2023-12-13T14:57:34-06:00 2023-06-30 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2022-07-01 450261669 LUTHER MEMORIAL HOME LUTH 7017863401 750 MAIN ST E MAYVILLE ND 58257 BRITTANY NESS ADMINISTRATOR 7017863401 2023-12-08 1 BRITTANY NESS 999009999 0 NICOLE HELDSTAB P01220683 7017754685 2023-12-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRITTANY NESS 750 MAIN ST E MAYVILLE ND 58257 11001902 0 X WWW.LUTHERMEMORIALHOME.COM X 1957 ND LUTHER MEMORIAL HOME SERVES AS A TANGIBLE EXPRESSION OF GOD'S LOVE BY RESPONDING TO THE NEEDS OF THE AGING, EVER MINDFUL OF THE WORTH AND DIGNITY OF THE INDIVIDUAL. WE ADDRESS OURSELVES IN BOTH TRADITIONAL AND INNOVATIVE WAYS TO MEETING THE NEEDS OF THE AGED WHO ARE BEST SERVED IN A RESIDENTIAL SETTING WITHOUT REGARD TO NATIONAL ORIGIN, RACE, COLOR, CREED, SEX, OR HANDICAP. WE SEEK TO MINISTER TO THE WHOLE PERSON, OFFERING A FULL RANGE OF PROGRESSIVE CARE, FROM RETIREMENT HOUSING THROUGH SKILLED NURSING. WE SEEK FURTHERMORE TO REPRESENT THE CONCERNS OF ALL AGING TO THE SOCIETY OF WHICH WE ARE A PART. OUR BOARD AND STAFF DEDICATE THEMSELVES TO MAKING LUTHER MEMORIAL HOME A PLACE WHERE OUR RESIDENTS WILL LIVE IN COMFORT IN A COMMUNITY THAT IS SHAPED BY CHRISTIAN CONCERN. 9 9 210 8 0 0 980782 91556 9941667 10301325 185593 152226 0 0 11108042 10545107 0 0 0 0 7367621 6745936 0 0 0 3034989 4310590 10402610 11056526 705432 -511419 14348681 13510228 2792135 2389143 11556546 11121085 X LUTHER MEMORIAL HOME SERVES AS A TANGIBLE EXPRESSION OF GOD'S LOVE BY RESPONDING TO THE NEEDS OF THE AGING, EVER MINDFUL OF THE WORTH AND DIGNITY OF THE INDIVIDUAL. WE ADDRESS OURSELVES IN BOTH TRADITIONAL AND INNOVATIVE WAYS TO MEETING THE NEEDS OF THE AGED WHO ARE BEST SERVED IN A RESIDENTIAL SETTING WITHOUT REGARD TO NATIONAL ORIGIN, RACE, COLOR, CREED, SEX, OR HANDICAP. WE SEEK TO MINISTER TO THE WHOLE PERSON, OFFERING A FULL RANGE OF PROGRESSIVE CARE, FROM RETIREMENT HOUSING THROUGH SKILLED NURSING. WE SEEK FURTHERMORE TO REPRESENT THE CONCERNS OF ALL AGING TO THE SOCIETY OF WHICH WE ARE A PART. OUR BOARD AND STAFF DEDICATE THEMSELVES TO MAKING LUTHER MEMORIAL HOME A PLACE WHERE OUR RESIDENTS WILL LIVE IN COMFORT IN A COMMUNITY THAT IS SHAPED BY CHRISTIAN CONCERN. 0 0 10146700 10290286 26,501 TOTAL DAYS OF SKILLED NURSING CARE PROVIDED TO ELDERLY MEN AND WOMEN DURING FISCAL YEAR 7/1/2022 - 6/30/2023. IN ADDITION, WE PROVIDED RESIDENTIAL RENTAL SERVICES TO ELDERLY TENANTS FROM 7/1/2022 - 6/30/2023. 10146700 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JULIE WINGER 7017863401 750 MAIN ST E MAYVILLE ND 58257 BRENDA EIDE SECRETARY 1.00 X X 0 0 0 LINDA STROMSTAD DIRECTOR 1.00 X 0 0 0 DEAN ERICKSON DIRECTOR 1.00 X 0 0 0 GARY SUNDEEN DIRECTOR 1.00 X 0 0 0 JEFF VOLTZ DIRECTOR 1.00 X 0 0 0 ROGER ERICKSON PRESIDENT 1.00 X X 0 0 0 RICHELLE MEWES VICE PRESIDENT 1.00 X X 0 0 0 BRAD THYKESON DIRECTOR 1.00 X 0 0 0 GRETA PASCHKE DIRECTOR 1.00 X 0 0 0 TERRY THORESON DIRECTOR 1.00 X X 0 0 0 BRETT ULRICH ADMINISTRATOR 40.00 X 188256 0 35729 JULIE WINGER CFO 40.00 X 78079 0 25341 BRITTANY NESS ADMINISTRATOR STARTED 2023 40.00 X 0 0 0 266335 0 61070 1 0 1 0 PROCARE STAFFING 300 2ND AVE NE SUITE 224 JAMESTOWN ND 58401 CONTRACTED NURSING 721103 DTN STAFFING 1200 COLLINS AVE MANDAN ND 58554 CONTRACTED NURSING 634371 ROLINC STAFFING 333 WEST HAMPDEN AVE SUITE 545 ENGLEWOOD CO 80110 CONTRACTED NURSING 318101 FARGO ROOFING & SIDING 4265 45TH ST S SUITE 111-12 FARGO ND 58104 ROOFING PROJECT 216675 FUSION MEDICAL STAFFING LLC PO BOX 30131 OMAHA NE 681031231 CONTRACTED NURSING 167259 5 63368 28188 91556 RESIDENT REVENUE 623000 10198836 10198836 MEALS 624210 56086 47276 8810 OTHER INCOME 811000 44174 44174 MISCELLANEOUS INCOME 812900 2229 2229 10301325 121398 121398 486682 941 456795 0 29887 941 30828 30828 10545107 10290286 0 163265 420383 420383 4867861 4679423 188438 132882 127738 5144 907152 872036 35116 417658 401490 16168 74412 74412 15311 15311 56003 56003 43740 43740 432734 428321 4413 27476 27476 32446 32446 56144 56144 293637 289158 4479 128397 126459 1938 PURCHASED SERVICES 2399793 2399793 SUPPLIES 733692 733692 MISCELLANEOUS 13471 13471 MEMBERSHIP DUES 8346 8346 -5012 -5012 11056526 10146700 909826 0 1675910 423019 2958804 3007527 755836 549060 118776 112137 34635 44316 12308890 9710849 2422173 2598041 905711 974510 5476836 5801618 14348681 13510228 801354 671439 28862 8473 11272 10062 1950647 1699169 2792135 2389143 X 11556546 11121085 11556546 11121085 14348681 13510228 -511419 75958 0 X X 0 1 X 1 0 X 70692 95784 2055946 980782 91556 3294760 4728437 9541799 9538577 9900580 10290286 43999679 12184 23270 11262 41087 11039 98842 4811313 9660853 11605785 10922449 10392881 47393281 0 184841 415556 176276 663944 1489551 2930168 184841 415556 176276 663944 1489551 2930168 44463113 47304 128158 110889 126332 121398 534081 47304 128158 110889 126332 121398 534081 4858617 9789011 11716674 11048781 10514279 47927362 0.92770 0.98900 0.01110 0.01100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 21314 21314 10097907 8134936 1962971 1829086 1432708 396378 360583 143205 217378 2598041 ASSETS WHOSE USE LIMITED BY BOARD 5738250 CONTRIBUTIONS RECEIVABLE 63368 5801618 X 10605752 75958 75958 10529794 15311 2 15313 10545107 11041212 0 11041212 15311 3 15314 11056526 PART IV, LINE 2B: FOR THOSE RESIDENTS WHO REQUEST, THE NURSING HOME WILL MAINTAIN CASH AMOUNTS IN AN INTEREST BEARING CHECKING ACCOUNT MANAGED FOR THE BENEFIT OF THE RESIDENTS AS REQUIRED BY NDDHS REGULATIONS. THE ORGANIZATION HAS INCLUDED THE AMOUNT OF CASH AND AN OFF-SETTING PAYABLE ON THEIR BALANCE SHEET FOR THIS CUSTODIAL ACCOUNT. PART X, LINE 2: THE HOME'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE HOME HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE HOME ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. X X X 0 0 0 0 0 0 0 0 0 BRETT ULRICH ADMINISTRATOR 188256 0 0 0 0 0 5781 0 35948 0 229985 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE ELECTED BY DELEGATES FROM MEMBER CONGREGATIONS. OFFICERS ARE ELECTED BY THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C NEW BOARD MEMBERS ARE INFORMED OF THE CONFLICT OF INTEREST POLICY AND ARE ASKED IF THEY HAVE ANY CONFLICTS. BOARD MEMBERS ARE INSTRUCTED TO INFORM THE BOARD OF ANY CONFLICTS THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE ADMINISTRATOR IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON REVIEWS OF ADMINISTRATIVE COMPENSATION FOR ADMINISTRATORS AT COMPARABLE FACILITIES IN THE AREA WITH SIMILAR RESPONSIBILITIES AND DUTIES. DOCUMENTATION OF THE PROCESS AND APPROVAL IS INCLUDED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND VARIOUS POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN THE ROLE OF THE AUDIT COMMITTEE IN OVERSIGHT OF THE AUDIT PROCESS FROM THE PRIOR YEAR.