2023-11-07T11:40:07-06:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450279210 Missouri Slope Lutheran Care Center Inc MISS 7012239407 4916 North Washington Street Bismarck ND 58503 Reier Thompson President/CEO 7012239407 2023-11-07 1 Reier Thompson 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Missouri Slope Reier Thompson 4916 North Washington Street Bismarck ND 58503 40107936 0 X www.mslcc.com X 1962 ND Long term health care & services delivered in a Christian manner enriching lives with love & compassion. 11 11 620 17 0 0 5557535 861424 26184576 38726849 4198 252878 4381002 247621 36127311 40088772 0 0 0 0 18773697 20049811 0 0 14252 15681193 24561320 34454890 44611131 1672421 -4522359 98166713 93925842 88486980 88752442 9679733 5173400 X Founded in Christian faith, we enrich lives with love and compassion. 1 0 3793344 2432495 The Missouri Slope Lutheran Care Center Inc. (Care Center) provides a 55-bed nursing care facility for the elderly. The nursing care facility provides quality skilled nursing services regardless of individual status. The Care Center has earned Star status in OSHA's Voluntary Protection Program (VPP).Reimbursement for services rendered is critical to the continued operation and stability of the corporation. It is recognized that not all individuals served possess the ability to pay for the care provided. Thus, some care is provided through the North Dakota Medical Assistance Program. 3011677 3050725 The Care Center also provides quality assisted living service for a 64-unit apartment complex, designed for individuals in need of assistance with activities of daily life. 33713798 33243629 The Missouri Slope North Campus SNF, LLC (SNF, LLC) provides a 192-bed nursing care facility for the elderly. The nursing care facility provides quality skilled nursing services regardless of individual status. The Care Center has earned Star status in OSHA's Voluntary Protection Program (VPP).Reimbursement for services rendered is critical to the continued operation and stability of the corporation. It is recognized that not all individuals served possess the ability to pay for the care provided. Thus, some care is provided through the North Dakota Medical Assistance Program. 40518819 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 13 0 1 620 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X Stacy Hokanson 7012239407 4916 North Washington Street Bismarck ND 58503 Jerry Saude Chairperson 1.00 0.00 X X 0 0 0 Steve Andrist Vice Chairperson 1.00 1.00 X X 0 0 0 Darrell Nitschke Secretary/Treasurer 1.00 1.00 X X 0 0 0 Bishop Craig Schweitzer Director 1.00 0.00 X 0 0 0 Stacy Krumwiede Director 1.00 0.00 X 0 0 0 Bob Wefald Director (July-Sept) 1.00 1.00 X 0 0 0 Shelley Porter Director 1.00 0.00 X 0 0 0 Lisa Bennet Director 1.00 0.00 X 0 0 0 Martin Well Director 1.00 0.00 X 0 0 0 Paul Gurholt Director 1.00 1.00 X 0 0 0 Pam Sharp Director 1.00 1.00 X 0 0 0 Rev Mark Narum Director 1.00 0.00 X 0 0 0 Reier Thompson President/CEO 40.00 1.00 X 224928 0 36159 Stacy Hokanson Vice President/CFO 40.00 1.00 X 118113 0 13336 LeAnn Hokanson Vice President of Resident 40.00 0.00 X 129239 0 12820 Benjamin Crawford Information Technology Dir 40.00 0.00 X 112180 0 3352 Mary Farstveet Resident Account Manager 40.00 0.00 X 118751 0 3563 Judith Maurer Assistant Director of Nursing 40.00 0.00 X 100336 0 11957 803547 0 81187 6 0 1 0 Infinity Rehab 8100 SW Nyberg Street Suite 200 Tualatin OR 97062 Rehabilitation Therapy Services 900710 Eide Bailly LLP PO Box 2545 Fargo ND 58108 Auditing, Assurance, Consulting, & Tax s 162748 Roers Construction 1260 West Villard St Dickinson ND 58601 Construction 134580 3 854441 6983 861424 Resident Services 623000 35475256 35475256 Assisted Living 623000 3045972 3045972 205621 205621 38726849 63523 63523 190019 190019 23564 18500 5064 5064 5064 664 -664 -664 -664 Employee Retention Credit 900099 242557 242557 242557 40088772 38726849 0 500499 X 376452 363090 13362 149360 149360 16171711 15031415 1140296 349273 338157 11116 1785752 1698786 86966 1217263 1143310 73063 890 19684 19684 92735 92735 8636898 8040910 595988 153217 23684 129533 1418523 1347303 71220 1490100 1413011 77089 18943 5004 13939 39405 39405 5906903 5219126 687777 4281129 3882569 398560 327589 48910 