2021-05-13T17:59:37-05:00 2020-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-07-01 274219119 Benedictine Living Community of Mora BENE 7632310410 110 North 7th Street Mora MN 55051 Jennifer Gleason Chief Operating Officer 7632310410 2021-05-13 1 Deb Nelson CPA P01264758 6122536500 2021-05-05 2019 2022-09-23 18:48:47Z St Clare Living Community of Mora Dennis Kamstra 110 North 7th Street Mora MN 55051 7710302 0 X www.stclarelivingcommunity.org X 2010 MN Housing and long-term care facilities for the elderly. 4 3 248 5 0 0 0 0 7493239 7708556 7 1746 0 0 7493246 7710302 3750 15338 0 0 4969721 5135518 0 0 0 2762409 2585121 7735880 7735977 -242634 -25675 1553807 2674827 1751449 2774896 -197642 -100069 X None 0 1 5931381 15338 6351036 The organization provides skilled nursing care in a 65 bed facility. In the year ended 6/30/20, the facility provided 20,704 days of care. 1069196 1331386 The organization provides assisted living care in a 35 bed facility. In the year ended 6/30/20, the facility provided 13,206 days of care. 25289 The organization provided management services to a 30 unit assisted living and memory care facility owned by the Housing and Redevelopment Authority of Mora. This agreement was terminated as of 12/31/19. In the year ended 6/30/20, the facility provided 5,087 days of care 845 The organization began providing home health services for 2 clients, bringing in $845 in revenue. 845 7000577 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 248 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 1 0 MN X Brad Stedman CPA 7013563101 PO Box 656 West Fargo ND 58078 Jennifer Gleason Secretary/Treasurer/COO 5.00 35.00 X 0 175000 0 Dennis Kamstra President/CEO 1.00 39.00 X X 0 15625 0 Robert Sundberg Board Chair 1.00 5.00 X X 0 0 0 Paul Sanders Board Member 1.00 5.00 X 0 0 0 Rod Pakonen Board Member 1.00 5.00 X 0 0 0 0 190625 0 1 0 1 0 Living Services Foundation 3109 West 50th Street 133 Minneapolis MN 55410 Management Services 340225 1 Resident and Assisted 623000 7647561 7647561 Management Revenue 541610 25289 25289 35706 35706 7708556 1746 1746 7710302 7708556 0 1746 15338 15338 4027798 3806268 221530 47469 44868 2601 745646 704785 40861 314605 297365 17240 383289 383289 522080 488524 33556 11951 11951 310054 297103 12951 743629 742161 1468 28467 28467 1782 1782 8574 8574 39084 38419 665 Bed Tax and Licenses 192872 192872 Food Expenses 186506 186506 Pharmacy and Medical Ex 115464 115464 Bad Debt Expenses 19125 19125 22244 12956 9288 7735977 7000577 735400 0 238459 1713069 936857 571578 146103 112510 90436 12915 14855 77521 217533 200149 1553807 2674827 697002 1084098 -2995 19068 200000 722834 572659 843870 284783 105026 1751449 2774896 X -197642 -100069 -197642 -100069 1553807 2674827 -25675 123248 0 X X 0 1 X 0 0 X 11849 4802 16651 6480191 7114987 7187496 7493239 7708556 35984469 6492040 7119789 7187496 7493239 7708556 36001120 0 518096 703028 701717 719209 604585 3246635 518096 703028 701717 719209 604585 3246635 32754485 722 1146 507 7 1746 4128 722 1146 507 7 1746 4128 6492762 7120935 7188003 7493246 7710302 36005248 0.90970 0.91050 0.00010 0.00010 X 0 1 X 52357 2874 49483 38079 10041 28038 77521 Debt Service Reserve Fund 200149 200149 Other Liabilities 91553 Security Deposits Payable 13473 105026 X Part IV, Line 2b: The organization holds funds on behalf of its residents. Part X, Line 2: 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 combined 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. 1 Scholarships 5 15338 Part I, Line 2: Scholarships are awarded to employees to further their education in support of their work with the organization. The funds are distributed after the expenses are incurred. 0 0 0 0 0 0 0 0 0 Jennifer Gleason Secretary/Treasurer/COO 0 175000 0 0 0 0 0 0 0 0 0 175000 0 0 Part I, Line 3 The organization relied on a related organization that used one or more of these methods to establish compensation. Form 990, Part III, line 3 As a provider of skilled nursing and assisted living services, Benedictine Living Community of Mora was greatly impacted by the COVID-19 pandemic. Staff made significant changes to our operation in line with CDC guidance, including revising visitation, dining and activity procedures, focus on infection control procedures, and shifts to staffing and other operations in line with a slowing of admissions in need of rehabilitation therapy. We continue to follow CDC guidance and anticipate that our operation will continue to be impacted by COVID-19 beyond fiscal year 2021. Form 990, Part VI, Section A, line 2 Jennifer Gleason and Dennis Kamstra have a family relationship. Form 990, Part VI, Section A, line 3 The Organization contracts with Living Services Foundation, a related organization, for management services. Form 990, Part VI, Section A, line 6 Living Services Foundation is the sole