2024-10-30T13:42:56-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 450307506 Elm Crest Manor ELMC 7018437526 100 Elm Avenue PO Box 396 New Salem ND 58563 Carrie Zazeski Administrator 7018437526 2024-10-30 1 1 Lisa Chaffee CPA P00193453 7012551091 2024-10-29 2023 2024-10-15 13:58:12Z Carrie Zazeski 100 Elm Avenue PO Box 396 New Salem ND 58563 9211180 0 X www.elmcrestmanor.com X 1969 ND Long term nursing care 10 10 150 30 0 0 19317 18992 7234021 8965666 4057 226522 2839797 0 10097192 9211180 0 0 0 0 5412361 5652417 0 0 0 2620929 2841442 8033290 8493859 2063902 717321 9487389 9605529 4181615 3582434 5305774 6023095 X Our mission is to provide the highest quality of care to our residents and their families by responding to their spiritual, physical, emotional, and social needs. 0 0 7526256 8439720 Elm Crest Manor is a nonprofit organization owned by the Peace Church of New Salem, North Dakota, licensed under the laws of the state to provide comprehensive long-term care as prescribed by attending physicians.The Manor is a 57-bed skilled nursing facility located in New Salem, North Dakota. The manor provides skilled care under the state of North Dakota and federal government standards. All costs are used for care of individuals in a long term care setting.Regulations are established in order that each resident will be treated fairly and that the organization can function efficiently. Residents are entitled to the best medical care to help each individual continue his/her life at the maximum of his/her abilities. Each person admitted has available to him/her physical, mental, social, restorative, and spiritual facilities which will contribute to his/her recovery and enrich his/her life. 430099 406292 Elm Crest Assisted Living is a non-profit organization owned by Peace Church in New Salem, ND, licensed under the laws of the state of ND to provide assistance in an independent living environment.The Assisted Living is a licensed 19 unit building located in New Salem, ND.Regulations are established that each tenant will be treated fairly and the organization can function efficiently. All tenants are entitled to the best living environment and care that can be provided in an assisted living environment to maximize their independence and psychosocial wellbeing. 119654 119654 7956355 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 12 0 1 150 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Carrie Zazeski 7018437526 100 Elm Avenue PO Box 396 New Salem ND 58563 Amber Reiner Administrator (Until July 2024) 40.00 X 122359 0 12836 Carrie Zazeski Interim Administrator (From June 2024) 40.00 X 0 0 0 Nathan Henke President 0.30 X X 0 0 0 Keith Norton Vice President 0.30 X X 0 0 0 Rolland Larson Treasurer 0.30 X X 0 0 0 Kathy Holle Secretary 0.30 X X 0 0 0 Alma Heid Director 0.30 X 0 0 0 Kris Lennick Director 0.30 X 0 0 0 LaDonna Olson Director 0.30 X 0 0 0 Daniel Schmitz Director 0.30 X 0 0 0 Joel Olson Director 0.30 X 0 0 0 Linda Kellet Director 0.30 X 0 0 0 122359 0 12836 1 0 0 0 0 18992 6195 18992 Nursing Home Resident 623000 8439720 8439720 Assisted Living 623990 406292 406292 Other Program Income 900099 119654 119654 8965666 226522 226522 9211180 8965666 0 226522 X 174159 37775 136384 4313233 4131201 182032 116122 111389 4733 711050 665813 45237 337853 314414 23439 1036245 994208 42037 10684 1098 9586 120291 72513 47778 28805 28805 206726 206726 4592 4592 20980 19287 1693 155746 154619 1127 490497 486995 3502 81157 81157 Food 316615 316615 Repairs & Maintenance 163661 163661 Medical Supplies 157956 157956 Dues & Subscriptions 8685 1319 7366 38802 10804 27998 8493859 7956355 537504 0 11602 18112 1963662 5000313 3330895 806138 44857 27059 12622903 9143858 3905973 3479045 81111 0 149289 274862 9487389 9605529 944585 670810 2424558 2215384 11024 11171 780518 665616 20930 19453 4181615 3582434 X 5305774 6023095 5305774 6023095 9487389 9605529 717321 0 X 0 1 X 0 0 X 285220 1361322 968573 19317 18992 2653424 7244873 7096843 6643798 7234021 8965666 37185201 7530093 8458165 7612371 7253338 8984658 39838625 0 1249058 1003040 1808794 2294433 2333817 8689142 1249058 1003040 1808794 2294433 2333817 8689142 31149483 2197 9761 11245 4057 226522 253782 2197 9761 11245 4057 226522 253782 7532290 8467926 7623616 7257395 9211180 40092407 0.77690 0.79540 0.00630 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 40412 40412 11226407 7989004 3237403 1356084 1154854 201230 3479045 Security Deposits 14500 Finance Lease Liability 4953 19453 X 9201586 0 9201586 9594 9594 9211180 8484265 -9594 -9594 8493859 0 8493859 Part IV, Line 2b: The Manor acts as custodian for the funds of the residents. These funds are included in cash and cash equivalents and accounts payable in the financial statements. Resident trust funds totaled $11,171 and $11,024 at June 30, 2024 and 2023. Part X, Line 2: The Manor 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. The Manor 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. Part XI, Line 4b - Other Adjustments: Meal Income included with Expenses on the Financial Statements 9,594. Part XII, Line 2d - Other Adjustments: Meal Income included with Expenses on the Financial Statements -9,594. A City of New Salem 456002137 000000000 2009-03-13 5350000 Addition to Elm Crest Manor 0 0 0 A 3166405 5350000 156573 11140 5182287 2010 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 Form 990, Part VI, Section A, line 6 Peace Church is the sole member. Form 990, Part VI, Section A, line 7a Six of the board members for Elm Crest are elected by Peace Church. Form 990, Part VI, Section A, line 7b Expenditures over $500,000 require approval by Peace Church. Form 990, Part VI, Section A, line 8b There are no committees that have the ability to act on behalf of the board. Form 990, Part VI, Section B, line 11b Upon receipt of the draft Form 990, a copy shall be distributed to the board members for their review prior to submission to the IRS. Form 990, Part VI, Section B, line 12c All directors, principal officers, and members of a committee with board delegated powers are covered by the Organization's conflict of interest policy. Annually the interested persons are required to sign the conflict of interest statement. If a potential conflict exists, the interested person must disclose all material facts to the Board of Directors. The remaining board members shall determine if a conflict of interest exists. If a conflict exists, the interested person may make a presentation to the board regarding the transaction or arrangement and the remaining board members, after exercising due diligence, will determine whether the corporation can obtain a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a board or committee member fails to disclose actual or potential conflicts of interest, the Board of Directors shall take appropriate disciplinary and corrective action. All actions are noted in the meeting minutes. Proposed related activities require disclosure of parties and partners involved including search of excluded parties. If/when a likely conflict of interest may be present, the Board of Directors is contacted for their review and decision. A project may be terminated or additional measures taken for monitoring. Form 990, Part VI, Section B, line 15a To determine a reasonable compensation, the board references administrator salaries from other ND nursing homes of similar size for comparable data. This decision was documented in the board meeting minutes. The board plans to evaluate the Administrator's salary yearly. The process was last undertaken in February 2024. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 878. Management and general expenses 42,037. Fundraising expenses 0. Total expenses 42,915. Consulting Fees: Program service expenses 993,330. Management and general expenses 0. Fundraising expenses 0. Total expenses 993,330. Elm Crest Assisted Living 100 Elm Ave New Salem ND 58563 Assisted Living Apartments ND 406292 1021094 Elm Crest Manor Peace Church 410 Elm Avenue New Salem ND 58563 450252299 Religious Organization ND 501(c)(3) Line 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0