2020-05-07T08:07:06-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-07-01 411704381 ST THERESE FOUNDATION INC STTH 9522832213 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 CALVIN SHELANGOSKI CFO 9522832213 2020-05-06 1 JEFF VRIEZE P01273590 6123764500 67.137.57.251 2020-05-06 06:56:15 CD P B71DF8EF734977C0D9AF27883840492912BFA7BF 3248A6B659E87D482384C49F03B8D3F5693FBE55 2018 2020-11-19 02:30:22Z BARB RODE 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 54035121 0 X WWW.SAINTTHERESE.ORG X 1991 MN PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 9 9 925 660 0 0 470245 2220444 39836492 42711375 441275 607863 1639444 2044529 42387456 47584211 149419 114537 0 0 19928465 19719123 0 0 4541 22433569 23911321 42511453 43744981 -123997 3839230 124271635 121302875 112649846 105810301 11621789 15492574 X PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 0 0 303168 81900 0 SAINT THERESE IS A NONPROFIT FAITH-BASED ORGANIZATION THAT HAS FOCUSED ON THE WELL-BEING OF INDIVIDUALS SINCE IT OPENED IN 1968. WE PROVIDE SECURE, STRESS-FREE LIVING AND THE VERY BEST IN SENIOR CARE AND HOUSING WITH A COMMITMENT TO EACH INDIVIDUAL. SAINT THERESE OFFERS A TRUE CONTINUUM OF PROGRAMS AND SERVICES THAT ARE AVAILABLE IN YOUR OWN HOME OR IN ONE OF OUR COMMUNITY SETTINGS. SAINT THERESE SERVES THE TWIN CITIES METRO AREA WITH CAMPUSES LOCATED IN NEW HOPE, BROOKLYN PARK, SHOREVIEW, AND WOODBURY. TO LEARN MORE VISIT WWW.SAINTTHERESE.ORG.ST. THERESE FOUNDATION, INC INCLUDES THE FOLLOWING ENTITIES:-OXBOW LAKE CARE CENTER, LLC (DBA: ST. THERESE AT OXBOW LAKE)-ASCEND REHAB, LLC-ST. THERESE OF WOODBURY, LLC-ST. THERESE TCU NORTH, LLC-ST. THERESE REDWOODS, LLC 13083457 17171 16030517 ST. THERESE OF WOODBURY, LLC (WOODBURY) WAS CREATED IN AUGUST 2013 TO OWN AND OPERATE A FULL CONTINUUM OF CARE SENIOR COMMUNITY CONSISTING OF A 102 INDEPENDENT LIVING UNITS, 38 ASSISTED LIVING UNITS, 20 MEMORY CARE UNITS (WOODBURY CAMPUS) AND A 56 BED LICENSED NURSING FACILITY (WOODBURY CARE SUITES). 11387644 8491 15140946 FROM THE MOMENT YOU APPROACH THE CHARMING FRONT ENTRANCE OF SAINT THERESE AT OXBOW LAKE, YOU'LL FEEL RIGHT AT HOME. HERE, IT'S EASY TO CREATE MEANINGFUL CONNECTIONS WITH NEIGHBORS WHO ARE EAGER TO WELCOME MORE FRIENDS TO BUILD NEW CHAPTERS IN THEIR STORIES. ENJOY A PURPOSE-FILLED LIFE IN BROOKLYN PARK-- IN WAYS THAT BEST FIT YOUR LIFESTYLE AND INDIVIDUALITY. SO, AS YOU BEGIN A NEW CHAPTER, YOU'LL FIND THE RIGHT KIND OF SUPPORT YOU NEED TO MAINTAIN INDEPENDENCE, GROW SPIRITUALLY AND CULTIVATE LASTING FRIENDSHIPS. 6496441 0 4059731 ASCEND REHAB PROVIDES A COMPREHENSIVE APPROACH TO MAXIMIZE EACH CLIENT'S REHABILITATION AND WELLNESS GOALS. HIGHLY TRAINED PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AS WELL AS FITNESS PROFESSIONALS, PROVIDE INDIVIDUALIZED PROGRAMS FOR OPTIMAL HEALTH OUTCOMES. ASCEND REHAB OFFERS A VARIETY OF SERVICES THROUGH INPATIENT, OUTPATIENT, AND WELLNESS PROGRAMS AT EACH SAINT THERESE COMMUNITY OR IN YOUR OWN HOME. 4567227 6975 5363022 ST. THERESE TCU NORTH, LLC (TCU NORTH) WAS CREATED IN AUGUST OF 2014 TO OPERATE 32 TRANSITIONAL CARE LICENSED NURSING BEDS IN LEASED SPACE WHICH BEGAN OPERATIONS IN FEBRUARY OF 2016. 