FURP.ORG / PUBLIC DATA EXPLORER

BENEDICTINE LIVING COMMUNITIES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BENEDICTINE LIVING COMMUNITIES INC (EIN 41-1639687)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-10
IRS object ID
202401319349304315
Schema version
2022v5.0
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)
Return2024-05-10T15:40:45-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411639687EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE LIVING COMMUNITIES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBENEBusinessNameControlTxt
Phone7633472200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVENUE NE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55442ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7633472200PhoneNum
Signature2024-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEVINPersonFirstNm
Person LastRYMANOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMACKENZIE MCNAUGHTONPreparerPersonNm
PTINP02025805PTIN
Phone6123764500PhoneNum
Preparation2024-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE LIVING COMMUNITY - DICKINSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKEVIN RYMANOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVENUE NE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55442ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,802,797GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENEDICTINELIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionWE ARE A CATHOLIC, FAITH-BASED ORGANIZATION ENTRUSTED WITH ADVANCING THE LIFE-ENAHANCING SENIOR CARE MINISTRY OF THE BENEDICTINE SISTERS OF DULUTH, MINNESOTA. WE WITNESS TO GOD'S LOVE BY CREATING INCLUSIVE COMMUNITIES, SUPPORTING THOSE WE SERVE TO LIVE WELL AND WITH PURPOSE, WITH SPECIAL CONCERN FOR THE UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee645TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,265,319PYContributionsGrantsAmt
CY Contributions Grants$2,534,354CYContributionsGrantsAmt
PY Program Service Revenue$31,644,370PYProgramServiceRevenueAmt
CY Program Service Revenue$33,997,263CYProgramServiceRevenueAmt
PY Investment Income$4,862PYInvestmentIncomeAmt
CY Investment Income$34,788CYInvestmentIncomeAmt
PY Other Revenue-$61,499PYOtherRevenueAmt
CY Other Revenue$236,392CYOtherRevenueAmt
PY Total Revenue$34,853,052PYTotalRevenueAmt
CY Total Revenue$36,802,797CYTotalRevenueAmt
PY Grants And Similar Paid$139,944PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$154,562CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,878,484PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,451,661CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,149,525PYOtherExpensesAmt
CY Other Expenses$13,382,979CYOtherExpensesAmt
PY Total Expenses$32,167,953PYTotalExpensesAmt
CY Total Expenses$33,989,202CYTotalExpensesAmt
PY Revenues Less Expenses$2,685,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,813,595CYRevenuesLessExpensesAmt
Total Assets BOY$21,749,420TotalAssetsBOYAmt
Total Assets EOY$25,098,496TotalAssetsEOYAmt
Total Liabilities BOY$16,492,456TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,123,578TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,256,964NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,974,918NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE A CATHOLIC, FAITH-BASED ORGANIZATION ENTRUSTED WITH ADVANCING THE LIFE-ENAHANCING SENIOR CARE MINISTRY OF THE BENEDICTINE SISTERS OF DULUTH, MINNESOTA. WE WITNESS TO GOD'S LOVE BY CREATING INCLUSIVE COMMUNITIES, SUPPORTING THOSE WE SERVE TO LIVE WELL AND WITH PURPOSE, WITH SPECIAL CONCERN FOR THE UNDERSERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,375,656ExpenseAmt
Grant$2,437GrantAmt
Revenue$12,676,110RevenueAmt
DescOPERATION OF BENEDICTINE LIVING COMMUNITY - DICKINSON, A 92-BED SKILLED NURSING FACILITY AND A 26-UNIT ASSISTED LIVING FACILITY (BENEDICTINE COURT) IN DICKINSON, NORTH DAKOTA. THE SKILLED NURSING FACILITY HAD 84.0% OCCUPANCY AND SERVED 196 INDIVIDUALS AND THE ASSISTED LIVING FACILITY HAD 99.9% OCCUPANCY AND SERVED 55 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2023.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,402,706ExpenseAmt
Grant$144,370GrantAmt
Revenue$5,312,286RevenueAmt
DescOPERATION OF BENEDICTINE LIVING COMMUNITY - ELLENDALE, A 49-BED SKILLED NURSING FACILITY IN ELLENDALE, NORTH DAKOTA. THE SKILLED NURSING FACILITY HAD 96.5% OCCUPANCY AND SERVED 97 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2023.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,297,515ExpenseAmt
Grant$4,990GrantAmt
Revenue$6,575,053RevenueAmt
DescOPERATION OF BENEDICTINE LIVING COMMUNITY - GARRISON, A 52-BED SKILLED NURSING FACILITY AND A 18-UNIT ASSISTED LIVING FACILITY (BENEDICTINE THE MEADOWS) IN GARRISON, NORTH DAKOTA. THE SKILLED NURSING FACILITY HAD 95.5% OCCUPANCY AND SERVED 102 INDIVIDUALS AND THE ASSISTED LIVING FACILITY HAD 85.7% OCCUPANCY AND SERVED 32 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2023.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$3,112,521$2,528$3,854,058OPERATION OF BENEDICTINE LIVING COMMUNITY - LAMOURE, A 32-BED SKILLED NURSING FACILITY IN LAMOURE, NORTH DAKOTA. THE SKILLED NURSING FACILITY HAD 87.9% OCCUPANCY AND SERVED 94 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2023.
