FURP.ORG / PUBLIC DATA EXPLORER

ST LUKES HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOME (EIN 45-0347147)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-03
IRS object ID
201202779349300220
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-03T16:07:16-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1914AddressLine1
CityBISMARCKCity
StateNDState
ZIP Code58502ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450347147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone7014835000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1242 WEST 10TH STREETAddressLine1
CityDICKINSONCity
StateNDState
ZIP Code58601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS GOEBELName
TitleCEO/ADMINISTRATORTitle
Phone7014835000Phone
Date Signed2012-09-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLISA CHAFFEE CPAName
PTINP00193453PTIN
Phone7012551091Phone
Date Prepared2012-09-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS GOEBELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1242 WEST 10TH STREETAddressLine1
CityDICKINSONCity
StateNDState
ZIP Code58601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7061855GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STLUKESHOME.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionST. LUKE'S HOME AND IT'S 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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees298TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year92038ContributionsGrantsPriorYear
Contributions Grants Current Year152168ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6797600ProgramServiceRevenuePriorYear
Program Service Revenue CY6905019ProgramServiceRevenueCY
Investment Income Prior Year6009InvestmentIncomePriorYear
Investment Income Current Year-43024InvestmentIncomeCurrentYear
Other Revenue Prior Year2030OtherRevenuePriorYear
Other Revenue Current Year1460OtherRevenueCurrentYear
Total Revenue Prior Year6897677TotalRevenuePriorYear
Total Revenue Current Year7015623TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4339017SalariesEtcPriorYear
Salaries Etc Current Year4806897SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1995011OtherExpensePriorYear
Other Expenses Current Year2954780OtherExpensesCurrentYear
Total Expenses Prior Year6334028TotalExpensesPriorYear
Total Expenses Current Year7762677TotalExpensesCurrentYear
Revenues Less Expenses Prior Year563649RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-747054RevenuesLessExpensesCY
Total Assets BOY11438504TotalAssetsBOY
Total Assets EOY14197250TotalAssetsEOY
Total Liabilities BOY8850179TotalLiabilitiesBOY
Total Liabilities EOY12355979TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2588325NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1841271NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. LUKE'S HOME AND IT'S 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7146488Expense
Grants1000Grants
Revenue6905019Revenue
DescriptionST. LUKE'S HOME IS AN 84 BED NURSING HOME AND A 38-UNIT ASSITED 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 Expense7146488TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer1OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees298NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENNIS GOEBELBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7014835000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1242 WEST 10TH STREETAddressLine1
CityDICKINSONCity
StateNDState
ZIP Code58601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEFF BRIGGS
PRESIDENT0.40XX000
CB HAAS
VICE PRESIDENT0.40XX000
STEVEN SCHOU
SECRETARY0.40XX000
VAL MACK
TREASURER0.40XX000
SHAUNA GREENWOOD
MEMBER0.40X000
MIKE REICHERT
MEMBER0.50X000
JIM OZBUN
MEMBER0.40X000
TODD OTTO
MEMBER0.40X000
JAN FIELDS
MEMBER0.40X000
TIM PRIEBE
MEMBER0.40X000
KAREN BOULDEN
ADMINISTRATOR, CEO40.00X9863500
FieldValueIRS element (for citing)
Total Reportable Comp From Org98635TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations132648RelatedOrganizations
All Other Contributions19520AllOtherContributions
Total Contributions152168TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV.62300061083906108390
RESIDENT RENTAL REV.623000775519775519

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column21110TotalRevenueColumn
Related Or Exempt Function Income21110RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6905019TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3208TotalRevenueColumn
Exclusion$3,208ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column1460TotalRevenueColumn
Exclusion$1,460ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other46232Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-46232Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-46232TotalRevenueColumn
Exclusion-$46,232ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7015623TotalRevenueColumn
Related Or Exempt Function Income6905019RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$41,564ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total98635Total
Management And General98635ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4146992Total
Program Services3912579ProgramServices
Management And General234413ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total51740Total
Program Services43672ProgramServices
Management And General8068ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total203929Total
Program Services177021ProgramServices
Management And General26908ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total305601Total
Program Services281103ProgramServices
Management And General24498ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36089Total
Management And General36089ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32225Total
Management And General32225ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total706024Total
Program Services702314ProgramServices
Management And General3710ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18160Total
Program Services548ProgramServices
Management And General17612ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total448653Total
Program Services367024ProgramServices
Management And General81629ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10843Total
Management And General10843ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total333183Total
Program Services333183ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total11500Total
Program Services8086ProgramServices
Management And General3414ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14121Total
Program Services14121ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total263664Total
Program Services263664ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total468224Total
Program Services468224ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD EXPENSE352560352560
MEDICARE EXPENSES8252682526
REPAIRS693564347025886
MEDICAL SUPPLIES5412054120

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total53532Total
Program Services41273ProgramServices
Management And General12259ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7762677Total
Program Services7146488ProgramServices
Management And General616189ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14652BOY
EOY12289EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY966167BOY
EOY340767EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY395098BOY
EOY574738EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY43799BOY
EOY34354EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32670BOY
EOY34307EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16389668LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4362195LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8602941BOY
EOY12027473EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY797535BOY
EOY491397EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY585642BOY
EOY681925EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11438504BOY
EOY14197250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1635620BOY
EOY1185107EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7158243BOY
EOY11110843EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY55032BOY
EOY49715EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1284BOY
EOY10314EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8850179BOY
EOY12355979EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2588325BOY
EOY1841271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2588325BOY
EOY1841271EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11438504BOY
EOY14197250EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-747054ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years209589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92038CurrentTaxYearMinus1Year
Current Tax Year152168CurrentTaxYear
Total476170Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5991754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6182573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6603360CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6797600CurrentTaxYearMinus1Year
Current Tax Year6905019CurrentTaxYear
Total32480306Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6009760CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6186942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6812949CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6889638CurrentTaxYearMinus1Year
Current Tax Year7057187CurrentTaxYear
Total32956476Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94580CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66873CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years304017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293465CurrentTaxYearMinus1Year
Current Tax Year364075CurrentTaxYear
Total1123010Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94580CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66873CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years304017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293465CurrentTaxYearMinus1Year
Current Tax Year364075CurrentTaxYear
Total1123010Total
FieldValueIRS element (for citing)
Public Support Total50931833466PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7901CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5567CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8114CurrentTaxYearMinus1Year
Current Tax Year4668CurrentTaxYear
Total51080Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7901CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5567CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8114CurrentTaxYearMinus1Year
Current Tax Year4668CurrentTaxYear
Total51080Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6034590CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6194843CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6818516CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6897752CurrentTaxYearMinus1Year
Current Tax Year7061855CurrentTaxYear
Total33007556Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96440PublicSupportPercentage509
Prior Year Support Percentage0.96940PriorYearSupportPercentage
Investment Income Percentage0.00150InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00220PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis41627OtherCostOrOtherBasis
Book Value41627BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11545872OtherCostOrOtherBasis
Depreciation3479216Depreciation
Book Value8066656BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1569612OtherCostOrOtherBasis
Depreciation755641Depreciation
Book Value813971BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3232557OtherCostOrOtherBasis
Depreciation127338Depreciation
Book Value3105219BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12027473TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
PART X: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. ST. LUKE'S HOME FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. 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. ST. LUKE'S HOME'S FEDERAL 990-T FILINGS ARE NO LONGER SUBJECT TO FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF DICKINSONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN456002055IssuerEIN
CUSIP Number25325NBH6CUSIPNumber
Date Issued2005-06-16DateIssued
Issue Price2891038IssuePrice
Description Of PurposeREFINANCE 1997A REVENUE BONDSDescriptionOfPurpose
Defeased1Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired715000AmountRetired
Total Proceeds2891038TotalProceeds
Issuance Costs From Proceeds56203IssuanceCostsFromProceeds
Other Spent Proceeds2834835OtherSpentProceeds
Year Of Subst Completion2006YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE K, PART II, LINE 11:Identifier
ExplanationTHE LINE 11 "OTHER SPENT PROCEEDS" WERE USED TO FULLY REFUND THE PRIOR ISSUE ON MAY 1, 2006.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATEN 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 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15AANNUALLY,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 19THE ORGANIZATION DOES NOT MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C:THERE IS A FINANCE COMMITTEE IN PLACE THAT CONSISTS OF CURRENT BOARD MEMBERS. THEY REVIEW THE FINANCIAL STATEMENTS AND THE FULL BOARD APPROVES THEM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ST LUKE'S HOME FOUNDATION
242 10TH STREET WESTDICKINSONND58601450409966TO RAISE FUNDS TO SUPPORT THE ACTIVITIES OF ST. LUKE'S HOMEND501(C)(3)11BDICKINSON ST LUKE'S HOME INC1
DICKINSON ST LUKE'S HOME INC
242 10TH STREET WESTDICKINSONND58601450409965SUPPORT IN ESTABLISHING, OPERATING, & MAINTAINING RETIREMENT & NURSING HOMESND501(C)(3)11B1N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOME FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved132648AmountInvolved
Method Of Amt DeterminationACCRUALMethodOfAmtDetermination