2024-04-29T10:49:13-05:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450347147 St Luke's Home STLU 7014835000 242 West 10th Street Dickinson ND 58601 Amy Kreidt CEO/Administrator 7014835000 2024-04-26 1 Amy Kreidt 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Amy Kreidt 242 West 10th Street Dickinson ND 58601 14322498 0 9386 X www.stlukeshome.com X 1953 ND Nursing Facility and Assisted Living 10 10 269 20 0 0 290272 31329 12523783 14030915 149381 141234 2804911 108509 15768347 14311987 64699 28897 0 0 7736854 8960865 0 0 0 5393165 6768330 13194718 15758092 2573629 -1446105 17716717 15990609 11489403 11089849 6227314 4900760 X St. Luke's Home and its assisted living facility, Park Avenue Villa, exist to provide a continuum of quality care to God's people, creating a compassionate, comfortable, and family oriented atmosphere, striving to enhance the dignity and respect of each person we serve. 0 0 14319530 28897 14030915 St. Luke's Home is an 88 bed nursing home and a 38-unit assisted living facility located in Dickinson, ND. St. Luke's Home was organized in 1957 by the American Lutheran Church and the congregations in the southwestern part of North Dakota. The purpose, at the time, was to provide nursing care for the comfort and well-being of the chronically ill, of the aged and of the infirm of the area, regardless of race, color or creed. As nursing home services continued to evolve, St. Luke's became Medicare/Medicaid certified and today offers a wide range of services including a full range of Therapy services, Hospice, IV Therapy, and Tube Feeding as well as Respite Care. While we continue to serve those in need, plans are in place to transition from the "nursing home" model to person centered care in a new atmosphere which will reinvigorate and emphasize retention of dignity and quality of life for those we serve. 14319530 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 269 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Amy Kreidt 7014835000 242 West 10th Street Dickinson ND 58601 Pat Bren President 0.40 0.30 X X 0 0 0 James Odermann Vice President 0.40 0.30 X X 0 0 0 Mary Nordsven Secretary 0.40 0.30 X X 0 0 0 Tom Wyckoff Treasurer 0.40 0.30 X X 0 0 0 Marci Murphy Vice President (until march) 0.40 0.30 X 0 0 0 Amy Graves Member 0.40 0.30 X 0 0 0 Mary Anne Marsh Member 0.40 0.30 X 0 0 0 Cleo Ballweber Member 0.40 0.30 X 0 0 0 Rick Thompson Member 0.40 0.30 X 0 0 0 Patrick Healy Member 0.40 0.30 X 0 0 0 Russell Murphy Member (From March) 0.40 0.30 X 0 0 0 Amy Kreidt CEO/Administrator 40.00 0.30 X 189828 0 9594 Jamie Koffler DON 40.00 0.00 X 125216 0 4383 Maria Annie Perillo RN 55.00 0.00 X 136933 0 4692 Minette Opulencia RN 46.00 0.00 X 104472 0 8420 556449 0 27089 4 0 1 0 DTN Staffing 1200 Collins Ave Mandan ND 58554 Contract labor 1162755 Prime Time Health Care LLC PO Box 3544 Omaha NE 68103 Contract labor 513330 Therapy Solutions LLC 1679 6th Ave West Dickinson ND 58601 Contract therapy 224183 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Contract labor 202214 OneSTaff Medical LLC PO Box 3544 Omaha NE 681030544 Contract labor 121638 6 5000 26329 31329 Patient Service Rev. 623000 12861829 12861829 Resident Rental Rev. 623000 1162524 1162524 6562 6562 14030915 151745 151745 10511 -10511 -10511 -10511 Employee Retention Credit 900099 108509 108509 108509 14311987 14030915 0 249743 X 28897 28897 230772 230772 7601082 7219439 381643 155883 143824 12059 408131 408131 564997 525777 39220 4208 4208 335680 335680 14936 14936 2404082 2390130 13952 77159 3447 73712 453135 322523 130612 145808 6639 139169 556208 556208 15785 10003 5782 7307 7307 443831 440061 3770 959938 952944 6994 106399 106399 Food Expense 521476 521476 Medical Supplies 322498 322498 Medicare Expenses 164584 164584 Repairs 69431 42824 26607 165865 146419 19446 15758092 14319530 1438562 0 12395 14723 835377 2624170 1131214 915647 17097 0 52062 93825 22611870 13989809 9408353 8622061 3266016 3688183 2994203 32000 17716717 15990609 983226 1046691 98536 60487 10407641 9982671 11489403 11089849 X 6227314 4900760 6227314 4900760 17716717 15990609 -1446105 119551 0 X X 0 1 X 0 0 X 11585 99555 2573489 290272 31329 3006230 11015573 12004033 12043040 12523783 14030915 61617344 11027158 12103588 14616529 12814055 14062244 64623574 0 428860 401686 27716 37658 512103 1408023 