2016-03-21T11:42:16-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-07-01 411704381 ST THERESE FOUNDATION INC STTH 9522832213 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 MIKE WARDEN CHIEF FINANCIAL OFFICER 9522832213 2016-03-11 1 JEFF VRIEZE P01273590 6123764500 2014 2016-08-17 19:52:53Z X BARB RODE 1660 HIGHWAY 100 S SUITE 103 ST LOUIS PARK MN 55416 21878110 0 X WWW.STTHERESEMN.ORG X 1991 MN PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 25 25 0 40 0 0 2661609 5694195 6924201 7560842 544051 529985 54597 44702 10184458 13829724 57388 157826 0 0 4554420 4796003 0 0 38483 3390451 3571011 8002259 8524840 2182199 5304884 27199115 107638575 15191610 91520998 12007505 16117577 X PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 0 0 408397 157826 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 COMING SOON TO WOODBURY. TO LEARN MORE VISIT WWW.STTHERESEMN.ORG.ST. THERESE FOUNDATION, INC INCLUDES THE FOLLOWING ENTITIES: 6281743 0 6523797 OXBOW LAKE CARE CENTER, LLC D/B/A SAINT THERESE AT OXBOW LAKEA MASTER-PLANNED COMMUNITY OFFERING HIGH QUALITY CARE AND SERVICES, THE SAINT THERESE AT OXBOW LAKE CAMPUS SERVES INDIVIDUALS AT EVERY STAGE IN THE AGING PROCESS. OLDER ADULTS WILL FIND THE DIGNIFIED CARE AND SUPPORT THEY DESERVE IN A WARM AND COMFORING ENVIRONMENT.LONG TERM CARE - 34 PRIVATE SUITESMEMORY CARE - 13 PRIVATE SUITESTRANSITIONAL CARE - 17 PRIVATE SUITESSAINT THERESE AT OXBOW LAKE BELONGS TO THE SAINT THERESE ORGANIZATIONS THAT ALSO INCLUDES:-SAINT THERESE OF NEW HOPE-SAINT THERESE AT ST. ODILIA-AT HOME SOLUTIONS BY SAINT THERESE-SAINT THERESE REHAB-SAINT THERESE FOUNDATION 747211 0 1037045 ST. THERESE AT HOMES SOLUTIONS, LLC D/B/A AT HOME SOLUTIONS BY SAINT THERESEAT HOME SOLUTIONS BY SAINT THERESE CAN GIVE CAREGIVERS AND THEIR LOVED ONES THE EXTRA SUPPORT THEY NEED IN THEIR OWN HOME - FROM SIMPLE ERRANDS AND MEDICATION REMINDERS TO SKILLED NURSING AND DEMENTIA CARE. AT HOME SOLUTIONS BY SAINT THERESE IS AVAILABLE FROM 2 TO 24 HOURS A DAY TO SERVE INDIVIDUALS AS THEY AGE IN PLACE.ST. THERESE FOUNDATION ALSO IS THE SOLE MEMBER OF ST. THERESE HOME, INC. 7437351 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 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 7 0 0 0 0 0 0 0 1 1 0 0 0 0 X 25 25 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MN X STEVE BODE 9522832213 1660 S HIGHWAY 100 SUITE 103 ST LOUIS PARK MN 55416 KAYE FOLEY CHAIR 1.00 X X 0 0 0 PATRICK J BORAN VICE CHAIR 1.00 X X 0 0 0 JANE MCCROSSAN SECRETARY 1.00 X X 0 0 0 DAVID M HOFFMANN TREASURER 1.00 X X 0 0 0 JOSEPH AMBERG MD DIRECTOR 1.00 2.00 X 0 0 0 ANN TINUCCI ANDERSON DIRECTOR 1.00 1.00 X 0 0 0 FR MICHAEL BRYON VICE CHAIR 1.00 X 0 0 0 LYNN CHOROMANSKI DIRECTOR 1.00 X 0 0 0 RITA DEGNAN DIRECTOR 1.00 1.00 X 0 0 0 WM CHRISTOPHER DOWNEY MD DIRECTOR 1.00 1.00 X 0 0 0 RICHARD G FABER DIRECTOR 1.00 X 0 0 0 FR JOSEPH GILLESPIE DIRECTOR 1.00 1.00 X 0 0 0 DAVID KRENN DIRECTOR 1.00 X 0 0 0 CRAIG L LEITER DIRECTOR 1.00 X 0 0 0 BRIAN MCDONALD DIRECTOR 1.00 X 0 0 0 TERRI MCENANEY DIRECTOR 1.00 X 0 0 0 STEVE MEADS