MOTHER OF MERCY: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MOTHER OF MERCY (EIN 41-6051127)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-05-19
- IRS object ID
- 202021409349300817
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-19T10:42:35-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 416051127 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOTHER OF MERCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOTH | BusinessNameControlTxt |
| Phone | 3208452195 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 CHURCH AVE BOX 676 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 563070676 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL GAEBE | PersonNm |
| Person Title | ADMINISTRATOR & CEO | PersonTitleTxt |
| Phone | 3208452195 | PhoneNum |
| Signature | 2020-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2020-04-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.13.38.61 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-04-27 | IPDt |
| IP Tm | 05:38:03 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL GAEBE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 CHURCH AVE BOX 676 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 563070676 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,570,677 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOTHEROFMERCYMN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 311 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,355 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,483 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,775,068 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,536,007 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,359 | CYInvestmentIncomeAmt |
| PY Other Revenue | $49,296 | PYOtherRevenueAmt |
| CY Other Revenue | $22,828 | CYOtherRevenueAmt |
| PY Total Revenue | $9,852,101 | PYTotalRevenueAmt |
| CY Total Revenue | $9,570,677 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $37,232 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,369,962 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,534,350 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,448,138 | PYOtherExpensesAmt |
| CY Other Expenses | $3,232,851 | CYOtherExpensesAmt |
| PY Total Expenses | $9,855,332 | PYTotalExpensesAmt |
| CY Total Expenses | $9,767,201 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,231 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$196,524 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,273,578 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,561,405 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,514,085 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,998,436 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,759,493 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,562,969 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IT IS OUR MISSION AS PROFESSIONALS TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ARE A COMMUNITY OF CONCERNED PROFESSIONALS WORKING TOGETHER TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ACCOMPLISH THIS MISSION BY MAINTAINING HIGH STANDARDS OF CARE FOR ALL, IN A HOME-LIKE ATMOSPHERE, WHICH ADDRESSES THEIR PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS. WE ENCOURAGE RESIDENTS AND FAMILIES TO PARTICIPATE IN MAKING DECISIONS ABOUT THEIR DAILY ROUTINES AND ASK FOR RESIDENT AND FAMILY INVOLVEMENT IN SOCIAL ACTIVITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,653,672 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,505,036 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A 70 BED SKILLED NURSING FACILITY FOR THE PURPOSE OF PROVIDING CARE TO PERSONS IN NEED OF NURSING SERVICES AND RENDERS AID, CARE, AND GENERAL HEALTH CARE SERVICES TO ITS RESIDENTS WHO ARE ELDERLY, SICK, AND/OR HAVE DEMENTIA. THE ORGANIZATION ALSO OPERATES A 69 UNIT APARTMENT COMPLEX TO PROVIDE HOUSING FOR INDEPENDENT, ASSISTED LIVING AND MEMORY CARE TENANTS. THE SKILLED NURSING FACILITY HAD 23,662 RESIDENT DAYS DURING FISCAL YEAR 2019. THE ORGANIZATION ALSO MANAGES OPERATIONS OF TWO SENIOR CITIZENS HOUSING PROJECTS AT NEAR CAPACITY FOR LOW-INCOME SENIOR CITIZENS. | Desc |
| Total Program Service Expenses | $8,653,672 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 311 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK DOUVIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3208452195 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 CHURCH AVENUE | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56307 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| JACKIE ATKINSON | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| ELMER KOHORST | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| DERRICK MEYER | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| REV STEVEN OLSON | |||||||
| DIRECTOR (THRU MAY) | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| HALEY POWER | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| LOWELL RUSHMEYER | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| JUDY SCHULTE | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| PAUL TOMCZIK | |||||||
| DIRECTOR | 0.30 | 0.90 | Yes (X) | $0 | $0 | $0 | |
| FR EDWARD VEBELON OSB | |||||||
| DIRECTOR | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |
| MARK KNAPP | |||||||
| PRESIDENT | 0.30 | 0.90 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TOM BAUMGARTNER | |||||||
| VICE-PRESIDENT (THRU SEPT) | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JANET SALK | |||||||