$5,015,307$237$5,579,756OPERATION OF BENEDICTINE LIVING COMMUNITY - WAHPETON, A 49-BED SKILLED NURSING FACILITY IN WAHPETON, NORTH DAKOTA. THE SKILLED NURSING FACILITY HAD 88.5% OCCUPANCY AND SERVED 151 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2023.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$8,127,828TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$2,765TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$9,433,814TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$29,203,705TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document153IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee645EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKI CFOPersonNm
Phone7636896107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVENUE NE SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55432ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TAYLAR HACK
VP OF BHS, PRESIDENT1.0040.00Yes (X)Yes (X)$0$167,806$56,321
JODI HENDRICKSON
DIRECTOR1.000.00Yes (X)$0$0$0
SR MARY SUSAN DEWITT
DIRECTOR1.000.00Yes (X)$0$0$0
KEVIN GREFF
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
BEVERLY KADRMAS
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
JERRY CARLEY
CEO OF BHS1.0040.00Yes (X)$0$654,097$158,313
KEVIN RYMANOWSKI
CFO OF BHS & TREASURER1.0040.00Yes (X)$0$389,056$83,733
JON FRANTSVOG
EXEC DIR OF SBHC40.000.00Yes (X)$0$159,328$24,665
NAOMI GRUENEICH
EXEC DIR OF BLC-ELLENDALE30.0010.00Yes (X)$0$97,430$8,531
SCOTT FOSS
EXEC DIR OF BLC - GARRISON40.000.00Yes (X)$0$192,688$76,156
JIM CORNELIUS
EXEC DIR OF BLC - WAHPETON30.0010.00Yes (X)$0$125,282$30,993
KELSEY PETERSON
EXEC DIR OF BLC - LAMOURE30.0010.00Yes (X)$0$80,864$2,447
WILLIAM PARDAE
CNA-NAR40.000.00$171,615$0$8,030Yes (X)
PAM BECKER
DON40.000.00$132,576$0$22,101Yes (X)
IMELDA RACRAQUIN FRIAS
RN40.000.00$132,204$0$25,752Yes (X)
TERESA DEEGAN
RN40.000.00$114,596$0$13,347Yes (X)
AMY HARRIS
NURSE AIDE COACH40.000.00$113,363$0$29,115Yes (X)
TIA BOWE
VP OF BHS, FORMER PRESIDENT1.0040.00$0$235,794$4,137Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$664,354TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,102,345TotReportableCompRltdOrgAmt
Total Other Compensation$543,641TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENEDICTINE HEALTH SYSTEM
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55442MANAGEMENT SERVICES$2,929,887
DAKOTA TRAVEL NURSE INC
1200 COLLINS AVEMANDANND58554TEMP NURSING STAFFING$1,165,690
REHAB VISIONS
11623 ARBOR STREETOMAHANE681442991TEMP NURSING STAFFING$404,368
VITAL HEALTH STAFFING LLC
3523 45TH STREETFARGOND58104TEMP NURSING STAFFING$382,040
ALLIANCE MEDICAL STAFFING INC
11510 BLONDO ST STE 200OMAHANE68164TEMP NURSING STAFFING$314,445
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$1,649,249RelatedOrganizationsAmt
Government Grants$885,105GovernmentGrantsAmt
Total Contributions$2,534,354TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$33,997,263TotalRevenueColumnAmt
Related Or Exempt Func Income$33,997,263RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,997,263TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,788TotalRevenueColumnAmt
Exclusion$34,788ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$236,392TotalRevenueColumnAmt
Exclusion$236,392ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$236,392OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,802,797TotalRevenueColumnAmt
Related Or Exempt Func Income$33,997,263RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$271,180ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$149,597TotalAmt
Program Services$149,597ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,965TotalAmt
Program Services$4,965ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,693TotalAmt
Program Services$854ProgramServicesAmt
Management And General$1,839ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,474,720TotalAmt
Program Services$15,273,370ProgramServicesAmt
Management And General$1,201,350ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$299,859TotalAmt
Program Services$299,859ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,492,186TotalAmt
Program Services$2,492,186ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,182,203TotalAmt
Program Services$1,182,203ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,066,167TotalAmt
Management And General$2,066,167ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$990TotalAmt
Management And General$990ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,513TotalAmt
Management And General$64,513ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,502,164TotalAmt
