2023-05-12T17:40:58-05:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2021-07-01 411531892 BENEDICTINE HEALTH SYSTEM BENE 7633472200 6499 UNIVERSITY AVENUE NE 300 MINNEAPOLIS MN 55432 KEVIN RYMANOWSKI CFO 7633472200 2023-05-11 1 KEVIN RYMANOWSKI 999009999 CHRISTOPHER STEINHOFF P01587351 6123764500 2023-05-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z BENEDICTINE JERRY CARLEY 6499 UNIVERSITY AVENUE NE 300 MINNEAPOLIS MN 55432 57464568 0 0928 X WWW.BENEDICTINELIVING.ORG X 1985 MN OUR MISSION IS TO WITNESS TO GOD'S LOVE BY PROVIDING COMPASSIONATE, QUALITY CARE WITH SPECIAL CONCERN FOR THE UNDERSERVED AND THOSE IN NEED. 12 12 379 27 -6180 0 2541193 3015426 49899657 54197642 517853 94084 -331466 14060 52627237 57321212 2120668 1548646 0 0 24651128 42235967 0 0 0 33410302 17302640 60182098 61087253 -7554861 -3766041 145897657 142221836 109841825 110666640 36055832 31555196 X WE ARE A CATHOLIC, FAITH-BASED ORGANIZATION ENTRUSTED WITH ADVANCING THE LIFE-ENHANCING SENIOR CARE MINISTRY OF THE BENEDICTINE SISTERS OF DULUTH, MINNESOTA. WE WITNESS TO GOD'S LOVE BY CREATING COMPASSIONATE COMMUNITIES PROVIDING SUPPORT TO THOSE WE SERVE TO LIVE FULLY AND LIVE WELL WITH SPECIAL CONCERN FOR THE UNDERSERVED AND THOSE IN NEED. 0 0 23795357 1546233 44527821 BENEDICTINE IS A CATHOLIC, MISSION-DIRECTED AND VALUES-BASED HEALTH CARE SYSTEM ENTRUSTED WITH FURTHERING THE HEALTH CARE MINISTRY OF THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY IN DULUTH, MINNESOTA. BENEDICTINE OWNS OR HAS A CONTROLLING INTEREST IN 23 NURSING FACILITIES WITH 1,807 LICENSES BEDS AND 25 SENIOR HOUSING FACILITIES WITH 1,873 UNITS IN FIVE STATES. IN ADDITION, BENEDICTINE HAS A NONCONTROLLING INTEREST AND PROVIDES MANAGEMENT SERVICES TO THREE NURSING FACILITIES WITH 321 LICENSED BEDS AND FIVE SENIOR HOUSING FACILITIES WITH 575 UNITS. 7038673 0 3029631 BENEDICTINE LIVING COMMUNITY-SHAKOPEE, LLC (EIN: 82-4211716) OPERATES A 183-UNIT ASSISTED LIVING AND INDEPENDENT LIVING FACILITY IN SHAKOPEE, MINNESOTA. THE FACILITY HAD 32.2% OCCUPANCY AND SERVED 118 INDIVIDUALS DURING THE FISCAL YEAR ENDED 6/30/22. 3974111 2238 3960818 BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC (EIN: 82-4307824) OPERATES A 97-UNIT ASSISTED LIVING AND INDEPENDENT LIVING FACILITY IN NORTHFIELD, MINNESOTA. THE FACILITY HAD 76% OCCUPANCY AND SERVED 120 INDIVIDUALS DURING THE FISCAL YEAR ENDED 6/30/22. 2481023 175 2679372 MADONNA SUMMIT OF BYRON, LLC (DBA: BENEDICTINE LIVING COMMUNITY - BYRON, EIN: 41-2337717) OPERATES A 30-UNIT ASSISTED LIVING AND 20-UNIT INDEPENDENT LIVING FACILITY IN BYRON, MINNESOTA. THE FACILITY HAD 97.4% OCCUPANCY AND SERVED 67 INDIVIDUALS DURING THE FISCAL YEAR ENDED 6/30/22. 3400 0 0 BENEDICTINE STAFFING LLC (EIN: 88-1646484) WAS FORMED IN APRIL 2022 TO PROVIDE TEMPORARY STAFFING SERVICES TO BENEDICTINE SENIOR CARE FACILITIES. OPERATIONS OF THE STAFFING AGENCY BEGAN AFTER 6/30/22. 0 0 0 BENEDICTINE LIVING COMMUNITY ANOKA LLC (EIN: 88-0538863) WAS FORMED IN MAY 2022 TO ACQUIRE A 84-UNIT ASSISTED LIVING FACILITY IN ANOKA, MINNESOTA WHICH OCCURRED ON JULY 1, 2022. 2484423 175 2679372 37292564 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 123 0 1 379 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN RYMANOWSKI CFO 7636896107 6499 UNIVERSITY AVENUE NE SUITE 300 MINNEAPOLIS MN 55432 X PAUL HASKINS VICE CHAIR 1.00 0.00 X X 3400 0 0 CARRIE SHAW DIRECTOR 1.00 0.00 X 1100 0 0 DAVID MARC DIRECTOR 1.00 0.00 X 2000 0 0 SR DANILE LYNCH OSB SECRETARY 1.00 0.00 X X 0 0 0 SR BEVERLY RAWAY OSB DIRECTOR 1.00 0.00 X 0 0 0 SR CLARE MARIE TRETTEL OSB DIRECTOR 1.00 0.00 X 0 0 0 PAUL GRIZZELL DIRECTOR 1.00 0.00 X 3000 0 0 JAY STERNS