| TREASURER | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| FR BRAD JENNIGES | |||||||
| SECRETARY | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DEAN MCDEVITT | |||||||
| ADMINISTRATOR & CEO (THRU MAY) | 43.00 | 2.00 | $91,110 | $0 | $30,707 | Yes (X) | |
| MARK DOUVIER | |||||||
| CHIEF FINANCIAL OFFICER | 43.00 | 2.00 | $24,700 | $0 | $412 | Yes (X) | |
| PAUL GAEBE | |||||||
| CHIEF EXECUTIVE OFFICER | 43.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $115,810 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $31,119 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHAB CARE GROUP INC | |||||
| PO BOX 503534 | ST LOUIS | MO | 63108 | MEDICARE RESIDENTS REHAB THERAPY | $211,094 |
| CASH-WA DISTRIBUTING | |||||
| PO BOX 9174 | MINNEAPOLIS | MN | 55480 | FOOD SERVICE | $190,454 |
| ELIM PREFERRED SERVICES | |||||
| 3500 HOLLY LANE | PLYMOUTH | MN | 55447 | MEDICAL AND ENVIRONMENTAL SUPPLIES | $164,593 |
| MARCO BUSINESS PRODUCTS | |||||
| 4510 HEATHERWOOD ROAD | ST CLOUD | MN | 56301 | IT NETWORK & SUPPORT SERVICES | $162,158 |
| US FOOD SERVICE INC | |||||
| NW 6059 PO BOX 1450 | MINNEAPOLIS | MN | 55485 | FOOD SERVICE | $113,257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,911 | RelatedOrganizationsAmt |
| All Other Contributions | $2,572 | AllOtherContributionsAmt |
| Total Contributions | $8,483 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RESIDENT/TENTANT REVEN | 623000 | $9,355,101 | $9,355,101 | |
| MEAL INCOME | 623990 | $58,552 | $32,381 | $26,171 |
| DAY CARE CENTER RENTAL | 531110 | $53,184 | $53,184 | |
| AFFILIATE MANAGEMENT F | 541610 | $46,588 | $46,588 | |
| BEAUTY SHOP REVENUE | 900099 | $17,782 | $17,782 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,800 | TotalRevenueColumnAmt |
| Exclusion | $4,800 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,536,007 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,359 | TotalRevenueColumnAmt |
| Exclusion | $3,359 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,828 | TotalRevenueColumnAmt |
| Exclusion | $22,828 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,828 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,570,677 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,505,036 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $57,158 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,407 | TotalAmt |
| Management And General | $181,407 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,038,727 | TotalAmt |
| Program Services | $4,732,582 | ProgramServicesAmt |
| Management And General | $306,145 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,519 | TotalAmt |
| Program Services | $60,565 | ProgramServicesAmt |
| Management And General | $954 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,930 | TotalAmt |
| Program Services | $605,625 | ProgramServicesAmt |
| Management And General | $111,305 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,767 | TotalAmt |
| Program Services | $485,716 | ProgramServicesAmt |
| Management And General | $50,051 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,993 | TotalAmt |
| Management And General | $36,993 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,585 | TotalAmt |
| Program Services | $250,585 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,845 | TotalAmt |
| Management And General | $41,845 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,545 | TotalAmt |
| Program Services | $333,201 | ProgramServicesAmt |
| Management And General | $72,344 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,772 | TotalAmt |
| Management And General | $202,772 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,593 | TotalAmt |
| Program Services | $238,423 | ProgramServicesAmt |
| Management And General | $79,170 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,426 | TotalAmt |
| Program Services | $11,426 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,649 | TotalAmt |
| Program Services | $35,780 | ProgramServicesAmt |
| Management And General | $3,869 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,580 | TotalAmt |
| Program Services | $220,580 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,278 | TotalAmt |
| Program Services | $641,278 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DIETARY FOOD COSTS | $321,470 | $321,470 |
| MEDICARE PT/OT EXPENSE | $247,737 | $247,737 |
| MEDICAL CARE SURCHARGE | $200,569 | $200,569 |
| BAD DEBT EXPENSE | $114,507 | $114,507 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,302 | TotalAmt |
| Program Services | $153,628 | ProgramServicesAmt |
| Management And General | $26,674 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,767,201 | TotalAmt |
| Program Services | $8,653,672 | ProgramServicesAmt |
| Management And General | $1,113,529 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356 | BOYAmt |
| EOY | $331 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,921 | BOYAmt |
| EOY | $529,163 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,378 | BOYAmt |
| EOY | $867,550 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,550 | BOYAmt |
| EOY | $58,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,204,532 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,337,511 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,424,852 | BOYAmt |
| EOY | $8,867,021 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,329 | BOYAmt |
