2015-04-02T16:21:55-05:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-07-01 410888641 ST THERESE HOME INC STTH 7635315000 8000 BASS LAKE ROAD NEW HOPE MN 55428 MIKE WARDEN CHIEF FINANCIAL OFFICER 7635315000 2015-03-18 1 JEFF VRIEZE P01273590 6123764500 2013 2016-03-07 17:11:31Z BARB RODE 8000 BASS LAKE ROAD NEW HOPE MN 55428 46477691 0 X WWW.STTHERESEMN.ORG X 1968 MN TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY. 5 5 989 442 172660 -10265 187559 268434 32320508 32994765 1105804 1160648 1491971 1275628 35105842 35699475 1039851 2288285 0 0 23696138 24660320 0 0 0 10137661 10121960 34873650 37070565 232192 -1371090 32968330 34267172 10210442 12245493 22757888 22021679 X SAINT THERESE, A CATHOLIC ORGANIZATION SERVING SENIORS OF ALL FAITHS, IS DEDICATED TO THE WELL-BEING OF EACH INDIVIDUAL. 0 0 SAINT THERESE IS A NONPROFIT FAITH-BASED ORGANIZATION THAT HAS FOCUSED ON THE WELL-BEING OF INDIVIDUALS SINCE IT OPENED IN 1968. WE PROVIDE SECURE, STRESS-FREE LIVING AND THE VERY BEST IN SENIOR CARE AND HOUSING WITH A COMMITMENT TO EACH INDIVIDUAL. SAINT THERESE OFFERS A TRUE CONTINUUM OF PROGRAMS AND SERVICES THAT ARE AVAILABLE IN YOUR OWN HOME OR IN ONE OF OUR COMMUNITY SETTINGS. SAINT THERESE SERVES THE TWIN CITIES METRO AREA WITH CAMPUSES LOCATED IN NEW HOPE, BROOKLYN PARK, SHOREVIEW, AND COMING SOON TO WOODBURY. TO LEARN MORE VISIT WWW.STTHERESEMN.ORG. 28154728 2288285 31960855 SAINT THERESE AT ST. ODILIA IS AN INNOVATIVE PALLIATIVE CARE COMMUNITY, SAINT THERESE AT ST. ODILIA WAS SPECIFICALLY DESIGNED TO ALLOW INDIVIDUALS WITH ADVANCED CHRONIC ILLNESS TO EXPERIENCE THE KIND OF ENHANCED CARE AND QUALITY OF LIFE THEY DESERVE - ALL IN A COMFORTABLE, HOME-LIKE SETTING. ST. THERESE AT ODILIA HAS 8 PALLIATIVE CARE PRIVATE SUITES.SAINT THERESE OF NEW HOPE IS A DELIGHTFUL, WELCOMING SENIOR COMMUNITY OFFERING A FULL CONTINUUM OF CARE. OUR SPACIOUS APARTMENTS ARE IDEAL FOR SENIOR LIVING, WHILE OUR ON-SITE CARE CENTER PROVIDES SKILLED NURSING SUPPORT IN A THOUGHTFUL, COMPASSIONATE ENVIRONMENT. ST. THERESE OF NEW HOPE RESIDENCE HAS 220 APARTMENTS MADE UP OF THE FOLLOWING BEDS:LONG-TERM CARE-101 BEDSPALLIATIVE CARE-48 BEDSMEMORY CARE-47 BEDSTRANSITIONAL CARE-62 BEDSSAINT THERESE AT ODILIA AND ST. THERESE OF NEW HOPE BELONGS TO THE SAINT THERESE ORGANIZATION THAT ALSO INCLUDES:-SAINT THERESE AT OXBOW LAKE-AT HOME SOLUTIONS BY SAINT THERESE-SAINT THERESE REHAB-SAINT THERESE FOUNDATION 4167465 0 1033910 SAINT THERESE REHAB (STR) PROVIDES A COMPREHENSIVE APPROACH TO MAXIMIZE EACH CLIENT'S REHABILITATION AND WELLNESS GOALS. HIGHLY TRAINED PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AS WELL AS FITNESS PROFESSIONALS, PROVIDE INDIVIDUALIZED PROGRAMS FOR OPTIMAL HEALTH OUTCOMES. STR OFFERS A VARIETY OF SERVICES THROUGH INPATIENT, OUTPATIENT, AND WELLNESS PROGRAMS AT EACH SAINT THERESE COMMUNITY OR IN YOUR OWN HOME.SAINT THERESE REHAB BELONGS TO THE SAINT THERESE ORGANIZATION THAT ALSO INCLUDES:-SAINT THERESE AT OXBOW LAKE-SAINT THERESE AT