ST LUKES HOME: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES HOME (EIN 45-0347147)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-07-20
- IRS object ID
- 201522019349300772
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-20T10:58:59-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1914 | AddressLine1Txt |
| City | BISMARCK | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585021914 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450347147 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Home | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 7014835000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1Txt |
| City | Dickinson | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Randy Albrecht | PersonNm |
| Person Title | Interim CEO/Administrator | PersonTitleTxt |
| Phone | 7014835000 | PhoneNum |
| Signature | 2015-07-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2015-07-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Randy Albrecht | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1Txt |
| City | Dickinson | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,366,936 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 9386 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stlukeshome.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | Nursing Facility and Assisted Living | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 253 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $418,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $83,511 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,371,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,271,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,053 | PYInvestmentIncomeAmt |
| CY Investment Income | $908 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,411 | PYOtherRevenueAmt |
| CY Other Revenue | $11,269 | CYOtherRevenueAmt |
| PY Total Revenue | $9,808,443 | PYTotalRevenueAmt |
| CY Total Revenue | $10,366,936 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $86,335 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,141,490 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,452,900 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,093,930 | PYOtherExpensesAmt |
| CY Other Expenses | $4,707,747 | CYOtherExpensesAmt |
| PY Total Expenses | $9,235,420 | PYTotalExpensesAmt |
| CY Total Expenses | $10,246,982 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $573,023 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $119,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,630,650 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,214,559 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,558,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,022,165 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,072,440 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,192,394 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,564,563 | ExpenseAmt |
| Grant | $86,335 | GrantAmt |
| Revenue | $10,271,248 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $9,564,563 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 253 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Amy Kreidt | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7014835000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1Txt |
| City | Dickinson | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| CB Haas | |||||||
| President | 0.40 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Jim Ozbun | |||||||
| Vice President | 0.40 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Steve Schou | |||||||
| Secretary (January-May) | 0.40 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cheryl Lantz | |||||||
| Member (Jan-May)/Secretary (May-Dec) | 0.40 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Val Mack | |||||||
| Treasurer | 0.40 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Todd Otto | |||||||
| Member (January-May) | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Rob Eilts | |||||||
| Member | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Mike Reichert | |||||||
| Member | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | |
| Cal Oraw | |||||||
| Member (May-December) | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Sue Larson | |||||||
| Member (May-December) | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Jan Fields | |||||||
| Member | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Tim Priebe | |||||||
| Member | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Dennis Goebel | |||||||
| Administrator, CEO | 40.00 | 0.30 | Yes (X) | $141,080 | $0 | $19,419 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $141,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $19,419 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $39,278 | RelatedOrganizationsAmt |
| All Other Contributions | $44,233 | AllOtherContributionsAmt |
| Total Contributions | $83,511 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Rev. | 623000 | $9,426,362 | $9,426,362 |
| Resident Rental Rev. | 623000 | $829,903 | $829,903 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,983 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,983 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,271,248 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $908 | TotalRevenueColumnAmt |
| Exclusion | $908 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,269 | TotalRevenueColumnAmt |
| Exclusion | $11,269 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,366,936 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,271,248 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,177 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,335 | TotalAmt |
| Program Services | $86,335 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,176 | TotalAmt |
| Management And General | $161,176 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,691,018 | TotalAmt |
| Program Services | $4,430,747 | ProgramServicesAmt |
| Management And General | $260,271 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,673 | TotalAmt |
| Program Services | $33,110 | ProgramServicesAmt |
| Management And General | $3,563 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,732 | TotalAmt |
| Program Services | $203,345 | ProgramServicesAmt |
| Management And General | $4,387 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,301 | TotalAmt |
| Program Services | $325,383 | ProgramServicesAmt |
| Management And General | $30,918 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,850 | TotalAmt |
| Management And General | $20,850 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,325 | TotalAmt |
| Management And General | $36,325 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,223 | TotalAmt |
| Program Services | $1,043,079 | ProgramServicesAmt |
| Management And General | $1,144 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,605 | TotalAmt |
| Program Services | $4,062 | ProgramServicesAmt |
| Management And General | $23,543 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,283 | TotalAmt |
| Program Services | $209,004 | ProgramServicesAmt |
| Management And General | $69,279 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,866 | TotalAmt |
| Program Services | $15,997 | ProgramServicesAmt |
| Management And General | $17,869 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,789 | TotalAmt |
| Program Services | $389,789 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,744 | TotalAmt |
| Program Services | $9,688 | ProgramServicesAmt |
| Management And General | $4,056 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,999 | TotalAmt |
| Program Services | $1,999 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,044 | TotalAmt |
| Program Services | $768,044 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,124,933 | TotalAmt |
| Program Services | $1,124,933 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20 | TotalAmt |
| Program Services | $20 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Food Expense | $408,804 | $408,804 | |
| Medical Supplies | $227,287 | $227,287 | |
| Medicare Expenses | $156,966 | $156,966 | |
| Repairs | $58,961 | $35,226 | $23,735 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,048 | TotalAmt |
| Program Services | $90,745 | ProgramServicesAmt |
| Management And General | $25,303 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,246,982 | TotalAmt |
| Program Services | $9,564,563 | ProgramServicesAmt |
| Management And General | $682,419 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,364 | BOYAmt |
| EOY | $9,939 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,419 | BOYAmt |
| EOY | $1,593,554 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,749 | BOYAmt |
| EOY | $752,912 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,707 | BOYAmt |
| EOY | $17,097 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,590 | BOYAmt |
| EOY | $92,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,953,108 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,360,133 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,638,732 | BOYAmt |
| EOY | $14,592,975 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,201 | BOYAmt |
| EOY | $447,206 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,888 | BOYAmt |
| EOY | $707,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,630,650 | BOYAmt |
| EOY | $18,214,559 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $861,717 | BOYAmt |
| EOY | $739,786 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,902 | BOYAmt |
| EOY | $37,023 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,905,000 | BOYAmt |
| EOY | $1,755,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,311 | BOYAmt |
| EOY | $70,610 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,694,703 | BOYAmt |
| EOY | $13,414,636 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,577 | BOYAmt |
| EOY | $5,110 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,558,210 | BOYAmt |
| EOY | $16,022,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,072,440 | BOYAmt |
| EOY | $2,192,394 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,072,440 | BOYAmt |
| EOY | $2,192,394 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,630,650 | BOYAmt |
| EOY | $18,214,559 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $119,954 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,038 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $152,168 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $553,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $418,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,511 | CurrentTaxYearAmt |
| Total | $1,299,704 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,797,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,905,019 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,871,676 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,371,492 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,271,248 | CurrentTaxYearAmt |
| Total | $41,217,035 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,889,638 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,057,187 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,425,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,789,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,354,759 | CurrentTaxYearAmt |
| Total | $42,516,739 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $293,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $364,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $569,617 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $520,484 | CurrentTaxYearAmt |
| Total | $1,967,067 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $293,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $364,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $569,617 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $520,484 | CurrentTaxYearAmt |
| Total | $1,967,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $40,549,672 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,177 | CurrentTaxYearAmt |
| Total | $67,010 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,177 | CurrentTaxYearAmt |
| Total | $67,010 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,897,752 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,061,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,450,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,806,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,366,936 | CurrentTaxYearAmt |
| Total | $42,583,749 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95220 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95360 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00150 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,627 | OtherCostOrOtherBasisAmt |
| Book Value | $41,627 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,953,370 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,811,546 | DepreciationAmt |
| Book Value | $13,141,824 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,625,796 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,285,360 | DepreciationAmt |
| Book Value | $1,340,436 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $332,315 | OtherCostOrOtherBasisAmt |
| Depreciation | $263,227 | DepreciationAmt |
| Book Value | $69,088 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,592,975 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,327,658 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,327,658 | RevenueSubtotalAmt |
| Other Revenues Not Included | $39,278 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $39,278 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,366,936 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,207,704 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,207,704 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $39,278 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $39,278 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,246,982 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The resident trust fund is an account set up to keep private funds for each of our residents to use for personal matters. Upon admission they are given the opportunity to deposit money of their own into an account that we track for them. This money is kept in the office and can be accessed whenever they want. We keep a certain amount available for withdrawals and the rest is deposited into an interest bearing account. The interest is divided between the accounts, based on the amount earned and the amount each resident has in their account. Upon discharge, the balance, including interest, is refunded. The resident trust funds totaled $70,610 and $54,311 at December 31, 2014 and 2013. |
| Part X, Line 2: | St. Luke's Home is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). St. Luke's Home is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, St. Luke's Home is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. St. Luke's 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. St. Luke's Home would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 4b - Other Adjustments: | Foundation Contribution included in net Related Party Transfers per F/S 39,278. |
| Part XII, Line 4b - Other Adjustments: | Foundation Contribution included in net Related Party Transfers per F/S 39,278. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Home Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 10th St W | AddressLine1Txt |
| City | Dickinson | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 586013926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 450409966 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $86,335 | CashGrantAmt |
| Purpose Of Grant | General Operating | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis Goebel | PersonNm |
| Title | Administrator, CEO | TitleTxt |
| Base Compensation Filing Org | $141,080 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,262 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $15,834 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $161,176 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Dickinson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 456002055 | BondIssuerEIN |
| CUSIP | 25325NBH6 | CUSIPNum |
| Bond Issued | 2005-06-16 | BondIssuedDt |
| Issue Price | $2,891,038 | IssuePriceAmt |
| Purpose | Refinance revenue bonds issed 5/21/1997 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,140,000 | RetiredAmt |
| Total Proceeds | $2,891,038 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $56,203 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $2,834,835 | OtherSpentProceedsAmt |
| Substantial Completion | 2006 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: City of Dickinson Date the Rebate Computation was Performed: 05/01/2010 |
| Form 990, Schedule K, Part II, Line 11: | The Line 11 "Other spent proceeds" were used to fully refund the prior issue on May 1, 2006. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The Corporation shall have one member. Dickinson St. Luke's Homes, 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 Homes, 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 11 | The administrator and legal advisor will review a draft of the full Form 990 before it is finalized. In addition, a public disclosure copy of the Form 990 will be provided to the board of directors for their review and comment prior to its 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 2,696. Management and general expenses 1,144. Fundraising expenses 0. Total expenses 3,840. Contracted Services: Program service expenses 926,256. Management and general expenses 0. Fundraising expenses 0. Total expenses 926,256. Consulting: Program service expenses 8,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,520. Medical Service Fees: Program service expenses 105,607. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,607. |
| Form 990, Part XII, Line 2c: | The entire board of directors assumes the responsibility for oversight of the audit. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 11b, 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 11b, II | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |