THREE LINKS HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THREE LINKS HEALTH SERVICES (EIN 41-0713909)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-26
IRS object ID
201301779349300740
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-26T16:07:33-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 217AddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410713909EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA ODD FELLOWS HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMINNNameControl
Phone5076648800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 FOREST AVEAddressLine1
CityNORTHFIELDCity
StateMNState
ZIP Code55057ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA J VINCENTName
TitleCEOTitle
Phone5076648800Phone
Date Signed2013-06-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRENT FASTName
PTINP00692704PTIN
Phone5074347000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THREE LINKS CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA J VINCENTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1815 FOREST AVEAddressLine1
CityNORTHFIELDCity
StateMNState
ZIP Code55057ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11338397GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THREELINKS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1899YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING AND CARE TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees497TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI31740TotalGrossUBI
Net Unrelated Business Txbl Income6457NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year571672ContributionsGrantsPriorYear
Contributions Grants Current Year3492ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11146203ProgramServiceRevenuePriorYear
Program Service Revenue CY11095476ProgramServiceRevenueCY
Investment Income Prior Year23720InvestmentIncomePriorYear
Investment Income Current Year17375InvestmentIncomeCurrentYear
Other Revenue Prior Year163677OtherRevenuePriorYear
Other Revenue Current Year203975OtherRevenueCurrentYear
Total Revenue Prior Year11905272TotalRevenuePriorYear
Total Revenue Current Year11320318TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6797543SalariesEtcPriorYear
Salaries Etc Current Year6710797SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4935190OtherExpensePriorYear
Other Expenses Current Year4955198OtherExpensesCurrentYear
Total Expenses Prior Year11732733TotalExpensesPriorYear
Total Expenses Current Year11665995TotalExpensesCurrentYear
Revenues Less Expenses Prior Year172539RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-345677RevenuesLessExpensesCY
Total Assets BOY19573842TotalAssetsBOY
Total Assets EOY18837694TotalAssetsEOY
Total Liabilities BOY20135833TotalLiabilitiesBOY
Total Liabilities EOY19699077TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-561991NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-861383NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOUSING AND CARE TO THE ELDERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10549616Expense
Revenue11095476Revenue
DescriptionENGAGED 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.Description
Total Program Service Expense10549616TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees497NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY M KINGNamePerson
Telephone Number5076648814TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1815 FOREST AVEAddressLine1
CityNORTHFIELDCity
StateMNState
ZIP Code55057ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
STANLEY WHITNEY
CHAIR1.00X000
BETTY RICHTSMEIER
VICE CHAIR1.00X000
ALAN MARKS
DIRECTOR1.00X000
JOAN ADAMS
DIRECTOR1.00X000
DAVID SHUMWAY
DIRECTOR1.00X000
SANDRA CARLSON
DIRECTOR1.00X000
BRETT RASMUSSEN
DIRECTOR1.00X000
RICH FALCK
DIRECTOR1.00X000
BARB KNAAK
SECRETARY1.00X000
ALEX SALOUM
DIRECTOR1.00X000
ROD SCHALLBERG
DIRECTOR1.00X000
DONNA PERRYMAN
DIRECTOR1.00X000
MARY SPILMAN
DIRECTOR1.00X000
LUANN LANZ
DIRECTOR1.00X000
PENNY RIPPENTROP
DIRECTOR1.00X000
PATRICIA VINCENT
CEO40.0012168408126X
JEFFREY KING
CFO40.0089935014537X
FieldValueIRS element (for citing)
Total Reportable Comp From Org211619TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22663TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1REHABCARE GROUP INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation358717Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions3492AllOtherContributions
Total Contributions3492TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT REVENUE62300058974235897423
MEDICARE/MEDICAID PAYMENTS54190049225544922554
MANAGEMENT FEES561000137674137674
RESIDENT MEAL REVENUE7222108530185301
BEAUTY SHOP REVENUE6230003794937949