DIRECTOR 1.00 0.00 X 1500 0 0 DAVID HOEL DIRECTOR 1.00 0.00 X 1700 0 0 JEFFREY GARLAND CHAIR 1.00 0.00 X X 4800 0 0 DEAN AGER DIRECTOR 1.00 0.00 X 2200 0 0 JENNY MUSECH PETERSON DIRECTOR 1.00 0.00 X 1000 0 0 KEVIN RYMANOWSKI CFO & TREASURER 5.00 35.00 X 421705 0 75427 JERRY CARLEY CEO OF BHS 5.00 35.00 X 698969 0 133421 NEAL BUDDENSIEK MD SR. VICE PRESIDENT 20.00 20.00 X 197778 0 1628 STEVEN PRZYBILLA SR VICE PRESIDENT (THROUGH MARCH 2022) 40.00 0.00 X 379098 0 62236 ANDREW OPSAHL SR. VICE PRESIDENT 40.00 0.00 X 250026 0 45782 TRENT PEPPER SR. VICE PRESIDENT 30.00 10.00 X 275062 0 60375 LAURA CAMPBELL SR. VICE PRESIDENT 40.00 0.00 X 174796 0 42612 LAURIE HENNEN SR. VICE PRESIDENT 40.00 0.00 X 203063 0 39594 TIA BOWE VP-OPERATIONS (THROUGH MARCH 2022) 40.00 0.00 X 235701 0 51003 SHAWN JOHNSON VICE PRESIDENT 40.00 0.00 X 245318 0 56749 PENELOPE VIGGIANO VICE PRESIDENT 40.00 0.00 X 208978 0 42567 BARBARA WESSBERG EXECUTIVE DIRECTOR 0.00 40.00 X 225931 0 26911 DALE BURGESS REHAB DIRECTOR 40.00 0.00 X 175020 0 39092 3712145 0 677397 98 0 1 0 INTERIM HEALTHCARE STAFFING SOLUTIONS 2950 METRO DR 115 BLOOMINGTON MN 55425 TEMPORARY NURSING SERVICES 158025 PATHWAY HEALTH SERVICES 11240 STILLWATER BLVD N LAKE ELMO MN 55042 INTERIM NURSING SERVICES 148978 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALL SD 57117 TEMPORARY NURSING SERVICES 136541 KRISTIN WARGIN 8523 SARATOGA LANE EDEN PRAIRIE MN 55347 PROCUREMENT CONSULTING 113733 STARFISH LLC 15 W 26TH STREET NEW YORK NY 11010 BRANDING CONSULTING 111637 5 2299107 711407 4912 3015426 MEMBER SUPPORT FEES 623000 19882909 19882909 SELF-FUNDED INSURANCE 623000 18123118 18123118 RESIDENT SERVICES REVENUE 623000 9802859 9802859 IT SUPPORT FEES 623000 4373501 4373501 CONSULTING REVENUE 623000 2226737 2226737 -211482 -211482 54197642 94084 94084 136436 143356 -6920 -6920 -6180 -740 MISCELLANEOUS INCOME 900099 20980 20980 20980 57321212 54197642 -6180 114324 1532775 1532775 15871 15871 43276 43276 19496045 6291398 13204647 472859 119833 353026 20758337 18516751 2241586 1465450 547225 918225 553138 553138 8781 8781 12621 12621 2303416 847876 1455540 505609 505609 319242 17931 301311 2178956 2178956 1544339 1431633 112706 615375 45990 569385 116903 116903 4829920 4702479 127441 2539468 2539468 206823 206823 EQUIPMENT LEASES 478868 34739 444129 FOOD 394767 394767 OTHER EXPENSES 326509 61966 264543 MEDICAL SUPPLIES 277605 184060 93545 90300 7802 82498 61087253 37292564 23794689 0 19272523 9689796 76074 336570 710752 710752 740594 849538 79616197 6746713 75008362 72869484 11724281 67313 1392874 772245 21946783 29633301 26682382 15635869 145897657 142221836 6236318 6958194 113799 113798 72890996 81596133 33568 25608 8607700 10789507 6763873 15195571 11183400 109841825 110666640 X 35693116 31165344 362716 389852 36055832 31555196 145897657 142221836 X -3766041 -308760 -452971 27136 X X 0 1 X 1 0 X 6961587 2745872 2658939 2107193 3015426 17489017 50605832 50104703 49676306 49899657 54197642 254484140 57567419 52850575 52335245 52006850 57213068 271973157 3526675 3526675 1538457 1538457 5065132 5065132 266908025 62349 81027 291140 667585 108669 1210770 62349 81027 291140 667585 108669 1210770 12400 6638 19038 1038958 610088 -340046 20980 1329980 57629768 53970560 53248873 52341027 57342717 274532945 0.97220 0.96100 0.00440 0.00420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME REBATE INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 4984268 4984268 68931192 4242693 64688499 1577033 445204 1131829 4073511 2058816 2014695 50193 50193 72869484 AMOUNTS DUE FROM AFFILIATES 943912 INSURANCE RESERVE FUNDS 3279470 BOND PRINCIPAL/INTEREST FUND 3592487 