Program Services$4,062,189ProgramServicesAmt
Management And General$439,975ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$135,000TotalAmt
Program Services$2,412ProgramServicesAmt
Management And General$132,588ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$180,900TotalAmt
Program Services$101,757ProgramServicesAmt
Management And General$79,143ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,316,621TotalAmt
Program Services$1,205,514ProgramServicesAmt
Management And General$111,107ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$141,868TotalAmt
Program Services$106,989ProgramServicesAmt
Management And General$34,879ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$387,737TotalAmt
Program Services$387,737ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,015,437TotalAmt
Program Services$1,015,437ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$341,607TotalAmt
Program Services$1,290ProgramServicesAmt
Management And General$340,317ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLY EXPENSE$1,614,932$1,551,906$63,026
FOOD$1,139,825$1,139,825
LEASE EXPENSE$128,938$128,938
TRAINING$57,521$52,844$4,677

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$288,759TotalAmt
Program Services$43,833ProgramServicesAmt
Management And General$244,926ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,989,202TotalAmt
Program Services$29,203,705ProgramServicesAmt
Management And General$4,785,497ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,884,334BOYAmt
EOY$3,992,290EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,176,718BOYAmt
EOY$6,126,669EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,809,903BOYAmt
EOY$3,419,908EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,058BOYAmt
EOY$45,222EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,676,535LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,797,760LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,079,180BOYAmt
EOY$9,878,775EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,771,227BOYAmt
EOY$1,635,632EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,749,420BOYAmt
EOY$25,098,496EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,129,110BOYAmt
EOY$2,153,640EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$991,697BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$184,807BOYAmt
EOY$166,595EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,908,939BOYAmt
EOY$11,901,489EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$277,903BOYAmt
EOY$2,901,854EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,492,456BOYAmt
EOY$17,123,578EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,690,881BOYAmt
EOY$6,506,197EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,566,083BOYAmt
EOY$1,468,721EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,256,964BOYAmt
EOY$7,974,918EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,749,420BOYAmt
EOY$25,098,496EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,813,595ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,721NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$97,362OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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 Minus4 Years$811,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,413,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,090,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,265,319CurrentTaxYearMinus1YearAmt
Current Tax Year$2,534,354CurrentTaxYearAmt
Total$10,114,978TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,306,560CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,844,509CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,336,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,644,370CurrentTaxYearMinus1YearAmt
Current Tax Year$33,997,263CurrentTaxYearAmt
Total$164,129,664TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,117,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,258,453CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,427,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,909,689CurrentTaxYearMinus1YearAmt
Current Tax Year$36,531,617CurrentTaxYearAmt
Total$174,244,642TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$174,244,642PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$136,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,281CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,862CurrentTaxYearMinus1YearAmt
Current Tax Year$34,788CurrentTaxYearAmt