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column14575TotalRevenueColumn
Related Or Exempt Function Income14575RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11095476TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17375TotalRevenueColumn
Exclusion$17,375ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9445GrossIncomeFundraisingEvents
Fundraising Direct Expenses2932FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6513TotalRevenueColumn
Exclusion$6,513ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory13222GrossSalesOfInventory
Cost Of Goods Sold15147CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1925TotalRevenueColumn
Exclusion-$1,925ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS REVENUE900099145363$145,363
CATERING REVENUE7223203174031740
NON-RESIDENT MEAL REVENUE72221019684$19,684

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2600TotalRevenueColumn
Exclusion$2,600ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue199387TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11320318TotalRevenueColumn
Related Or Exempt Function Income11095476RelatedOrExemptFunctionIncome
Unrelated Business Revenue31740UnrelatedBusinessRevenue
Exclusion$189,610ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total234282Total
Management And General234282ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5712870Total
Program Services5545854ProgramServices
Management And General167016ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25079Total
Program Services25079ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total205737Total
Program Services171173ProgramServices
Management And General34564ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total532829Total
Program Services482038ProgramServices
Management And General50791ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total83124Total
Management And General83124ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7006Total
Management And General7006ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total132858Total
Management And General132858ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2580Total
Management And General2580ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total794274Total
Program Services788349ProgramServices
Management And General5925ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total61116Total
Management And General61116ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total425004Total
Program Services378770ProgramServices
Management And General46234ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total458439Total
Program Services385679ProgramServices
Management And General72760ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43310Total
Program Services14779ProgramServices
Management And General28531ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total53184Total
Program Services39386ProgramServices
Management And General13798ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total893496Total
Program Services893496ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total940491Total
Program Services940491ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total114423Total
Management And General114423ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COSTS460999460999
MINNESOTA SURCHARGE287130287130
MISCELLANEOUS EXPENSE807314897431757
ALLOCATIONS5074250742

