2025-08-15T15:18:16-05:00 2024-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-10-01 416051127 MOTHER OF MERCY MOTH 3208452195 230 CHURCH AVE BOX 676 ALBANY MN 563070676 ROBIN MORRIN ADMINISTRATOR & CEO 3208452195 2025-08-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-08-12 2023 2025-03-06 01:10:19Z ROBIN MORRIN 230 CHURCH AVE BOX 676 ALBANY MN 563070676 12031433 0 X WWW.MOTHEROFMERCYMN.ORG X 1966 MN TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY. 8 8 294 35 0 0 274657 357266 9170394 11453737 6593 68918 0 151512 9451644 12031433 0 0 0 0 6105876 7639133 0 0 0 4593775 4489958 10699651 12129091 -1248007 -97658 12858375 12513812 6271344 6024439 6587031 6489373 X IT IS OUR MISSION AS PROFESSIONALS TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ARE A COMMUNITY OF CONCERNED PROFESSIONALS WORKING TOGETHER TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ACCOMPLISH THIS MISSION BY MAINTAINING HIGH STANDARDS OF CARE FOR ALL, IN A HOME-LIKE ATMOSPHERE, WHICH ADDRESSES THEIR PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS. WE ENCOURAGE RESIDENTS AND FAMILIES TO PARTICIPATE IN MAKING DECISIONS ABOUT THEIR DAILY ROUTINES AND ASK FOR RESIDENT AND FAMILY INVOLVEMENT IN SOCIAL ACTIVITIES. 0 0 10236788 0 11453737 THE ORGANIZATION OPERATES A 65-BED SKILLED NURSING FACILITY FOR THE PURPOSE OF PROVIDING CARE TO PERSONS IN NEED OF NURSING SERVICES AND RENDERS AID, CARE, AND GENERAL HEALTH CARE SERVICES TO ITS RESIDENTS WHO ARE ELDERLY, SICK, AND/OR HAVE DEMENTIA. THE ORGANIZATION ALSO OPERATES A 69-UNIT APARTMENT COMPLEX TO PROVIDE HOUSING FOR INDEPENDENT, ASSISTED LIVING AND MEMORY CARE TENANTS. THE SKILLED NURSING FACILITY HAD 19,768 RESIDENT DAYS DURING FISCAL YEAR 2024. THE ORGANIZATION ALSO MANAGES OPERATIONS OF TWO SENIOR CITIZENS HOUSING PROJECTS AT NEAR CAPACITY FOR LOW-INCOME SENIOR CITIZENS. 10236788 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 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 3 0 294 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X PROVIDER CAS 6124741727 12755 HWY 55 STE R150 PLYMOUTH MN 55441 MARK KNAPP PRESIDENT 0.30 0.60 X X 0 0 0 JANET SALK VICE PRESIDENT 0.30 0.60 X X 0 0 0 LOWELL RUSHMEYER TREASURER 0.30 0.60 X X 0 0 0 RANDY ROTHSTEIN SECRETARY 0.30 0.90 X X 0 0 0 MARGIE LEHNER DIRECTOR 0.30 0.60 X 0 0 0 RON PAULSEN DIRECTOR 0.30 0.60 X 0 0 0 FR EDWARD VEBELON OSB DIRECTOR 0.30 0.60 X 0 0 0 DEACON STEVEN KOOP MD DIRECTOR 0.30 0.60 X 0 0 0 ROBIN MORRIN ADMINISTRATOR/CEO (BEG 12/2023) 40.00 X 12981 0 0 BRIAN VOIGT CONTRACTED CFO 40.00 X 0 0 0 FRED STRZYK CONTRACTED CFO/ADMINISTRATOR 40.00 X 0 0 0 JILL LOCH DIRECTOR OF STAFF DEVELOPMENT 40.00 X 115603 0 72 MARJORIE SPAETH LPN CHARGE NURSE 40.00 X 113084 0 14754 241668 0 14826 2 0 0 0 PREMIER HEALTHCARE MANAGEMENT 410 LUELLA ST WATKINS MN 55389 MANAGEMENT COMPANY 837208 REHABVISIONS 11623 ARBOR ST STE 200 OMAHA NE 68144 THERAPY SERVICES 451972 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALLS SD 57117 NURSING POOL STAFF 