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LIVING SERVICES FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LIVING SERVICES FOUNDATION (EIN 41-1936717)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201911359349309951
Schema version
2017v2.3
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)
Return2019-05-15T14:55:18-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411936717EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Living Services FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIVIBusinessNameControlTxt
Phone7632310410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13109 West 50th Street No 133AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55410ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJennifer GleasonPersonNm
Person TitleChief Operating OfficerPersonTitleTxt
Phone7632310410PhoneNum
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2019-05-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address8.39.233.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm14:38:58IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD8A1E5117AA53286D53F57459EBB2DE5C7CA50FCAtSubmissionCreationDeviceId
At Submission Filing Device IdF9BEE9501A3B4F00F190E63700B8BF2BC70C7B96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis KamstraPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13109 West 50th Street No 133AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55410ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,775,899GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lsfdn.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionHousing and long-term care facilities for the elderlyActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee131TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$10,000CYContributionsGrantsAmt
PY Program Service Revenue$5,580,675PYProgramServiceRevenueAmt
CY Program Service Revenue$4,765,024CYProgramServiceRevenueAmt
PY Investment Income$4,656PYInvestmentIncomeAmt
CY Investment Income$875CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,585,331PYTotalRevenueAmt
CY Total Revenue$4,775,899CYTotalRevenueAmt
PY Grants And Similar Paid$7,043PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$996CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,456,430PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,847,858CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,657,675PYOtherExpensesAmt
CY Other Expenses$2,236,105CYOtherExpensesAmt
PY Total Expenses$6,121,148PYTotalExpensesAmt
CY Total Expenses$5,084,959CYTotalExpensesAmt
PY Revenues Less Expenses-$535,817PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$309,060CYRevenuesLessExpensesAmt
Total Assets BOY$10,480,390TotalAssetsBOYAmt
Total Assets EOY$9,477,165TotalAssetsEOYAmt
Total Liabilities BOY$12,844,879TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,143,129TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,364,489NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,665,964NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Foundation is organized and shall be operated primarily to own, maintain, operate and conduct, directly or indirectly, housing and long-term care facilities for the elderly and to assist and coordinate activities of facilities for health care, social services, education and research, and do any and all other acts and things and exercise any and all other rights and powers which may be reasonably necessary, incidental, desirable or expedient in the accomplishment of such purposes.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,612,045ExpenseAmt
Grant$996GrantAmt
Revenue$4,765,024RevenueAmt
DescThe organization owns and provides management oversight to the following wholly owned subsidiaries:Living Services Foundation/Minneota, LLC consists of a 67-bed skilled nursing facility and 33-unit assisted living facility located in Minneota, Minnesota. Living Services Foundation/Mora, LLC consists of a 65-bed skilled nursing facility, a 35-unit assisted living facility located in Mora, Minnesota. Benedictine Living Community of Mora operates the facilities owned by Living Services Foundation/Mora, LLC and manages a 30 unit assisted living building for a third party in Mora, MN.The organization operates Living Services Foundation - Minneota, Living Services Foundation/Mora, LLC and Benedictine Living Community of Mora.Desc
Total Program Service Expenses$4,612,045TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee131EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer GleasonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7632310410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13109 West 50th Street 133AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55410ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Robert Sundberg
Chair5.005.00Yes (X)Yes (X)$0$0$0
Rod Pakonen
Board Member5.005.00Yes (X)$0$0$0
Paul Sanders
Board Member5.005.00Yes (X)$0$0$0
Jack L'Heureux
Board Member (thru Dec 2017)5.000.00Yes (X)$0$0$0
Dennis Kamstra
CEO40.001.00Yes (X)Yes (X)$0$0$0
Jennifer Gleason
COO/Secretary/Treasurer40.001.00Yes (X)$130,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Big Stone
450 Eastvold AveOrtonvilleMN56278Therapy$653,807
A 'Viands
1751 County B Rd W 300St PaulMN55113Food Services$324,766
Prime Time Healthcare LLC
14811 Shepard StreetOmahaNE68138Agency Staffing Service$108,035
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$10,000AllOtherContributionsAmt
Total Contributions$10,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Reven623000$4,048,659$4,048,659
Lease Revenue532000$528,031$528,031