Total$302,742TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$136,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,281CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,862CurrentTaxYearMinus1YearAmt
Current Tax Year$34,788CurrentTaxYearAmt
Total$302,742TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,301CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$61,499CurrentTaxYearMinus1YearAmt
Current Tax Year$236,392CurrentTaxYearAmt
Total$256,856TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,292,068CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,352,209CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,504,114CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,853,052CurrentTaxYearMinus1YearAmt
Current Tax Year$36,802,797CurrentTaxYearAmt
Total$174,804,240TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99680PublicSupportCY509Pct
Public Support PY5090.99820PublicSupportPY509Pct
Investment Income CY0.00170InvestmentIncomeCYPct
Investment Income PY0.00170InvestmentIncomePYPct
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, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2018 AMOUNT: $ 38,301. 2019 AMOUNT: $ 14,475. 2020 AMOUNT: $ 29,187. 2021 AMOUNT: $ -61,499. 2022 AMOUNT: $ 236,392.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$693,190OtherCostOrOtherBasisAmt
Book Value$693,190BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,923,886OtherCostOrOtherBasisAmt
Depreciation$21,840,663DepreciationAmt
Book Value$8,083,223BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$321,011OtherCostOrOtherBasisAmt
Depreciation$130,201DepreciationAmt
Book Value$190,810BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,622,246OtherCostOrOtherBasisAmt
Depreciation$2,826,896DepreciationAmt
Book Value$795,350BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,202OtherCostOrOtherBasisAmt
Book Value$116,202BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,878,775TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
RESIDENT TRUST FUND$166,876
INVESTMENT IN FOUNDATION$1,468,720
THIRD PARTY PAYOR SETTLEMENT$35
DEBT SERVICE FUND$1
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,635,632TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$82,165
AMOUNTS DUE TO AFFILIATE$2,819,689
FieldValueIRS element (for citing)
Total Liability$2,901,854TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:CARETAKER OF RESIDENT TRUST FUNDS AND SECURITY DEPOSITS IN A SEPARATE ACCOUNT.
PART X, LINE 2:TAX EXEMPT STATUS THE ORGANIZATION HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ORGANIZATION UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE AND ALSO HAS BEEN DETERMINED TO BE EXEMPT FROM STATE INCOME TAX. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION FILES ALL APPLICABLE RETURNS FOR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
BENEDICTINE HEALTH SYSTEM
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411531892501(C)(3)$103,972$0N/AN/ASYSTEM SUPPORT
BENEDICTINE FOUNDATION
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411513014501(C)(3)$40,023$0N/AN/AFOUNDATION EXPENSES
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTRANSFERS BETWEEN RELATED ORGANIZATIONS ARE ACCOUNTED FOR IN INTERNAL FINANCIAL STATEMENTS, OF WHICH ALL ARE UNDER COMMON CONTROL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JERRY CARLEY
CEO OF BHS$0$531,906$0$13,264$0$108,927$0$134,579$0$23,734$0$812,410$0$0
KEVIN RYMANOWSKI
CFO OF BHS & TREASURER$0$344,257$0$6,421$0$38,378$0$65,610$0$18,123$0$472,789$0$0
SCOTT FOSS
EXEC DIR OF BLC - GARRISON$0$176,327$0$5,662$0$10,699$0$50,218$0$25,938$0$268,844$0$0
TIA BOWE
VP OF BHS, FORMER PRESIDENT$0$196,124$0$0$0$39,670$0$4,137$0$0$0$239,931$0$0
TAYLAR HACK
VP OF BHS, PRESIDENT$0$155,302$0$6,487$0$6,017$0$30,013$0$26,308$0$224,127$0$0
JON FRANTSVOG
EXEC DIR OF SBHC$0$138,393$0$3,711$0$17,224$0$15,618$0$9,047$0$183,993$0$0
WILLIAM PARDAE
CNA-NAR$171,415$0$200$0$0$0$1,187$0$6,843$0$179,645$0$0$0
IMELDA RACRAQUIN FRIAS
RN$131,904$0$300$0$0$0$0$0$25,752$0$157,956$0$0$0
JIM CORNELIUS
EXEC DIR OF BLC - WAHPETON$0$117,261$0$6,438$0$1,583$0$5,011$0$25,982$0$156,275$0$0
PAM BECKER
DON$127,626$0$4,950$0$0$0$4,922$0$17,179$0$154,677$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationBENEDICTINE HEALTH SYSTEM'S (EIN: 41-1531892) CEO AND CFO, JERRY CARLEY AND KEVIN RYMANOWSKI, SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS. SEE SCHEDULE R FOR INFORMATION ON RELATED ORGANIZATIONS. THE CEO IS COMPENSATED BY BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION. THIS ORGANIZATION USES THE FOLLOWING TO SET CEO/ ADMINISTRATIVE COMPENSATIONS: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, ITEM CDBA: BENEDICTINE LIVING COMMUNITY - DICKINSON DBA: BENEDICTINE LIVING COMMUNITY - ELLENDALE DBA: BENEDICTINE LIVING COMMUNITY - GARRISON DBA: BENEDICTINE LIVING COMMUNITY - LAMOURE DBA: BENEDICTINE LIVING COMMUNITY - WAHPETON
