2014-06-16T15:32:09-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2013-01-01 410713909 MINNESOTA ODD FELLOWS HOME INC MINN 5076648800 815 FOREST AVE NORTHFIELD MN 55057 PATRICIA J VINCENT CEO 5076648800 2014-06-12 1 TRENT FAST P00692704 5074347000 2013 2015-11-30 17:44:51Z THREE LINKS CARE CENTER PATRICIA J VINCENT 815 FOREST AVE NORTHFIELD MN 55057 12556178 0 X WWW.THREELINKS.ORG X 1899 MN TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 15 15 464 69 16395 -482 3492 417392 11095476 11694816 17375 121295 203975 173657 11320318 12407160 0 0 0 0 6710797 6799569 0 0 0 4955198 5351251 11665995 12150820 -345677 256340 18837694 18808066 19699077 19411219 -861383 -603153 TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 0 0 10968492 11694816 ENGAGED IN HOUSING AND CARE TO THE ELDERLY BY OPERATING A 102-BED LICENSED SKILLED NURSING FACILITY. WITHIN THE 102 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. 10968492 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 36 0 464 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 ALAN MARKS 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 CHAD BURNS 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 ROD SCHALLBERG DIRECTOR 1.00 X 0 0 0 DONNA PERRYMAN DIRECTOR 1.00 X 0 0 0 MARY SPILMAN DIRECTOR 1.00 X 0 0 0 LUANN LANZ DIRECTOR 1.00 X 0 0 0 PENNY RIPPENTROP DIRECTOR 1.00 X 0 0 0 PATRICIA VINCENT CEO 40.00 X 133218 0 8274 JEFFREY KING CFO 40.00 X 104099 0 14243 237317 0 22517 2 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 496452 1 404453 12939 417392 RESIDENT REVENUE 623000 6616820 6616820 MEDICARE/MEDICAID PAYMENTS 541900 4764005 4764005 MANAGEMENT FEES 561000 156325 156325 RESIDENT MEAL REVENUE 722210 92664 92664 BEAUTY SHOP REVENUE 923000 42170 42170 22832 22832 11694816 73235 73235 183094 135034 48060 48060 48060 10602 2888 7714 7714 7701 11096 -3395 -3395 MISCELLANEOUS REVENUE 900099 128543 128543 NON-RESIDENT MEAL REVENUE 722210 24116 24116 CATERING REVENUE 722320 16395 16395 284 284 169338 12407160 11694816 16395 278557 X 259834 259834 5696105 5542669 153436 10994 10994 403540 390421 13119 429096 415573 13523 96434 96434 11108 11108 149171 149171 2500 2500 1222515 1198768 23747 50403 50403 397341 345470 51871 475041 402838 72203 44508 19404 25104 54352 31784 22568 839591 839591 952843 952843 123619 123619 FOOD COSTS 471144 471144 MINNESOTA SURCHARGE 287130 287130 ALLOCATIONS 59359 59359 MISCELLANEOUS EXPENSE 54518 30854 23664 59674 29009 30665 12150820 10968492 1182328 0 643511 845104 68340 64053 725412 789678 25903 22425 155874 104904 26470182 10938356 15812732 15531826 12206 36746 1393716 1413330 18837694 18808066 1398856 1724057 11771088 11562458 5492660 5181895 1036473 942809 19699077 19411219 X -861383 -603153 -861383 -603153 18837694 18808066 256340 1890 0 X X 0 1 X 1 0 X 1117 8115 509421 3492 349118 871263 10980602 10938078 11176051 11118143 11713119 55925993 10981719 10946193 11685472 11121635 12062237 56797256 0 0 0 56797256 31431 80026 85971 17375 141509 356312 31431 80026 85971 17375 141509 356312 -2005 46863 5784 31740 16395 98777 86337 102883 151057 167647 152943 660867 11097482 11175965 11928284 11338397 12373084 57913212 0.98070 0.98180 0.00620 0.00630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 568863 568863 21196107 7669832 13526275 4236545 3033873 1202672 468667 234651 234016 15531826 RESIDENT TRUST/TENANT SECURITY DEPOSITS 73034 BOND FUND & RELATED DEFERRED FINANCING COSTS 1340296 1413330 RESIDENT TRUST FUND 15163 SECURITY DEPOSITS 73034 DUE TO RELATED ORGANIZATIONS 818810 ASSET RETIREMENT OBLIGATION 35802 942809 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. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ENTITY'S 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. A NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY 416005424 66618RAA3 2007-09-20 6380000 REFUND 1999 ISSUE 0 0 0 B NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY 416005424 66618RAM7 2007-09-20 5958897 CONSTRUCTION AND EQUIPMENT 0 0 0 A 6380000 445291 127600 5807109 2007 0 1 1 1 B 785000 5958897 418768 119178 5027000 393951 2008 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 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 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 2013. 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 IX, LINE 11G OTHER FEES - PROGRAM: PROGRAM SERVICE EXPENSES 1,198,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,198,768. OTHER FEES - M&G: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,747. 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 383584 5700058 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 11 TYPE 1 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 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 73801 208821 1.00000 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY Q 494505 ACTUAL AMOUNTS PAID PARK RIDGE HOUSING Q 120895 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOME FOUNDATION E 16744353 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.