2025-04-08T17:02:53-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 450233776 St Annes Guest Home STAN 7017469401 524 N 17th St Grand Forks ND 582033085 Gary Simeone Administrator 7017469401 2025-04-07 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-04-03 2023 2025-03-06 01:10:19Z Sr Donna Welder 524 N 17th St Grand Forks ND 582033085 2443064 0 0928 X N/A X 1952 ND Basic Care Facility to provide 24 hour care/supervision for vulnerable adults regardless of their financial status. 5 5 45 32 0 0 143586 868013 1389519 1574462 7698 589 0 0 1540803 2443064 713 667 0 0 1387955 1350550 0 0 0 446480 576335 1835148 1927552 -294345 515512 578001 1211611 486722 646292 91279 565319 X St. Anne's Guest Home, a Catholic Health Care Facility, embraces residents of all faiths, genders, and races in creating an environment of living the gospel message through providing services, regardless of financial status, to maintain the physical, mental and spiritual well being of each individual so long as they are able to live within this facility. 0 0 1431571 667 1574462 St Anne's Guest Home, a Basic Care Facility, is licensed by the North Dakota State Health Department for 47 beds to provide 24-hour care/supervision for vulnerable adults. This includes the elderly, mentally challenged, and the mentally and/or physically handicapped. Residents are admitted without regard to financial status. The census indicates that over 95% are on Medicaid Assistance. The following services are provided on a daily basis: Nursing, Personal Care, Housekeeping, Laundry, and Activities. 1431571 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 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 1 0 0 0 1 1 0 1 45 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 1 0 0 0 X Gary Simeone 7017469401 524 North 17th Street Grand Forks ND 58203 X May Fuka Administrator 50.00 0.00 X 72548 0 8916 Gary Simeone Accountant (as of Jan '24) 40.00 0.00 X 0 0 0 Sister Donna Welder President 1.00 40.00 X X 0 0 0 Sister Jean Louise Schafer Vice President 1.00 40.00 X X 0 0 0 Sister Mary Ruth Huhn Secretary 1.00 40.00 X X 0 0 0 Anthony Aymond Director 1.00 0.00 X 0 0 0 Kathy Klemisch Director 1.00 0.00 X 0 0 0 72548 0 8916 0 0 0 0 0 2000 747263 118750 536 868013 Resident Service Reven 623000 1504133 1504133 Assisted Living Revenu 623000 56956 56956 Miscellaneous Revenue 900099 11266 11266 Gift Shop Revenue 455000 2107 2107 1574462 589 589 2443064 1574462 0 589 667 667 115166 115166 997864 907898 89966 161700 141899 19801 75820 62441 13379 41604 41604 74798 74798 7929 7929 92976 61601 31375 972 972 125893 84198 41695 4164 3938 226 2286 886 1400 522 522 25392 22599 2793 13204 11751 1453 Dietary Supplies 96378 96378 Bad Debt Expense 86310 86310 Maintenance Allocation 0 36515 -36515 3907 800 3107 1927552 1431571 495981 0 26505 83774 163884 882337 8810 6804 7173 6087 461376 369815 105631 91561 143892 56879 122106 84169 578001 1211611 94805 214079 7145 5019 251029 0 133743 427194 486722 646292 X 62326 520445 28953 44874 91279 565319 578001 1211611 X 515512 3658 -45130 X 0 1 X 1 0 X 104918 348282 104925 143586 868013 1569724 1522941 1276009 1393091 1389519 1574462 7156022 1627859 1624291 1498016 1533105 2442475 8725746 0 1038453 752144 820777 991064 846095 4448533 1038453 752144 820777 991064 846095 4448533 4277213 14234 11779 12088 7698 589 46388 14234 11779 12088 7698 589 46388 1642093 1636070 1510104 1540803 2443064 8772134 0.48760 0.43120 0.00530 0.00790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 890 890 0 Part II-B, Line 1: St. Anne's Guest Home pays monthly membership dues to the NDLTCA - North Dakota Long Term Care Association. The portion of the dues that are attributable to the lobbying activities of the NDLTCA is approximately $890.00. 0 1 X 165257 104486 60771 296119 265329 30790 91561 Operating Lease Right of Use Assets 73293 Finance Lease Right of Use Assets 10876 84169 Loan from the Franciscan Sisters of Dillingen 342270 Operating Lease Right of Use Liabilities 73293 Finance Lease Right of Use Liabilities 11631 427194 X 2446722 3658 3658 2443064 0 2443064 1927552 0 1927552 0 1927552 Part IV, Line 2b: The Home 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 $5,019 at June 30, 2024. Part X, Line 2: The 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. The Home 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. Form 990, Part VI, Section A, line 1a The bylaws provide that an Executive Committee shall consist of the President, Vice President and Secretary. The bylaws give this Committee the power to act on necessary business matters between regular meetings of the Board of Directors. At this time an Executive Committee has not met. Form 990, Part VI, Section A, line 6 The Franciscan Sisters of Dillingen are the sole members of St. Anne's Guest Home. Form 990, Part VI, Section A, line 7a Board members are appointed by the Franciscan Sisters of Dillingen. When determining who to appoint, qualifications, background experience and talents are all considered. Form 990, Part VI, Section A, line 7b Certain major decisions must be approved by the Provincial Superior and the Provincial Council of the Franciscan Sisters of Dillingen. These include: -Approving financial and other major reports that are directed to the public and other interested parties. -Approving major short-term and all long-term loans. -Reviewing and/or approving major contracts, such as those for acquisition for equipment and for sale of real estate. -Authorizing officers to sign various written legal documents and to take final action. -Approving major personnel and labor relations policies and programs that shape the essential character of personnel policies and labor relations. Form 990, Part VI, Section A, line 8b The Bylaws allow for an Executive Committee, but at this time there were no committees that met with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Administrator and facility Business Manager will review a draft of the Form 990. In addition, the Administrator will provide a copy of the 990 to the Board Members to review prior to it being filed. Form 990, Part VI, Section B, line 12c The Board of Directors and employees are covered by the conflict of interest policy. The administrator determines if a conflict exists and board members do not vote and are excused from discussion of an issue if a conflict does exist. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request. Form 990, Part VII: The Franciscan Sisters of Dillingen have taken a vow of poverty. The related organization does cover the benefits for those Sisters on the Board, however these have not been reported in part VII due to the vow of poverty. Form 990, Part XI, line 9: Restatement of Beginning Net Assets on Financial Statements -45,130. Franciscan Sisters of Dillingen 102 6th Street SE Hankinson ND 58041 450226432 Operation of educational, religious, and charitable organizations. ND 501(c)(3) Line 1 N/A 0 St Gerard's Community of Care 613 First Avenue SW Box 448 Hankinson ND 584010448 450234473 Nursing and other services to elderly ND 501(c)(3) Line 10 Franciscan Sisters of Dillingen 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0