member. Form 990, Part VI, Section A, line 7a Living Services Foundation, as the sole member, shall appoint the Board and remove Directors at any time, with or without cause. Form 990, Part VI, Section A, line 7b The Corporation may not take any of the following actions without receiving Member approval in accordance with procedures established by the Corporation's Articles and Bylaws: (a) Substantially change the present or now intended nature of the Corporation's operations or its mission; (b) Amend the Articles of Incorporation or these Bylaws; (c) Voluntarily dissolve; (d) Incur long-term debt; (e) Mortgage or encumber any assets of the Corporation; (f) Sell, lease or otherwise dispose of all or substantially all of its property and assets; (g) Add or delete major services; (h) Purchase or acquire substantially all of the assets of another entity; (i) Merge, consolidate with any domestic or foreign organization or lease or sell more than fifty percent (50%) of the Corporation's property and assets to any entity in any one transaction or series of related transactions; (j) Prepay any indebtedness prior to the time for payment thereof as provided in the contract evidencing or creating such indebtedness; (k) Loan money or other assets to or guarantee the obligations of any person or entity; (l) Approve annual operating budgets, annual or long-range capital budgets, and nonbudgeted contracts entered into over $50,000; and (m) Approve any extraordinary compensation or bonus to any employee. Form 990, Part VI, Section A, line 8b The Organization does not have a committee with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Board members will review a completed electronic version of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c In connection with any actual or possible conflicts of interest, an Interested Person must disclose the existence of his or her Financial Interest and be given the opportunity to disclose all material facts relating to his or her Financial Interest to the directors or members of committees with board-delegated powers considering the proposed transaction or arrangement. After disclosure of the Financial Interest and all material facts, and after any discussion with the Interested Person, the Interested Person must leave the board (or committee) meeting while the Financial Interest is discussed and voted upon. The remaining board (or committee) members shall decide if a conflict of interest exists. An Interested Person may make a presentation at the board or committee meeting regarding the proposed transaction or arrangement, but after such presentation, the Interested Person shall leave the meeting during the discussion of, and the vote on, the proposed transaction or arrangement that results in the conflict of interest. The chairperson of the board (or committee) shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board (or committee) shall determine whether the Organization can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under the circumstances that would not give rise to a conflict of interest, the board (or committee) shall determine by a majority vote of the disinterested directors (or committee members), whether the transaction or arrangement is in the Organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the Organization and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. If the board (or committee) has reasonable cause to believe that a person subject to this policy has failed to disclose actual or possible conflicts of interest or failed to discharge his or her duties in accordance with Article III, it shall inform the person of the basis for such belief and afford the person an opportunity to explain the alleged failure. If, after hearing the response of the person and making such further investigation as may be warranted in the circumstances, the board (or committee) determines that the person has, in fact, failed to discharge his or her duties in accordance with this policy or to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Form 990, Part VI, Section B, line 15b The organization compensates the facility administrator, but all other top management officials are compensated by the sole member, Living Services Foundation. The administrator's compensation was determined by the individual's level of compensation with the previous owner. Form 990, Part VI, Section C, line 19 The organization makes its governing documents and financial statements available to the public upon request. Form 990, Part XII, Line 2b: The organization was part of a combined audit with Living Services Foundation/Mora, LLC. Living Services Foundation 3109 W 50th Street 133 Minneapolis MN 55410 411936717 Housing and long-term care facilities for the elderly MN 501(c)(3) Line 10 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0