2019-11-11T18:05:46-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-01-01 410713909 MINNESOTA ODD FELLOWS HOME INC MINN 5076648800 815 FOREST AVE NORTHFIELD MN 55057 MARK ANDERSON CEO 5076648800 2019-11-07 1 EMILY SCHEEVEL P01814921 6123764500 2019-11-06 67.137.57.251 2019-11-07 06:10:58 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4FBDEA9FCDBDA1BE2CF73F8A5402D354D7E84261 2018 2020-03-31 21:24:44Z THREE LINKS CARE CENTER MARK ANDERSON 815 FOREST AVE NORTHFIELD MN 55057 15132411 0 X WWW.THREELINKS.ORG X 1899 MN TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 14 14 333 84 0 0 33104 -531 14551071 14935153 63553 64204 97990 115387 14745718 15114213 0 0 0 0 9036505 9456307 0 0 0 5534589 5679374 14571094 15135681 174624 -21468 15632206 15054226 14929561 14199024 702645 855202 TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 0 0 13475976 14935153 ENGAGED IN HOUSING AND CARE TO THE ELDERLY BY OPERATING A 101-BED LICENSED SKILLED NURSING FACILITY. WITHIN THE 101 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. 13475976 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 36 0 333 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 X X 0 0 0 DONNA PERRYMAN VICE CHAIR 0.50 X X 0 0 0 ALEX SALOUM SECRETARY 0.50 X X 0 0 0 ROBERT ARTHUR DIRECTOR 0.50 X 0 0 0 RICK BENESH DIRECTOR 0.50 X 0 0 0 SANDRA CARLSON DIRECTOR 0.50 X 0 0 0 RICH FALCK DIRECTOR 0.50 X 0 0 0 SONJA FREELAND DIRECTOR 0.50 X 0 0 0 BARB KNAAK DIRECTOR 0.50 X 0 0 0 BRETT RASMUSSEN DIRECTOR 0.50 X 0 0 0 BETTY RICHTSMEIER DIRECTOR 0.50 X 0 0 0 PENNY RIPPENTROP DIRECTOR 0.50 X 0 0 0 DAVID SHUMWAY DIRECTOR 0.50 X 0 0 0 EVA STEELE DIRECTOR 0.50 X 0 0 0 MARK ANDERSON CEO 40.00 X 160369 0 7392 JEFFREY KING CFO - PART YEAR 40.00 X 138792 0 14279 JAY PIZINGER CFO 40.00 X 40933 0 0 340094 0 21671 2 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY 497752 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 190202050 HOUSEKEEPING SERVICES 410712 SENIOR CARE SOLUTIONS PO BOX 2283 STILLWATER MN 55082 CONSULTING, EDUCATION, TEMPORARY STAFFIN 256619 3 -531 -531 RESIDENT REVENUE 623000 7704568 7704568 MEDICARE/MEDICAID PAYMENTS 541900 6918750 6918750 MANAGEMENT FEES 561000 166227 166227 RESIDENT MEAL REVENUE 722210 89210 89210 BEAUTY SHOP REVENUE 900099 31356 31356 25042 25042 14935153 64204 64204 50 -50 -50 17254 18148 -894 -894 MISCELLANEOUS REVENUE 900099 94061 94061 NON-RESIDENT MEAL REVENUE 722210 22270 22270 116331 15114213 14935153 0 179591 X 361765 361765 7958388 7559295 399093 1108120 1001507 106613 28034 28034 106036 106036 21285 21285 211070 211070 1794913 1774321 20592 96159 55185 40974 461478 264840 196638 539434 517419 22015 47760 27409 20351 47885 27481 20404 455276 437286 17990 830160 795689 34471 123387 123387 FOOD COSTS 509621 509621 MINNESOTA SURCHARGE 273759 273759 ALLOCATIONS 78977 45325 33652 MISCELLANEOUS EXPENSE 28686 16463 12223 53488 18955 34533 15135681 13475976 1659705 0 1116391 807595 263525 247839 872075 1080579 10874 10228 54561 89490 27901456 15501379 12904306 12400077 38346 38747 372128 379671 15632206 15054226 1142114 1066137 27688 13626544 12952522 160903 152677 14929561 14199024 X 702645 855202 702645 855202 15632206 15054226 X -21468 -23682 197707 X X 0 1 X 1 0 X 482679 44398 44650 32223 -531 603419 12492474 12215391 14517236 14567009 14952407 68744517 12975153 12259789 14561886 14599232 14951876 69347936 476854 476854 0 476854 476854 68871082 146765 135370 62562 64434 64204 473335 146765 135370 62562 64434 64204 473335 17964 4926 22890 135810 105310 101146 125235 116331 583832 13275692 12505395 14725594 14788901 15132411 70427993 0.97790 0.97010 0.00670 0.00810 X 568863 568863 21627593 10730012 10897581 5074341 4408603 665738 630659 362764 267895 12400077 RESIDENT TRUST FUND 20315 SECURITY DEPOSITS 86669 ASSET RETIREMENT OBLIGATION 45693 152677 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. X X X 0 0 0 0 0 0 0 0 0 MARK ANDERSON CEO 160369 0 0 0 0 0 1800 0 5592 0 167761 0 0 0 JEFFREY KING CFO - PART YEAR 138792 0 0 0 0 0 1714 0 12565 0 153071 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. THIS PROCESS WAS LAST PERFORMED IN DECEMBER 2018. 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 9800000 222727 192093 9385180 2015 1 0 1 1 B 1172352 1200000 27273 23957 1148770 2015 1 0 1 1 C 3439500 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 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 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 PURCHASED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 717,862. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 717,862. MAINT SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 46,496. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,496. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,009,963. MANAGEMENT AND GENERAL EXPENSES 20,592. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,030,555. FORM 990, PART XI, LINE 9: TRANSFER FROM HOME TO THREE LINKS APARTMENTS 197,707. 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 350140 5219707 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 THREE LINKS MANAGEMENT SERVICES LLC 815 FOREST AVE NORTHFIELD MN 55057 263468822 MANAGEMENT SERVICES MN MINNESOTA ODD FELLOWS HOME INC C 202298 451911 1.00000 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 MINNESOTA ODD FELLOWS HOME FOUNDATION E 12228190 ACTUAL AMOUNT MINNESOTA ODD FELLOWS HOME FOUNDATION Q 220179 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY Q 725663 ACTUAL AMOUNTS PAID PARK RIDGE HOUSING Q 145781 ACTUAL AMOUNTS PAID THREE LINKS MANAGEMENT SERVICES LLC Q 1324416 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY S 197707 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.