2021-11-10T14:27:15-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 201 N RIVERFRONT DR SUITE 300 MANKATO MN 56001 990 2020-01-01 410713909 MINNESOTA ODD FELLOWS HOME INC MINN 5076648800 815 FOREST AVE NORTHFIELD MN 55057 MARK ANDERSON CEO 5076648800 2021-11-08 1 MARK ANDERSON 999009999 JOSH SHERBURNE P02039400 5073868800 2021-11-08 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z THREE LINKS CARE CENTER MARK ANDERSON 815 FOREST AVE NORTHFIELD MN 55057 19795181 0 X WWW.THREELINKS.ORG X 1899 MN TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 15 15 550 21 1194395 0 -184 1163373 17319126 18050209 54225 13205 399629 565826 17772796 19792613 0 0 0 0 11011597 12775040 0 0 0 6756230 6891085 17767827 19666125 4969 126488 23440066 24961812 21337585 22591077 2102481 2370735 X TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 0 0 16020109 16855814 MINNESOTA ODD FELLOWS HOME (THE HOME, ALSO KNOWN AS THREE LINKS CARE CENTER) IS A VOLUNTARY NONPROFIT ORGANIZATION ENGAGED IN THE OPERATION OF A 101-BED LICENSED SKILLED NURSING FACILITY IN THE CITY OF NORTHFIELD, MINNESOTA. THE HOME PLACED NINE BEDS ON LAYAWAY DURING THE YEAR ENDED DECEMBER 31, 2018. IN ADDITION, THE HOME OPERATES THREE COTTAGES FOR RESIDENTS WITH EARLY STAGES OF ALZHEIMER'S DISEASE AND PROVIDES SERVICES FOR ADULT DAY CARE, HOME HEALTH, HOME COMPANION SERVICES, AND END OF LIFE CARE. THE HOME ALSO PROVIDES BOARD AND LODGE SERVICES.MILLSTREAM COMMONS, LLC (MILLSTREAM COMMONS), OWNS AND OPERATES A 44-UNIT ASSISTED LIVING SENIOR HOUSING COMPLEX IN NORTHFIELD, MINNESOTA. THREE LINKS CARE CENTER IS THE SOLE MEMBER OF THIS CORPORATION.THREE LINKS MANAGEMENT SERVICES, LLC WAS CREATED TO MANAGE SENIOR HOUSING COMPLEXES AND TO PROVIDE BILLING AND CONSULTING FOR SENIOR LIVING ORGANIZATIONS. THE ORGANIZATION HOLDS EMPLOYEES THAT SERVE THE MANAGED ENTITY AS WELL AS CERTAIN MANAGEMENT PERSONNEL.THE VILLAGES OF LONSDALE (LONSDALE) OWNS AND OPERATES A 56-UNIT SENIOR HOUSING COMPLEX. THE HOUSING COMPLEX CONSISTS OF 17 INDEPENDENT LIVING UNITS, 25 ASSISTED LIVING UNITS, AND 14 MEMORY CARE UNITS. LONSDALE WAS PURCHASED DURING THE YEAR ENDED DECEMBER 31, 2019 AND OPERATIONS BEGAN MAY 1, 2019. 16020109 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 157 0 550 1 1 1 0 0 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 0 0 0 MN X JAY PIZINGER 5076648814 815 FOREST AVE NORTHFIELD MN 55057 STANLEY WHITNEY CHAIR 0.50 0.50 X X 0 0 0 DONNA PERRYMAN VICE CHAIR 0.50 0.00 X X 0 0 0 PENNY RIPPENTROP SECRETARY 0.50 0.00 X X 0 0 0 ALEX SALOUM DIRECTOR 0.50 0.50 X 0 0 0 RICK BENESH DIRECTOR 0.50 0.50 X 0 0 0 RICH FALCK DIRECTOR 0.50 0.00 X 0 0 0 KATY HUBRED DIRECTOR 0.50 0.50 X 0 0 0 DOUGLAS KLOCEK DIRECTOR 0.50 0.00 X 0 0 0 MARIANNE LOFTUS DIRECTOR 0.50 0.00 X 0 0 0 GARY MIESSLER DIRECTOR 0.50 0.50 X 0 0 0 BRETT RASMUSSEN DIRECTOR 0.50 0.50 X 0 0 0 DOREITA REYNOLDS DIRECTOR 0.50 0.50 X 0 0 0 DAVID SHUMWAY DIRECTOR 0.50 0.50 X 0 0 0 EVA STEELE DIRECTOR 0.50 0.00 X 0 0 0 JOANNE WITH DIRECTOR 0.50 0.00 X 0 0 0 MARK ANDERSON CEO 40.00 1.00 X 195510 0 43588 JAY PIZINGER CFO 40.00 1.00 X 157063 0 37354 KELVIN JAMES NAR 40.00 0.00 X 202377 0 0 MICHAEL WILLIAMS DON 40.00 0.00 X 141347 0 0 MICHAEL NIMENE NAR 40.00 0.00 X 139351 0 0 LAURA LUTGENS DON 40.00 0.00 X 120020 0 0 955668 0 80942 6 0 1 0 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 190202050 HOUSEKEEPING SERVICES 266792 TECH SUPPORT OF MINNESOTA 205 LEXINGTON AVE S NEW PRAGUE MN 56071 COMPUTER SERVICES 111925 2 423757 739616 1163373 RESIDENT REVENUE 623000 9435518 9435518 MEDICARE/MEDICAID PAYMENTS 541900 7161180 7161180 MANAGEMENT FEES 561000 1354821 160426 1194395 RESIDENT MEAL REVENUE 722210 44293 44293 MISC CARE SERVICE 900099 40573 40573 13824 13824 18050209 13205 13205 300 -300 -300 4788 2268 2520 2520 MISCELLANEOUS REVENUE 900099 554022 554022 NON-RESIDENT MEAL REVENUE 722210 9483 9483 NON-RESIDENT BEAUTY SHOP REVENUE 722210 101 101 563606 19792613 16855814 1194395 579031 433516 433516 10775223 9049873 1725350 1556280 1399271 157009 10021 10021 206523 206523 66026 66026 239438 239438 1906785 1810999 95786 132444 73532 58912 531624 295154 236470 778565 612971 165594 20454 11356 9098 46098 25593 20505 750141 698302 51839 1064941 1004238 60703 131778 131778 FOOD COSTS 514651 514651 MINNESOTA SURCHARGE 258980 258980 MISCELANEOUS EXPENSE 93551 51939 41612 ALLOCATIONS 91511 50806 40705 57575 20645 36930 19666125 16020109 3646016 0 653958 1082802 253122 1472534 1109945 1015293 10268 12275 137917 162425 35955116 17489024 19243508 18466092 39433 39994 1016505 1003761 975410 1706636 23440066 24961812 1386864 1394862 28155 29044 19720209 20999416 202357 167755 21337585 22591077 X 2102481 2370735 2102481 2370735 23440066 24961812 X 126488 141766 X X 0 1 X 1 0 X 44650 32223 -531 -184 1163373 1239531 14517236 14567009 14952407 17337027 18050209 79423888 14561886 14599232 14951876 17336843 19213582 80663419 0 0 0 80663419 62562 64434 64204 54225 13205 258630 62562 64434 64204 54225 13205 258630 101146 125235 116331 403071 563606 1309389 14725594 14788901 15132411 17794139 19790393 82231438 0.98090 0.98350 0.00310 0.00510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1511358 1511358 28073387 12212811 15860576 5670364 4850547 819817 700007 425666 274341 18466092 RESIDENT TRUST/ TENANT SECURITY DEP 19236 DUE FROM RELATED ORGANIZATIONS 943945 BOND FUND & RELATED DEFERRED FINANC 723860 REPAIR & PEPLCMENT FND 19595 1706636 RESIDENT TRUST FUND 441 SECURITY DEPOSITS 101937 ASSET RETIREMENT OBLIGATION 50377 RESERVATION DEPOSITS 15000 167755 X PART X, LINE 2: MINNESOTA ODD FELLOWS HOME AND ITS AFFILIATES 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 WAS A FOR-PROFIT ENTITY THAT FILED FORM 1120 THAT SUBMITTED QUARTERLY ESTIMATED TAX PAYMENTS. DURING THE YEAR ENDED DECEMBER 31, 2020, THE ENTITY CONVERTED FROM A FOR PROFIT ENTITY TO A 501(C)3. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. X X X 0 0 0 0 0 0 0 0 0 MARK ANDERSON CEO 183010 0 0 0 12500 0 12500 0 31088 0 239098 0 0 0 KELVIN JAMES NAR 202377 0 0 0 0 0 0 0 0 0 202377 0 0 0 JAY PIZINGER CFO 141863 0 0 0 15200 0 15200 0 22154 0 194417 0 0 0 PART I, LINE 3 THE CEO COMPENSATION DECISION IS TAKEN TO THE BOARD OF DIRECTORS FOR APPROVAL. RESOURCES ARE USED TO GAIN INFORMATION AND AN UNDERSTANDING OF WHAT IS APPROPRIATE FOR THE WORK DONE AND IN THE REGION OF THE COUNTRY THE WORK IS LOCATED. INFLATION FACTORS ARE TAKEN IN TO ACCOUNT. A CITY OF DENNISON HC REV REF SERIES 2015A 416200827 000000000 2015-03-20 9800000 REFINANCING 2007 BONDS 0 0 0 B CITY OF NORTHFIELD HC REV REF SERIES 2015B 416005424 000000000 2015-03-20 1200000 REFINANCING 2007 BONDS 0 0 0 C CITY OF NORTHFIELD 416005424 000000000 2005-01-26 7000000 CONSTRUCTION AND EQUIPMENT 0 0 0 A 1016970 9800000 222727 192093 9385180 2015 1 0 1 1 B 1200000 27273 23957 1148770 2015 1 0 1 1 C 4744192 7000000 140000 6860000 2005 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY OF VARIOUS TASKS TO THE EXECUTIVE COMMITTEE AND/OR THE FINANCE COMMITTEE. THESE COMMITTEES HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY IN CERTAIN CIRCUMSTANCES. FORM 990, PART VI, SECTION A, LINE 2 DAVID SHUMWAY AND RICH FALCK - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B 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 15 THE CEO COMPENSATION DECISION IS TAKEN TO THE BOARD OF DIRECTORS FOR APPROVAL. RESOURCES ARE USED TO GAIN INFORMATION AND AN UNDERSTANDING OF WHAT IS APPROPRIATE FOR THE WORK DONE AND IN THE REGION OF THE COUNTRY THE WORK IS LOCATED. INFLATION FACTORS ARE TAKEN IN TO ACCOUNT. THIS PROCESS IS NOT DOCUMENTED, BUT PERFORMED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANICAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: THREE LINKS MANAGEMENT SERVICES NET ASSETS RECOGNIZED 141,762. 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 75038 5425875 MINNESOTA ODD FELLOWS HOME INC THREE LINKS MANAGEMENT SERVICES LLC 815 FOREST AVE NORTHFIELD MN 55057 263468822 MANAGEMENT SERVICES MN -20670 133463 MINNESOTA ODD FELLOWS HOME INC VILLAGES OF LONSDALE 815 FOREST AVE NORTHFIELD MN 55057 263319493 ASSISTED LIVING FOR THE ELDERLY MN -42674 8921653 MINNESOTA ODD FELLOWS HOME INC MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY 815 FOREST AVE NORTHFIELD MN 55057 411485688 HOUSING FOR THE ELDERLY MN 501(C)3 LINE 10 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 LINE 12A, I MINNESOTA ODD FELLOWS HOMEINC 1 PARK RIDGE HOUSING 815 FOREST AVE NORTHFIELD MN 55057 411826735 HOUSING FOR THE ELDERLY MN 501(C)3 LINE 10 MINNESOTA ODD FELLOWS HOMEINC 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 MINNESOTA ODD FELLOWS HOME FOUNDATION E 10763059 ACTUAL AMOUNT MINNESOTA ODD FELLOWS HOME FOUNDATION Q 245957 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY Q 177633 ACTUAL AMOUNTS PAID PARK RIDGE HOUSING Q 48799 ACTUAL AMOUNTS PAID THREE LINKS MANAGEMENT SERVICES LLC Q 1127522 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOME FOUNDATION C 423757 ACTUAL AMOUNTS PAID