2016-06-13T10:24:20-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2015-01-01 410713909 MINNESOTA ODD FELLOWS HOME INC MINN 5076648800 815 FOREST AVE NORTHFIELD MN 55057 PATRICIA J VINCENT CEO 5076648800 2016-06-03 1 TRENT FAST P00692704 5074347000 2015 2016-09-27 15:27:22Z THREE LINKS CARE CENTER PATRICIA J VINCENT 815 FOREST AVE NORTHFIELD MN 55057 12505395 0 X WWW.THREELINKS.ORG X 1899 MN TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 15 15 483 86 4926 -1309 556825 115563 12469662 12192687 82578 64205 157171 116540 13266236 12488995 0 0 0 0 7365635 7562965 0 0 0 5562457 5546349 12928092 13109314 338144 -620319 17486686 16383303 17347498 16866540 139188 -483237 X TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 0 1 11403042 12192687 ENGAGED IN HOUSING AND CARE TO THE ELDERLY BY OPERATING A 101-BED LICENSED SKILLED NURSING FACILITY. WITHIN THE 101 BEDS, 24 ARE A SECURED UNIT FOR PEOPLE WITH ALZHEIMERS. THE HOME ALSO OPERATES THREE COTTAGES FOR RESIDENTS WITH EARLY STAGES OF ALZHEIMERS DISEASE AND PROVIDES SERVICES FOR ADULT DAY CARE, HOME HEALTH AND END OF LIFE CARE. THE HOME ALSO PROVIDES BOARD AND LODGE SERVICES FOR THE ELDERLY. 11403042 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 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 0 1 1 1 1 0 0 1 41 0 483 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X JEFFREY M KING 5076648814 815 FOREST AVE NORTHFIELD MN 55057 STANLEY WHITNEY CHAIR 1.00 X 0 0 0 BETTY RICHTSMEIER VICE CHAIR 1.00 X 0 0 0 SONJA FREELAND DIRECTOR 1.00 X 0 0 0 JOAN ADAMS DIRECTOR 1.00 X 0 0 0 DAVID SHUMWAY DIRECTOR 1.00 X 0 0 0 SANDRA CARLSON DIRECTOR 1.00 X 0 0 0 BRETT RASMUSSEN DIRECTOR 1.00 X 0 0 0 RICH FALCK DIRECTOR 1.00 X 0 0 0 BARB KNAAK SECRETARY 1.00 X 0 0 0 ALEX SALOUM DIRECTOR 1.00 X 0 0 0 JEANNE REYNOLDS DIRECTOR 1.00 X 0 0 0 EVA ADAMS DIRECTOR 1.00 X 0 0 0 RICK BENESH DIRECTOR 1.00 X 0 0 0 PENNY RIPPENTROP DIRECTOR 1.00 X 0 0 0 PATRICIA VINCENT CEO 40.00 X 160688 0 3888 JEFFREY KING CFO 40.00 X 119017 0 14756 279705 0 18644 2 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 507188 1 71165 43954 444 115563 RESIDENT REVENUE 623000 6792157 6792157 MEDICARE/MEDICAID PAYMENTS 541900 5103794 5103794 MANAGEMENT FEES 561000 158227 158227 RESIDENT MEAL REVENUE 722210 81674 81674 BEAUTY SHOP REVENUE 923000 35163 35163 21672 21672 12192687 64205 64205 9402 4526 4876 4876 13302 11874 1428 1428 MISCELLANEOUS REVENUE 900099 88390 88390 NON-RESIDENT MEAL REVENUE 722210 16896 16896 CATERING REVENUE 722320 4926 4926 24 24 110236 12488995 12192687 4926 175819 298349 298349 6279562 6133033 146529 975051 961804 13247 10003 9923 80 96100 96100 14458 14458 167824 167824 1217809 1179182 38627 68311 68311 368140 315519 52621 474416 404747 69669 37780 16308 21472 54972 35633 19339 543901 543901 961450 961450 121841 121841 FOOD COSTS 468262 468262 MISCELANEOUS EXPENSE 456336 456336 MINNESOTA SURCHARGE 286426 286426 MISCELLANEOUS EXPENSE 70623 70623 137700 16231 121469 13109314 11403042 1706272 0 401752 604712 59534 253522 687050 659102 13493 12589 111046 39702 26925138 12797302 14785872 14127836 36832 37300 1391107 648540 17486686 16383303 1217642 979792 11343828 15290785 4854565 -68537 595963 17347498 16866540 X 139188 -483237 139188 -483237 17486686 16383303 -620319 -2106 0 X X 0 1 X 1 0 X 509421 3492 349118 482679 44398 1389108 11176051 11118143 11713119 12492474 12215391 58715178 11685472 11121635 12062237 12975153 12259789 60104286 0 0 0 60104286 85971 17375 141509 146765 135370 526990 85971 17375 141509 146765 135370 526990 5784 31740 16395 17964 4926 76809 