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total66291Total
Program Services36677ProgramServices
Management And General29614ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11665995Total
Program Services10549616ProgramServices
Management And General1116379ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY822341BOY
EOY643511EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY63922BOY
EOY68340EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY587777BOY
EOY725412EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY27385BOY
EOY25903EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28733BOY
EOY155874EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25858718LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10045986LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16606101BOY
EOY15812732EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12206BOY
EOY12206EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1425377BOY
EOY1393716EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19573842BOY
EOY18837694EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1223577BOY
EOY1398856EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11969718BOY
EOY11771088EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5774438BOY
EOY5492660EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1168100BOY
EOY1036473EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20135833BOY
EOY19699077EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-561991BOY
EOY-861383EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-561991BOY
EOY-861383EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19573842BOY
EOY18837694EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-345677ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-3716ReconciliationUnrealizedInvest
Reconcilation Other Changes50001ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24857CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1117CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8115CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year509421CurrentTaxYearMinus1Year
Current Tax Year3492CurrentTaxYear
Total547002Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10131896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10980602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10938078CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11176051CurrentTaxYearMinus1Year
Current Tax Year11118143CurrentTaxYear
Total54344770Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10156753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10981719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10946193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11685472CurrentTaxYearMinus1Year
Current Tax Year11121635CurrentTaxYear
Total54891772Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50954891772PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80026CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85971CurrentTaxYearMinus1Year
Current Tax Year17375CurrentTaxYear
Total350490Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80026CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85971CurrentTaxYearMinus1Year
Current Tax Year17375CurrentTaxYear
Total350490Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years-2005CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46863CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5784CurrentTaxYearMinus1Year
Current Tax Year31740CurrentTaxYear
Total82382Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years77679CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102883CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151057CurrentTaxYearMinus1Year
Current Tax Year167647CurrentTaxYear
Total585603Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10370119CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11097482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11175965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11928284CurrentTaxYearMinus1Year
Current Tax Year11338397CurrentTaxYear
Total55910247Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98180PublicSupportPercentage509
Prior Year Support Percentage0.98130PriorYearSupportPercentage
Investment Income Percentage0.00630InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00820PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis568863OtherCostOrOtherBasis
Book Value568863BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20939069OtherCostOrOtherBasis
Depreciation7115635Depreciation
Book Value13823434BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3889820OtherCostOrOtherBasis
Depreciation2718327Depreciation
Book Value1171493BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis460966OtherCostOrOtherBasis
Depreciation212024Depreciation
Book Value248942BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15812732TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST/ TENANT SECURITY DEP55913
BOND FUND & RELATED DEFERRED FINANC1337803
FieldValueIRS element (for citing)
Total Book Value Other Assets1393716TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESIDENT TRUST FUND$8,805
SECURITY DEPOSITS$55,913
DUE TO RELATED ORGANIZATIONS$937,658
ASSET RETIREMENT OBLIGATION$34,097
FieldValueIRS element (for citing)
Total Of Amounts1036473TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationMINNESOTA ODD FELLOWS HOME AND ITS AFFILIATES, OTHER THAN THREE LINKS MANAGEMENT SERVICES, 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 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 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY
A41600542466618RAA32007-09-206380000REFUND 1999 ISSUE000
NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY
B41600542466618RAM72007-09-205958897CONSTRUCTION AND EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredCapital ExpendituresCapitalExpenditures
A6380000445291127600580710920070111
B5958897418768119178393951200800115750005027000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DAVID SHUMWAY AND RICH FALCK - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 4AMENDMENTS WERE MADE TO THE BY-LAWS TO BETTER DEFINE THE ROLES AND RESPONSIBILITIES OF THE BOARD OF DIRECTORS AND OFFICERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY OF REVIEW TO THE FINANCE COMMITTEE OF MINNESOTA ODD FELLOWS HOME, INC. THE FORM 990 WAS REVIEWED BY THE MEMBERS OF THE FINANCE COMMITTE WITH THE CFO PRIOR TO FILING. THE CFO ALSO OFFERS TO PROVIDE A COPY OF THE COMPLETED FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 ISSUES RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO'S SALARY WAS REVIEWED AND APPROVED BY THE BOARD IN 2008.
FORM 990, PART VI, SECTION C, LINE 19THE HOME DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS.
FORM 990, PART XI, LINE 9:DIVIDEND INCOME 50,000. ROUNDING ADJUSTMENT 1.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MILLSTREAM COMMONS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1210 8TH ST WESTAddressLine1
CityNORTHFIELDCity
StateMNState
ZIP Code55057ZIPCode
FieldValueIRS element (for citing)
EIN202182742EIN
Primary ActivitiesASSISTED LIVING FOR THE ELDERLYPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income121226TotalIncome
EOY Assets5684527EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA ODD FELLOWS HOME INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY
815 FOREST AVENORTHFIELDMN55057411485688HOUSING FOR THE ELDERLYMN501(C)311 TYPE 1MINNESOTA ODD FELLOWS HOMEINC0
MINNESOTA ODD FELLOWS HOME FOUNDATION
815 FOREST AVENORTHFIELDMN55057411431455FINANCIAL SUPPORT TO MINNESOTA ODD FELLOWS HOMEMN501(C)311 TYPE 1MINNESOTA ODD FELLOWS HOMEINC0
PARK RIDGE HOUSING
815 FOREST AVENORTHFIELDMN55057411826735HOUSING FOR THE ELDERLYMN501(C)39MINNESOTA ODD FELLOWS HOMEINC0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1THREE LINKS MANAGEMENT SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1815 FOREST AVEAddressLine1
CityNORTHFIELDCity
StateMNState
ZIP Code55057ZIPCode
FieldValueIRS element (for citing)
EIN263468822EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateMNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA ODD FELLOWS HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income38159ShareOfTotalIncome
Share Of EOY Assets203191ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MINNESOTA ODD FELLOWS HOME FOUNDATION
Q138428ACTUAL AMOUNTS PAID
MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY
Q575879ACTUAL AMOUNTS PAID
PARK RIDGE HOUSING
Q158737ACTUAL AMOUNTS PAID
MINNESOTA ODD FELLOWS HOME FOUNDATION
E17263748ACTUAL AMOUNT

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART IVReturnReference
ExplanationTHIS 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.Explanation

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