DIRECTOR 1.00 X 0 0 0 JENNIFER J SHALTZ DIRECTOR 1.00 X 0 0 0 MARCIA SUTHERLAND DIRECTOR 1.00 X 0 0 0 PATRICK L TAFFE DIRECTOR 1.00 1.00 X 0 0 0 RICHARD D THEILMANN DIRECTOR 1.00 X 0 0 0 C DWIGHT TOWNES MD DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL J VARPNESS DIRECTOR 1.00 X 0 0 0 PAUL L VOGEL DIRECTOR 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 213911 12977 MIKE WARDEN CFO 20.00 20.00 X 0 138996 4574 0 352907 17551 0 0 1 0 0 85562 4999203 609430 63303 5694195 RESIDENT REVENUE 623000 6523797 6523797 CAREGIVER/CNA SERVICES 623000 1037045 1037045 7560842 217358 217358 1301 0 1301 1301 1301 8313466 8000839 312627 312627 312627 46123 85562 47547 -1424 -1424 MEAL INCOME 722210 31182 31182 TELEPHONE 900099 7314 7314 MISCELLANEOUS 900099 4152 4152 2177 2177 44825 13829724 7560842 0 574687 X 157826 157826 4191476 3620375 571101 16118 14006 2112 295397 251087 44310 293012 249060 43952 248937 248937 36468 638 35830 63893 63458 435 901211 883328 17883 1926 1926 114342 67866 11361 35115 361181 359301 1880 9099 2675 6424 7963 7963 663364 655192 8172 565436 553770 11666 59612 57551 2061 MEDICAL SUPPLIES 321827 321827 FOOD 175568 171288 912 3368 BAD DEBT EXPENSE 12833 12833 LICENSES 11427 11427 15924 8103 7821 8524840 7437351 1049006 38483 1575519 3027694 1050292 438845 646033 567521 108195 62500 59774478 7192103 14565536 52582375 6850095 8798703 1798847 4069506 604598 38091431 27199115 107638575 296423 3498575 53119 992373 12892030 84262488 1580 2385 1948458 2765177 15191610 91520998 X 11024779 15257817 585946 462980 396780 396780 12007505 16117577 27199115 107638575 X 5304884 -496903 -697909 X 0 1 X 1 0 X 481946 3054690 2613112 2661609 5740318 14551675 481946 3054690 2613112 2661609 5740318 14551675 388341 14163334 142994 153144 167669 248189 218659 930655 18025 54035 44825 116885 15599215 18837001 0.90800 0.87060 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME FROM VARIOUS SOURCES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1435370 1435370 1 X 1435370 427104 -1089 1861385 1289797 146864 -1291 1435370 689800 599997 10052 10052 1289797 354147 335653 2889 2889 689800 324447 29700 22177 22177 354147 0.79000 0.21000 0.00000 1 0 4521037 4521037 31363790 5192379 26171411 496443 215758 280685 3363369 1783966 1579403 20029839 20029839 52582375 ASSETS HELD BY CATHOLIC COMMUNITY FOUNDATION 222443 SECURITY DEPOSIT 9139 RESIDENT TRUST FUND 2385 LEASE DEPOSITS 886057 CURRENT PORTION ASSETS LIMITED TO USE 2817465 ASSETS HELD UNDER BOND INDENTURE 33530392 DUE TO AFFILIATES 623550 38091431 DUE TO AFFILIATES 2626976 SECURITY DEPOSITS 138201 2765177 X PART IV, LINE 2B: ENDOWMENT FUNDS ARE USED TO FURTHER THE MISSION OF ST. THERESE HOME, INC. AND ST. THERESE AT OXBOW LAKE, INC., WHICH INCLUDES PROVIDING HOUSING, NURSING CARE AND PASTORAL CARE TO THE ELDERLY. PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO FURTHER THE MISSION OF ST. THERESE HOME, INC. AND ST. THERESE AT OXBOW LAKE, INC., 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. THE TAX RETURNS FOR THE YEARS 2012 TO 2014 