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE (COMPRISED OF THE CHAIR, VICE-CHAIR, BOARD SECRETARY, AND THE CHAIRS OF THE STANDING COMMITTEES) IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD, PROVIDED, HOWEVER, THAT IT MAY NOT DETERMINE MATTERS OF POLICY WITHOUT PRIOR AUTHORIZATION OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 3THE CORPORATION CONTRACTS WITH BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION FOR MANAGEMENT SERVICES. BENEDICTINE HEALTH SYSTEM EMPLOYED THE ADMINISTRATOR/CEO OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 6BENEDICTINE HEALTH SYSTEM, A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AEACH DIRECTOR OF THE CORPORATION IS APPOINTED BY BENEDICTINE HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BBENEDICTINE HEALTH SYSTEM HAS CERTAIN RESERVED POWERS RELATING TO THE ACTIVITIES OF THE CORPORATION AS SET OUT IN THE CORPORATION'S BY-LAWS. IN ADDITION, IN KEEPING WITH THE CORPORATION'S MISSION "TO ASSIST AND COORDINATE ACTIVITIES OF FACILITIES FOR HEALTH CARE, EDUCATION, AND CARE FOR THE AGED AND SOCIAL SERVICES IN ACCORDANCE WITH THE CHARITABLE WORKS TRADITION OF THE ROMAN CATHOLIC CHURCH", ALL ACTIVITIES OF THE CORPORATION ARE REQUIRED TO BE CARRIED OUT IN ACCORDANCE WITH THE CHARISMS OF THE BENEDICTINE SISTERS BENEVOLENT ASSOCIATION ("BSBA"), A CIVIL LAW CORPORATION FOR THE SISTERS OF ST. BENEDICT OF ST. SCHOLASTICA MONASTERY LOCATED IN DULUTH, MINNESOTA.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AND INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. THE RETURN WAS THEN REVIEWED BY THE CFO. AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT. THE BHS COMPLIANCE DEPARTMENT WILL DISTRIBUTE THE STATEMENTS AND COLLECT AND MAINTAIN THE COMPLETED STATEMENTS. THE BHS COMPLIANCE MANAGER WILL REVIEW THE STATEMENTS AND PROVIDE A SUMMARY OF THE IDENTIFIED CONFLICTS OF INTEREST TO THE BHS CHIEF COMPLIANCE OFFICER, WHO WILL ALERT THE BHS CEO AND THE CHAIR OF THE BHS BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. AN "INTERESTED PERSON" IS ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE SYSTEM, INCLUDING BUT NOT LIMITED TO A BOARD MEMBER, BOARD COMMITTEE MEMBER, OR OFFICER OR DIRECTOR OF BHS OR A FACILITY (SUCH AS FACILITY CEO/ADMINISTRATORS AND BHS SENIOR LEADERS AND DIRECTORS). FOR INTERESTED PERSONS WHO ARE EMPLOYEES (OTHER THAN THE BHS CEO), FOLLOWING DISCLOSURE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. FOR THE BHS CEO AND BOARD AND COMMITTEE MEMBERS, FOLLOWING DISCLOSURE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON WILL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE DETERMINE IF A CONFLICT OF INTEREST EXISTS. THE INTERESTED PERSON MAY PARTICIPATE IN DELIBERATION REGARDING THE TRANSACTION IF THE APPLICABLE SUPERVISOR, BOARD, OR COMMITTEE DETERMINES A CONFLICT OF INTEREST DOES NOT EXIST. AN INTERESTED PERSON WHO HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST AND MAY NOT BE PRESENT DURING SUCH DELIBERATION OR DECISION MAKING. THE INTERESTED PERSON MAY BE ALLOWED TO MAKE A PRESENTATION TO THE SUPERVISOR, BOARD, OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT AS TO WHICH THE CONFLICT OF INTERESTS REFERS PRIOR TO THE DELIBERATION AND DECISION.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE IS COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS DATA ON COMPENSATION PROVIDED TO INDIVIDUALS HOLDING COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS IN ORDER TO ESTABLISH A REASONABLE COMPENSATION RANGE. THE DATA IS COLLECTED AND REVIEWED WITH THE COMPENSATION COMMITTEE BY AN INDEPENDENT CONSULTANT. BASED ON THE MARKET DATA AND IN LIGHT OF ANY SPECIFIC INDIVIDUAL BENEDICTINE HEALTH SYSTEM 41-1531892 QUALIFICATIONS, THE COMPENSATION COMMITTEE DETERMINES COMPENSATION. THE DELIBERATIONS AND DETERMINATIONS OF THE COMPENSATION COMMITTEE ARE RECORDED CONTEMPORANEOUSLY AND PROVIDED TO THE GOVERNING BODY FOR REVIEW. COMPENSATION FOR THE CFO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,062,189. MANAGEMENT AND GENERAL EXPENSES 439,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,502,164.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN FOUNDATION -97,362.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CERENITY CARE CENTER - WHITE BEAR LAKE