428860 401686 27716 37658 512103 1408023 63215551 77773 34099 55526 160143 151745 479286 77773 34099 55526 160143 151745 479286 11104931 12137687 14672055 12974198 14213989 65102860 0.97100 0.93150 0.00740 0.00520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 18264081 10999751 7264330 3741026 2839953 901073 606763 150105 456658 8622061 X 14416602 119551 119551 14297051 14936 14936 14311987 15714259 0 15714259 14936 28897 43833 15758092 Part IV, Line 2b: The Organization acts as custodian for the funds of the residents and holds tenant security deposits. Resident trust funds and tenant security deposits, which are included in cash, totaled $60,487 and $98,536 at June 30, 2023 and June 30, 2022. Part X, Line 2: The Organization believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the combined financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred. Part XII, Line 4b - Other Adjustments: Transfer to Related Party included in Fund Balance on Financial Statements 28,897. 0 St Luke's Home Foundation 242 10th Street West Dickinson ND 58601 450409966 501(c)(3) 28897 0 General operations. 1 0 Part I, Line 2: St. Luke's Home and St. Luke's Home Foundation have the same board of directors and Administrator/CEO which helps ensure appropriate use of grant funds. X X X 0 0 0 0 0 0 0 0 0 Amy Kreidt CEO/Administrator 189828 0 0 0 0 0 6744 0 2870 0 199442 0 0 0 Form 990, Part VI, Section A, line 2 Marci Murphy and Russell Murphy have a family relationship. Form 990, Part VI, Section A, line 6 The Corporation shall have one member. Dickinson St. Luke's Home, Inc., a North Dakota nonprofit corporation, shall be the sole member of the Corporation. Form 990, Part VI, Section A, line 7a Ten directors shall be appointed by Dickinson St. Luke's Home, Inc., to serve one-year terms, with unlimited succession. Form 990, Part VI, Section A, line 8b There are no committees with authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b The administrator and legal advisor will review a draft of the full Form 990 before it is finalized. In addition, a draft copy of the Form 990 will be provided to the board members for their review prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The organization annually re-adopts a conflict of interest policy. Any perceived conflict of interest on the part of a board member shall be disclosed to the Board of Directors prior to the board's decision on the issue to which the perceived conflict relates. When such a disclosure has been made and acknowledged, and the board has concurred that a conflict of interest exists, the board member involved shall abstain from voting on the issue. The board member shall refrain from participating in the discussion other than to provide factual information about the applicant, organization or vendor in question. Any abstentions from voting will be recorded in the minutes of the meeting. Form 990, Part VI, Section B, line 15a Annually, a committee performs an evaluation of the compensation and sends evaluation forms to the Board of Directors. They compile the responses and review area wages provided by the ND Long Term Care Association. The Board of Directors votes on the compensation amounts. A vote is conducted during each filing year. This process is documented in the meeting minutes. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public. Form 990, Part IX, line 11g Professional Services: Program service expenses 114,566. Management and general expenses 0. Fundraising expenses 0. Total expenses 114,566. Contracted Services: Program service expenses 2,133,842. Management and general expenses 13,952. Fundraising expenses 0. Total expenses 2,147,794. Medical Service Fees: Program service expenses 141,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 141,722. Form 990, Part XII, Line 2c: The entire board of directors assumes the responsibility for oversight of the audit. St Luke's Home Foundation 242 10th Street West Dickinson ND 58601 450409966 To raise funds to support the activities of St. Luke's Home ND 501(c)(3) Line 12b, II Dickinson St Luke's Home Inc 0 Dickinson St Luke's Home Inc 242 10th Street West Dickinson ND 58601 450409965 Support in establishing, operating, & maintaining retirement & nursing homes ND 501(c)(3) Line 12b, II N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1