2019-05-10T09:31:30-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2017-07-01 300186547 THE HOMESTEAD AT ROCHESTER INC HOME 9529410305 7530 MARKET PLACE DRIVE EDEN PRAIRIE MN 55344 NANCY GAVIN VP FINANCIAL SERVICES 9529410305 2019-05-03 1 LAWRENCE H MOHR CPA P00447603 6128764500 38.88.188.75 2019-05-03 12:27:52 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 42991B41A32A13F77B110C5B470B2D73D8292482 2017 2019-02-21 02:37:17Z JOSEPH BUDZYNSKI 1660 DUKE STREET ALEXANDRIA VA 22314 17372448 0 X WWW.VOA.ORG X 2003 MN SEE SCHEDULE O 15 14 310 339 0 0 706701 805684 14348360 16447265 176660 119499 0 0 15231721 17372448 6765 10807 0 0 5814909 5597951 0 0 0 11527096 14112848 17348770 19721606 -2117049 -2349158 92581356 87962782 87486824 85217408 5094532 2745374 X SEE SCHEDULE O 0 0 18824719 10807 16447265 THE HOMESTEAD AT ROCHESTER, INC. PROVIDES INDEPENDENT AND ASSISTED LIVING SERVICES AND NURSING AND LONG-TERM CARE SERVICES FOR SENIORS IN MINNESOTA. 18824719 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 54 0 310 1 0 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X NANCY GAVIN 9529410305 7530 MARKET PLACE DRIVE EDEN PRAIRIE MN 55344 BURKS JANE BOARD CHAIR 0.10 2.00 X X 0 0 0 KIKUMOTO C DAVID VICE CHAIRMAN 0.10 2.00 X X 0 0 0 CARRINGTON EDWINA SECRETARY 0.10 2.00 X X 0 0 0 ARNOLDPATTI TREASURER 0.10 2.00 X X 0 0 0 BLOOM SHAWN DIRECTOR 0.10 2.00 X 0 0 0 DALE KAREN DIRECTOR 0.10 2.00 X 0 0 0 DOLAN THOMAS DIRECTOR 0.10 2.00 X 0 0 0 EDEBURN ANDY DIRECTOR 0.10 2.00 X 0 0 0 KNAPP KEITH DIRECTOR 0.10 2.00 X 0 0 0 LEBLANC JAMES DIRECTOR 0.10 2.00 X 0 0 0 PETERSEN JEANNE DIRECTOR 0.10 2.00 X 0 0 0 RASE NANCY DIRECTOR 0.10 2.00 X 0 0 0 SULLIVAN MICHAEL DIRECTOR 0.10 2.00 X 0 0 0 WAKEFIELD STEVE DIRECTOR 0.10 2.00 X 0 0 0 KING MICHAEL W PRESIDENT 3.00 40.00 X X 0 420240 142349 WILSON GENO SHARON ASST. 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SECRETARY/TREASURER 3.00 40.00 X 0 64585 122863 OLSON WAYNE C EVP - HEALTHCARE 3.00 40.00 X 0 274512 76407 OTTO DENA L EXECUTIVE DIRECTOR 40.00 X 101453 0 5027 101453 1993785 782370 1 0 1 0 CENTREX REHAB 8120 PENN AVE S SUITE 227 BLOOMINGTON MN 55431 CONTRACT THERAPY PROVIDER 1325709 VOLUNTEERS OF AMERICA NATIONAL SERVICES 7530 MARKET PLACE DRIVE EDEN PRAIRIE MN 55344 MANAGEMENT SERVICES 738336 A'VIANDS LLC PO BOX 1450 MINNEAPOLIS MN 55485 PROVIDER OF DIETARY SERVICES 341602 PATHWAY HEALTH SERVICES INC 2025 FOURTH STREET WHITE BEAR LAKE MN 55110 NURSING CONSULTANTS 288935 4 800000 5684 805684 NURSING/THERAPY 623000 16447265 16447265 16447265 119004 119004 495 0 495 495 495 17372448 16447265 0 119499 X 10807 10807 4473157 4376898 96259 22681 22681 756058 738731 17327 346055 346055 17510 17510 17351 17351 2810453 2072117 738336 79155 79155 400718 400718 141669 141669 1119294 1107127 12167 67850 67850 14528 14528 4657980 4656424 1556 2715273 2689317 25956 212196 210074 2122 FOOD 608407 608407 NURSING SUPPLIES 508122 508122 REPAIRS & MAINTENANCE 