278679 Food Costs 1422626 1422626 Pharmacy Costs 349207 349207 Repairs & Maintenance E 242854 242854 Bad Debt Expense 116729 116729 44778 6453 38325 44611131 40518819 4078060 14252 4655957 9576675 595102 490084 9346533 2963377 454108 416176 361669 370916 103701821 33412308 74005477 70289513 8007867 8703462 740000 1115639 98166713 93925842 3802159 3712104 82764781 82688965 40545 58538 49495 87096 1830000 1830000 0 375739 88486980 88752442 X 8979613 4612637 700120 560763 9679733 5173400 98166713 93925842 X -4522359 15620 406 X 0 1 X 1 0 X 58841 471492 1514848 5557535 861424 8464140 32168427 31455956 24542944 26184576 38726849 153078752 32227268 31927448 26057792 31742111 39588273 161542892 0 0 0 161542892 96624 61093 29660 25217 277106 489700 96624 61093 29660 25217 277106 489700 32323892 31988541 26087452 31767328 39865379 162032592 0.99700 0.99810 0.00300 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4534 4534 0 Part II-B, Line 1: The Organization is a member of certain organizations related to the industry which have lobbying expenses. The amount listed is the percentage of dues that were used for lobbying. Organization officers and directors will also from time to time contact legislators concerning health care issues and bills. Percentage of Dues that was lobbying: July 2022-December 2022, 10.82%, January 2023-June 2023, 24.8% 0 1 X 208911 5000 213911 198161 10750 208911 113569 84592 198161 103022 10547 113569 73719 29303 103022 0.00000 1.00000 0.00000 0 1 1 2749765 2749765 49386054 20588726 28797328 46107310 11311730 34795580 5458692 1511852 3946840 70289513 Refundable Advance 100 Lease Liability 375639 375739 X 40119525 15620 15620 40103905 -15133 -15133 40088772 44625858 18300 18300 44607558 3573 3573 44611131 Part IV, Line 2b: Resident Trust Funds - The Company acts as custodian for the funds of the residents. These funds are included in cash and accounts payable in the consolidated financial statements. Resident trust funds totaled $39,038 and $17,245 at June 30, 2023 and 2022. As a condition of the rental agreement with the Company, residents of the assisted living complex are required to make a $300 refundable security deposit which is deposited in an interest-bearing account. These funds are included in cash and accounts payable in the consolidated financial statements. Security deposits totaled $19,500 and $23,300 at June 30, 2023 and 2022. Part V, Line 4: The endowment funds are held by the Foundation for the benefit of the Care Center. Part X, Line 2: The Company believes that it has appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to consolidated financial statements. The Company would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The Care Center's federal Form 990-T filing will be subject to federal tax examination by tax authorities through 2022. Part XI, Line 4b - Other Adjustments: Rental Expense -18,500. Gain included in expenses per audited financial statements 200. Hillview Doers Club Fund Revenues 3,167. Part XII, Line 2d - Other Adjustments: Rental Expenses 18,500. Gain included in expenses per audited financial statements -200. Part XII, Line 4b - Other Adjustments: Hillview Doers Club Fund Expenses 3,573. X 1 1 X 0 0 0 0 0 0 0 0 0 Reier Thompson President/CEO 208676 0 0 0 16252 0 6657 0 29502 0 261087 0 0 0 Part I, Line 1a The Organization provides a membership for the President/CEO to the Apple Creek Country Club and this is reported properly on his Form W-2. Part I, Line 1b The independent Board of Directors approve the compensation package for the President/CEO and the golf membership is considered part of his compensation package. A Burleigh County North Dakota (B and C) 456002204 120906FT4 2020-11-10 79879524 Refund bonds issued 11/30/2006 and construction on SNF 0 0 0 B Burleigh County North Dakota (D1) 456002204 120906FV9 2020-11-10 75606650 Partial Refund 2020C Bonds 0 0 0 A 70430000 79879524 731803 3877785 851000 43342176 31097823 2021 1 0 1 1 B 75607788 6374496 69353269 2022 1 0 0 0 A 0 0 0 0 0.00590 0.00000 0.00590 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 Schedule K, Part II, Line 4, Gross proceeds in reserve funds: The amounts reported in columns A and B for Part II, Line 4 included interest of $21,063, and $121,115 investment income