Management Fee Revenue541610$184,768$184,768

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,566TotalRevenueColumnAmt
Related Or Exempt Func Income$3,566RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,765,024TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$875TotalRevenueColumnAmt
Exclusion$875ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,775,899TotalRevenueColumnAmt
Related Or Exempt Func Income$4,765,024RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$875ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$996TotalAmt
Program Services$996ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$227,500TotalAmt
Program Services$76,250ProgramServicesAmt
Management And General$151,250ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,204,627TotalAmt
Program Services$2,042,314ProgramServicesAmt
Management And General$162,313ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,846TotalAmt
Program Services$17,287ProgramServicesAmt
Management And General$2,559ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$220,377TotalAmt
Program Services$191,965ProgramServicesAmt
Management And General$28,412ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$175,508TotalAmt
Program Services$152,881ProgramServicesAmt
Management And General$22,627ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,168TotalAmt
Management And General$17,168ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,585TotalAmt
Management And General$88,585ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$99,423TotalAmt
Program Services$99,423ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,259TotalAmt
Program Services$25,259ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$189,575TotalAmt
Program Services$189,575ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,879TotalAmt
Program Services$6,879ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$185,476TotalAmt
Program Services$185,476ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,206TotalAmt
Program Services$36,206ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,783TotalAmt
Program Services$52,783ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$627,739TotalAmt
Program Services$627,739ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$400,809TotalAmt
Program Services$400,809ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$65,474TotalAmt
Program Services$65,474ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DHS Surcharge$188,605$188,605
Food$113,795$113,795
Bad Debt Expenses$42,511$42,511

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$95,818TotalAmt
Program Services$95,818ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,084,959TotalAmt
Program Services$4,612,045ProgramServicesAmt
Management And General$472,914ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$83,339BOYAmt
EOY$114,427EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$437,284BOYAmt
EOY$441,854EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$570,000BOYAmt
EOY$570,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,703BOYAmt
EOY$53,304EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,147,442LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,024,629LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,614,208BOYAmt
EOY$7,122,813EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,692,856BOYAmt
EOY$1,174,767EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,480,390BOYAmt
EOY$9,477,165EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$599,571BOYAmt
EOY$803,322EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,287,418BOYAmt
EOY$9,018,141EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$15,249BOYAmt
EOY$10,315EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$245,000BOYAmt
EOY$245,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$677,338BOYAmt
EOY$508,250EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$202,654BOYAmt
EOY$287,571EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,817,649BOYAmt
EOY$1,270,530EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,844,879BOYAmt
EOY$12,143,129EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,364,489BOYAmt
EOY-$2,665,964EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,364,489BOYAmt
EOY-$2,665,964EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,480,390BOYAmt
EOY$9,477,165EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$309,060ReconcilationRevenueExpnssAmt
Prior Period Adjustments$7,585PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$10,000CurrentTaxYearAmt
Total$10,000TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$4,765,024CurrentTaxYearAmt
Total$4,765,024TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$4,775,024CurrentTaxYearAmt
Total$4,775,024TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$1,104,721CurrentTaxYearAmt
Total$1,104,721TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$1,104,721CurrentTaxYearAmt
Total$1,104,721TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,670,303PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$875CurrentTaxYearAmt
Total$875TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$875CurrentTaxYearAmt
Total$875TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$4,775,899CurrentTaxYearAmt
Total$4,775,899TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.76850PublicSupportCY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III:FormAndLineReferenceDesc
ExplanationThe organization made amendments to its governing documents and as of December 17, 2017 is no longer a supporting organization under IRC Section 509(a)(3). As such, the organization is completing Part III as publicly supported organization under IRC Section 509(a)(2) for tax year 2017.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$780,122OtherCostOrOtherBasisAmt