287310 284146 3164 LICENSES 173615 173615 281417 281417 19721606 18824719 896887 0 3164311 2296706 1683658 1695863 875692 948293 56285 64372 142568 121295 85610807 13150149 74608297 72460658 12050545 10375595 92581356 87962782 2038287 2141605 76018158 73748794 48566 39874 9381813 9287135 87486824 85217408 X 5094532 2745374 5094532 2745374 92581356 87962782 -2349158 0 X 0 1 X 1 0 X 3780 3062 4229 706701 805684 1523456 4320085 4982749 10112793 14348360 16447265 50211252 4323865 4985811 10117022 15055061 17252949 51734708 0 0 0 51734708 3859 4150 65801 176660 119004 369474 3859 4150 65801 176660 119004 369474 4327724 4989961 10182823 15231721 17371953 52104182 0.99290 0.99340 0.00710 0.00660 X 2775500 2775500 75647950 10141405 65506545 949358 333071 616287 6130789 2653277 3477512 107210 22396 84814 72460658 BOND TRUST FUNDS 8469442 BED RIGHTS 795000 INTERCOMPANY RECEIVABLE 1111153 10375595 ENTRANCE DEPOSITS 8506050 RELATED PARTY LOAN PAYABLE 750000 THIRD PARTY PAYORS 31085 9287135 X 17372448 0 17372448 0 17372448 19721606 0 19721606 0 19721606 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS FOR UNCERTAINTY AND HAS NO UNRECOGNIZED TAX MATTERS THAT ARE REQUIRED TO BE DISCLOSED. THE ORGANIZATION HAD NO INCOME TAX EXPENSE AND THERE WERE NO CASH PAYMENTS FOR INCOME TAXES IN 2018 AND 2017. 1 SCHOLARSHIPS 5 10807 PART I, LINE 2: THE PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE US IS ADMINISTERED IN ONE OF TWO WAYS: 1. THE EMPLOYEE PAYS FOR THE EDUCATION, SUBMITS DOCUMENTATION, AND VOA REIMBURSES THEM FOR THEIR ALLOWABLE COSTS. 2. THE EMPLOYEE SUBMITS A REQUEST TO PAY THE TUITION DIRECTLY TO THE SCHOOL. IN THIS CASE, DOCUMENTATION REGARDING THE COST IS ALSO REQUIRED. 0 0 0 0 0 0 0 0 0 KING MICHAEL W PRESIDENT 0 404386 0 133 0 15721 0 79160 0 63189 0 562589 0 0 WILSON GENO SHARON ASST. SECRETARY/TREASURER 0 215805 0 141 0 1932 0 50842 0 38257 0 306977 0 0 GIBSON ROBERT ASST. SECRETARY/TREASURER 0 257730 0 7473 0 1426 0 25210 0 30789 0 322628 0 0 BUDZYNSKI JOSEPH A ASST. SECRETARY/TREASURER 0 258849 0 7453 0 1944 0 28008 0 33389 0 329643 0 0 SHERIDAN PATRICK N ASST. SECRETARY 0 219529 0 138 0 2176 0 34387 0 3375 0 259605 0 0 KELLER CYNTHIA R ASST. SECRETARY 0 127786 0 133 0 1564 0 32050 0 77478 0 239011 0 0 GAVIN NANCY A ASST. SECRETARY/TREASURER 0 129213 0 145 0 1011 0 26809 0 55130 0 212308 0 0 PERRY DEBORAH A ASST. SECRETARY/TREASURER 0 63610 0 145 0 830 0 24385 0 98478 0 187448 0 0 OLSON WAYNE C EVP - HEALTHCARE 0 241026 0 29236 0 4250 0 27435 0 48972 0 350919 0 0 PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC., TO DETERMINE THE COMPENSATION FOR THE PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A CITY OF ROCHESTER MINNESOTA 416005494 771906CV4 2013-11-22 46805732 FINANCE MULTIFAMILY RENTAL HOUSING 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771906DC5 2015-11-18 32596411 FINANCE SENIOR HOUSING CAMPUS EXPANSION PROJECT AND REFINANCE EXISTING DEBT 0 0 0 A 1000000 