2021-11-15T09:26:33-06:00 2020-12-31 420714325 RSM US LLP 400 LOCUST ST STE 640 DES MOINES IA 503092354 990 2020-01-01 510229822 LUTHER PARK HEALTH CENTER INC LUTH 5152625639 1546 HULL AVE DES MOINES IA 503161343 NICK MILLER CFO 5152625639 2021-11-08 1 NICK MILLER XXX-XX-XXXX KATHY FAIRCHILD P00222608 5155586600 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN RIEKE 1546 HULL AVE DES MOINES IA 503161343 15147541 0 X LUTHERPARKCOMMUNITY.ORG X 1978 IA TO PROVIDE ASSISTED LIVING, NURSING FACILITIES, AND SERVICES FOR THE ELDERLY. 12 12 0 16 0 0 0 2617661 14095837 12454655 47207 23545 69862 51680 14212906 15147541 0 0 0 0 8510230 9417460 0 0 0 5593241 5298673 14103471 14716133 109435 431408 16891038 16879203 13042676 12599433 3848362 4279770 X TO PROVIDE ASSISTED LIVING, NURSING FACILITIES, AND SERVICES FOR THE ELDERLY. 0 0 13740157 12454655 LUTHER PARK PROVIDES QUALITY SERVICES FOR MATURE IOWANS, MEETING THEIR PHYSICAL, SPIRITUAL, SOCIAL AND PSYCHOLOGICAL NEEDS ON ITS BEAUTIFUL ROSE-SCAPED CAMPUS. THE NURSING CENTER IS HOME TO 120 INDIVIDUALS. TRINITY CENTER HAS 3 LICENSED CCDI (CHRONICALLY CONFUSED DEMENTING ILLNESS) UNITS, EACH HOME TO 20 RESIDENTS. ANOTHER 60 RESIDENTS LIVE IN THE GENERAL NURSING AREA. RESIDENTS LIVE IN A HOME-LIKE ATMOSPHERE WITH THE AVAILABILITY OF SKILLED/REHABILIATION CARE INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES. PHYSICAL AND SOCIAL ACTIVITIES ARE PROVIDED AT THE APPROPRIATE LEVEL FOR EACH RESIDENT. SUPPORT FOR FAMILIES OF ALZHEIMER'S PATIENTS IS ALSO PROVIDED THROUGH A MONTHLY SUPPORT GROUP AND SPOUSE LUNCHEON.THE ASSISTED LIVING FACILITIES INCLUDE 70 SPACIOUS, SAFE AND SECURE APARTMENTS WITH OPTIONS SUCH AS NURSING SERVICES AND MEDICATION MANAGEMENT AVAILABLE. STAFF WITH SPECIALIZED TRAINING IN DEMENTIA ARE AVAILABLE TO THOSE RESIDENTS WITH MILD TO MODERATE MEMORY LOSS AND DEMENITA. AMENITIES INCLUDE AN EMERGENCY CALL SYSTEM, TRANSPORTATION TO MEDICAL APPOINTMENTS, HELP WITH ACTIVITIES OF DAILY LIVING, LIBRARY, PASTORAL & CHURCH SERVICES, WELLNESS CENTER, AND BEAUTY SHOP. 13740157 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X NICK MILLER 5152625639 1546 HULL AVENUE DES MOINES IA 50316 CAROL SIPFLE COO 30.00 10.00 X 0 167738 11180 DEB NOWACHEK HR DIRECTOR 30.00 10.00 X 0 120727 14681 CRYSTAL ELLEFSON ADMINSTRATOR 30.00 10.00 X 0 109136 6239 NICK MILLER CFO 30.00 10.00 X 0 106923 18698 JOHN RIEKE CEO 30.00 10.00 X 0 103662 9067 DUANE MILLER PRESIDENT 1.00 2.00 X X 0 0 0 ERIN LAIN VICE PRESIDENT 1.00 2.00 X X 0 0 0 TIM BRATVOLD TREASURER 1.00 2.00 X X 0 0 0 TIRA MAYS SECRETARY 1.00 2.00 X X 0 0 0 GAIL A NIELSEN DIRECTOR/FORMER PRESIDENT 1.00 2.00 X 0 0 0 SUZANNE RITA THRU 320 DIRECTOR/FORMER VICE PRESIDENT 1.00 2.00 X 0 0 0 CINDY BADDELOO FROM 620 DIRECTOR 1.00 2.00 X 0 0 0 PAUL BROWN FROM 620 DIRECTOR 1.00 2.00 X 0 0 0 RUSS FRAZIER DIRECTOR 1.00 2.00 X 0 0 0 SARAH TRONE GARRIOTT DIRECTOR 1.00 2.00 X 0 0 0 RUTH HAAG THRU 520 DIRECTOR 1.00 2.00 X 0 0 0 KEITH HYLAND DIRECTOR 1.00 2.00 X 0 0 0 MARY KELLY DIRECTOR 1.00 2.00 X 0 0 0 LYNNE OWENS THRU 620 DIRECTOR 1.00 2.00 X 0 0 0 KALLY PROBASCO FROM 620 DIRECTOR 1.00 2.00 X 0 0 0 JOEL WULF THRU 120 DIRECTOR 1.00 2.00 X 0 0 0 0 608186 59865 0 0 1 0 MILLENNIUM REHAB & CONSULTING 4725 MERLE HAY ROAD STE 107 URBANDALE IA 503221983 THERAPY VENDOR 433940 ARAMARK 2500 DELAWARE AVE DES MOINES IA 50317 DIETARY/ENVIRON SVC MGMT 293942 2 1740000 877661 2617661 NET PATIENT SERVICE RE 623990 12454655 12454655 12454655 23545 23545 MEALS INCOME 623990 35009 35009 BEAUTY & BARBER INCOME 623990 16671 16671 51680 15147541 12454655 0 75225 7931749 7879918 51831 925300 916186 9114 560411 556446 3965 686906 686906 38103 38103 116814 116814 1098115 1098115 5375 5375 124311 124311 458673 458673 7534 7534 33205 33205 535347 535347 884366 884366 69243 69243 FOOD & DIETARY SUPPLIES 572021 572021 SUPPLIES 522650 522650 MISCELLANEOUS 109466 109466 MEDICAL REVIEW 18000 18000 18544 18544 14716133 13740157 975976 0 2161024 2727100 986090 1000502 1169401 920555 14000 28352 62819 65935 25470024 13659872 12152438 11810152 345266 326607 16891038 16879203 785187 786502 11712408 11278601 545081 534330 13042676 12599433 X 3848362 4279770 3848362 4279770 16891038 16879203 431408 0 X X 0 1 X 1 0 X 2845 2617661 2620506 12743922 12877206 13181002 14095837 12454655 65352622 130160 63427 65745 69862 51674 380868 12876927 12940633 13246747 14165699 15123990 68353996 0 0 0 68353996 6355 7645 28652 47207 23545 113404 6355 7645 28652 47207 23545 113404 12883282 12948278 13275399 14212906 15147535 68467400 0.99830 0.99860 0.00170 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 647404 647404 19015030 8858534 10156496 5586961 4801338 785623 220629 220629 11810152 SECURITY DEPOSITS 98300 DUE TO AFFILIATE 309248 ACCRUED INTEREST PAYABLE 126782 534330 X PART X, LINE 2: AS REQUIRED BY THE INCOME TAXES TOPIC OF THE ASC, MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED NO OTHER INCOME TAX EFFECTS WITH RESPECT TO THE FINANCIAL STATEMENTS. THE CORPORATIONS HAVE NOT BEEN NOTIFIED OF ANY OTHER IMPENDING EXAMINATIONS BY THE TAX AUTHORITIES, AND NO EXAMINATIONS ARE IN PROCESS. 0 0 0 0 0 0 0 0 0 CAROL SIPFLE COO 0 167738 0 0 0 0 0 5329 0 5851 0 178918 0 0 A CITY OF BONDURANT IOWA #5 426004287 098065BH7 2016-12-22 4918830 REFUND OF C2004 BONDS 0 0 0 B CITY OF BONDURANT IOWA #6 426004287 098065AB6 2016-12-22 7965000 REFUND OF 2005 & 2007 BONDS 0 0 0 A 788830 4918830 203684 98377 4616769 1 0 1 1 B 800000 7965000 275925 159300 7529775 1 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 SCHEDULE K, PART I, BOND ISSUE: (A) ISSUER NAME: CITY OF BONDURANT, IOWA, BOND #5 (F) DESCRIPTION OF PURPOSE: REFUND OF THE C2004 BONDS (A) ISSUER NAME: CITY OF BONDURANT, IOWA, BOND #6 (F) DESCRIPTION OF PURPOSE: REFUND OF THE 2005 AND 2007 BONDS FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12 LUTHER CARE SERVICES HAS A CONFLICT OF INTEREST POLICY THAT IS UPDATED ANNUALLY. IF A BOARD MEMBER OR OFFICER HAS A CONFLICT, THE BOARD MEMBER ABSTAINS FROM VOTING ON THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS PAID BY LUTHER CARE SERVICES. THE EXECUTIVE COMMITTEE FOR THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO. COMPENSATION FOR ALL OTHER SENIOR STAFF IS APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 11, PART XII, LINE 2C: THE ENTIRE BOARD HAS RESPONSIBILITY FOR OVERSIGHT AND REVIEW OF THE AUDIT. LUTHER CARE SERVICES 1546 HULL AVENUE DES MOINES IA 50316 510204853 MANAGEMENT OF NURSING HOME AND HEALTH CENTER IA 501(C)(3) 509(A)(2) N/A 0 LUTHER PARK APARTMENTS 2824 E 16TH STREET DES MOINES IA 50316 510229824 INDEPENDENT LIVING APARTMENTS IA 501(C)(3) 509(A)(2) LUTHER CARE SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0