ST LUKES HOME: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES HOME (EIN 45-0347147)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-27
- IRS object ID
- 201322709349300307
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-27T09:45:26-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1914 | AddressLine1 |
| City | BISMARCK | City |
| State | ND | State |
| ZIP Code | 585021914 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450347147 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Home | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLU | NameControl |
| Phone | 7014835000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1 |
| City | Dickinson | City |
| State | ND | State |
| ZIP Code | 58601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dennis Goebel | Name |
| Title | CEO/Administrator | Title |
| Phone | 7014835000 | Phone |
| Date Signed | 2013-09-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Chaffee CPA | Name |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | Phone |
| Date Prepared | 2013-09-25 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dennis Goebel | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1 |
| City | Dickinson | City |
| State | ND | State |
| ZIP Code | 58601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8450463 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 9386 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stlukeshome.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 275 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 152168 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 553500 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6905019 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7871676 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -43024 | InvestmentIncomePriorYear |
| Investment Income Current Year | -214860 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1460 | OtherRevenuePriorYear |
| Other Revenue Current Year | 25114 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7015623 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8235430 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4806897 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5110186 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2954780 | OtherExpensePriorYear |
| Other Expenses Current Year | 3467098 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7762677 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8577284 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -747054 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -341854 | RevenuesLessExpensesCY |
| Total Assets BOY | 14197250 | TotalAssetsBOY |
| Total Assets EOY | 17395734 | TotalAssetsEOY |
| Total Liabilities BOY | 12355979 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15896317 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1841271 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1499417 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7778965 | Expense |
| Revenue | 7871676 | Revenue |
| Description | St. Luke's Home is an 84 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. | Description |
| Total Program Service Expense | 7778965 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 275 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dennis Goebel | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7014835000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 West 10th Street | AddressLine1 |
| City | Dickinson | City |
| State | ND | State |
| ZIP Code | 58601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| CB Haas | |||||||
| President | 0.40 | 0.30 | X | X | 0 | 0 | 0 |
| Jim Ozbun | |||||||
| Vice President | 0.40 | 0.30 | X | X | 0 | 0 | 0 |
| Steven Schou | |||||||
| Secretary | 0.40 | 0.30 | X | X | 0 | 0 | 0 |
| Val Mack | |||||||
| Treasurer | 0.40 | 0.30 | X | X | 0 | 0 | 0 |
| Shauna Greenwood | |||||||
| Member | 0.40 | 0.30 | X | 0 | 0 | 0 | |
| Mike Reichert | |||||||
| Member | 0.50 | 0.40 | X | 0 | 0 | 0 | |
| Cheryl Lantz | |||||||
| Member | 0.40 | 0.30 | X | 0 | 0 | 0 | |
| Todd Otto | |||||||
| Member | 0.40 | 0.30 | X | 0 | 0 | 0 | |
| Jan Fields | |||||||
| Member | 0.40 | 0.30 | X | 0 | 0 | 0 | |
| Tim Priebe | |||||||
| Member | 0.40 | 0.30 | X | 0 | 0 | 0 | |
| Karen Boulden | |||||||
| Administrator, CEO (Jan-May) | 40.00 | 0.30 | X | 58195 | 0 | 8841 | |
| Dennis Goebel | |||||||
| Administrator, CEO (Aug-Dec) | 40.00 | 0.30 | X | 66705 | 0 | 5166 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 124900 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 14007 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 550500 | RelatedOrganizations |
| All Other Contributions | 3000 | AllOtherContributions |
| Total Contributions | 553500 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Rev. | 623000 | 7065667 | 7065667 |
| Resident Rental Rev. | 623000 | 785032 | 785032 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20977 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20977 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7871676 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173 | TotalRevenueColumn |
| Exclusion | $173 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25114 | TotalRevenueColumn |
| Exclusion | $25,114 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 215033 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -215033 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -215033 | TotalRevenueColumn |
| Exclusion | -$215,033 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8235430 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7871676 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$189,746 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139395 | Total |
| Management And General | 139395 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4397488 | Total |
| Program Services | 4180807 | ProgramServices |
| Management And General | 216681 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39576 | Total |
| Program Services | 35337 | ProgramServices |
| Management And General | 4239 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210054 | Total |
| Program Services | 202826 | ProgramServices |
| Management And General | 7228 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323673 | Total |
| Program Services | 294559 | ProgramServices |
| Management And General | 29114 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20566 | Total |
| Management And General | 20566 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57025 | Total |
| Management And General | 57025 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 824298 | Total |
| Program Services | 655633 | ProgramServices |
| Management And General | 168665 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16968 | Total |
| Program Services | 562 | ProgramServices |
| Management And General | 16406 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310835 | Total |
| Program Services | 222545 | ProgramServices |
| Management And General | 88290 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24987 | Total |
| Management And General | 24987 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319251 | Total |
| Program Services | 319251 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13439 | Total |
