINE CHIEF ADVANCEMENT OFFICER 0 275995 0 18951 0 950 0 22379 0 6777 0 325052 0 0 VALERIE COOPER VP OF LIFE PLAN COMMUNITIES 0 195945 0 0 0 404 0 21960 0 7697 0 226006 0 0 LISA WILLIAMS SR VP OF WORKFORCE EXCELLENCE 0 198344 0 15658 0 1294 0 2058 0 6727 0 224081 0 0 COLLEEN BOTTENS VP HCBS 0 179764 0 0 0 360 0 21800 0 7694 0 209618 0 0 JOSH KING VP OF INFORMATION TECHNOLOGY 0 174162 0 0 0 134 0 20869 0 12040 0 207205 0 0 BRIAN REINHOLD VP RISK/ SAFETY/ COMPLIANCE 0 167448 0 0 0 134 0 21672 0 12039 0 201293 0 0 MARY HEMPHILL RN 0 155723 0 8417 0 44 0 3349 0 9189 0 176722 0 0 BEN CAFFEY EX DIR OF REVENUE ENHANCEMENT 0 152754 0 0 0 122 0 11541 0 5738 0 170155 0 0 RACHEL LITTLE DIR OF CLINICAL COMPLIANCE 0 155817 0 0 0 191 0 9342 0 307 0 165657 0 0 AMY THOMAS CONTROLLER 0 153387 0 0 0 513 0 1546 0 5738 0 161184 0 0 TODD YOUNG NETWORK DIRECTOR 0 151954 0 0 0 190 0 1552 0 4564 0 158260 0 0 SHELLY HEIDEN EXECUTIVE DIRECTOR 0 141793 0 0 0 490 0 11448 0 4191 0 157922 0 0 DENIS THIEN DIR OF BENEFITS & COMPENSATION 0 137703 0 0 0 112 0 1468 0 11801 0 151084 0 0 PART I, LINE 3 THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PART I, LINE 4B DEPOSITS MADE INTO ACCOUNTS BY ORGANIZATION: GARRY ANDERSON - SEC 457(B) PLAN - $20,000 LISA NORWINE - SEC 457(B) PLAN - $20,000 SHELLY HEIDEN - SEC 457(B) PLAN - $10,000 CHAD SNEED - SEC 457(B) PLAN - $20,000 BRIAN REINHOLD - SEC 457(B) PLAN - $20,000 JOSH KING - SEC 457(B) PLAN - $20,000 VALERIE COOPER - SEC 457(B) PLAN - $20,000 COLLEEN BOTTENS - SEC 457(B) PLAN - $20,000 ADAM MARLES - SEC 457(B) PLAN - $20,000 BEN CAFFEY - SEC 457(B) PLAN - $10,000 MARYANNE WALLACE - SEC 457(B) PLAN - $10,000 GARRY ANDERSON - SEC 457(F) PLAN - $28,841 LISA NORWINE - SEC 457(F) PLAN - $18,951 CHAD SNEED SEC 457(F) PLAN - $20,637 LISA WILLIAMS SEC 457(F) PLAN - $15,658 ADAM MARLES SEC 457(F) PLAN - $5,409 PAYMENTS RECEIVED FROM PLAN: LISA WILLIAMS - SEC 457(B) PLAN - $40,024 CASH AND CASH EQUIVALENTS 2022-12-31 7112353 BOOK VALUE 430654862 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 501(C)(3) RESIDENT ACCOUNTS RECEIVABLE 2022-12-31 608996 BOOK VALUE 430654862 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 501(C)(3) INVENTORY 2022-12-31 62313 BOOK VALUE 430654862 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 501(C)(3) PREPAID EXPENSES 2022-12-31 111165 BOOK VALUE 430654862 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 501(C)(3) PROPERTY AND EQUIPMENT 2022-12-31 47878089 BOOK VALUE 430654862 LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 501(C)(3) 0 1 0 0 1 1 1 0 1 1 PART I, LINE 6C: LIABILITIES, INCLUDING TAX-EXEMPT BONDS, WERE NOT DISCHARGED, PAID NOR DEFEASED. THEY WERE TRANSFERRED OVER TO LUTHERAN SENIOR SERVICES AS A RESULT OF THE MERGER. PART 1, LINE 5 THE ORGANIZATION DID NOT PAY OFF ITS LIABILITIES BECAUSE IT MERGED WITH LUTHERAN SENIOR SERVICES. THOSE LIABILITIES ARE STILL OUTSTANDING AND ARE NOW A PART OF LUTHERAN SENIOR SERVICES. FORM 990, PART I, LINE 1 LUTHERAN SENIOR SERVICES IS A LARGE COMPLEX ORGANIZATION THAT IS COMPRISED OF 18 SEPARATE LEGAL ENTITIES, EACH OF WHICH FILES ITS OWN TAX RETURN. DUE TO THE REQUIREMENTS FOR COMPLETING THESE 990'S (WHICH ARE