ST. ODILIA-SAINT THERESE OF NEW HOPE-AT HOME SOLUTIONS BY SAINT THERESE-SAINT THERESE FOUNDATION 32322193 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 88 0 989 1 1 1 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X STEVE BODE 9522832213 8000 BASS LAKE ROAD NEW HOPE MN 55428 JOSEPH AMBERGMD CHAIR 1.00 1.00 X X 0 0 0 LYNN CHOROMANSKI PHD VICE CHAIR 1.00 1.00 X X 0 0 0 C DWIGHT TOWNES MD SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 KAYE FOLEY EX-OFFICIO 1.00 2.00 X 0 0 0 PATRICK TAFFE DIRECTOR 1.00 1.00 X 0 0 0 SR KAREN SAMES DIRECTOR (THRU FEBRUARY 2014) 1.00 1.00 X 0 0 0 BARB RODE PRESIDENT & CEO 22.00 18.00 X 225609 0 12142 MIKE WARDEN CFO 20.00 20.00 X 162496 0 4471 DENISE BARNETT CARE CENTER ADMINISTRATOR 40.00 X 148275 0 18210 ALAN BROSSEAU PHARMACIST 40.00 X 118782 0 11809 STACY LIND CLINICAL DIRECTOR 40.00 X 129460 0 14453 AMY TAYLOR-GREENGARD DIRECTOR OF REHABILITATION 40.00 X 131602 0 24018 MARCENE VOGT DIRECTOR OF DEVELOPMENT ADMIN 40.00 X 111681 0 14690 1027905 0 99793 7 0 1 0 INSIGHT ARCHITECTS 2324 UNIVERSITY AVE W STE 105 ST PAUL MN 55114 CONSULTING/AUDITING WORK 355937 THE ULTIMATE SOFTWARE PO BOX 930953 ATLANTA GA 31193 PAYROLL SERVICE 238972 CLIFTONLARSONALLEN LLP 220 SOUTH 6TH ST STE 300 MINNEAPOLIS MN 55402 ACCOUNTING/CONSULTING 230858 IDEACOM MID AMERICA 30 WEST WATER STREET ST PAUL MN 55107 CALL LIGHT SYSTEM 175011 METRO BUILDING RESTORATION 7947 159TH LANE NW RAMSEY MN 55303 BRICKWORK 139500 6 48528 219906 268434 CARE CENTER 623000 25692902 25520242 172660 RESIDENCE RENTAL 623000 3651437 3651437 RESIDENT SERVICES 623000 2616516 2616516 THERAPY SERVICES 623000 1033910 1033910 32994765 495974 495974 102685 0 102685 102685 102685 11442890 10778216 664674 664674 664674 MANAGEMENT FEES 561000 562119 562119 MEAL/VENDING/CATERING 900099 210589 210589 PHARMACY 900099 189546 189546 210689 210689 1172943 35699475 32822105 172660 2436276 2274809 2274809 13476 13476 401179 145363 255816 20120522 18003536 2116986 266168 226243 39925 1852087 1574274 277813 2020364 1717309 303055 84573 84573 92089 92089 118811 118811 772587 472463 300124 95635 5230 90405 564847 427281 137566 331177 331177 1466078 1400303 65775 25901 11840 14061 96513 44012 52501 289346 285787 3559 1692074 1671261 20813 213989 211357 2632 MEDICAL SUPPLIES 1798361 1798361 FOOD 1084115 1083724 391 LICENSES 762293 731484 30809 EQUIPMENT RENTAL & REPA 220786 219216 1570 412785 4864 407921 37070565 32322193 4748372 0 3900 3900 1814247 494447 2483285 3364813 160700 212762 90480 111343 45212669 30311456 14081975 14901213 11997493 13261780 483778 650118 750000 0 219655 200541 882817 1066255 32968330 34267172 2638500 2649158 7371406 8448444 16480 10622 184056 1137269 10210442 12245493 X 22440230 21537681 317658 483998 22757888 22021679 32968330 34267172 X -1371090 656993 20076 -42188 X 0 1 X 1 0 X 952055 864720 391938 187559 268434 2664706 30889188 32179460 33079639 32320508 32994765 161463560 31841243 33044180 33471577 32508067 33263199 164128266 0 0 0 164128266 330216 500218 511704 635175 598659 2575972 330216 500218 511704 635175 598659 2575972 440193 297941 1045758 1398518 1172943 4355353 32611652 33842339 35029039 34541760 35034801 171059591 0.95950 0.96490 0.01510 0.01440 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES FROM RELATED TAX-EXEMPT ORGANIZATIONS - 2009 AMOUNT: $ 267,882. 