earned on the bonds. Schedule K, Part II, Line 3, Total proceeds of issue: The amounts reported in columns B for Part II, Line 3 included interest of $1,138 investment income earned on the bond proceeds. LeAnn Hokanson Family Relationship - Sibling of Vice Presient/CFO Stacy Hokanson 149360 Wages Paid: Salary and Benefits 0 Form 990, Part III, line 2 Missouri Slope At Home Missouri Slope at Home has applied to be an approved Qualified Service Provider (QSP) through the North Dakota Department of Health and Human Services, to provide Home and Community Based Services (HCBS). Form 990, Part VI, Section A, line 1a Governing Body- The Organization currently has three committees: the Executive, Ethics & Investment Committee, the Budget and Personnel Committee, and the Bylaws Committee. Each of these committees are composed of current board members. All committees are organized to focus on the particular areas and to advise the board if need be. Form 990, Part VI, Section A, line 6 Membership in the corporation consists of the following congregations: Trinity Evangelical Lutheran Church of Bismarck, Faith Lutheran Church of Bismarck, Good Shepherd Lutheran Church of Bismarck, Lutheran Church of the Cross of Bismarck, Lord of Life Lutheran Church of Bismarck, First Lutheran Church of Bismarck, House of Prayer Evangelical Lutheran Church of Bismarck, First Lutheran Church of Mandan and Sunne Lutheran Church of Wilton. Additional members of the corporation may be admitted as determined by a majority of the delegates attending a corporate meeting. Application for membership shall be in the form prescribed by the Board of Directors. Form 990, Part VI, Section A, line 7a Board of Directors- A majority of the directors shall be confirmed members of member congregations. Elections for director positions shall be held at each annual meeting. Prior to each annual meeting, the Board of Directors shall name a nominating committee which shall be responsible for obtaining nominees for any director positions to be filled at the annual meeting. The nominating committee shall try to obtain nominees so that the board will be fairly representative of the member congregations and of the community. Delegates to the annual meeting may also make nominations from the floor. Vacancies on the board shall be filled by appointment by the remaining members of the board for the unexpired term. Form 990, Part VI, Section B, line 11b Upon receipt of the draft Form 990, the board members will review a copy of the Form 990 at the next board meeting and prior to submission to the IRS. Form 990, Part VI, Section B, line 12c All members of the board of directors are required to disclose any possible conflicts of interest to the board. In the event that the board determines that a conflict exists, any board members having a possible conflict of interest on any matter affecting the corporation shall not vote or use their personal influence on the matter. Form 990, Part VI, Section B, line 15 Annually, the independent board reviews employee salary increases as well as officer salaries. Comparable data is obtained from the ND Long Term Care Association and the board meeting minutes reflect the overall approval of the increases. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy, and financial statements are available to the general public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 7,055,134. Management and general expenses 494,504. Fundraising expenses 0. Total expenses 7,549,638. Professional Services: Program service expenses 985,776. Management and general expenses 101,484. Fundraising expenses 0. Total expenses 1,087,260. Form 990, Part XI, line 9: Hillview Doers Net Income not included in audited Financial Statements 406. Missouri Slope North Campus - SNF LLC 4916 North Washington Street Bismarck ND 58503 450279210 Skilled Nursing Facility Second Location ND 33466542 76648325 Missouri Slope Lutheran Care Center Inc Missouri Slope Lutheran Care Center Foundation 4916 North Washington Street Bismarck ND 58503 363589734 Supporting Organization ND 501(c)(3) Line 12b, II Missouri Slope Lutheran Care Center Inc 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Missouri Slope Lutheran Care Center Foundation C 854441 Cash transfered