SAINT THERESE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SAINT THERESE (EIN 41-1704381)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349304587
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T11:38:01-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411704381 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST THERESE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STTH | NameControl |
| Phone | 7635315000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8000 BASS LAKE ROAD | AddressLine1 |
| City | NEW HOPE | City |
| State | MN | State |
| ZIP Code | 55428 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MIKE WARDEN | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 7635315000 | Phone |
| Date Signed | 2014-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF VRIEZE | Name |
| PTIN | P01273590 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARB RODE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8000 BASS LAKE ROAD | AddressLine1 |
| City | NEW HOPE | City |
| State | MN | State |
| ZIP Code | 55428 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15960415 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STTHERESEMN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 34 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3054690 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2785369 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 606165 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3485199 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 237045 | InvestmentIncomePriorYear |
| Investment Income Current Year | 335582 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -15612 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17882 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3882288 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6624032 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 65692 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 64188 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 761368 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3080261 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 47605 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 180046 | OtherExpensePriorYear |
| Other Expenses Current Year | 1705401 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1007106 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4849850 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2875182 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1774182 | RevenuesLessExpensesCY |
| Total Assets BOY | 17549980 | TotalAssetsBOY |
| Total Assets EOY | 25118305 | TotalAssetsEOY |
| Total Liabilities BOY | 9822175 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15497875 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7727805 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9620430 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 278137 | Expense |
| Grants | 64188 | Grants |
| Revenue | 0 | Revenue |
| Description | FROM THE VERY BEGINNING, ST. THERESE HAS TAKEN PRIDE IN THE FACT THAT IT HAS ALWAYS BEEN A GOOD MEMBER OF THE COMMUNITY. AS A NON-PROFIT ORGANIZATION, ST. THERESE STRIVES TO HELP OTHERS WITHIN OUR IMMEDIATE NEIGHBORHOOD AND BEYOND. WE BELIEVE IT IS ALSO IMPORTANT TO COMMUNICATE OUR OUTREACH AND SUPPORT OF THE GREATER COMMUNITY AS PART OF OUR MISSION.DOCUMENTING THIS WORK IS AN ESSENTIAL ELEMENT FOR EARNING PUBLIC TRUST AND VALIDATING OUR STATUS AS A NON-PROFIT ORGANIZATION. ACTIVITIES FOR THE 2012-2013 FISCAL YEAR ARE LISTED BELOW:ST. THERESE PROVIDED OVER $2.5 MILLION DOLLARS OF FREE CARE AS A RESULT OF MEDICAID REIMBURSEMENT AND STATE ALLOWED RATES NOT COVERING THE ENTIRE COST OF CARE. APPROXIMATELY 44% OF OUR RESIDENTS PARTICIPATE IN THE MEDICAID PROGRAM. IN ADDITION, ANOTHER 35% OF OUR RESIDENTS PAY FOR THEIR CARE ON THEIR OWN. FOR BOTH OF THESE GROUPS, THE AMOUNT WE ARE REIMBURSED OR ARE ALLOWED TO CHARGE IS $28 A DAY LESS THAN THE ACTUAL COST OF PROVIDING THE CARE. IF WE WERE TO MAKE CUTS TO RECOVER THESE EXPENSES, WE WOULD COMPROMISE CARE OF OUR RESIDENTS.TO FOSTER EDUCATION AND HELP TRAIN FUTURE LEADERS IN OUR INDUSTRY, WE CONTRIBUTE $22,500 A YEAR TO THE UNIVERSITY OF WISCONSIN - EAU CLAIRE TO SPONSOR A STUDENT ADMINISTRATOR.ST. THERESE IS A HOST FOR SOCIAL WORKER STUDENTS FROM THE UNIVERSITY OF MINNESOTA TWIN CITIES CAMPUS.SPIRITUAL CARE IS AT THE CENTER OF OUR MISSION. OUR EXTENSIVE PASTORAL CARE SERVICES INCLUDE STAFF, LITURGICAL COSTS, MUSIC AND MUCH MORE. THIS VITAL PROGRAM IS PARTIALLY PAID FOR BY DONATIONS TO ST. THERESE.OUR STAFF RECRUITED BLOOD DONORS FOR THE AMERICAN RED CROSS. STAFF MEMBERS VOLUNTEERED THEIR TIME AND BLOOD FOR THIS WORTHY CAUSE.OUR STAFF PARTICIPATED IN TRADE AND PROFESSIONAL ASSOCIATION TO EXPAND THEIR SKILLS AND TO ADVOCATE FOR SOCIAL FAIRNESS. THIS IS ALSO A WAY WE CAN SHARE OUR EXPERIENCES AND KNOWLEDGE TO BENEFIT OTHERS.ST. THERESE HAS A CHARITABLE PROGRAM CALLED OUR CARING FUND THAT CAN BE ACCESSED TO ASSIST PEOPLE WITH SERVICES IF THEY HAVE TO APPLY FOR WAIVERED SERVICES AND OTHER SUPPORTED SERVICES. DURING FY 2011-2012, THE CARING FUND ASSISTED $22,212 IN FINANCIAL NEED TO OUR PEOPLE. ST. THERESE EMPLOYEES WERE AWARDED OVER $11,780 IN SCHOLARSHIPS THROUGH THE ST. THERESE FOUNDATION'S WHITE ROSE SCHOLARSHIP. THE SCHOLARSHIP PROVISED THE OPPORTUNITY FOR STAFF TO CONTINUE THEIR EDUCATION AND IMPROVE THEIR KNOWLEDGE ON CARING FOR OLDER ADULTS. TENANTS AND STAFF MEMBERS IN OUR COMMUNITIES HOLD A FOOD DRIVE VARIOUS TIMES THROUGHOUT THE YEAR TO HELP FAMILIES IN NEED IN OUR SURROUNDING COMMUNITIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2843870 | Expense |
| Revenue | 2281744 | Revenue |