130888 3 9496 346480 1290 357266 RESIDENT/TENANT REVENUE 623000 11192907 11192907 AFFILIATE MANAGEMENT FEE INCOME 541610 56693 56693 MAINTENANCE FEE INCOME 531390 31188 31188 MEAL INCOME 623990 21879 21879 BEAUTY SHOP REVENUE 900099 14025 14025 137045 137045 11453737 68918 68918 BAD DEBT RECOVERIES 900099 151512 151512 151512 12031433 11453737 0 220430 110542 110542 5916461 5542991 373470 46137 43086 3051 556835 515181 41654 1009158 933668 75490 400898 400898 107177 107177 814015 759993 54022 29486 4261 25225 455468 373156 82312 247481 40273 207208 264668 264668 12787 6565 6222 156881 156881 501824 501824 228975 72426 156549 DIETARY FOOD COSTS 367962 367895 67 MEDICARE PT/OT EXPENSE 234458 234458 MEDICAL CARE SURCHARGE 182975 182975 BAD DEBT EXPENSE 80704 80704 404199 155783 248416 12129091 10236788 1892303 0 300 300 2449248 1805863 1652042 1879880 52682 12559 20512028 11852834 8667272 8659194 36831 156016 12858375 12513812 974170 793718 322674 1643834 1339261 36831 28598 2937920 2853570 678589 686618 6271344 6024439 X 6566818 6469160 20213 20213 6587031 6489373 12858375 12513812 -97658 0 X 0 1 X 1 1 1 X 154163 1666504 274657 4779991 357266 7232581 9154395 8162734 9170394 11002221 11453737 48943481 50041 88724 0 0 151512 290277 9358599 9917962 9445051 15782212 11962515 56466339 0 0 0 56466339 7164 6115 6593 348406 68918 437196 7164 6115 6593 348406 68918 437196 9365763 9924077 9451644 16130618 12031433 56903535 0.99230 0.99320 0.00770 0.00680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 397451 397451 15346384 8012566 7333818 4469853 3714883 754970 298340 125385 172955 8659194 DUE FROM RELATED PARTY 686618 686618 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF RESIDENT AND EMPLOYEE FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS AND EMPLOYEES OF THE ORGANIZATION. A CITY OF ALBANY MN HEALTH CARE FACILITY REVENUE BONDS SERIES 2013 416004921 2013-10-16 5018000 FACILITY EXPANSION OF MOTHER OF MERCY NURSING HOME 0 0 0 A 3636385 5018000 100360 4917640 2009 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 MOTHER OF MERCY HAS A CONTRACTED OBLIGATION WITH PREMIER HEALTHCARE MANAGEMENT TO ASSIST WITH MANAGEMENT OVERSIGHT. BRIAN VOIGT AND FRED STRZYK ARE BOTH CONTRACTED EMPLOYEES OF PREMIER HEALTHCARE MANAGEMENT (PAID TO TF MANAGEMENT) ASSISTS WITH DAILY OPERATIONS AND PERFORM MANAGEMENT DUTIES FOR MOTHER OF MERCY. THERE WERE ADDITIONAL CONSULTING AND ADMINISTRATIVE SERVICES INCLUDED WITHIN THE CONTRACT BEYOND BRIAN AND FRED. THE TOTAL AMOUNT PAID FOR CALENDAR YEAR 2023 WAS $837,208. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 5 INDIVIDUALS THAT SERVE AS MEMBERS OF THE CORPORATION. THE MEMBERS ARE THE BISHOP OF THE DIOCESE OF ST. CLOUD, MN, THE VICAR GENERAL OF THE DIOCESE, THE PASTOR OF THE CHURCH OF THE SEVEN DOLORS IN ALBANY, MN, AND TWO LAY PEOPLE SELECTED BY UNANIMOUS VOTE OF THE THREE RELIGIOUS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE CORPORATION APPOINT THE BOARD OF DIRECTORS OF THE ORGANIZATION