1402657 0 2117159 ST. THERESE REDWOODS, LLC (REDWOODS) WAS CREATED IN JUNE OF 2016 TO OWN AND OPERATE 64 INDEPENDENT LIVING UNITS LOCATED ADJACENT TO WOODBURY. THE DEVELOPMENT WAS COMPLETED IN OCTOBER OF 2017. 12466325 6975 11539912 37240594 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 85 0 925 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MN X STEVE BODE 9522832213 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 PATRICK TAFFE CHAIR 1.00 2.00 X X 0 0 0 JENNIFER SHALTZ VICE CHAIR 1.00 1.00 X X 0 0 0 JANE MCCROSSAN SECRETARY 1.00 1.00 X X 0 0 0 DAVID HOFFMANN TREASURER 1.00 1.00 X X 0 0 0 FR J MICHAEL BYRON DIRECTOR 1.00 1.00 X 0 0 0 CAREN GAYTKO DIRECTOR 1.00 1.00 X 0 0 0 DAVID KRENN DIRECTOR 1.00 2.00 X 0 0 0 STEVE MEADS DIRECTOR 1.00 1.00 X 0 0 0 THOMAS SCHMITT DIRECTOR (THRU MAY 2019) 1.00 1.00 X 0 0 0 KATHRYN WORNSON DIRECTOR 1.00 1.00 X 0 0 0 BARB RODE PRESIDENT AND CEO 14.00 26.00 X 0 323636 10402 CALVIN SHELANGOSKI CFO 20.00 20.00 X 0 175875 6423 0 499511 16825 0 0 1 0 ST THERESE HOME 1600 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 MANAGEMENT SERVICES 2271147 1 120209 2100235 167081 2220444 RESIDENT REVENUE 623000 23156164 23156164 CAREGIVER/CNA SERVICES 623000 15699725 15699725 REHAB SERVICES 623000 3855486 3855486 42711375 608306 608306 41899 0 41899 41899 41899 6397288 2319 6400050 0 -2762 2319 -443 -443 49931 120209 50231 -300 -300 5820 629 5191 5191 25380 0 25380 25380 MEAL INCOME 722210 732770 732770 MISCELLANEOUS 900099 480161 480161 FITNESS 900099 337948 337948 421480 421480 1972359 47584211 42711375 0 2652392 X 85885 85885 28652 28652 15869776 13611536 2258240 246011 218173 27838 2153464 1820094 333370 1449872 1232391 217481 2371047 2371047 13474 13474 52308 52308 118320 44786 73534 5976971 5880245 96726 118590 118590 567094 410031 152522 4541 46083 46083 1883648 1872780 10868 68445 3288 65157 38828 7045 31783 3988165 3939445 48720 3594998 3420500 174498 230552 225997 4555 MEDICAL SUPPLIES 1815780 1808074 7706 FOOD 1653957 1640921 13036 EQUIPMENT RENTAL & REPA 589308 541233 48075 LICENSES 466717 425946 40771 317036 23572 293464 43744981 37240594 6499846 4541 4034026 2697826 444178 0 2746708 4038025 5503 5503 306042 318492 107485546 17894779 92909034 89590767 9082136 16211481 1888000 1888000 12856008 6552781 124271635 121302875 4035525 3465836 7734279 8741316 94211927 91021197 2159 4633 3240644 0 3425312 2577319 112649846 105810301 X 10026393 13736102 1028097 1184898 567299 571574 11621789 15492574 124271635 121302875 3839230 31555 0 X 0 1 X 1 0 X 5694195 1594126 586594 470245 1053363 9398523 5694195 1594126 586594 470245 1053363 9398523 9398523 218659 790809 228186 247432 650205 2135291 90948 1607287 1629283 1652779 2053490 7033787 18567601 135218598 0.50620 0.61780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME FROM VARIOUS SOURCES SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: CASH & STOCK DATE: 09/24/18 AMOUNT: 1167081. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 567299 4275 8900 8900 571574 508581 58718 8600 8600 567299 1967256 5429 500 1464604 508581 1861385 103483 2388 1967256 1435370 427104 -1089 1861385 0.00000 1.00000 0.00000 1 0 5046537 5046537 87546845 11883216 75663629 5260074 1941635 3318439 9632090 4069928 5562162 89590767 ASSETS HELD BY CATHOLIC COMMUNITY FOUNDATION 239972 SECURITY DEPOSIT 9139 RESIDENT TRUST FUND 5733 LEASE DEPOSITS 1412241 ASSETS HELD UNDER BOND INDENTURE 4882620 DERIVITIVE INSTRUMENTS 3076 6552781 DUE TO AFFILIATES 2428203 SECURITY DEPOSITS 149116 2577319 X PART IV, LINE 2B: RESIDENT TRUST FUNDS ARE RESIDENT'S FUNDS HELD BY OXBOW LAKE CARE CENTER LLC, SAINT THERESE OF WOODBURY LLC, AND TRANSITIONAL CARE BY SAINT THERESE AT NORTH MEMORIAL LLC, IN A SEGREGATED BANK ACCOUNT FOR THE USE BY RESIDENTS. PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO FURTHER THE MISSION OF ST. THERESE HOME, INC., OXBOW LAKE CARE CENTER, ST. THERESE AT ST. ODILIA, ASCEND REHAB, ST. THERESE OF WOODBURY, AND TRANSITIONAL CARE BY ST. THERESE AT NORTH MEMORIAL, WHICH INCLUDES PROVIDING HOUSING, NURSING CARE AND PASTORAL CARE TO THE ELDERLY. PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION IN THE U.S. FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE, OR OTHER TAXES OR MAY JEOPARDIZE ITS TAX-EXEMPT STATUS. ASSOCIATE DINNER 85269 60141 25128 1000 750 20927 2730 GOLF CLASSIC 36090 20602 15488 603 5525 7270 2090 2 48781 39466 9315 21 3348 2643 330 2994 170140 120209 49931 1000 1374 8873 30840 330 7814 50231 -300 1 ST THERESE HOME INC 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 410888641 501(C)(3) 76104 GENERAL OPERATING SUPPORT 1 0 SCHOLARSHIPS 7 21677 HOUSING ASSISTANCE 1 6975 PART I, LINE 2: ALL GRANTS ARE MADE TO RELATED ORGANIZATIONS THAT ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITOR THE ACTIVITIES, REVENUES AND EXPENDITURES OF THE RELATED ORGANIZATIONS. THE ORGANIZATION ALSO PROVIDES SCHOLARSHIPS TO CURRENT EMPLOYEES TO ASSIST IN FURTHERING THEIR EDUCATION WITHIN THE HEALTHCARE FIELD. EMPLOYEES MUST SUBMIT THEIR GRADES TO THE NURSING ADMINISTRATOR IN ORDER TO COMPLY WITH THIER SCHOLARSHIP. 0 0 0 0 0 0 0 0 0 BARB RODE PRESIDENT AND CEO 0 306097 0 0 0 17539 0 8943 0 1459 0 334038 0 0 CALVIN SHELANGOSKI CFO 0 175875 0 0 0 0 0 4569 0 1854 0 182298 0 0 PART I, LINE 3 THE PRESIDENT & CEO'S COMPENSATION IS DETERMINED BY ST. THERESE HOME, AN AFFILIATED ORGANIZATION. ST. THERESE HOME USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE PRESIDENT & CEO: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 5. FORM 990 OF OTHER ORGANIZATIONS A CITY OF BROOKLYN PARK MINNESOTA 416008804 2011-07-19 10000000 FACILITY EXPANSION PROJECT 0 0 0 B CITY OF CHAMPLIN MINNESOTA 416007831 2011-07-19 3320000 FACILITY EXPANSION PROJECT 0 0 0 C HOUSING AND REDEVELOPMENT AUTHORITY IN AND FOR THE CITY OF WOODBURY MN 371573995 2014-10-01 53245000 FACILITY CONSTRUCTION 0 0 0 D CITY OF BROOKLYN PARK MINNESOTA 416008804 2015-06-09 18177258 REFINCANCE SERIES 2005 BONDS 0 0 0 A 1224180 10000000 532570 9467430 2012 0 0 1 1 B 404311 3320000 3320000 2012 0 0 1 1 C 1415000 53484887 3329356 3397900 1064900 1597350 44095381 2016 0 0 1 1 D 2747826 17717258 17717258 2006 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A CITY OF WOODBURY ECONOMIC DEVELOPMENT AUTHORITY MN 204003857 2016-06-30 10000000 FACILITY CONSTRUCTION 0 0 0 B HOUSING AND REDEVELOPMENT AUTHORITY IN AND FOR THE CITY OF WOODBURY MN 371573995 2016-06-30 6687500 FACILITY CONSTRUCTION 0 0 0 A 303265 10000000 262208 9737792 2017 0 0 1 1 B 202808 6875000 195638 6491862 2017 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 X 1 167081 FAIR MARKET VALUE 0 0 1 1 PART I, LINE 32B: THE ORGANIZATION USES AN INVESTMENT BROKER TO RECEIVE DONATED SECURITIES AND IMMEDIATELY CONVERT THEM INTO CASH. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS ENTIRELY COMPOSED OF THE GOVERNING BODY MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THIS CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 IN JUNE 2019, THE ST. THERESE FOUNDATION, INC. BOARD OF DIRECTORS VOTED TO ADOPT A RESOLUTION RELATED TO A RESTRUCTURING OF THE ORGANIZATIONS IT SUPPORTS. THE RESOLUTION WILL ESTABLISH ITS CURRENTLY EXISTING 501(C)(3) NONPROFIT SUBORDINATES AS SUB-PARENTS TO THE ST. THERESE FOUNDATION, INC. DISREGARDED ENTITIES. THE RESTRUCTURING WILL ALSO PROVIDE FOR THE CREATION OF NEW AFFILIATED DISREGARDED ENTITIES, FORMALLY ORGANIZING PROGRAMS AND OPERATING UNITS CURRENTLY IN EXISTENCE. THESE CHANGES WILL GO INTO EFFECT THE FOLLOWING FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY MANAGEMENT EMPLOYEES ARE ANNUALLY REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. THE DISCLOSURES ARE REPORTED TO THE BOARD OF DIRECTORS. INDIVIDUALS HAVING MATERIAL CONFLICTS OF INTEREST ARE ASKED TO REFRAIN FROM VOTING ON ANY ACTION THAT MAY BE INFLUENCED BY THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT & CEO, CFO AND OTHER KEY EMPLOYEES IS DETERMINED BY ST. THERESE HOME, AN AFFILATED ORGANIZATION. THE PROCESS OF DETERMINING THE COMPENSATION OF THE PRESIDENT & CEO INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE PROVIDED TO THE BOND TRUSTEE, WHO DISTRIBUTES THEM TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 5,880,245. MANAGEMENT AND GENERAL EXPENSES 96,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,976,971. OXBOW LAKE CARE CENTER LLC 5200 OAK GROVE PARKWAY BROOKLYN PARK MN 55443 273308934 SKILLED NURSING FACILITY MN 16313372 34272495 ST THERESE FOUNDATION INC ASCEND REHAB LLC 1660 S HIGHWAY 100 SUITE 103 ST LOUIS PARK MN 55416 454049467 PRIVATE DUTY HOME SERVICES MN 8016372 734597 ST THERESE FOUNDATION INC ST THERESE OF WOODBURY LLC 7555 BAILEY ROAD WOODBURY MN 55129 463330004 SENIOR CARE COMMUNITY MN 17153863 55984148 ST THERESE FOUNDATION INC ST THERESE TCU NORTH LLC 3300 OAKDALE AVENUE N 4TH FLOOR ROBBINSDALE MN 55422 471966105 TCU MN 5451222 3082964 ST THERESE FOUNDATION INC ST THERESE REDWOODS LLC 4200 BENJAMIN DRIVE WOODBURY MN 55129 811768413 SENIOR CARE COMMUNITY MN 2232912 20326284 ST THERESE FOUNDATION INC ST THERESE HOME INC 1660 S HWY 100 SUITE 103 NEW HOPE MN 55428 410888641 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) LINE 10 ST THERESE FOUNDATION INC 1 ST THERESE AT OXBOW LAKE INC 1660 S HWY 100 SUITE 103 NEW HOPE MN 55428 205835911 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) LINE 10 ST THERESE FOUNDATION INC 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 ST THERESE HOME INC B 76104 FMV