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      <ActivityOrMissionDesc>The Mission at Rebecca Residence is to provide high quality individual care for our aging community in need of independent living, personal care, skilled nursing, and rehabilitation therapy, in a Christian environment, and to serve those with limited funds to the best of our ability.</ActivityOrMissionDesc>
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      <MissionDesc>The Mission at Rebecca Residence is to provide high quality individual care for our aging community in need of independent living, personal care, skilled nursing, and rehabilitation therapy, in a Christian environment, and to serve those with limited funds to the best of our ability.</MissionDesc>
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      <Desc>Rebecca Residence is one of the premier continuing care retirement communities for seniors in Western Pennsylvania. The skilled nursing component of Rebecca Residence, as of the time of this filing, has a rating of four stars as reported by the Centers of Medicare &amp; Medicaid Services. Rebecca Residence is licensed for 60 skilled nursing beds, all of which are located in either private or almost-private rooms. During the fiscal year ended June 30, 2023, 925 residents were served by the facility. 177 residents received rehabilitation services that enabled them to be transferred from skilled nursing to personal care. 537 residents were able to be discharged back to their home in the community. During fiscal year 2023, the facility averaged 51.4 residents per day in skilled nursing totaling 18,764 days of care provided. Residents are cared for by RN's, LPN's, and CNA's while under skilled care. Care plans are developed by inter-disciplinary teams in skilled nursing that outline the care that is to be provided to the residents. Residents also receive assistance with daily activities, three chef-inspired meals every day, regular housekeeping and laundry services. The facility employs its own therapy staff that provides services to residents, enabling them to get back to their highest possible level of functionality. Therapy services provided include physical, occupational and speech therapy. A robust activities program is provided to create a stimulating environment. Examples of activities programs provided to the residents include, but are not limited to, musical entertainment, daily exercise classes, current events updates, Bible studies, church services, holiday parties, summer picnics, and day trips outside of the facility. In addition to the program services provided to residents of the facility.</Desc>
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        <Desc>Rebecca Residence is licensed for 65 personal care beds. During the 2023 fiscal year, the facility averaged 58.4 residents per day in personal care translating to a total of 21,297 days of care provided. Residents of personal care are cared for by licensed practical nurses (LPNs) and nursing assistants. In addition to LPNs and nursing assistants. Care plans are developed by inter-disciplinary teams in personal care that outline the care that is to be provided to the residents. It is the goal of the facility to serve residents in the least restrictive environment - personal care as opposed to skilled nursing and discharged home as opposed to serving residents in the facility. Residents receive assistance with daily activities, three chef-inspired meals every day, regular housekeeping and laundry services. The facility employs its own therapy staff that provides services to residents, enabling them to get back to their highest possible level of functionality. A robust activities program is provided to create a stimulating environment. Examples of activities programs provided to the residents include, but are not limited to, musical entertainment, daily exercise classes, current events updates, Bible studies, church services, holiday parties, summer picnics, and day trips outside of the facility. Benevolent care is also a core tenant of the mission of Rebecca Residence. With the focus on charity care being so important, the facility provided 1,788 subsidized days of care during the year to residents who were unable to pay for the full cost of their care due to lack of resources. This averages 4.9 residents per day and totaled $168,149 worth of subsidies. This is funded partly by donations from the Rebecca Residence Foundation.</Desc>
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        <Desc>Rebecca Residence opened one the of premier independent living facilities in western Pennsylvania in 2017. The facility, known as Highpointe at Rebecca Residence, has 109 apartments and consists of a mixture of one- and two-bedroom apartments. There are numerous lounges and shared areas for a variety of activities. The facility has a bistro for continental breakfast and lunch, a Chapel that serves 75 people with our own Pastoral staff, a fully equipped fitness center with Silver Sneakers instructor, a woodshop, a game room with billiards, ping-pong, and darts, a library, along with numerous lounges and shared areas for a variety of activities. The reasonable entrance fees and monthly fees has allowed Highpointe to maintain a very strong occupancy rate. As of the time of this filing, occupancy is at 98% and the wait list is growing by the day. This reflects the fine reputation that Rebecca Residence has established in the senior living community. Our beautiful facility, located in Allison Park, PA is only a short drive from the shopping, restaurants, and cultural opportunities of downtown Pittsburgh. Trips to these locations are scheduled monthly so residents don't have to worry about driving and parking themselves. Monthly fees include routine maintenance service, transportation to local shopping centers and grocery stores, various activities programs, help with medical forms and income taxes, individual local trips for medical appointments.</Desc>
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        <Desc>In addition to the program services provided to residents of the facility, Rebecca Residence also provides general community benefits. Examples include, but are not limited to, hosting a Seniors for Safe Driving educational course, providing space in the facility for use by outside church and community groups for their functions, and donating various gift baskets for fundraisers for non-related charitable organizations. Rebecca Residence sponsored little league teams in the Pine Richland Baseball/Softball Association, Deer Lakes Youth Baseball Association, Deer Lakes Hockey Club, Hampton Baseball Boosters, Pine Richland Baseball and Softball Association. Donations were made to St. Margaret's Foundation, Redeemer Lutheran School, Greensburg Central Catholic, Hampton Alliance for Educational Excellence, Park Police Association of Westmoreland County, Healing Hunger Beaver County, Christ Lutheran Church, Avalon Fire Department, Epilepsy Foundation, St. Luke Lutheran School, Alzheimer's Foundation of America, ALS Association, St. Jude Children's Research Hospital, Animal Friends, Harvest Baptist Academy, First Evangelical Lutheran Church, and Springdale American Legion. The facility also made donations to the West Deer Volunteer Fire Department and West Deer EMS to help with ever increasing annual costs. Along with the donations, Rebecca Residence is a clinical site for multiple university, college, career institutes, and hospital nursing programs. These include Chatham University, Slippery Rock University, Community College of Allegheny County, Butler County Community College, University of Pittsburgh, Gannon University, Carlow University, Duquesne University, Seton Hill University, and Clarion University. For Fiscal Year ending 6/30/23, Rebecca Residence donated $1,750,000 to 501(c)(3) Concordia Lutheran Ministries Foundation (EIN 20-5138266).</Desc>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>Miscellaneous other income Net change in Third Part Assets</ExplanationTxt>
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      <HeldWorksArtGrp>
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        <AssetsIncludedAmt>430600</AssetsIncludedAmt>
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        <OtherCostOrOtherBasisAmt>1365549</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1365549</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>43269245</OtherCostOrOtherBasisAmt>
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        <Desc>Assets whose use is limited</Desc>
        <BookValueAmt>140915</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Statutory Minimum Liquid Reserves</Desc>
        <BookValueAmt>1498970</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Collections</Desc>
        <BookValueAmt>430600</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Interest in assets held in Rebecca Residence Foundation</Desc>
        <BookValueAmt>11510917</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Resident escrow deposits</Desc>
        <Amt>14000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable entrance fees</Desc>
        <Amt>4554688</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Resident Fund liability</Desc>
        <Amt>28665</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to affiliates</Desc>
        <Amt>304091</Amt>
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      <TotalLiabilityAmt>4901444</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's collection is comprised of artifacts of historical significance, works of art and antiques. The collections were acquired through purchases and contributions since the Organization's inception and are recognized as assets on the balance sheet.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part III, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's collection is comprised of artifacts of historical significance, works of art and antiques. The collections were acquired through purchases and contributions since the Organization's inception and are recognized as assets on the balance sheet. Items purchased are recorded at cost and contributed items are recorded at their appraised fair market value. Purchases of collection items are recorded as decreases in unrestricted assets in the year in which the items are acquired, or as temporarily or permanently restricted net assets if the assets used to purchase the items are restricted by donors. Proceeds from deaccessions or insurance recoveries are reflected as increases in the appropriate net asset classes. The collections are classified as non-depreciable property since their value is expected to appreciate.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is a not-for-profit corporation and is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes has been provided. The Organization adopted the standard for accounting for uncertainty in income taxes recognized in an organization's financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The standard also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has determined that the adoption of the standard did not have a material effect on the consolidated financial statements. The Organization's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. There were no interest or penalties recognized on the consolidated statements of operations and changes in net assets as a result of the adoption.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concordia Lutheran Ministries Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>134 Marwood Road</AddressLine1Txt>
          <CityNm>Cabot</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16023</ZIPCd>
        </USAddress>
        <RecipientEIN>205138266</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>The grants are used to further the charitable mission of Concordia Lutheran Ministries Foundation.</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has certain controls in place to ensure that grants are utilized in the appropriate manner.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Keith Frndak</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>637671</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>853480</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Hortert</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Falbo</PersonNm>
        <TitleTxt>Secretary/Treasurer</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>286257</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Phil Ricci</PersonNm>
        <TitleTxt>Executive Director of Rebecca Residence</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8966</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>302</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>156978</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director/Administrator salary is reviewed on an annual basis, most recently January 2022. The organization participates in various state and national industry-specific surveys. Results of the surveys are used to measure the salaries of key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Rebecca Residence participates in a non-qualified 457 deferred compensation plan for certain highly compensated employees. The Concordia Lutheran Ministries (EIN 20-5138278) Board of Directors and CEO approve all participants who are enrolled in the plan. Contributions are deferred and will fully vest in five years. Once disbursed, contributions will appear in Box 5 of the participant's W-2. In the calendar year 2022 the following participants were enrolled in the plan: Keith Frndak, Brian Hortert, Michael Falbo, and Rachelle Arnold.</ExplanationTxt>