AND REMOVE ANY MEMBER THEREFROM, WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS MAKES DECISIONS THAT THE MEMBERS OF THE CORPORATION THEN HAVE THE RESPONSIBILITY FOR: APPROVE A MERGER OR DISSOLUTION OF THE CORPORATION; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE, MORTGAGE, ENCUMBRANCE, OR OTHER DISPOSITION OF THE ASSETS OF THE CORPORATION WITHIN THE LIMITS SET BY CURRENT CHURCH LEGISLATION; AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND MAKE AND AMEND BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS APPLIED WHEN THE ORGANIZATION IS IN THE PROCESS OF ENTERING INTO A TRANSACTION OR CONTRACT. ANNUALLY A CONFLICT OF INTEREST STATEMENT IS FILLED OUT BY THE BOARD MEMBERS, IT IS REVIEWED WHEN THESE TRANSACTIONS OCCUR. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON SHALL HAVE A DUTY TO DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD, OFFICER OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. AFTER INTEREST IS DETERMINED, THE INTERESTED PERSON HAS THE OPPORTUNITY TO MAKE A SHORT PRESENTATION AT THE BOARD MEETING. THE BOARD WILL APPOINT A DISINTERESTED PERSON OR GROUP TO EXPLORE ALTERNATIVES TO AVOID ANY CONFLICT. IF THERE IS NO OPTION FOR AVOIDING CONFLICT, THE BOARD SHALL DETERMINE BY MAJORITY VOTE IF THE TRANSACTION SHOULD BE ENTERED INTO. THE INTERESTED PERSON SHALL BE REMOVED FROM THE VOTING PROCESS. THE ORGANIZATION ALSO HAS A POLICY FOR EMPLOYEES. THE CONFLICT OF INTEREST POLICY IS INITIALLY MONITORED BY THE DIRECTOR OF LICENSURES AND TRAINING DURING AN EMPLOYEE'S ORIENTATION. THE COMPLIANCE OFFICER THEN ANNUALLY MONITORS THE POLICY DURING THE ANNUAL BENEFITS STAFF MEETING. IF A CONFLICT OF INTEREST ARISES, IT IS INVESTIGATED BY THE COMPLIANCE OFFICER, AND IF DEEMED A CONFLICT, THE EMPLOYEE MUST CEASE/DIVEST OF THAT CONFLICT OR BE TERMINATED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS THE SENIOR NURSING FACILITY COMPENSATION GUIDE TO DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT ANNUALLY. THE BOARD OF DIRECTORS REVIEWS THE ANNUAL PERFORMANCE EVALUATION AND SALARY REVIEW FOR FINAL APPROVAL OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE IN THEIR FRONT LOBBY FOR REVIEW. MOTHER OF MERCY DEVELOPMENT LLC 230 CHURCH AVE ALBANY MN 56307 273818447 ELDERLY HOUSING DEVELOPMENT: ASSISTED LIVING, INDEPENDENT LIVING MN 185605 3376317 MOTHER OF MERCY MERCY MANOR 334 GOLF VIEW DRIVE ALBANY MN 56307 411805317 HUD SUBSIDIZED LOW INCOME ELDERLY HOUSING MN 501(C)(3) LINE 10 MOTHER OF MERCY 1 MERCY MANOR II 332 GOLF VIEW DRIVE ALBANY MN 56307 202155820 HUD SUBSIDIZED LOW INCOME ELDERLY HOUSING MN 501(C)(3) LINE 10 MOTHER OF MERCY 1 MOTHER OF MERCY FOUNDATION 230 CHURCH AVE ALBANY MN 56307 411992053 FUND-RAISING ENTITY TO SUPPORT MOTHER OF MERCY MN 501(C)(3) LINE 12A, I MOTHER OF MERCY 1 0 0 1 1 1 0 0 0 0 1 0 1 1 1 1 0 1 0 0 MERCY MANOR D 218315 ACTUAL COST MERCY MANOR II D 124842 ACTUAL COST MOTHER OF MERCY FOUNDATION E 1026912 ACTUAL COST MOTHER OF MERCY FOUNDATION O 111377 ACTUAL COST