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. ASSOCIATE DINNER 67662 51617 16045 415 13755 5160 8119 GOLF EVENT 47020 33945 13075 4320 5358 3736 1 17003 17003 679 75 5930 131685 85562 46123 4735 19792 5235 17785 47547 -1424 1 ST THERESE HOME INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 410888641 501(C)(3) 157096 GENERAL OPERATING SUPPORT 1 0 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. X X X X 0 0 0 0 0 0 0 0 0 BARB RODE PRESIDENT AND CEO 0 213911 0 0 0 0 0 12192 0 785 0 226888 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED BY ST. THERESE HOME, INC., AN AFFILIATED ORGANIZATION. ST. THERESE HOME, INC. USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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 & REDEVELOPMENT AUTHORITY IN & FOR THE CITY OF WOODBURY MN 371573995 979141AM0 2014-10-30 53484887 FACILITY CONSTRUCTION 0 0 0 D CITY OF BROOKLYN PARK MINNESOTA 416008804 2015-06-09 17717258 REFINCANCE SERIES 2005 BONDS 0 0 0 A 540685 10000000 532570 9467430 2012 0 0 1 1 B 178975 3320000 3320000 2012 0 0 1 1 C 53484887 3329356 1539845 1064900 1597350 18440197 27513239 0 0 0 0 D 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 X 2 63303 FMV 0 0 1 1 PART I, LINE 32B: IF AN AUTOMOBILE IS DONATED, WE USE CARS WITH HEART. WE USE STELTER TO MANAGE OUR PLANNED GIVING WEB PAGE WHICH MARKETS NON-CASH GIFTS. RBC WEALTH MANAGEMENT MANAGES OUR STOCK GIFT TRANSFERS. 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 2 JERRY J. CHOIROMANSKI AND LYNN CHOIROMANSKI - FAMILY FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND 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 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 883,328. MANAGEMENT AND GENERAL EXPENSES 17,883. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 901,211. FORM 990, PART XI, LINE 9: LOSS ON REFINANCING -496,883. LOSS ON GOODWILL IMPAIRMENT -191,420. TAX ADJUSTMENT FOR TIMING OF CAPITAL CONTRIBUTION 1,095. TAX ADJUSTMENT FOR BEGINING BALANCE OF T/R NET ASSETS -10,701. OXBOW LAKE CARE CENTER LLC 8000 BASS LAKE ROAD NEW HOPE MN 55428 273308934 SKILLED NURSING FACILITY MN 8894496 35535187 ST THERESE FOUNDATION INC ST THERESE AT HOME SOLUTIONS LLC 8000 BASS LAKE ROAD NEW HOPE MN 55428 454049467 PRIVATE DUTY HOME SERVICES MN 1037045 379093 ST THERESE FOUNDATION INC ST THERESE AT WOODBURY LLC 8000 BASS LAKE ROAD NEW HOPE MN 55428 463330004 SENIOR CARE COMMUNITY MN 841 62715494 ST THERESE FOUNDATION INC ST THERESE TCU NORTH LLC 3300 OAKDALE AVE N 4TH FLOOR ROBBINSDALE MN 55422 471966105 TCU MN 0 659485 ST THERESE FOUNDATION INC ST THERESE HOME INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 410888641 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) 9 ST THERESE FOUNDATION INC 1 ST THERESE AT OXBOW LAKE INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 205835911 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) 7 ST THERESE FOUNDATION INC 1 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 ST THERESE AT OXBOW LAKE S 2289982 BOOK VALUE ST THERESE HOME C 2709221 FMV ST THERESE HOME B 157096 FMV