2024-10-02T10:37:21-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2023-01-01 381872660 ST ANN'S HOME INC STAN 6164537715 2161 LEONARD STREET NW GRAND RAPIDS MI 49504 ANN F AUGER PRESIDENT 6164537715 2024-09-27 1 1 JENNIFER COLEMAN P00743188 3304972000 2024-09-27 2023 2024-10-15 13:58:12Z ANN F AUGER 2161 LEONARD STREET NW GRAND RAPIDS MI 49504 9916925 0 X WWW.STANNSHOME.COM X 1951 MI BASIC NURSING CARE - PROVIDING NURSING CARE AND MISCELLANEOUS SERVICES FOR THE RESIDENTS OF THE HOME. HOME FOR THE AGED - PROVIDED CARE AND LIVING QUARTERS AT THE HOME TO ELDERLY PERSONS IN THE COMMUNITY. 4 4 285 10 0 0 3546931 422788 7861220 9262616 -42136 113281 87278 118240 11453293 9916925 0 0 0 0 6343313 7018374 0 0 5706 3778034 3534193 10121347 10552567 1331946 -635642 13980078 13090756 781519 645426 13198559 12445330 OUR MISSION IS TO PROVIDE A LOVING AND SPIRITUAL COMMUNITY FOR OLDER ADULTS TO LIVE LIVES OF CARING AND WHOLENESS, INSPIRED BY OUR CARMELITE FOUNDATION OF FRATERNITY, SERVICE AND PRAYER. 0 0 5708227 0 6249079 BASIC NURSING CARE - PROVIDED NURSING CARE AND MISCELLANEOUS SERVICES FOR THE RESIDENTS OF THE HOME. 2726938 0 3013537 HOME FOR THE AGED - PROVIDED CARE AND LIVING QUARTERS AT THE HOME TO ELDERLY PERSONS IN THE COMMUNITY. 8435165 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 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 1 1 0 0 0 1 7 0 285 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X KIMBERLY FRYLING 6164537715 2161 LEONARD STREET NW GRAND RAPIDS MI 49504 SISTER GABRIELA HILKE PRESIDENT/TREASURER 40.00 X X 0 0 0 SISTER MARIE GIUSEPPE VICE PRESIDENT/SECRETARY 1.00 X X 0 0 0 SISTER ANNUNCIATA AUGER MEMBER 1.00 X 0 0 0 SISTER MARY EMMANUAL APANITAS MEMBER 1.00 X 0 0 0 DANA PRINCE EXECUTIVE DIRECTOR 40.00 X 181045 0 12300 JONI LAHMANN DIRECTOR OF FINANCE 40.00 X 88900 0 9889 JENA MIS DIRECTOR OF NURSING 40.00 X 100835 0 2108 370780 0 24297 2 0 1 0 A-1 ASPHALT INC 4634 DIVISION WAYLAND MI 49348 CONSTRUCTION SERVICES 359360 CREATIVE DINING SERVICE 1 ROYAL PARK DR STE 3 ZEELAND MI 49464 CONTRACT DINING STAFFING 213119 SHIFT KEY PO BOX 735913 DALLAS TX 75373 CONTRACT NURSING STAFFING 168774 3 314236 108552 422788 BASIC NURSING CARE 623000 6249079 6249079 HOME FOR THE AGED 623000 3013537 3013537 9262616 113281 113281 EMPLOYEE DAY CARE 624410 61700 61700 ADMISSION FEES 623000 31000 31000 RESIDENT BEAUTY SHOP 812900 25540 25540 118240 9916925 9262616 0 231521 292136 146068 146068 5301026 4321805 979221 989610 757873 231737 435602 331058 104544 156226 156226 10775 10775 37781 37781 749128 724972 24156 57951 42304 15647 36630 30864 5766 429292 330299 98993 14173 10771 3402 556149 400427 155722 95291 93385 1906 QAAP 435798 435798 FOOD FOR RESIDENTS 392220 392220 MEDICAL SUPPLIES 324890 324890 REPAIRS AND MAINTENANCE 110037 92431 17606 127852 122146 5706 10552567 8435165 2111696 5706 1157340 677724 76108 3354809 3311117 73096 80846 117663 196251 17968297 12827827 5287863 5140470 2606685 1956951 1315479 1253225 67143 