FILED BY 15 OF THE 18 LSS ENTITIES), SOME OF THE INFORMATION CONTAINED WITHIN THE FORM, SUCH AS REVENUE AND EXPENSES, IS RELATED ONLY TO THAT PARTICULAR ENTITY. HOWEVER, SOME OF THE INFORMATION, SUCH AS EXECUTIVE COMPENSATION, RELATES TO THE ENTIRE ORGANIZATION. TO HELP MAKE THIS INFORMATION MORE MEANINGFUL, THE FOLLOWING PARAGRAPH PROVIDES A SUMMARY OF THE OVERALL OPERATIONS OF LSS. LUTHERAN SENIOR SERVICES IS A NOT FOR PROFIT ORGANIZATION OWNED BY 104 LUTHERAN CHURCHES AND WAS INITIALLY FOUNDED IN 1858. LUTHERAN SENIOR SERVICES OPERATES TEN SENIOR LIVING COMMUNITIES SERVING OVER 3,000 OLDER ADULTS, EIGHT AFFORDABLE HOUSING COMMUNITIES SERVING OVER 570 OLDER ADULTS AND A VARIETY OF IN HOME SERVICES PROGRAMS SERVING OVER 5,000 OLDER ADULTS. IN 2022, LSS HAD TOTAL OPERATING INCOME OF APPROXIMATELY $224,000,000, PROVIDED APPROXIMATELY $11,707,000 IN BENEVOLENT CARE, HAD NEARLY 35,500 VOLUNTEER HOURS AND EMPLOYED 16 CHAPLAINS. FORM 990, PART III, LINE 3 THE ORGANIZATION MERGERED WITH LUTHERAN SENIOR SERVICES EFFECTIVE DECEMBER 31, 2022. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATION, AND BUDGETING TO LUTHERAN SENIOR SERVICES, THE PARENT COMPANY. FORM 990, PART VI, SECTION A, LINE 4 AS OF DECEMBER 31, 2022 ORGANIZATION MERGED WITH LUTHERAN SENIOR SERVICES, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE CLASS I MEMBER IS LUTHERAN SENIOR SERVICES, A MISSOURI NOT-FOR-PROFIT CORPORATION ("LSS"). THERE SHALL ONLY BE ONE CLASS I MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BOARD MEMBERS ARE ELECTED BY THE SOLE MEMBER, LUTHERAN SENIOR SERVICES. FORM 990, PART VI, SECTION A, LINE 7B THE CLASS I MEMBER, LUTHERAN SENIOR SERVICES, HAS THE FOLLOWING POWERS, BUT NOT LIMITED TO: A) APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF LHV. B) APPROVE AMENDMENTS TO BYLAWS. C) APPROVE THE MERGER, CONSOLIDATION, FILING FOR BANKRUPTCY OR DISSOLUTION OF THE ORGANIZATION FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS NOT PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO BEING FILED. HOWEVER, REVIEW AND APPROVAL OF THE FORM 990 WAS DELEGATED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES WILL DISCLOSE A CONFLICT OF INTEREST ON THE "CONFLICT OF INTEREST FORM" IN THE FOLLOWING SITUATIONS AND IN OTHER CIRCUMSTANCES WHICH HE/SHE THINKS MIGHT CAUSE A CONFLICT BETWEEN HIS/HER PERSONAL INTERESTS AND HIS/HER FIDUCIARY DUTY: FINANCIAL INTERESTS, INSIDE INFORMATION, CONFLICTING INTEREST OTHER THAN FINANCIAL, GIFTS AND FAVORS. THE FOLLOWING LSS EMPLOYEES ARE REQUIRED TO SIGN A "CONFLICT OF INTEREST FORM" ANNUALLY: PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER/TREASURER, VICE PRESIDENT OF CONSTRUCTION AND IT, VICE PRESIDENT OF HUMAN RESOURCES, ALL DIRECTORS, ADMINISTRATORS AND ASSISTANT ADMINISTRATORS. THE CORPORATE COMPLIANCE OFFICER FOLLOWS UP WITH ANY CONFLICTS OF INTERESTS AND DOCUMENTS THE RESOLUTIONS OF THE CONFLICTS. THESE FORMS ARE KEPT BY THE CORPORATE COMPLIANCE OFFICE. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION DID NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. THE COMPENSATION PROCESS USED BY THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, IS AS FOLLOWS: THE BOARD OF DIRECTORS ESTABLISHED A SEPARATE COMPENSATION COMMITTEE CHARGED WITH PERFORMING AN ANNUAL PERFORMANCE REVIEW OF THE CEO AND REVIEWING THE CEO'S COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM TO: (1) DEVELOP AN ANNUAL CEO PERFORMANCE REVIEW PROCESS, INCLUDING A NEW EVALUATION FORM, AND (2) DEVELOP A COMPENSATION PACKAGE BASED ON ITS KNOWLEDGE OF SIMILARLY SIZED NON-PROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE COMPENSATION PAID TO THE CEO IS REASONABLE. ALL MEMBERS OF THE BOARD COMPLETE AN ANNUAL EVALUATION, WHICH THE COMPENSATION COMMITTEE SUMMARIZES AND REVIEWS. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR ANY COMPENSATION ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH NOT A REQUIREMENT, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,963,373. MANAGEMENT AND GENERAL EXPENSES 44,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,008,247. ANCILLARY: PROGRAM SERVICE EXPENSES 835,811. MANAGEMENT AND GENERAL EXPENSES 3,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 839,680. DATA PROCESSING: PROGRAM SERVICE EXPENSES 216,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,093. FORM 990, PART X, PAGE 11, LINE 20 - LIABILITIES / TAX EXEMPT BONDS THE PARENT COMPANY, LUTHERAN SENIOR SERVICES, HAS ALLOCATED A PORTION OF THE 2016 TAX EXEMPT BONDS THAT WERE ISSUED TO THE PARENT COMPANY TO THIS ORGANIZATION. THE DETAILS OF THE 2016 TAX EXEMPT BONDS ISSUED TO LUTHERAN SENIOR SERVICES ARE CONTAINED ON THE SCHEDULE K THAT IS FILED WITH THE FORM 990 FOR THE PARENT COMPANY (FEIN 43-0654862). AS A RESULT, THERE IS NO SCHEDULE K FOR THIS TAX RETURN. FORM 990, PART XI, LINE 9: MERGER WITH LSS 31,308,855. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEARS. FORM 990, PART XI, LINE 9 THIS IS THE ORGANIZATION'S FINAL RETURN SINCE IT WILL BE MERGING WITH ITS PARENT ENTITIY, LUTHERAN SENIOR SERVICES. AN EQUITY TRANSFER WILL OCCUR CLOSING OUT THIS YEAR'S BALANCE SHEET. FORM 990, PART V, LINE 2 AND PART IX, LINES 7, 8, 9, AND 10 THE ORGANIZATION'S PAYROLL IS PROCESSED WITH LUTHERAN SENIOR SERVICES, THE PARENT COMPANY. FORMS W-3 AND W-2 WERE NOT ISSUED BY LUTHERAN HILLSIDE VILLAGE, INC. AS OF DECEMBER 31, 2022. THE ORGANIZATION DID PAY THE SALARIES, EMPLOYMENT TAXES, AND EMPLOYEE BENEFITS FOR THE ORGANIZATION'S EMPLOYEES. AS OF DECEMBER 31, 2022 THE ORGANIZATION HAD 373 FULL-TIME EMPLOYEES. FORM 990, PART V, LINE 1A THE ORGANIZATION'S 1099S ARE PROCESSED WITH THE PARENT COMPANY, LUTHERAN SENIOR SERVICES. 1099S ARE NOT ISSUED BY LUTHERAN HILLSIDE VILLAGE AS THE PARENT COMPANY PAYS ALL VENDORS THROUGH ONE NUMBER FOR EACH VENDOR AND THE VENDOR IS PAID FOR ANY INVOICE OWED BY ANY OF THE RELATED ENTITIES. AS A RESULT, THERE IS NO WAY FOR THE ORGANIZATION TO BREAK OUT THE NUMBER OF 1099S ISSUED BY THE PARENT COMPANY ON BEHALF OF THE ORGANIZATION. LUTHERAN SENIOR SERVICES 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 430654862 SENIOR LIVING MO 501(C)(3) LINE 10 N/A 0 LUTHERAN HILLSIDE VILLAGE FOUNDATION 1150 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 371371314 SENIOR LIVING IL 501(C)(3) LINE 7 LUTHERAN SENIOR SERVICES 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1