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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization acts as custodian for the funds of the residents at the facility. These funds are included in cash and cash equivalents and a corresponding liability is included in accounts payable in the financial statements. Resident trust funds totaled $4,388 and $2,970 at June 30, 2024 and 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Organization's policy is to maintain sufficient financial stability for the operations of the Organization. In order to carry this out, the organization established an endowment fund with Dakota Medical Foundation to produce greater yield and provide for possible matching and other fundraising benefits provided by Dakota Medical Foundation. The Organization transferred monies to Dakota Medical Foundation and named itself as the beneficiary of the assets.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Organization 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 Organization 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bylaws allow for an Executive Committee which consists of the President, Vice President and Secretary. The Executive Committee has the power to act on necessary business matters between the regular meetings of the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of St Gerard's Community of Care is The Franciscan Sisters of Dillingen.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Board members and Administration are covered by the conflict of interest policy. The Board and/or Administration determine if a conflict exists. If a conflict does exist board members abstain from voting on the conflicting issue. If a conflict exists for the Administrator, specific processes in the Conflict of Interest policy are followed to address the Administrator's potential or actual conflict of interest.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The board of directors determines compensation for the Administrator using statewide average data for Administrators and also statistical data from the North Dakota Long-Term Care Association. The review, discussion and decision is documented in the board minutes. The discussion was last completed at the board meeting held 11/29/23 with a wage increase effective 1/1/24.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
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        <ExplanationTxt>The Franciscan Sisters of Dillingen have taken a vow of poverty. The related organization does cover benefits for those Sisters on the Board, however these have not been reported in part VII due to the vow of poverty.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Physical Therapy Service: Program service expenses 59,398. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,398. Pharmacy Consultant: Program service expenses 3,214. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,214. Contract Services: Program service expenses 621,040. Management and general expenses 0. Fundraising expenses 0. Total expenses 621,040. Dietary Consultant: Program service expenses 3,350. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,350.</ExplanationTxt>
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      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>