| Description | OXBOW LAKE CARE CENTER, LLC WAS CREATED TO OWN AND OPERATE THE 64-UNIT CARE SUITES WHICH IS LICENSED AS A SKILLED NURSING FACILITY ON THE EXISTING CAMPUS OF OXBOW LAKE (CARE SUITES). THE FACILITY OPENED AND BEGAN OPERATIONS IN OCTOBER 2012 AND WAS CERTIFIED FOR ADMISSIONS OF MEDICARE AND MEDICAID RESIDENTS IN JULY 2013. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 889614 | Expense |
| Grants | 0 | Grants |
| Revenue | 1203455 | Revenue |
| Description | ST. THERESE AT HOMES SOLUTIONS, LLC PROVIDES PRIVATE DUTY HOME CARE SERVICES TO THE SURROUNDING COMMUNITY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4011621 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 1 | NonDeductibleContributions |
| Non Deductible Disclosure | 1 | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DEBORAH BORDER | NamePerson |
| Telephone Number | 7635315035 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8000 BASS LAKE ROAD | AddressLine1 |
| City | NEW HOPE | City |
| State | MN | State |
| ZIP Code | 55428 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KAYE FOLEY | ||||||||
| CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| DR CHRISTOPHER DOWNEY | ||||||||
| VICE CHAIR | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| MARY ORTIZCAZARIN | ||||||||
| SECRETARY (THRU MAY 2013) | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| DAVID M HOFFMANN | ||||||||
| TREASURER | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| JOSEPH AMBERGMD | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| PATRICK J BORAN | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| FR MICHAEL BYRON | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JERRY J CHOROMANSKI | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| LYNN CHOROMANSKI PH D | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| WM CHRISTOPHER DOWNEY MD | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD G FABER | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| FR JOSEPH GILLESPIE | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN G IMHOLTE | ||||||||
| MEMBER (THRU APRIL 2013) | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| DAVID KRENN | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JANE MCCROSSAN | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| SR KAREN SAMES | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD D THEILMANN | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| C DWIGHT TOWNES MD | ||||||||
| MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL VARPNESS | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| PAUL VOGEL | ||||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA RODE | ||||||||
| PRESIDENT & CEO | 8.00 | 32.00 | X | 0 | 204155 | 6871 | ||
| MIKE WARDEN | ||||||||
| CFO | 10.00 | 30.00 | X | 0 | 129786 | 2799 | ||
| JOHN LEBLANC | ||||||||
| FOUNDATION DIRECTOR | 20.00 | 20.00 | 102728 | 0 | 25260 | X | ||
| DINAH MARTIN | ||||||||
| ADMINSTRATOR | 40.00 | 103389 | 0 | 6881 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 206117 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 333941 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 41811 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 172257 | FundraisingEvents |
| Related Organizations | 2000000 | RelatedOrganizations |
| All Other Contributions | 613112 | AllOtherContributions |
| Noncash Contributions | 380 | NoncashContributions |
| Total Contributions | 2785369 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT REVENUE | 623000 | 2281744 | 2281744 |
| CAREGIVER/CNA SERVICES | 623000 | 1203455 | 1203455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3485199 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 167669 | TotalRevenueColumn |
| Exclusion | $167,669 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9462871 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9294958 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 167913 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 167913 | TotalRevenueColumn |
| Exclusion | $167,913 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 41282 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 172257 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 41425 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -143 | TotalRevenueColumn |
| Exclusion | -$143 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEAL INCOME | 900099 | 11435 | $11,435 |
| TELEPHONE | 900099 | 5866 | $5,866 |
| MISCELLANEOUS | 900099 | 724 | $724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 18025 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6624032 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3485199 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $353,464 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64188 | Total |
| Program Services | 64188 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2754005 | Total |
| Program Services | 2282395 | ProgramServices |
| Management And General | 471610 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5560 | Total |
| Program Services | 4504 | ProgramServices |
| Management And General | 1056 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132385 | Total |
| Program Services | 112527 | ProgramServices |
| Management And General | 19858 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188311 | Total |
| Program Services | 160064 | ProgramServices |
| Management And General | 28247 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69196 | Total |
| Management And General | 69196 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22392 | Total |
| Program Services | 2510 | ProgramServices |
| Management And General | 19882 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51314 | Total |
| Program Services | 51176 | ProgramServices |
| Management And General | 138 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76582 | Total |
| Program Services | 46080 | ProgramServices |
| Management And General | 30502 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2433 | Total |