| Program Services | 10522 | ProgramServices |
| Management And General | 2917 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11066 | Total |
| Program Services | 11066 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 414206 | Total |
| Program Services | 414206 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 658683 | Total |
| Program Services | 658683 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Food Expense | 348923 | 348923 | |
| Medical Supplies | 219479 | 219479 | |
| Medicare Expenses | 76153 | 76153 | |
| Repairs | 53873 | 33336 | 20537 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97346 | Total |
| Program Services | 95077 | ProgramServices |
| Management And General | 2269 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8577284 | Total |
| Program Services | 7778965 | ProgramServices |
| Management And General | 798319 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12289 | BOY |
| EOY | 12691 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340767 | BOY |
| EOY | 356596 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 574738 | BOY |
| EOY | 638671 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34354 | BOY |
| EOY | 31100 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34307 | BOY |
| EOY | 36473 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19475920 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4288800 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12027473 | BOY |
| EOY | 15187120 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 491397 | BOY |
| EOY | 433342 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 681925 | BOY |
| EOY | 699741 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14197250 | BOY |
| EOY | 17395734 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1185107 | BOY |
| EOY | 1489251 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7995 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2180000 | BOY |
| EOY | 2045000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49715 | BOY |
| EOY | 53863 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8930843 | BOY |
| EOY | 12291843 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10314 | BOY |
| EOY | 8365 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12355979 | BOY |
| EOY | 15896317 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1841271 | BOY |
| EOY | 1499417 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1841271 | BOY |
| EOY | 1499417 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14197250 | BOY |
| EOY | 17395734 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -341854 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4369 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 209589 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 92038 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152168 | CurrentTaxYearMinus1Year |
| Current Tax Year | 553500 | CurrentTaxYear |
| Total | 1011664 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6182573 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6603360 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6797600 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6905019 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7871676 | CurrentTaxYear |
| Total | 34360228 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6186942 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6812949 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6889638 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7057187 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8425176 | CurrentTaxYear |
| Total | 35371892 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66873 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 304017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 293465 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 364075 | CurrentTaxYearMinus1Year |
| Current Tax Year | 219426 | CurrentTaxYear |
| Total | 1247856 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66873 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 304017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 293465 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 364075 | CurrentTaxYearMinus1Year |
| Current Tax Year | 219426 | CurrentTaxYear |
| Total | 1247856 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 34124036 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7901 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5567 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8114 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4668 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25287 | CurrentTaxYear |
| Total | 51537 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7901 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5567 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8114 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4668 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25287 | CurrentTaxYear |
| Total | 51537 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6194843 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6818516 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6897752 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7061855 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8450463 | CurrentTaxYear |
| Total | 35423429 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96330 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.96440 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00150 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00150 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41627 | OtherCostOrOtherBasis |
| Book Value | 41627 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10607256 | OtherCostOrOtherBasis |
| Depreciation | 3290827 | Depreciation |
| Book Value | 7316429 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1604340 | OtherCostOrOtherBasis |
| Depreciation | 865030 | Depreciation |
| Book Value | 739310 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7222697 | OtherCostOrOtherBasis |
| Depreciation | 132943 | Depreciation |
| Book Value | 7089754 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15187120 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 $53,863 and $49,715 at December 31, 2012 and 2011. | |
| 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. | Description of Uncertain Tax Positions Under FIN 48: |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 456002055 | IssuerEIN |
| CUSIP Number | 25325NBH6 | CUSIPNumber |
| Date Issued | 2005-06-16 | DateIssued |
| Issue Price | 2891038 | IssuePrice |
| Description Of Purpose | Refinance revenue bonds issed 5/21/1997 | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 850000 | AmountRetired |
| Total Proceeds | 2891038 | TotalProceeds |
| Issuance Costs From Proceeds | 56203 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 2834835 | OtherSpentProceeds |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. |
| Form 990, Schedule K, Part IV, Line 2c: | As of 05/01/10 a five year calculation was done and at that time there was no rebate due. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 XII, Line 2c: | The entire board of directors assumes the responsibility for oversight of the audit. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |