2024-11-15T11:04:53-06:00 2024-06-30 450350118 SCHAUER & ASSOCIATES PC PO BOX 1808 JAMESTOWN ND 584021808 990 2023-07-01 450276712 MANOR ST JOSEPH MANO 7014932477 404 4TH ST EDGELEY ND 584337414 TAMMY JANGULA ADMINISTRATOR 7014932477 2024-11-08 1 0 MEGAN ALDINGER P01224816 7012525422 2023 2024-10-15 13:58:12Z TAMMY JANGULA 404 4TH ST EDGELEY ND 58433 2439781 0 X NA X 1948 ND BASIC CARE NURSING FACILITY 3 3 37 10 0 0 10481 1553611 933323 856808 8399 29095 25 267 952228 2439781 0 0 0 0 621622 681976 0 0 0 235606 250142 857228 932118 95000 1507663 1612331 3125996 9192 15195 1603139 3110801 BASIC CARE NURSING FACILITY 0 0 826126 857075 BASIC CARE NURSING HOME 826126 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 37 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X MANOR ST JOSEPH 7014932477 404 4TH STREET EDGELEY ND 58433 X SR MARY STEPHEN BLOESAL DIRECTOR 1.00 X 0 0 0 SR MARY MICHAEL GLEISNER DIRECTOR 1.00 X 0 0 0 SR MARY THERESA VANDEBERGHE DIRECTOR 1.00 X 0 0 0 STEPHEN BLOESAL DIRECTOR 1.00 X 0 0 0 JOSEPH NEIS DIRECTOR 1.00 X 0 0 0 NEAL SCHLOSSER DIRECTOR 1.00 X 0 0 0 MARK LARSON PRESIDENT 1.00 X 0 0 0 LINDA GACKLE VICE PRESIDENT 1.00 X 0 0 0 LILLIAN LONG SEC/TREASURER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 1553611 1553611 PRIVATE PAY 623000 549608 549608 MEDICAID INCOME FROM S 623000 307200 307200 856808 29095 29095 MISCELLANEOUS INCOME 623990 267 267 267 2439781 857075 0 29095 633512 557447 76065 48464 42645 5819 3350 3350 1183 1183 2245 2245 6649 6649 87432 87432 1897 1197 700 350 350 27272 27272 11106 11106 FOOD 70769 70769 RESIDENT CARE SUPPLIES 6608 6608 31281 20467 10814 932118 826126 105992 0 33603 25297 1269789 2796814 1548 3025 810088 509228 307391 300860 1612331 3125996 9192 15195 9192 15195 X 1603139 3110801 1603139 3110801 1612331 3125996 X 1507663 -1 X 0 0 0 X 18273 62467 243292 10481 1553611 1888124 819535 710650 775260 933324 857075 4095844 837808 773117 1018552 943805 2410686 5983968 0 0 0 5983968 16052 12338 5976 8399 29095 71860 16052 12338 5976 8399 29095 71860 113 143 3000 3256 853973 785598 1027528 952204 2439781 6059084 0.98760 0.98560 0.01190 0.01360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 810088 509228 300860 300860 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 WAS MAILED TO THE GOVERNING BOARD, WHO THEN REVIEWED AND APPROVED IT PRIOR TO FILING THE FINAL FORMS FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND COPIES OF 990S ARE AVAILABLE FOR REVIEW AT THE BUSINESS OFFICE DURING REGULAR BUSINESS HOURS FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC SR MARY STEPHEN BLOESAL - N 8114 CALVERY ST, MT CALVERY, WI 53057. SR MARY MICHAEL GLEISNER - N 8114 CALVERY ST, MT CALVERY, WI 53057. SR MARY THERESA VANDEBERGHE - N 8114 CALVERY ST, MT CALVERY, WI 53057. MARK LARSON - 215 4TH ST, EDGELEY, ND 58433. LINDA GACKLE - 7478 COUNTY ROAD 33, KULM, ND 58456. LILLIAN LONG - 404 4TH ST, EDGELEY, ND 58433. STEPHEN BLOESAL - 404 4TH ST, EDGELEY, ND 58433. JOSEPH NEIS - 215 5TH AVE, EDGELEY, ND 58433. NEAL SCHLOSSER - 8394 80TH ST SE, EDGELEY, ND 58433. FORM 990, PART XI, LINE 9: ROUNDING -1.