Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 0 | 0 | 0 | 0 | 180,104 | 180,104 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 0 | 0 | 0 | 0 | 43,178,914 | 43,178,914 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 43,359,018 | 43,359,018 | ||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 43,359,018 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 43,359,018 | 43,359,018 | ||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 0 | 0 | 0 | 540,873 | 540,873 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 540,873 | 540,873 | ||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 3,021,312 | 3,021,312 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 46,921,203 | 46,921,203 | ||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME FROM VARIOUS SOURCES COVID-19 RELIEF REVENUE |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 2 | AT THE BEGINNING OF FISCAL YEAR 2020, THERE WAS A MAJOR ORGANIZATIONAL RESTRUCTURING DONE BY SAINT THERESE, FORMERLY ST. THERESE FOUNDATION, INC., THAT REARRANGED INEFFICIENCIES AND DUPLICATION OF EFFORT, IN AN EFFORT TO BETTER MANAGE OPERATING RISKS AND POTENTIAL LIABILITIES, ENHANCE FUNDRAISING AND THE PROTECTION OF INVESTMENT FUNDS AND ASSETS, MAINTAIN COMPLIANCE WITH FINANCIAL COVENANTS IN CONNECTION WITH LONG TERM DEBT FINANCINGS, AND BUILD STRONG PUBLIC RECOGNITION OF THE SAINT THERESE ORGNAIZATION AS A QUALITY PROVIDER OF SENIOR LIVING FACILITIES AND SERVICES IN THE TWIN CITIES METROPOLITAN AREA. DUE TO THIS RESTRUCTURING, SAINT THERESE COMMUNITIES HAS TAKEN ON SEVERAL NEW PROGRAM SERVICES FROM ITS NEW DISREGARDED LLCS, TRANSFERRED FROM SAINT THERESE, THAT MAKE UP THE ORGANIZATION. ADDITIONALLY, SAINT THERESE COMMUNITIES ADDED ST. ODILIA, A PALLIATIVE CARE COMMUNITY WHOSE OPERATIONS WERE PREVIOUSLY HANDLED BY SAINT THERESE OF NEW HOPE, TO SAINT THERESE COLLABORATIVE, A DISREGARDED LLC OF SAINT THERESE COMMUNITIES. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS ENTIRELY COMPOSED OF THE GOVERNING BODY MEMBERS. 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 3 | THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO SAINT THERESE, A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 4 | AT THE BEGINNING OF FISCAL YEAR 2020, SAINT THERESE (THE PARENT) WAS RESTRUCTURED AND REORGANIZED IN ORDER TO REDUCE INEFFICIENCIES AND DUPLICATION OF EFFORT, BETTER MANAGE OPERATING RISKS AND POTENTIAL LIABILITIES, ENHANCE FUNDRAISING AND THE PROTECTION OF INVESTMENT FUNDS AND ASSETS, MAINTAIN COMPLIANCE WITH FINANCIAL COVENANTS IN CONNECTION WITH LONG TERM DEBT FINANCINGS, AND BUILD STRONG PUBLIC RECOGNITION OF THE SAINT THERESE ORGNAIZATION AS A QUALITY PROVIDER OF SENIOR LIVING FACILITIES AND SERVICES IN THE TWIN CITIES METROPOLITAN AREA. DUE TO THIS RESTRUCTURING, ST. THERESE AT OXBOW LAKE'S NAME HAS BEEN CHANGED TO SAINT THERESE COMMUNITIES, AND THE GOVERNING DOCUMENTS OF THIS ORGANIZATION HAVE BEEN APPROVED AND AUTHORIZED FOR SUCH A CHANGE. SAINT THERESE COMMUNITIES NOW CONSISTS OF FIVE LIMITED LIABILITY COMPANIES: SAINT THERESE COLLABORATIVE, SAINT THERESE REDWOODS, SAINT THERESE OF OXBOW LAKE, SAINT THERESE OF WOODBURY, AND ASCEND REHAB. THE GOVERNING DOCUMENTS OF EACH OF THESE FIVE LIMITED LIABILITY COMPANIES WERE APPROVED AND AUTHORIZED TO CHANGE THE SOLE MEMBER OF EACH SUCH LIMITED LIABILITY COMPANY FROM THE PARENT TO SAINT THERESE COMMUNITIES. ADDITIONALLY, THE RESTRUCTURING APPROVED AND AUTHORIZED THE TRANSFER OF ALL ASSETS, STAFF, CONTRACTS, LEASES, AND OPERATIONS OF THE ST. ODILIA PROGRAM FROM SAINT THERESE OF NEW HOPE TO SAINT THERESE COLLABORATIVE, LLC. FOLLOWING SUCH TRANSFERS, SAINT THERESE COLLABORATIVE, LLC SHALL CONTINUE OPERATION OF THE PROGRAM AS OPERATED UNDER SAINT THERESE OF NEW HOPE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SAINT THERESE COMMUNITIES IS SAINT THERESE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS OF SAINT THERESE COMMUNITIES ARE ELECTED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS RESERVED TO ITSELF THE AUTHORITY, WITH RESPECT TO SAINT THERESE COMMUNITIES, TO APPROVE THE INCURRENCE OF ANY INDEBTEDNESS FOR MONEY BORROWED, TO APPROVE ANY INTER-CORPORATE TRANSFERS OF FUNDS OR ASSETS, TO APPROVE ANY SALE OF ASSETS, MERGER, CONSOLIDATION OR OTHER SIGNIFICANT AFFILIATION AGREEMENT, AND TO APPROVE ANY AMENDMENT OT THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR ANY AMENDMENTS TO THEIR BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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, WHO DETERMINE THE LEVEL OF POTENTIAL CONFLICT. POTENTIAL CONFLICTS OF INTEREST FOR THE ORGANIZATION INCLUDE ANY CONTRACT OR TRANSACTION BETWEEN (A) ONE OR MORE OF ITS DIRECTORS, OFFICERS, OR KEY EMPLOYEES, (B) A DIRECTOR, OFFICER, OR KEY EMPLOYEE OF A RELATED ORGANIZATION (WITHIN THE MEANING OF MINNESOTA STATUTES, SECTION 317A.11, SUBD. 18), OR (C) AN ORGANIZATION IN WHICH OR OF WHICH A DIRECTOR, OFFICER, OR KEY EMPLOYEE IS ALSO A DIRECTOR, OFFICER, OR LEGAL REPRESENTATIVE OR HAS A MATERIAL FINANCIAL INTEREST; UNLESS THE MATERIAL FACTS AS TO THE CONTRACT OR TRANSACTION AND AS TO THE PARTY'S INTEREST ARE FULLY DISCLOSED IN WRITING TO THE BOARD OF DIRECTORS PRIOR TO ANY ACTION, AND THE BOARD OF DIRECTORS AUTHORIZES, APPROVES, OR RATIFIES THE CONTRACT OR TRANSACTION IN GOOD FAITH BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS. INDIVIDUALS ASSESSED AS HAVING MATERIAL CONFLICTS OF INTEREST ARE ASKED TO REFRAIN FROM VOTING ON ANY ACTION THAT MAY BE INFLUENCED BY THE CONFLICT, WHICH IS REFLECTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO, CFO, AND OTHER KEY EMPLOYEES IS DETERMINED BY SAINT THERESE OF NEW HOPE, AN AFFILIATED ORGANIZATION. 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. THIS PROCESS WAS LAST COMPLETED IN 2020. |
| 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. FINANCIAL STATEMENTS ARE PROVIDED TO THE BOND TRUSTEE, WHO DISTRIBUTES THEM TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,378,527. MANAGEMENT AND GENERAL EXPENSES 57,085. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,435,612. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 236,237. MANAGEMENT AND GENERAL EXPENSES 56,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,505. REHAB CONTRACT FEES: PROGRAM SERVICE EXPENSES 3,905,483. MANAGEMENT AND GENERAL EXPENSES 3,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,909,222. ENTERTAINMENT: PROGRAM SERVICE EXPENSES 10,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,981. |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFER FROM ORGANIZATIONAL RESTRUCTURE 15,211,310. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART XII, LINE 3B: | DURING FY2020, SAINT THERESE COMMUNITIES RECEIVED PROVIDER RELIEF FUNDS FROM THE DEPARTMENT OF HEALTH & HUMAN SERVICES DUE TO THE COVID-19 PANDEMIC. THESE FUNDS WERE USED TO REPLACE LOST REVENUES, PROVIDE INCENTIVES TO WORKERS, PROVIDE PERSONAL PROTECTIVE EQUIPMENT, AND OVERALL SUPPORT SAINT THERESE COMMUNITIES AS THEY WORKED TO ADJUST THEIR OPERATIONS TO KEEP STAFF, VISITORS, AND PATIENTS HEALTHY. SAINT THERESE COMMUNITIES WILL UNDERGO A SINGLE AUDIT THAT WILL COVER THE END OF FY20 AS WELL AS THE FIRST PART OF FY21, AND THEY HAVE ENGAGED WITH AN INDEPENDENT ACCOUNTANT TO PERFORM THE REQUIRED AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. |
| Software ID: | |
| Software Version: |