2010 AMOUNT: $ 278,668. 2011 AMOUNT: $ 280,418. 2012 AMOUNT: $ 400,530. 2013 AMOUNT: $ 562,119. MISCELLANEOUS INCOME FROM VARIOUS SOURCES - 2009 AMOUNT: $ 172,311. 2010 AMOUNT: $ 19,273. 2011 AMOUNT: $ 765,340. 2012 AMOUNT: $ 997,988. 2013 AMOUNT: $ 610,824. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 175778 175778 34960692 23342000 11618692 1557051 1007102 549949 8282931 5962354 2320577 236217 236217 14901213 ADMISSION PROCESSING FEE DEPOSITS 39490 ASSET RETIREMENT OBLIGATION 148995 DUE TO OXBOW LAKE 948784 1137269 X 35183791 1947308 1947308 33236483 2462992 2462992 35699475 35741559 913398 913398 34828161 2242404 2242404 37070565 PART IV, LINE 2B: AS AN ADDITIONAL SERVICE TO ITS RESIDENTS, ST. THERESE HOME WILL HOLD THE FUNDS OF RESIDENTS, SIMILAR TO A BANK ACCOUNT. RESIDENTS MAY DEPOSIT AND WITHDRAW THEIR FUNDS AT ANY TIME, AT THE RESIDENT'S CHOICE. PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION IN THE U.S. FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES OR MAY JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY MANAGEMENT FEES 1,947,308. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION 31,454. INVESTMENT INCOME 495,974. REALIZED GAIN ON INVESTMENTS 664,674. THERAPY SERVICES 1,033,910. TRANSFER FROM FOUNDATION 48,528. TEMPORARILY RESTRICTED CONTRIBUTION 188,452. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY MANAGEMENT FEES 1,947,308. THERAPY SERVICES -1,033,910. PART XII, LINE 4B - OTHER ADJUSTMENTS: EQUITY TRANSFER TO FOUNDATION 2,242,404. 1 ST THERESE FOUNDATION INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 411704381 501(C)(3) 2242404 EQUITY TRANSFER 1 0 SCHOLARSHIPS 17 13476 PART I, LINE 2: THE ORGANIZATION PROVIDED A GRANT TO A RELATED ORGANIZATION THAT IS UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE ACTIVITIES, REVENUES AND EXPENDITURES OF THE RELATED ORGANIZATIONS. THE ORGANIZATION ALSO PROVIDES SCHOLARSHIPS TO CURRENT EMPLOYEES TO ASSIST IN FURTHERING THEIR EDUCATION WITHIN THE HEALTHCARE FIELD. EMPLOYEES MUST SUBMIT THEIR GRADES TO THE NURSING ADMINISTRATOR IN ORDER TO COMPLY WITH THIER SCHOLARSHIP. X X X X 0 0 0 0 0 0 0 0 0 BARB RODE PRESIDENT & CEO 206683 0 18926 0 0 0 11954 0 188 0 237751 0 0 0 MIKE WARDEN CFO 136527 0 25969 0 0 0 4096 0 375 0 166967 0 0 0 DENISE BARNETT CARE CENTER ADMINISTRATOR 137980 0 10295 0 0 0 10820 0 7390 0 166485 0 0 0 AMY TAYLOR-GREENGARD DIRECTOR OF REHABILITATION 110960 0 20642 0 0 0 13116 0 10902 0 155620 0 0 0 A CITY OF NEW HOPE MINNESOTA 416008870 645452AT0 2009-11-24 3460000 REMODELING AND RENOVATIONS 0 0 0 B CITY OF NEW HOPE MINNESOTA 416008870 2012-10-11 6650000 TO REFUND THE CITY OF