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411983267NURSING HOMEMN501(C)(3)LINE 10N/A0
NAZARETH LIVING CENTER
2 NAZARETH LANEST LOUISMO63129431450394NURSING FACILITYMN501(C)(3)LINE 10N/A0
CERENITY SENIOR CARE
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411983267NURSING HOMEMN501(C)(3)LINE 10N/A0
VILLA ST BENEDICT
1920 MAPLE AVENUELISLEIL60532364343235NURSING HOMEMN501(C)(3)LINE 10N/A0
BENEDICTINE HEALTH SYSTEM
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411531892SUPPORTING ORGANIZATIONMN501(C)(3)LINE 10N/A0
BENEDICTINE SENIOR LIVING COMMUNITY OF ST PETER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432272716531NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
ARROWHEAD SENIOR LIVING COMMUNITIES
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411978619NURSING HOMESMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE CARE CENTERS
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411907571NURSING HOMESMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE HEALTH CENTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411381401SENIOR LIVING COMMUNITYMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE FOUNDATION
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411513014FUND DEVELOPMENTMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITIES - BISMARCK INC
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432264376543SENIOR LIVING COMMUNITYMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITY OF NEW LONDON
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432274218436NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITY OF WAHPETON
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432454274091ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITY OF WINSTED
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432274219293NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITY OF ST PETER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432861113231NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
BRIDGES CARE CENTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432262620983ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
CATHOLIC RESIDENTIAL SERVICES
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432390982340NURSING HOMEWI501(C)(3)LINE 10Yes (1)BHS
CITY OF LAKES CARE CENTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411985663NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
ELLENDALE EVERGREEN PLACE
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411796445ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
BENEDICTINE LIVING COMMUNITY - OWATONNA
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411852273NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
LIVING COMMUNITY OF ST JOSEPH
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432412011661NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
MADONNA MEADOWS OF ROCHESTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432470855891ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
MADONNA TOWERS OF ROCHESTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411809914NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
REGINA SENIOR LIVING
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432463700475NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
ROSEWOOD COURT
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432412011389ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
SAINT ANNE OF WINONA
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432410850791NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
ST GERTRUDE'S HEALTH CENTER
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411848720NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
STEEPLE POINTE SENIOR LIVING COMMUNITY
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411852273ASSISTED LIVINGMN501(C)(3)LINE 10Yes (1)BHS
VILLA ST VINCENT
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432411352227NURSING HOMEMN501(C)(3)LINE 10Yes (1)BHS
APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS
6499 UNIVERSITY AVENUE NE SUITE 300MINNEAPOLISMN55432370909113SENIOR LIVING COMMUNITYMN501(C)(3)LINE 10Yes (1)BHS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE GROUP SELF-INSURANCE ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVE NE SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55432ZIPCd
FieldValueIRS element (for citing)
EIN411548753EIN
Primary ActivitiesWORKERS' COMPENSATION PROGRAMPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeSEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd