LUTHERAN HOME OF THE GOOD SHEPHERD: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME OF THE GOOD SHEPHERD (EIN 45-0277267)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-11-02
IRS object ID
202303069349302740
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-02T16:44:48-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11730 Burnt Boat Loop Ste 100AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585030886ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450277267EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lutheran Home of the Good Shepherd IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone7019472944PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11226 First Avenue NorthAddressLine1Txt
CityNew RockfordCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58356ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKim JensrudPersonNm
Person TitleAdministratorPersonTitleTxt
Phone7019472944PhoneNum
Signature2023-11-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKimPersonFirstNm
Person LastJensrudPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2023-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKim JensrudPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11226 First Avenue NorthAddressLine1Txt
CityNew RockfordCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58356ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,340,387GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lhgs.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionNursing facility attending to the residential, health, social and other needs of the elderly and their families in New Rockford, ND.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee132TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,072,878PYContributionsGrantsAmt
CY Contributions Grants$38,537CYContributionsGrantsAmt
PY Program Service Revenue$6,157,548PYProgramServiceRevenueAmt
CY Program Service Revenue$7,169,621CYProgramServiceRevenueAmt
PY Investment Income$55,371PYInvestmentIncomeAmt
CY Investment Income$117,088CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$2,015,141CYOtherRevenueAmt
PY Total Revenue$7,285,797PYTotalRevenueAmt
CY Total Revenue$9,340,387CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,823,507PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,075,984CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,958,225PYOtherExpensesAmt
CY Other Expenses$3,559,554CYOtherExpensesAmt
PY Total Expenses$6,781,732PYTotalExpensesAmt
CY Total Expenses$7,635,538CYTotalExpensesAmt
PY Revenues Less Expenses$504,065PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,704,849CYRevenuesLessExpensesAmt
Total Assets BOY$11,199,931TotalAssetsBOYAmt
Total Assets EOY$12,938,340TotalAssetsEOYAmt
Total Liabilities BOY$4,332,674TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,246,995TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,867,257NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,691,345NetAssetsOrFundBalancesEOYAmt
MissionThe mission of the Lutheran Home of the Good Shepherd shall be to provide, in the name of Christ, high-quality long-term care and other services and programs which address the needs of the senior citizen and special needs individual.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,981,867ExpenseAmt
Revenue$6,805,602RevenueAmt
DescThe Lutheran Home of the Good Shepherd is an 80-bed care facility with 51 skilled beds and 10 basic care beds that provides routine and ancillary services to its residents in a nondiscriminatory fashion without regard to ability to pay. The home reported 16,323 resident days related to skilled care beds or an occupancy of 88% for the end of 2022. The home reported 2,340 resident days related to basic care beds or an occupancy rate of 64.2%.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$257,183ExpenseAmt
Revenue$247,347RevenueAmt
DescHeritage House is a 16-unit assisted living facility. The facility had an annual occupancy rate of 88%.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$87,423ExpenseAmt
Revenue$116,672RevenueAmt
DescWestview Apartments is located in New Rockford, ND. It is a 22-unit apartment building for low-income individuals. The facility had an annual occupancy rate of 98%.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,326,473TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee132EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kim JensrudBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7019472944PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11226 First Avenue NorthAddressLine1Txt
CityNew RockfordCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58356ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Jeff Labrensz
President3.00Yes (X)Yes (X)$0$0$0
Lona Lutz
Vice President3.00Yes (X)Yes (X)$0$0$0
Mindy Rau
Secretary3.00Yes (X)Yes (X)$0$0$0
Kathleen O'Conner
Treasurer3.00Yes (X)Yes (X)$0$0$0
Dianne Allmaras
Director3.00Yes (X)$0$0$0
Richard Rau
Director3.00Yes (X)$0$0$0
Kurt Bollingberg
Director3.00Yes (X)$0$0$0
Karen Anderson
Director3.00Yes (X)$0$0$0
Reed Ystaas
Director (Nov-Jun)3.00Yes (X)$0$0$0
Carol Wolkenhauer
Director (Jul-Oct)2.50Yes (X)$0$0$0
Josh Guler
Director (Jul-Oct)2.50Yes (X)$0$0$0
Amanda Hegland
Director (Jul-Oct)2.50Yes (X)$0$0$0
Lori Parson
Director (Jul-Aug)2.50Yes (X)$0$0$0
Karen Birkeland
Director (Jul-Jan)2.50Yes (X)$0$0$0
Kim Jensrud
Administrator40.00Yes (X)$103,099$0$16,215
Tressa Lesmeister
Accountant40.00Yes (X)$46,760$0$1,401
FieldValueIRS element (for citing)
Total Reportable Comp From Org$149,859TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,616TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DTN Staffing Inc
1200 Collins AveMandanND58554Nursing Contract Services$403,534
ProCare Staffing Service
300 2nd Ave NEJamestownND58401Nursing Contract Services$233,853
Prime Time Healthcare LLC
PO Box 3544OmahaNE68103Nursing Contract Services$105,577
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$38,537AllOtherContributionsAmt
Total Contributions$38,537TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Revenue623000$6,929,828$6,929,828
Child Care624410$80,839$80,839
Cafeteria900099$21,852$21,852

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,102TotalRevenueColumnAmt