46805732 3609875 17782913 936115 20216042 2015 1 0 1 1 B 2425000 32596411 1970276 2992150 651928 26171516 810541 2017 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 0 B 0 PART I, LINE 1 AND PART III, LINE 1: THE HOMESTEAD AT ROCHESTER, INC. WAS FORMED IN 2003 TO ESTABLISH AND PROVIDE FOR ELDERLY AND HANDICAPPED PERSONS' HOUSING, ASSISTED LIVING, MEDICAL CARE AND OTHER SERVICES. THESE SERVICES ARE SPECIFICALLY DESIGNED TO MEET THEIR PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS, AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY, AND HAPPINESS IN LONGER LIVING. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL KING, SHARON WILSON GENO, ROBERT GIBSON, JOSEPH BUDZYNSKI, PATRICK SHERIDAN, CYNTHIA KELLER, NANCY GAVIN, DEBORAH PERRY, AND WAYNE OLSON HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER, BECAUSE THEY SERVE AS DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES OF VOLUNTEERS OF AMERICA, INC., VOLUNTEERS OF AMERICA NATIONAL SERVICES, AND/OR THEIR RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 VOLUNTEERS OF AMERICA CARE FACILITIES IS A MEMBER. VOLUNTEERS OF AMERICA NATIONAL SERVICES IS A MEMBER OF VOLUNTEERS OF AMERICA CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 7A VOA NATIONAL SERVICES HAS THE RIGHT TO ELECT OR APPOINT DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VOA NATIONAL SERVICES APPROVES AMENDMENTS TO THE ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD HAS 5 DAYS TO REVIEW AND GIVE COMMENTS ON THE RETURN. AFTER THE COMMENT PERIOD, ANY CHANGES WILL BE MADE TO THE RETURN. THE BOARD OF DIRECTORS IS THEN PROVIDED A COMPLETE COPY OF THE FINAL RETURN UPON FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE POLICY AND DISCLOSURE FORM ARE DISTRIBUTED AND COLLECTED ANNUALLY, AND INDIVIDUALS ARE REQUIRED TO UPDATE THE DISCLOSURE FORM THROUGHOUT THE YEAR IN THE EVENT POTENTIAL CONFLICTS ARISE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS AND MAY REQUIRE SAID OFFICER, DIRECTOR AND KEY EMPLOYEE TO RECUSE FROM PARTICIPATION TO AVOID A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PRESIDENT AND CEO IS NOT COMPENSATED BY THE ORGANIZATION BUT IS COMPENSATED BY A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC. VOLUNTEERS OF AMERICA'S PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE FORMED OF INDEPENDENT MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE CONDUCTS A MARKET COMPENSATION ANALYSIS REVIEW EVERY YEAR AND REPORTS THEIR CONCLUSIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 120,002. TOTAL EXPENSES 120,002. MANAGEMENT: MANAGEMENT AND GENERAL EXPENSES 738,336. TOTAL EXPENSES 738,336. PURCHASED SERVICES FROM VOA AFFILIATES: PROGRAM SERVICE EXPENSES 523,357. TOTAL EXPENSES 523,357. CONSULTING: PROGRAM SERVICE EXPENSES 1,408,020. TOTAL EXPENSES 1,408,020. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 20,738. TOTAL EXPENSES 20,738. 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