398064 13980078 13090756 611512 645426 170007 0 781519 645426 X 12830646 12047266 367913 398064 13198559 12445330 13980078 13090756 X -635642 -117587 X 1 X 0 1 0 X 1410730 2023386 1275068 3546931 423351 8679466 9371889 8661540 7390733 7861220 9262616 42547998 10782619 10684926 8665801 11408151 9685967 51227464 0 0 0 51227464 63726 21048 12507 0 117532 214813 63726 21048 12507 117532 214813 202774 81200 84387 87278 118240 573879 11049119 10787174 8762695 11495429 9921739 52016156 0.98480 0.98390 0.00410 0.00250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 202,774. 2020 AMOUNT: $ 81,200. 2021 AMOUNT: $ 84,387. 2022 AMOUNT: $ 87,278. 2023 AMOUNT: $ 118,240. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 411989 411989 13962817 10035609 3927208 894753 416110 478643 2655549 2376108 279441 43189 43189 5140470 INVESTMENT IN EMMANUEL HOSPICE 1253225 C 1253225 X X 0 0 0 0 0 0 0 0 0 DANA PRINCE EXECUTIVE DIRECTOR 178995 0 0 0 2050 0 8348 0 3952 0 193345 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS FOR ACCURACY, THEN PROPOSES THE COMPLETED 990 TO THE ADVISORY BOARD FOR APPROVAL TO THEN BE SHARED WITH THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST WITH THE HOME. THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EVERY DIRECTOR ON AN ANNUAL BASIS, AND THE DIRECTOR MUST SUBMIT A WRITTEN STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY, UNDERSTANDING, AGREEMENT, AND APPLICATION OF THE POLICY. THE HOME'S ACTIVITIES ARE REVIEWED PERIODICALLY TO ENSURE THE HOME IS OPERATING IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. WHEN A CONFLICT OF INTEREST IS DETERMINED TO EXIST THE BOARD OR COMMITTEE SHALL MEET WITHOUT THE PRESENCE OF THE INTERESTED PARTY. THE INTERESTED PARTY MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE, AND THE BOARD OR COMMITTEE THEN DETERMINES WHETHER THERE HAS BEEN A CONFLICT OF INTEREST, OR WHETHER A NON-INTERESTED PERSON IS TO INVESTIGATE ALTERNATIVES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS APPROVED BY THE PRESIDENT OF THE GOVERNING BOARD AND TWO ADVISORY BOARD MEMBERS. COMPENSATION IS DETERMINED BY REVIEWING THE FORM 990 RETURNS OF OTHER LOCAL NURSING HOMES AND BY REFERENCE TO A SALARY SURVEY FROM THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING. COMPENSATION OF THE FINANCIAL DIRECTOR IS APPROVED BY THE ADVISORY BOARD BASED ON PREDETERMINED PAY SCALES ALSO APPROVED BY THE ADVISORY BOARD. IN ADDITION TO THE SCALE, MERIT INCREASES MAY ALSO BE GIVEN. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN EMMANUEL HOSPICE -62,254. EQUITY TRANSFER TO CARMELITE SISTERS -192,000. EQUITY TRANSFER FROM CARMELITE SISTERS 106,516. RESTRICTED CONTRIBUTIONS 30,151. CARMELITE SISTERS OF THE DIVINE HEART OF JESUS OF WI 1230 KAVANAUGH PL MILWAUKEE WI 53213 396048667 CHURCH WI 501(C)(3) LINE 1 N/A 0 EMMANUEL HOSPICE 401 HALL ST SW 263 GRAND RAPIDS MI 49503 454485835 HOSPICE CARE MI 501(C)(3) LINE 10 ST ANN'S HOME INC 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0