Related Or Exempt Func Income$137,102RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,169,621TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,088TotalRevenueColumnAmt
Exclusion$117,088ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescERC RevenueDesc
Business900099BusinessCd
Total Revenue Column$2,015,141TotalRevenueColumnAmt
Exclusion$2,015,141ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,015,141OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,340,387TotalRevenueColumnAmt
Related Or Exempt Func Income$7,169,621RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,132,229ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$174,107TotalAmt
Management And General$174,107ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,219,005TotalAmt
Program Services$2,821,181ProgramServicesAmt
Management And General$397,824ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$58,711TotalAmt
Program Services$53,015ProgramServicesAmt
Management And General$5,696ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$390,358TotalAmt
Program Services$333,753ProgramServicesAmt
Management And General$56,605ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$233,803TotalAmt
Program Services$195,209ProgramServicesAmt
Management And General$38,594ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$156,287TotalAmt
Management And General$156,287ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,396TotalAmt
Management And General$87,396ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$16,553TotalAmt
Management And General$16,553ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,503,852TotalAmt
Program Services$1,480,462ProgramServicesAmt
Management And General$23,390ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,219TotalAmt
Program Services$546ProgramServicesAmt
Management And General$11,673ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$209,545TotalAmt
Program Services$136,185ProgramServicesAmt
Management And General$73,360ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$82,285TotalAmt
Management And General$82,285ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$353,819TotalAmt
Program Services$293,408ProgramServicesAmt
Management And General$60,411ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,119TotalAmt
Program Services$27,084ProgramServicesAmt
Management And General$9,035ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$179,403TotalAmt
Program Services$165,853ProgramServicesAmt
Management And General$13,550ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$433,585TotalAmt
Program Services$403,430ProgramServicesAmt
Management And General$30,155ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,365TotalAmt
Program Services$14,991ProgramServicesAmt
Management And General$71,374ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Food$248,346$248,346
Medical Supplies$124,335$124,335
Bad Debt Expense$11,283$11,283

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,162TotalAmt
Program Services$17,392ProgramServicesAmt
Management And General$770ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,635,538TotalAmt
Program Services$6,326,473ProgramServicesAmt
Management And General$1,309,065ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,368,539BOYAmt
EOY$897,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$415,117BOYAmt
EOY$2,496,640EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$34,363BOYAmt
EOY$39,566EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,303BOYAmt
EOY$34,738EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,802,482LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,453,510LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,434,795BOYAmt
EOY$4,348,972EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,906,814BOYAmt
EOY$5,121,367EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,199,931BOYAmt
EOY$12,938,340EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$442,728BOYAmt
EOY$654,857EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$37,047BOYAmt
EOY$41,470EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,852,899BOYAmt
EOY$3,550,668EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,332,674BOYAmt
EOY$4,246,995EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,857,257BOYAmt
EOY$8,691,345EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,867,257BOYAmt
EOY$8,691,345EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,199,931BOYAmt
EOY$12,938,340EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,704,849ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$119,239NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,823,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,072,878CurrentTaxYearMinus1YearAmt
Current Tax Year$38,537CurrentTaxYearAmt
Total$3,023,891TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,217,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,477,893CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,468,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,157,548CurrentTaxYearMinus1YearAmt
Current Tax Year$7,169,621CurrentTaxYearAmt
Total$32,491,845TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,234,593CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,550,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,292,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,230,426CurrentTaxYearMinus1YearAmt
Current Tax Year$7,208,158CurrentTaxYearAmt
Total$35,515,736TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,273,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,123,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$864,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,506,408CurrentTaxYearMinus1YearAmt
Current Tax Year$974,795CurrentTaxYearAmt
Total$6,742,085TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,273,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,123,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$864,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,506,408CurrentTaxYearMinus1YearAmt
Current Tax Year$974,795CurrentTaxYearAmt
Total$6,742,085TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$28,773,651PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,382CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,371CurrentTaxYearMinus1YearAmt
Current Tax Year$117,088CurrentTaxYearAmt
Total$372,126TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,382CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,371CurrentTaxYearMinus1YearAmt
Current Tax Year$117,088CurrentTaxYearAmt
Total$372,126TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,300,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,620,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,354,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,285,797CurrentTaxYearMinus1YearAmt
Current Tax Year$7,325,246CurrentTaxYearAmt
Total$35,887,862TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.80180PublicSupportCY509Pct
Public Support PY5090.80440PublicSupportPY509Pct
Investment Income CY0.01040InvestmentIncomeCYPct
Investment Income PY0.00790InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,885OtherCostOrOtherBasisAmt
Book Value$48,885BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,972,108OtherCostOrOtherBasisAmt
Depreciation$8,428,905DepreciationAmt
Book Value$3,543,203BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,621,607OtherCostOrOtherBasisAmt
Depreciation$1,895,967DepreciationAmt
Book Value$725,640BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,882OtherCostOrOtherBasisAmt
Depreciation$128,638DepreciationAmt
Book Value$31,244BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,348,972TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,443,073TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$119,239NetUnrealizedGainsInvstAmt
Revenue Not Reported$119,239RevenueNotReportedAmt
Revenue Subtotal$9,323,834RevenueSubtotalAmt
Investment Expenses Not Incld$16,553InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$16,553RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,340,387TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,618,985TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,618,985ExpensesSubtotalAmt
Investment Expenses Not Incld2$16,553InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$16,553ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,635,538TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The Home acts as custodian for the funds of the nursing facility residents. The Home also holds security deposits for tenants of the assisted living and apartments. These funds are included in cash and cash equivalents and accounts payable in the financial statements. Resident trust funds and tenant security deposits totaled $41,470 and $37,047 at June 30, 2023 and 2022.
Part X, Line 2:The Home believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Home would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aThe Executive Committee consists of the President, Vice President, Treasurer and Secretary. They have the authority of the Board in the management of the affairs of the Corporation between meetings.
Form 990, Part VI, Section A, line 2Mindi Rau and Richard Rau have a family relationship.
Form 990, Part VI, Section A, line 6Area churches are members of the organization and are all members of the same class.
Form 990, Part VI, Section A, line 7aThe member delegates vote for the Board of Directors at the annual meeting.
Form 990, Part VI, Section B, line 11bThe Administrator will review a draft copy of the Form 990 prior to presenting the draft Form 990 at a board meeting. The Form 990 will then be reviewed and approved by the Board of Directors prior to it being finalized and filed.
Form 990, Part VI, Section B, line 12cEvery October board members and officers of the organization are asked to disclose any potential conflicts. The Administrator reviews the forms and each potential conflict is taken to the board. The board will then determine whether or not the member with the potential conflict should be allowed to vote on the issue. If it is determined he or she should not be allowed to vote then they are asked to abstain from voting and leave the meeting.
Form 990, Part VI, Section B, line 15aAnnually the Executive Committee meets to evaluate the Administrator's performance and compensation. The committee makes recommendations that are brought to the full board. The full Board of Directors approves the Administrator's compensation. The Administrator's compensation is compared with administrators of similar sized nursing homes in North Dakota. This information is obtained from a survey put out by the North Dakota Long Term Care Association. The Administrator evaluates and approves the compensation of the Accounting Officer. The Accounting Officer and all other employees' compensation are based on a pay scale.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part IX, line 11gCNA Contracted Services: Program service expenses 830,921. Management and general expenses 0. Fundraising expenses 0. Total expenses 830,921. Maintenance Contracted Services: Program service expenses 51,046. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,046. Physical Therapy Consultant: Program service expenses 16,228. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,228. PT - Medicare: Program service expenses 4,629. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,629. Lab & Radiology - Medicare: Program service expenses 5,811. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,811. Dietary Consultant: Program service expenses 6,200. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,200. Occupational Therapy Consultant: Program service expenses 2,622. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,622. Speech Therapy Consultant: Program service expenses 1,538. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,538. Therapy: Program service expenses 33,383. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,383. Pharmacy Consultant: Program service expenses 9,600. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,600. Contracted Nursing Services: Program service expenses 518,437. Management and general expenses 0. Fundraising expenses 0. Total expenses 518,437. OT - Medicare: Program service expenses 47. Management and general expenses 0. Fundraising expenses 0. Total expenses 47. Consulltant Mileage: Program service expenses 0. Management and general expenses 23,390. Fundraising expenses 0. Total expenses 23,390.

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