2024-02-12T12:50:41-05:00 2022-09-30 475580957 J MAIERS CPA LLC 9 FOURTH AVENUE SOUTH PO BOX 280 SARTELL MN 56377 990 2021-10-01 416051127 MOTHER OF MERCY MOTH 3208452195 230 CHURCH AVE PO BOX 676 ALBANY MN 56307 MARK KNAPP DIRECTOR 3208452195 2024-01-24 MARK KNAPP 999009999 NICOLE B FINKEN CPA P01750591 3207742941 2024-01-24 2021 2023-04-26 12:10:37Z PAUL GAEBE 9451644 false X WWW.MOTHEROFMERCY.ORG X 1966 MN TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY. 11 11 278 14 0 1666504 274657 8182470 9170394 6115 6593 68988 0 9924077 9451644 0 0 6540972 6105876 0 0 3141294 4593775 9682266 10699651 241811 -1248007 9496821 9342159 6097604 7190949 3399217 2151210 X IT IS OUR MISSION AS PROFESSIONALS TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ARE A COMMUNITY OF CONCERNED PROFESSIONALS WORKING TOGETHER TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ACCOMPLISH THIS MISSION BY MAINTAINING HIGH STANDARDS OF CARE FOR ALL, IN A HOME-LIKE ATMOSPHERE, WHICH ADDRESSES THEIR PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS. WE ENCOURAGE RESIDENTS AND FAMILIES TO PARTICIPATE IN MAKING DECISIONS ABOUT THEIR DAILY ROUTINES AND ASK FOR RESIDENT AND FAMILY INVOLVEMENT IN SOCIAL ACTIVITIES. false false 9536047 9170394 THE ORGANIZATION OPERATES A 65-BED SKILLED NURSING FACILITY FOR THE PURPOSE OF PROVIDING CARE TO PERSONS IN NEED OF NURSING SERVICES AND RENDERS AID, CARE, AND GENERAL HEALTH CARE SERVICES TO ITS RESIDENTS WHO ARE ELDERLY, SICK, AND/OR HAVE DIMENTIA. THE ORGANIZATION ALSO OPERATES A 69-UNIT APARTMENT COMPLEX TO PROVIDE HOUSING FOR INDEPENDENT, ASSISTED LIVING AND MEMORY CARE TENANTS. THE SKILLED NURSING FACILITY HAD 23,725 RESIDENT DAYS DURING FISCAL YEAR 2021. THE ORGANIZATION ALSO MANAGES OPERATIONS OF TWO SENIOR CITIZENS HOUSING PROJECTS AT NEAR CAPACITY FOR LOW-INCOME SENIOR CITIZENS. 9536047 true true false true false false false false true false true false false false true false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false true true true true false false true 7 0 false 278 true false false false false false false false false X 11 11 false false false false true true true true true false false true true true true true true true true false MN X BRIAN VOIGT 3208452195 230 CHURCH AVENUE ALBANY MN 56307 PAUL GAEBE CEO 43.00 6.00 X 97562 0 3095 MARK DOUVIER CFO 43.00 6.00 X 83872 0 3429 LINDSEY CLANCY DIRECTOR 0.30 0.60 X 0 0 0 MARK KNAPP DIRECTOR 0.30 0.60 X 0 0 0 MARGIE LEHNER DIRECTOR 0.30 0.60 X 0 0 0 DERRICK MEYER PRESIDENT 0.30 0.60 X X 0 0 0 FR EDWARD VEBELUN OSB DIRECTOR 0.30 0.60 X 0 0 0 FR BRADLEY JENNINGS OSB SECRETARY 0.30 0.60 X X 0 0 0 RON PAULSEN DIRECTOR 0.30 0.60 X 0 0 0 RANDY ROTHSTEIN DIRECTOR 0.30 0.60 X 0 0 0 LOWELL L RUSHMEYER TREASURER 0.30 0.60 X X 0 0 0 JANET SALK VICE PRESIDE 0.30 0.60 X X 0 0 0 PAUL TOMCZIK DIRECTOR 0.30 0.60 X 0 0 0 181434 6524 false false false AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICE 236803 ELIM PREFERRED SERVICES 3500 HOLLY LANE SUITE 30 PLYMOUTH MN 55447 MEDICAL AND ENV 228170 US FOOD SERVICE INC PO BOX 1450 MINNEAPOLIS MN 55485 FOOD SERVICE 208028 DEPT OF HUMAN SERVICESMEDICAL CARE PO BOX 64835 ST PAUL MN 551640835 MEDICAL CARE 182975 WORLDWIDE TRAVEL STAFFING LTD 2829 SHERIDAN DRIVE TONAWANDA NY 14150 NURSING POOL ST 173795 5 16844 257813 274657 RESIDENT/TENANT REVENUE 623000 8920457 8920457 TRAVEL INCOME 623990 118164 118164 AFFILIATE MANAGEMENT 541610 51107 51107 MEAL INCOME 623990 45507 45507 DAY CARE