| EOY | $33,631 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,192 | BOYAmt |
| EOY | $205,671 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,273,578 | BOYAmt |
| EOY | $10,561,405 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,949 | BOYAmt |
| EOY | $533,942 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,457,451 | BOYAmt |
| EOY | $3,165,917 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,282 | BOYAmt |
| EOY | $37,668 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,307,063 | BOYAmt |
| EOY | $3,256,527 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,340 | BOYAmt |
| EOY | $4,382 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,514,085 | BOYAmt |
| EOY | $6,998,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,739,280 | BOYAmt |
| EOY | $3,542,756 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,213 | BOYAmt |
| EOY | $20,213 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,759,493 | BOYAmt |
| EOY | $3,562,969 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,273,578 | BOYAmt |
| EOY | $10,561,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$196,524 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $328,144 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,930 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,739 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,483 | CurrentTaxYearAmt |
| Total | $452,651 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,593,783 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,830,897 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,630,402 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,739,134 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,505,036 | CurrentTaxYearAmt |
| Total | $42,299,252 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,772 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,846 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,799 | CurrentTaxYearAmt |
| Total | $339,417 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,980,697 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,940,599 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,755,987 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,846,719 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,567,318 | CurrentTaxYearAmt |
| Total | $43,091,320 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $43,091,320 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,153 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,780 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,382 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,359 | CurrentTaxYearAmt |
| Total | $28,914 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,153 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,780 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,382 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,359 | CurrentTaxYearAmt |
| Total | $28,914 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,991,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,947,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,757,767 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,852,101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,570,677 | CurrentTaxYearAmt |
| Total | $43,120,234 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99860 | PublicSupportPY509Pct |
| Investment Income CY | 0.00070 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00140 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,020 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,020 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF LEADING AGE MN (PREVIOUSLY KNOWN AS AGING SERVICES OF MINNESOTA). A PORTION OF MEMBERSHIP DUES IS USED FOR LOBBYING. THE LEADING AGE MN ADVOCATES FOR SENIORS, CAREGIVERS AND PROVIDERS WHO SERVE OLDER ADULTS IN ALL PLACES THEY CALL HOME. LEADING AGE ADVOCACY THROUGHOUT STATE LEGISLATURE IS SUPPORTED BY SOUND RESEARCH, MEANINGFUL DATA AND KNOWLEDGEABLE EXPERTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $397,451 | OtherCostOrOtherBasisAmt |
| Book Value | $397,451 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,933,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,473,036 | DepreciationAmt |
| Book Value | $7,459,978 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,699,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,824,298 | DepreciationAmt |
| Book Value | $874,804 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,965 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,177 | DepreciationAmt |
| Book Value | $134,788 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,867,021 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASES | Desc |
| Amt | $4,382 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,382 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $9,856,977 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $288,000 | OtherRevenueAmt |