| Management And General | 2433 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268580 | Total |
| Program Services | 191607 | ProgramServices |
| Management And General | 30747 | ManagementAndGeneral |
| Fundraising | 46226 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7595 | Total |
| Management And General | 7595 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106579 | Total |
| Program Services | 105266 | ProgramServices |
| Management And General | 1313 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11809 | Total |
| Program Services | 4189 | ProgramServices |
| Management And General | 7620 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2553 | Total |
| Management And General | 2553 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269931 | Total |
| Program Services | 266606 | ProgramServices |
| Management And General | 3325 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 414862 | Total |
| Program Services | 405809 | ProgramServices |
| Management And General | 9053 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36134 | Total |
| Program Services | 34215 | ProgramServices |
| Management And General | 1919 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| ASSOCIATION DUES | 124076 | 117966 | 6110 | |
| FOOD | 113516 | 111906 | 231 | 1379 |
| MISCELLANEOUS | 54481 | 3113 | 51368 | |
| EQUIPMENT LEASE | 47500 | 47500 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25868 | Total |
| Management And General | 25868 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4849850 | Total |
| Program Services | 4011621 | ProgramServices |
| Management And General | 790624 | ManagementAndGeneral |
| Fundraising | 47605 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265919 | BOY |
| EOY | 2874579 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48058 | BOY |
| EOY | 1048191 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132304 | BOY |
| EOY | 174867 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13142 | BOY |
| EOY | 93584 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14102643 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 457851 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11871263 | BOY |
| EOY | 13644792 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4618351 | BOY |
| EOY | 6005042 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 419942 | BOY |
| EOY | 1069391 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181001 | BOY |
| EOY | 207859 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17549980 | BOY |
| EOY | 25118305 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1753495 | BOY |
| EOY | 283451 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 10041 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7225294 | BOY |
| EOY | 13197226 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2400 | BOY |
| EOY | 2410 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 840986 | BOY |
| EOY | 2004747 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9822175 | BOY |
| EOY | 15497875 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6617506 | BOY |
| EOY | 8802686 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1068840 | BOY |
| EOY | 422834 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41459 | BOY |
| EOY | 394910 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7727805 | BOY |
| EOY | 9620430 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17549980 | BOY |
| EOY | 25118305 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1774182 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 156558 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -38114 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 335864 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 364396 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 481946 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3054690 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2613112 | CurrentTaxYear |
| Total | 6850008 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 335864 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 364396 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 481946 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3054690 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2613112 | CurrentTaxYear |
| Total | 6850008 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 283627 | AmountsSubstContributorsTotal |
| Public Support Total170 | 6566381 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 170117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 162341 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 142994 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 153144 | CurrentTaxYearMinus1Year |
| Current Tax Year | 167669 | CurrentTaxYear |
| Total | 796265 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10 | CurrentTaxYearMinus4Years |
| Current Tax Year | 18025 | CurrentTaxYear |
| Total | 18035 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7664308 | TotalSupport |
| Gross Receipts From Admissions Etc | 4403245 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.85670 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.82200 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 689800 | BeginningOfYearBalance |
| Contributions | 599997 | Contributions |
| Investment Earnings Or Losses | 10052 | InvestmentEarningsOrLosses |
| Other Expenditures | 10052 | OtherExpenditures |
| End Of Year Balance | 1289797 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 354147 | BeginningOfYearBalance |
| Contributions | 335653 | Contributions |
| Investment Earnings Or Losses | 2889 | InvestmentEarningsOrLosses |
| Other Expenditures | 2889 | OtherExpenditures |
| End Of Year Balance | 689800 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 324447 | BeginningOfYearBalance |
| Contributions | 29700 | Contributions |
| Investment Earnings Or Losses | 22177 | InvestmentEarningsOrLosses |
| Other Expenditures | 22177 | OtherExpenditures |
| End Of Year Balance | 354147 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 257180 | BeginningOfYearBalance |
| Contributions | 67267 | Contributions |
| Investment Earnings Or Losses | 12448 | InvestmentEarningsOrLosses |
| Other Expenditures | 12448 | OtherExpenditures |
| End Of Year Balance | 324447 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 100000 | BeginningOfYearBalance |
| Contributions | 157180 | Contributions |
| Investment Earnings Or Losses | 1718 | InvestmentEarningsOrLosses |
| Other Expenditures | 1718 | OtherExpenditures |
| End Of Year Balance | 257180 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.70000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.30000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 618214 | OtherCostOrOtherBasis |
| Book Value | 618214 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11554216 | OtherCostOrOtherBasis |
| Depreciation | 217399 | Depreciation |
| Book Value | 11336817 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41968 | OtherCostOrOtherBasis |
| Depreciation | 5596 | Depreciation |
| Book Value | 36372 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1828245 | OtherCostOrOtherBasis |
| Depreciation | 234856 | Depreciation |
| Book Value | 1593389 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 60000 | OtherCostOrOtherBasis |
| Book Value | 60000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13644792 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $2,004,747 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2004747 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | RESIDENT TRUST FUNDS ARE RESIDENT'S FUNDS HELD BY OXBOW LAKE CARE CENTER, 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. AND ST. THERESE AT OXBOW LAKE, INC., WHICH INCLUDES PROVIDING HOUSING, NURSING CARE AND PASTORAL CARE TO THE ELDERLY. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| 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 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ASSOCIATE DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 146549 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 133752 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12797 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 12977 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 530 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 9798 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF EVENT | NameOfEvent2 |
| Gross Receipts Event2 | 48700 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 38505 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 10195 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 5460 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 7665 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 18290 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 18290 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 4995 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 213539 | GrossReceiptsTotal |
| Charitable Contributions Total | 172257 | CharitableContributionsTotal |
| Gross Revenue Total Events | 41282 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 18437 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 530 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 22458 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 41425 | DirectExpenseSummaryEvents |
| Net Income Summary | -143 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ST THERESE HOME INC | |||||||
| 8000 BASS LAKE ROAD | NEW HOPE | MN | 55428 | 410888641 | 501(C)(3) | 56316 | GENERAL OPERATING SUPPORT |
| ST THERESE AT OXBOW LAKE INC | |||||||
| 8000 BASS LAKE ROAD | NEW HOPE | MN | 55428 | 205835911 | 501(C)(3) | 5651 | GENERAL OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BARBARA RODE | NamePerson |
| Title | PRESIDENT & CEO | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 193155 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 11000 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 5759 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 1112 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 211026 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | 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 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF BROOKLYN PARK MINNESOTA | |||||||
| A | 416008804 | 2011-07-19 | 10000000 | FACILITY EXPANSION PROJECT | 0 | 0 | 0 |
| CITY OF CHAMPLIN MINNESOTA | |||||||
| B | 416007831 | 2011-07-19 | 3320000 | FACILITY EXPANSION PROJECT | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 92467 | 10000000 | 71576 | 532570 | 9467430 | 2012 | 0 | 0 | 1 | 1 |
| B | 30305 | 3320000 | 3424 | 3320000 | 2012 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. CHOROMANSKI AND LYNN CHOROMANSKI - FAMILY RELATIONSHIP | |
| 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 XI, LINE 9: | T/R NET ASSETS RELEASED -750,929. NET ASSETS RELEASED FOR CAPITAL PURCHASES 663,342. P/R NET ASSETS RELEASED -38,114. NET ASSETS RELEASED FROM RESTRICTION 87,587. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| OXBOW LAKE CARE CENTER LLC | |||||||||
| 8000 BASS LAKE ROAD | NEW HOPE | MN | 55428 | 273308934 | SKILLED NURSING FACILITY | MN | 2300870 | 16811975 | ST THERESE FOUNDATION INC |
| ST THERESE AT HOME SOLUTIONS LLC | |||||||||
| 8000 BASS LAKE ROAD | NEW HOPE | MN | 55428 | 454049467 | PRIVATE DUTY HOME SERVICES | MN | 1203455 | 605953 | ST THERESE FOUNDATION INC |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST THERESE HOME INC | ||
| B | 56316 | CASH TRANSFER |
| ST THERESE HOME INC | ||
| C | 1000000 | EQUITY TRANSFER |
| ST THERESE AT OXBOW LAKE INC | ||
| C | 1000000 | EQUITY TRANSFER |
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