CENTER RENTAL 531110 25226 25226 9933 9933 9170394 6593 6593 9451644 9170394 6593 X 181434 181434 4629308 4437488 191820 74607 68818 5789 792591 731097 61494 427936 394734 33202 284203 284203 53402 53402 1235031 1235031 24753 24753 246647 194753 51894 224955 224955 356166 280755 75411 8435 8435 179574 179574 493719 493719 275518 275518 MEDICARE PT/OT/SPEECH EXP 381882 381882 DIETARY FOOD COSTS 308717 308717 MEDICAL CARE SURCHARGE 207606 207606 REPAIRS AND MAINTENANCE 203166 203166 110001 110001 10699651 9536047 1163604 0 331 331 407136 344082 746226 1194743 45970 52511 18555579 10839131 7961661 7716448 33943 34044 301554 9496821 9342159 410427 1593309 2557084 2228730 28999 39103 3101094 3020380 309427 6097604 7190949 X 3379004 2130997 20213 20213 3399217 2151210 9496821 9342159 X -1248007 168000 -168000 X false true X true false X 22355 8483 154163 1666504 274657 2126162 9739134 9505036 9154395 8162734 9170394 45731693 85230 53799 50041 88724 277794 9846719 9567318 9358599 9917962 9445051 48135649 48135649 5382 3359 7164 6115 6593 28613 5382 3359 7164 6115 6593 28613 9852101 9570677 9365763 9924077 9451644 48164262 0.99940 0.99950 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15247 15247 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION IS A MEMBER OF LEADING AGE MN. A PORTION OF MEMBERSHIP DUES IS USED FOR LOBBYING. THE LEADING AGE MN ADVOCATES FOR SENIORS, CAREGIVERS AND PROVIDERS WHO SERVE OLDER ADULTS IN ALL PLACES THEY CALL HOME. LEADING AGE ADVOCACY THROUGHOUT STATE LEGISLATURE IS SUPPORTED BY SOUND RESEARCH, MEANINGFUL DATA AND KNOWLEDGEABLE EXPERTS. false true X 397451 397451 14390140 7332641 7057499 3539875 3337096 202779 228113 169394 58719 7716448 DUE TO RELATED PARTIES 309427 309427 9619644 168000 168000 9451644 9451644 10867651 168000 168000 10699651 10699651 SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION IS THE TRUSTEE OF RESIDENT AND EMPLOYEE FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR RESIDENTS AND EMPLOYEES OF THE ORGANIZATION. SCHEDULE D, PAGE 4, PART XII, LINE 2D INTER-COMPANY ELIMINATIONS- RENT 168,000 A CITY OF ALBANY MN 416004921 2013-10-16 5018000 FACILITY EXPANSION OF MOTHER OF MERCY false false false A 2789270 5018000 63531 4954469 2009 true false true true A false false false false false false true A false false true false true false false false true A true PURPOSE OF ISSUE DESCRIPTION CITY OF ALBANY, MN FACILITY EXPANSION OF MOTHER OF MERCY FORM 990 - ORGANIZATION'S MISSION IT IS OUR MISSION AS PROFESSIONALS TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ARE A COMMUNITY OF CONCERNED PROFESSIONALS WORKING TOGETHER TO PROVIDE THE BEST QUALITY OF LIFE FOR THOSE ENTRUSTED TO US. WE ACCOMPLISH THIS MISSION BY MAINTAINING HIGH STANDARDS OF CARE FOR ALL, IN A HOME-LIKE ATMOSPHERE, WHICH ADDRESSES THEIR PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS. WE ENCOURAGE RESIDENTS AND FAMILIES TO PARTICIPATE IN MAKING DECISIONS ABOUT THEIR DAILY ROUTINES AND ASK FOR RESIDENT AND FAMILY INVOLVEMENT IN SOCIAL ACTIVITIES. FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS 5 INDIVIDUALS THAT SERVE AS MEMBERS OF THE CORPORATION. THE MEMBERS ARE THE BISHOP OF THE DIOCESE OF ST. CLOUD, MN, THE VICAR GENERAL OF THE DIOCESE, THE PASTOR OF THE CHURCH OF THE SEVEN DOLORS IN ALBANY, MN, AND TWO LAY PEOPLE SELECTED BY UNANIMOUS VOTE OF THE THREE RELIGIOUS MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBERS OF THE CORPORATION APPOINT THE BOARD OF DIRECTORS OF THE ORGANIZATION AND REMOVE ANY MEMBER THEREFROM, WITH OR WITHOUT CAUSE. FORM 990, PAGE 6, PART VI, LINE 7B THE BOARD OF DIRECTORS MAKES DECISIONS THAT THE MEMBERS OF THE CORPORATION THEN HAVE THE RESPONSIBILITY FOR: APPROVE A MERGER OR DISSOLUTION OF THE CORPORATION; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE, MORTGAGE, ENCUMBRANCE, OR OTHER DISPOSITION OF THE ASSETS OF THE CORPORATION WITHIN THE LIMITS SET BY CURRENT CHURCH LEGISLATION; AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND MAKE AND AMEND BYLAWS OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 11B THE COMPLETED FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS APPLIED WHEN THE ORGANIZATION IS IN THE PROCESS OF ENTERING INTO A TRANSACTION OR CONTRACT. ANNUALLY A CONFLICT OF INTEREST STATEMENT IS FILLED OUT BY THE BOARD MEMBERS, IT IS REVIEWED WHEN THESE TRANSACTIONS OCCUR. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON SHALL HAVE A DUTY TO DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD, OFFICER OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. AFTER INTEREST IS DETERMINED, THE INTERESTED PERSON HAS THE OPPORTUNITY TO MAKE A SHORT PRESENTATION AT THE BOARD MEETING. THE BOARD WILL APPOINT A DISINTERESTED PERSON OR GROUP TO EXPLORE ALTERNATIVES TO AVOID ANY CONFLICT. IF THERE IS NO OPTION FOR AVOIDING CONFLICT, THE BOARD SHALL DETERMINE BY MAJORITY VOTE IF THE TRANSACTION SHOULD BE ENTERED INTO. THE INTERESTED PERSON SHALL BE REMOVED FROM THE VOTING PROCESS. THE ORGANIZATION ALSO HAS A POLICY FOR EMPLOYEES. THE CONFLICT OF INTEREST POLICY IS INITIALLY MONITORED BY THE DIRECTOR OF LICENSURES AND TRAINING DURING AN EMPLOYEE'S ORIENTATION. THE COMPLIANCE OFFICER THEN ANNUALLY MONITORS THE POLICY DURING THE ANNUAL BENEFITS STAFF MEETING. IF A CONFLICT OF INTEREST ARISES, IT IS INVESTIGATED BY THE COMPLIANCE OFFICER, AND IF DEEMED A CONFLICT, THE EMPLOYEE MUST CEASE/DIVEST OF THAT CONFLICT OR BE TERMINATED. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION FOLLOWS THE SENIOR NURSING FACILITY COMPENSATION GUIDE TO DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT ANNUALLY. THE BOARD OF DIRECTORS REVIEWS THE ANNUAL PERFORMANCE EVALUATION AND SALARY REVIEW FOR FINAL APPROVAL OF COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION FOLLOWS THE SENIOR NURSING FACILITY COMPENSATION GUIDE TO DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT ANNUALLY. THE BOARD OF DIRECTORS REVIEWS THE ANNUAL PERFORMANCE EVALUATION AND SALARY REVIEW FOR FINAL APPROVAL OF COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION HAS THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE IN THEIR FRONT LOBBY FOR REVIEW. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 1,235,031 0 0 FORM 990, PART XI, LINE 9 INTER-COMPANY ELIMINATIONS- RENT -168,000 MOTHER OF MERCY DEVELOPMENT LLC 230 CHURCH AVE ALBANY MN 56307 273818447 ASSIS LIVI MN 372 3577363 MOTHER OF MERCY CAMPUS OF CARE MERCY MANOR 334 GOLF VIEW DRIVE ALBANY MN 56307 411805317 LI NURSING MN 501C3 10 MOTHER OF MERCY true MERCY MANOR II 332 GOLF VIEW DRIVE ALBANY MN 56307 202155820 LI NURSING MN 501C3 10 MOTHER OF MERCY true MOTHER OF MERCY FOUNDATION 230 CHURCH AVE ALBANY MN 56307 411992053 FUNDRAISIN MN 501C3 12A MOTHER OF MERCY true false false true false true false false false false true false true true true true false false false false MOTHER OF MERCY FOUNDATION O 107249 ACTUAL COST MOTHER OF MERCY FOUNDATION E 309427 ACTUAL COST