NEW HOPE SERIES 2003 REVENUE BONDS 0 0 0 A 560000 3460000 192054 69200 3460000 2011 0 0 0 1 B 1201556 6650000 166939 23714 133000 2581320 3935680 2004 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF NEW HOPE, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2014 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS SHALL DESIGNATE AN EXECUTIVE COMMITEE COMPOSED OF AT LEAST THE OFFICERS OF THE CORPORATION AND SUCH OTHER INDIVIDUALS AS MAY BE DESIGNATED BY THE BOARD OF DIRECTORS. THE CHAIR OF THE BOARD OF DIRECTORS SHALL SERVE AS THE CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THIS CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER - ST. THERESE FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF ST. THERESE HOME ARE ELECTED BY THE BOARD OF DIRECTORS OF THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS RESERVED TO ITSELF THE FULL AND FINAL AUTHORITY WITH RESPECT TO ST. THERESE HOME TO: 1. APPROVE ANY DEBT. 2. APPROVE ANY INTER-CORPORATE TRANSFERS OF FUNDS OR ASSETS WITH ANY OTHER SUBSIDIARY OF THE MEMBER. 3. APPROVE ANY SALE, MERGER, OR OTHER SIGNIFICANT AFFILIATION AGREEMENT. 4. APPROVE ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF ST. THERESE HOME. 5. DIRECT INTER-CORPORATE TRANSFERS OF FUNDS OR ASSETS BETWEEN ST. THERESE HOME AND OTHER SUBSIDIARIES OF THE MEMBER. 6. REVIEW THE BUDGET AND BUSINESS PLAN OF ST. THERESE HOME AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY MANAGEMENT EMPLOYEES ARE ANNUALLY REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. THE DISCLOSURES ARE REPORTED TO THE BOARD OF DIRECTORS. INDIVIDUALS HAVING MATERIAL CONFLICTS OF INTEREST ARE ASKED TO REFRAIN FROM VOTING ON ANY ACTION THAT MAY BE INFLUENCED BY THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS OF DETERMINING THE COMPENSATION OF THE PRESIDENT/CEO INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND SALARY SURVEYS. THE PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2011. THE PROCESS OF DETERMINING THE COMPENSATION OF THE CFO AND OTHER KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY THE PRESIDENT/CEO, WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND SALARY SURVEYS. THE PROCESS LAST INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2011, BUT IT DOES NOT INCLUDE REVIEW AND APPROVAL BY INDEPENDENT PERSONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE ORGANIZATION PROVIDES ITS FINANCIAL STATEMENTS TO ITS BOND TRUSTEE, WHO DISTRIBUTES THEM TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM. FORM 990, PART XI, LINE 9: TEMP RESTRICTED NET ASSETS RELEASED -48,528. CHANGE IN PLEDGE RECEIVABLE BALANCE 6,340. ST THERESE FOUNDATION INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 411704381 FUNDRAISING MN 501(C)(3) 7 N/A 0 ST THERESE AT OXBOW LAKE INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 205835911 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) 9 ST THERESE FOUNDATION INC 0 0 1 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1