| Revenue Not Reported | $288,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,568,977 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,700 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,700 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,570,677 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,053,501 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $288,000 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $288,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,765,501 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,700 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,700 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,767,201 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS THE TRUSTEE OF RESIDENT AND EMPLOYEE FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS AND EMPLOYEES OF THE ORGANIZATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INTER-COMPANY ELIMINATIONS 288,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RELATED PARTY EXPENSES - REIMBURSED AS GRANT 1,700. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTER-COMPANY ELIMINATIONS 288,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RELATED PARTY EXPENSES - REIMBURSED AS GRANT 1,700. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF ALBANY MN HEALTH CARE FACILITY REVENUE BONDS SERIES 2013 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416004921 | BondIssuerEIN |
| Bond Issued | 2013-10-16 | BondIssuedDt |
| Issue Price | $5,018,000 | IssuePriceAmt |
| Purpose | FACILITY EXPANSION OF MOTHER OF MERCY NURSING HOME | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,756,787 | RetiredAmt |
| Total Proceeds | $5,018,000 | TotalProceedsAmt |
| Refunding Escrow | $4,917,475 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $100,360 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $165 | OtherSpentProceedsAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS 5 INDIVIDUALS THAT SERVE AS MEMBERS OF THE CORPORATION. THE MEMBERS ARE THE BISHOP OF THE DIOCESE OF ST. CLOUD, MN, THE VICAR GENERAL OF THE DIOCESE, THE PASTOR OF THE CHURCH OF THE SEVEN DOLORS IN ALBANY, MN, AND TWO LAY PEOPLE SELECTED BY UNANIMOUS VOTE OF THE THREE RELIGIOUS MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE CORPORATION APPOINT THE BOARD OF DIRECTORS OF THE ORGANIZATION AND REMOVE ANY MEMBER THEREFROM, WITH OR WITHOUT CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS MAKES DECISIONS THAT THE MEMBERS OF THE CORPORATION THEN HAVE THE RESPONSIBILITY FOR: APPROVE A MERGER OR DISSOLUTION OF THE CORPORATION; APPROVE THE ACQUISTION, SALE, LEASE, EXCHANGE, MORTGAGE, ENCUMBRANCE, OR OTHER DISPOSITION OF THE ASSETS OF THE CORPORATION WITHIN THE LIMITS SET BY CURRENT CHURCH LEGISLATION; AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND MAKE AND AMEND BYLAWS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETED FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS APPLIED WHEN THE ORGANIZATION IS IN THE PROCESS OF ENTERING INTO A TRANSACTION OR CONTRACT. ANNUALLY A CONFLICT OF INTEREST STATEMENT IS FILLED OUT BY THE BOARD MEMBERS, IT IS REVIEWED WHEN THESE TRANSACTIONS OCCUR. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON SHALL HAVE A DUTY TO DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD, OFFICER OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. AFTER INTEREST IS DETERMINED, THE INTERESTED PERSON HAS THE OPPORTUNITY TO MAKE A SHORT PRESENTATION AT THE BOARD MEETING. THE BOARD WILL APPOINT A DISINTERESTED PERSON OR GROUP TO EXPLORE ALTERNATIVES TO AVOID ANY CONFLICT. IF THERE IS NO OPTION FOR AVOIDING CONFLICT, THE BOARD SHALL DETERMINE BY MAJORITY VOTE IF THE TRANSACTION SHOULD BE ENTERED INTO. THE INTERESTED PERSON SHALL BE REMOVED FROM THE VOTING PROCESS. THE ORGANIZATION ALSO HAS A POLICY FOR EMPLOYEES. THE CONFLICT OF INTEREST POLICY IS INITIALLY MONITORED BY THE DIRECTOR OF LICENSURES AND TRAINING DURING AN EMPLOYEE'S ORIENTATION. THE COMPLIANCE OFFICER THEN ANNUALLY MONITORS THE POLICY DURING THE ANNUAL BENEFITS STAFF MEETING. IF A CONFLICT OF INTEREST ARISES, IT IS INVESTIGATED BY THE COMPLIANCE OFFICER, AND IF DEEMED A CONFLICT, THE EMPLOYEE MUST CEASE/DIVEST OF THAT CONFLICT OR BE TERMINATED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION FOLLOWS THE SENIOR NURSING FACILITY COMPENSATION GUIDE TO DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT ANNUALLY. THE BOARD OF DIRECTORS REVIEWS THE ANNUAL PERFORMANCE EVALUATION AND SALARY REVIEW FOR FINAL APPROVAL OF COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION HAS THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE IN THEIR FRONT LOBBY FOR REVIEW. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOTHER OF MERCY DEVELOPMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 CHURCH AVE | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273818447 | EIN |
| Primary Activities | ELDERLY HOUSING DEVELOPMENT: ASSISTED LIVING, INDEPENDENT LIVING | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Total Income | $392 | TotalIncomeAmt |
| End Of Year Assets | $3,986,692 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOTHER OF MERCY CAMPUS OF CARE | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCY MANOR | ||||||||||
| 334 GOLF VIEW DRIVE | ALBANY | MN | 56307 | 411805317 | HUD SUBSIDIZED LOW INCOME ELDERLY HOUSING | MN | 501(C)(3) | LINE 9 | MOTHER OF MERCY | Yes (1) |
| MERCY MANOR II | ||||||||||
| 332 GOLF VIEW DRIVE | ALBANY | MN | 56307 | 202155820 | HUD SUBSIDIZED LOW INCOME ELDERLY HOUSING | MN | 501(C)(3) | LINE 9 | MOTHER OF MERCY | Yes (1) |
| MOTHER OF MERCY FOUNDATION | ||||||||||
| 230 CHURCH AVE | ALBANY | MN | 56307 | 411992053 | FUND-RAISING ENTITY TO SUPPORT MOTHER OF MERCY | MN | 501(C)(3) | LINE 11A, I | MOTHER OF MERCY | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MOTHER OF MERCY FOUNDATION | ||
| O | $59,205 | ACTUAL COST |
| MERCY MANOR | ||
| D | $111,738 | ACTUAL COST |
| MERCY MANOR II | ||
| D | $66,895 | ACTUAL COST |