Book Value$780,122BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,913,405OtherCostOrOtherBasisAmt
Depreciation$1,923,622DepreciationAmt
Book Value$6,989,783BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$431,915OtherCostOrOtherBasisAmt
Depreciation$968,846DepreciationAmt
Book Value-$536,931BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,000OtherCostOrOtherBasisAmt
Depreciation$132,161DepreciationAmt
Book Value-$110,161BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,122,813TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due To/From Affiliates$346,353
Other Assets$28,829
Bed Licenses$670,000
Debt reserve fund$129,585
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,174,767TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Asset retirement obligation$23,393
Due To/From Affiliates$1,247,137
FieldValueIRS element (for citing)
Total Liability$1,270,530TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 2b:FormAndLineReferenceDesc
ExplanationThe Organization acts as custodian for the funds of the residents and holds tenant security deposits. These funds are included in cash and cash equivalents and current liabilities.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Mora
A4160053892009-04-30$6,258,382To purchase a nursing & assisted living facility in Mora, MN.000
City of Mora
B4160053892013-09-06$4,851,795Refinance a portion of Series 2009 notes issues in 4/30/2009.000
City of Minneota
C4160053732013-12-31$4,397,409To purchase a nursing & assisted living facility in Minneota, MN.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtIn Reserve FundInReserveFundAmt
A$4,858,382$6,258,382$6,258,382200900Yes (1)Yes (1)
B$770,183$4,851,795$5,0592013Yes (1)0Yes (1)Yes (1)$97,035$4,749,701
C$352,015$4,397,409$4,212,972201300Yes (1)Yes (1)$34,437$150,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B0000Yes (1)000Yes (1)
C0000Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Robert Sundberg
Board MemberCapital improvements to skilled nursing facility.Yes (X)$120,000$120,0000Yes (1)Yes (1)
Paul S and Gretchen M Sanders Revocable Trust
Entity owned by Board MemberCapital improvements to skilled nursing facility.Yes (X)$125,000$125,0000Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$245,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2Operation of Benedictine Living Community of Mora (dba St. Clare Living Community of Mora) on 1/1/18.
Form 990, Part VI, Section A, line 2Dennis Kamstra and Jennifer Gleason have a family relationship.
Form 990, Part VI, Section A, line 4The organization amended its articles of incorporation and by-laws to revise the process by which directors are appointed. The organization no longer has members. The organization is no longer a supporting organization of the Benedictine Health Services and Benedictine Living Services of Mora.
Form 990, Part VI, Section A, line 8bNo committees are able to act on behalf of the board.
Form 990, Part VI, Section B, line 11bAn electronic draft of the Form 990 is distributed to the full board of directors for review and approval prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest policy is enforced and consistently monitored. An interested person must disclose the existence of their financial interest to the board considering the proposed transaction or arrangement. The remaining board members then determine if a conflict of interest exists. Corrective action is taken by the board of directors as deemed necessary when a conflict of interest is determined to have occurred. Disclosure of a conflict of interest would prevent that person from taking part in discussions or voting on related issues.
Form 990, Part VI, Section B, line 15The process for determining compensation for the CEO and COO is determined by a compensation survey and study. The compensation is then approved by the independent members of the Board of Directors. The last review took place during the summer of 2014. Due to significant strain on the Organization's cash flow, the CEO elected to not receive compensation for his services during calendar year 2017. The Board of Directors was involved in this decision but no formal board action was taken. Payment of compensation to the CEO resumed during 2018.
Form 990, Part VI, Section C, line 19The Organization makes the governing documents and conflict of interest policy available upon request.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Living Services Foundation Mora LLC
110 North 7th StreetMoraMN55051263614974Leasing of skilled nursing and assisted living facility.DE$517,326$4,754,006Living Services Foundation
Living Services Foundation Minneota LLC
700 North Monroe StreetMinneotaMN56264263614760Operation of skilled nursing, assisted lving, and home health agency.DE$4,043,470$3,540,952Living Services Foundation

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Benedictine Living Community of MoraBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 East Rum River Drive SouthAddressLine1Txt
CityCambridgeCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd
FieldValueIRS element (for citing)
EIN274219119EIN
Primary ActivitiesSkilled nursing care center and assisted living facility.PrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Living Services FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Benedictine Living Community of Mora
J$517,067General Ledger
Benedictine Living Community of Mora
L$184,768General Ledger