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          <BusinessNameLine1Txt>Allegheny County Hospital Development Authority</BusinessNameLine1Txt>
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        <CUSIPNum>01728A2Y1</CUSIPNum>
        <BondIssuedDt>2016-02-11</BondIssuedDt>
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        <PurposeDesc>Building Expansion</PurposeDesc>
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        <BondReferenceCd>A</BondReferenceCd>
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        <IssuanceCostsFromProceedsAmt>285166</IssuanceCostsFromProceedsAmt>
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        <CapitalExpendituresAmt>16136343</CapitalExpendituresAmt>
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        <UnspentAmt>23923061</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
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        <BondReferenceCd>A</BondReferenceCd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I-02/11/2016 40,250,000 Allegheny County Hospital Development Authority</FormAndLineReferenceDesc>
        <ExplanationTxt>The proceeds of the sale of the bonds will be loaned to Rebecca Residence for the purpose of providing funds for a project consisting of the payment and reimbursements of costs incurred in connection with (a) the construction, equipping, and furnishing of an independent living retirement community to be owned and operated by Rebecca Residence, (b) the acquisition, renovation, and equipping of a building expected to be used for short-term and long-term rehabilitation and personal care and to be owned and operated by Concordia of Monroeville, (c) the acquisition, renovation, and equipping of a building expected to be used for short-term rehabilitation care and to be owned and operated by Concordia Lutheran Health and Human Care, (d) miscellaneous capital expenditures by members of the Obligated Group, and (e) the issuance of the Bonds, including, but not limited to, costs incurred in connection with obtaining credit enhancement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c-02/11/2016 40,250,000 Allegheny County Hospital Development Authority</FormAndLineReferenceDesc>
        <ExplanationTxt>All proceeds from the bond issue were used in the project.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Concordia Lutheran Health and Human Care is the sole member of Rebecca Residence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Concordia Lutheran Health and Human Care is the sole member of Rebecca Residence and elects nine of the twelve members for the Board of Directors of Rebecca Residence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Concordia Lutheran Health and Human Care, being the sole member of Rebecca Residence, holds limited reserve powers over the Board of Directors of Rebecca Residence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Concordia Lutheran Ministries board of directors maintains reserve powers on the binding decisions made by the board of directors of this organization. Due to the reserve powers maintained by the board of directors of Concordia Lutheran Ministries, it has been decided to present the Form 990 of this organization to the board of directors of Concordia Lutheran Ministries for review prior to submission of this form. Additionally, any independent board member of this organization was offered an opportunity to review the Form 990 prior to submission as well.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporate compliance officer attends at least 1 (one) board meeting a year. All officers, directors or trustees, and key employees are educated on compliance policies and procedures with the corporate compliance officer. Updates on corporate compliance are addressed in scheduled meetings during the year with all staff (including management). Specific corporate compliance goals and objectives are reviewed and evaluated on an ongoing basis during the year with the corporate compliance officer. Additionally, board members are required to disclose any potential conflict of interest prior to discussion on a topic where a conflict may exist. The Board will determine if a conflict exists and act accordingly, which may include the conflicted board member recusing himself/herself from discussion and any votes related to the matter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization participates in various state and national industry-specific surveys. Results of the surveys are used to measure the salaries of key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Concordia Lutheran Ministries publishes an annual report that summarizes the financial operations of the organization and its affiliates which is mailed to all of its constituents and is available to the public upon request. The Form 990 would be presented to any individual who requests, in writing, a copy of the form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members of Rebecca Residence serve on a purely volunteer basis. Any compensation to a board member by a related organization, reported on Part VII and Schedule J, is for his/her service as an employee of that organization and not for his/her service as a board member.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Concordia Lutheran Ministries</BusinessNameLine1Txt>
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          <AddressLine1Txt>134 Marwood Road</AddressLine1Txt>
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        <EIN>205138278</EIN>
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        <PrimaryActivitiesTxt>To provide skilled nursing, personal care, independent living, and rehabilitation services.</PrimaryActivitiesTxt>
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        </USAddress>
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        <EIN>251318793</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Concordia Tele-Caregivers</BusinessNameLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16023</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>1</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000009" softwareId="22015720" softwareVersionNum="v1.00">
      <ExplanationTxt>Filed IRS Form 8868 for the automatic 6 month extension. Additional time was necessary to gather information and complete the Form 990 accurately.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>