151057 167647 152943 135810 105310 712767 11928284 11338397 12373084 13275692 12505395 61420852 0.97860 0.97840 0.00860 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 568863 568863 21409245 8890643 12518602 4450637 3624696 825941 496393 281963 214430 14127836 RESIDENT TRUST FUND 20902 SECURITY DEPOSITS 79878 DUE TO RELATED ORGANIZATIONS 455711 ASSET RETIREMENT OBLIGATION 39472 595963 X PART X, LINE 2: MINNESOTA ODD FELLOWS HOME AND ITS AFFILIATES, OTHER THAN THREE LINKS MANAGEMENT SERVICES, LLC ARE TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND NOT PRIVATE FOUNDATIONS AS DESCRIBED IN SECTION 509(A) FOR FEDERAL PURPOSES. THE ORGANIZATION AND AFFILIATES ARE ALSO TAX-EXEMPT UNDER MINNESOTA STATUTES SECTION 290.05, SUBDIVISION 1, FOR STATE PURPOSES. CONSEQUENTLY, THE ORGANIZATION RECORDS NO PROVISION FOR INCOME TAXES. THREE LINKS MANAGEMENT SERVICES, LLC IS A FOR-PROFIT ENTITY THAT FILES FORM 1120 THAT SUBMITS QUARTERLY ESTIMATED TAX PAYMENTS. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. X X 0 0 0 0 0 0 0 0 0 PATRICIA VINCENT CEO 160688 0 0 0 0 0 1175 0 2713 0 164576 0 0 0 A CITY OF DENNISON HC REV REF SERIES 416200827 000000000 2015-03-20 9800000 REFINANCING 2007 BONDS 0 0 0 B CITY OF NORTHFIELD HC REV REF SERIES 2015B 416005424 000000000 2015-03-20 1200000 REFINANCING 2007 BONDS 0 0 0 C CITY OF NORTHFIELD 416005424 000000000 2005-01-26 7000000 CONSTRUCTION AND EQUIPMENT 0 0 0 A 9800000 222727 192093 9385180 1 0 1 1 B 224066 1200000 27273 23957 1148770 1 0 1 1 C 2485149 7000000 140000 6860000 2005 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 FORM 990, PART III, LINE 3 CATERING SERVICES ARE NO LONGER PROVIDED. FORM 990, PART VI, SECTION A, LINE 2 DAVID SHUMWAY AND RICH FALCK - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY THE MEMBER(S) OF THE FINANCE COMMITTEE WITH THE CFO PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ANY KNOWN CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST EXISTS, THE MEMBER IS TO ABSTAIN FROM VOTING ON ANY ISSUE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S SALARY WAS REVIEWED AND APPROVED BY THE BOARD IN 2015. FORM 990, PART VI, SECTION C, LINE 19 THE HOME DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MILLSTREAM COMMONS LLC 210 8TH ST WEST NORTHFIELD MN 55057 202182742 ASSISTED LIVING FOR THE ELDERLY MN 334511 5464190 MINNESOTA ODD FELLOWS HOME INC MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY 815 FOREST AVE NORTHFIELD MN 55057 411485688 HOUSING FOR THE ELDERLY MN 501(C)3 LINE 9 MINNESOTA ODD FELLOWS HOMEINC 1 MINNESOTA ODD FELLOWS HOME FOUNDATION 815 FOREST AVE NORTHFIELD MN 55057 411431455 FINANCIAL SUPPORT TO MINNESOTA ODD FELLOWS HOME MN 501(C)3 11 TYPE 1 MINNESOTA ODD FELLOWS HOMEINC 1 PARK RIDGE HOUSING 815 FOREST AVE NORTHFIELD MN 55057 411826735 HOUSING FOR THE ELDERLY MN 501(C)3 LINE 9 MINNESOTA ODD FELLOWS HOMEINC 1 THREE LINKS MANAGEMENT SERVICES LLC 815 FOREST AVE NORTHFIELD MN 55057 263468822 MANAGEMENT SERVICES MN MINNESOTA ODD FELLOWS HOME INC C 68235 212872 1.00000 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MINNESOTA ODD FELLOWS HOME FOUNDATION Q 243079 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY Q 543873 ACTUAL AMOUNTS PAID PARK RIDGE HOUSING Q 112589 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOME FOUNDATION E 15290785 ACTUAL AMOUNT MINNESOTA ODD FELLOWS HOME FOUNDATION C 71165 ACTUAL AMOUNT FORM 990, SCHEDULE R, PART IV THIS ENTITY IS TAXED AS A C CORPORATION. LEGALLY THIS ENTITY IS A SINGLE MEMBER LLC. THEY FILED FORM 8832 TO ELECT TO MAKE THIS ENTITY CLASSIFICATION.