DEFERRED COMPENSATION FUNDS 2563430 INVESTMENT IN AFFILIATED FOUNDATION 389852 DEBT SERVICE FUND 4740968 PROJECT RESERVE FUND 85016 RESIDENT TRUST FUNDS 12915 THIRD PARTY PAYOR SETTLEMENTS 27819 15635869 AMOUNTS DUE TO AFFILIATES 2956522 INTERCOMPANY BORROWING ADVANCE 5663448 DEFERRED COMPENSATION 2563430 11183400 X PART IV, LINE 2B: THE ORGANIZATION HOLDS TENANT DEPOSITS FOR THE NORTHFIELD AND BYRON FACILITIES. PART X, LINE 2: BENEDICTINE 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. BENEDICTINE 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. BENEDICTINE'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. BENEDICTINE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAXEXEMPT STATUS. BENEDICTINE FILES ALL APPLICABLE RETURNS FOR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 14270761 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES SELF-INDEMNITY -795391 0 0 0 0 0 0 13475370 0 13475370 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 BENEDICTINE LIVING COMMUNITIES 6499 UNIVERSITY AVENUE NE STE 300 MINNEAPOLIS MN 55432 411639687 501(C)(3) 688538 0 TRANSFER OF STRATEGIC CAPITAL BENEDICTINE FOUNDATION 4560 NORWAY PINES PLACE DULUTH MN 55811 411513014 501(C)(3) 839237 0 FOUNDATION OPERATING COSTS 2 0 SCHOLARSHIPS 6 15871 PART I, LINE 2: TRANSFERS BETWEEN RELATED ORGANIZATIONS ARE ACCOUNTED FOR IN INTERNAL FINANCIAL STATEMENTS, OF WHICH ALL ARE UNDER COMMON CONTROL. BENEDICTINE HEALTH SYSTEM USES AN APPLICATION PROCESS AND THEN MONITORS IT WITH SCHOOL RECORDS AND RECEIPTS. X X X X X 0 0 0 0 0 0 0 0 0 JERRY CARLEY CEO OF BHS 513659 0 82394 0 102916 0 108820 0 24601 0 832390 0 0 0 KEVIN RYMANOWSKI CFO & TREASURER 332120 0 40076 0 49509 0 50352 0 25075 0 497132 0 0 0 STEVEN PRZYBILLA SR VICE PRESIDENT (THROUGH MARCH 2022) 287385 0 34697 0 57016 0 58798 0 3438 0 441334 0 0 0 TRENT PEPPER SR. VICE PRESIDENT 218616 0 26313 0 30133 0 31611 0 28764 0 335437 0 0 0 SHAWN JOHNSON VICE PRESIDENT 188531 0 15751 0 41036 0 28296 0 28453 0 302067 0 0 0 ANDREW OPSAHL SR. VICE PRESIDENT 196779 0 16439 0 36808 0 36914 0 8868 0 295808 0 0 0 TIA BOWE VP-OPERATIONS (THROUGH MARCH 2022) 195179 0 18439 0 22083 0 22630 0 28373 0 286704 0 0 0 BARBARA WESSBERG EXECUTIVE DIRECTOR 187378 0 14666 0 23887 0 23920 0 2991 0 252842 0 0 0 PENELOPE VIGGIANO VICE PRESIDENT 174574 0 12884 0 21520 0 14427 0 28140 0 251545 0 0 0 LAURIE HENNEN SR. VICE PRESIDENT 186779 0 15053 0 1231 0 29045 0 10549 0 242657 0 0 0 LAURA CAMPBELL SR. VICE PRESIDENT 162527 0 12269 0 0 0 14722 0 27890 0 217408 0 0 0 DALE BURGESS REHAB DIRECTOR 162794 0 12226 0 0 0 17507 0 21585 0 214112 0 0 0 NEAL BUDDENSIEK MD SR. VICE PRESIDENT 182530 0 15248 0 0 0 0 0 1628 0 199406 0 0 0 A CITY OF RED WING MN 416005482 757140AM0 2018-07-30 21545957 FACILITY CONSTRUCTION 0 0 0 B CITY OF SHAKOPEE MN 416005539 124635AA3 2018-12-21 55400000 FACILITY CONSTRUCTION 0 0 0 A 25000 20315000 800038 1323665 430919 663547 21015683 2019 0 0 1 1 B 29810 55400000 3468228 7423239 1108800 921348 42518385 2020 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A THE 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 SPECIFIC AUTHORIZATION OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7A BENEDICTINE SISTERS BENEVOLENT ASSOCIATION (BSBA) - A CIVIL LAW CORPORATION FOR THE SISTERS OF ST. BENEDICT OF ST. SCHOLASTICA MONASTERY, DULUTH MN - APPOINTS UP TO 30% OF THE BOARD MEMBERS. ESSENTIA HEALTH, - A MN NON-PROFIT ORGANIZATION - HAS THE AUTHORITY TO APPOINT AT LEAST 20% OF THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B BSBA HAS CERTAIN "RESERVED POWERS" OVER BHS TO ENSURE ALL ACTIVITIES ARE CARRIED OUT IN ACCORDANCE WITH THE CHARISMS OF THE BSBA AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C ON 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 15 COMPENSATION FOR THE ORGANIZATION'S CEO AND OTHER KEY EMPLOYEES OF THE ORGANIZATION 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 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. OFFICER COMPENSATION: BENEDICTINE 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. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN FOUNDATION 27,136. FORM 990, PART XII, LINE 2C: THE BENEDICTINE HEALTH SYSTEM AUDIT/ FINANCE COMMITTEE OVERSEES THE SELECTION OF THE INDEPENDENT AUDITOR AND OVERSEES THE ANNUAL CONSOLIDATED AUDIT OF BENEDICTINE HEALTH SYSTEM AND AFFILIATES WHICH INCLUDES THE ORGANIZATION. MADONNA SUMMIT OF BYRON LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 472337717 SENIOR HOUSING MN 2760252 8425479 BHS BENEDICTINE LIVING COMMUNITY-NORTHFIELD LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 824307824 SENIOR HOUSING MN 4155543 21005265 BHS BENEDICTINE LIVING COMMUNITY-SHAKOPEE LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 824211716 SENIOR HOUSING MN 3074273 51474988 BHS BENEDICTINE LIVING COMMUNITY ANOKA LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 880538863 SENIOR HOUSING MN 0 103837 BHS BENEDICTINE STAFFING LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 881646484 TEMPORARY NURSING STAFFING MN 0 99998 BHS APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS 6499 UNIVERSITY AVENUE NE SUITE 300 MINNEAPOLIS MN 55432 370909113 SENIOR LIVING COMMUNITY IL 501(C)(3) LINE 10 BHS 1 ARROWHEAD SENIOR LIVING COMMUNITIES 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411978619 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE CARE CENTERS 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411907571 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE HEALTH CENTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411381401 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE FOUNDATION 4560 NORWAY PINES PLACE DULUTH MN 55811 411513014 FUND DEVELOPMENT MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE LIVING COMMUNITIES 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411639687 NURSING HOMES MN 501(C)(3) LINE 10 BHS 1 BLC OF BISMARCK 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 264376543 SENIOR LIVING COMMUNITY MN 501(C)(3) LINE 10 BHS 1 BLC OF NEW LONDON 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 274218436 NURSING HOME WI 501(C)(3) LINE 10 BHS 1 BLC OF ST PETER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 861113231 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BLC OF WAHPETON 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 454274091 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 BLC OF WINSTED 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 274219293 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BRIDGES CARE CENTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 262620983 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 BSLC OF ST PETER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 272716531 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 CATHOLIC RESIDENTIAL SERVICES 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 390982340 NURSING HOME WI 501(C)(3) LINE 10 BHS 1 CERENITY CARE CENTER - WHITE BEAR LAKE 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411983267 NURSING HOME MN 501(C)(3) LINE 10 N/A 0 CERENITY SENIOR CARE 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411983268 NURSING HOME MN 501(C)(3) LINE 10 N/A 0 CITY OF LAKES CARE CENTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411985663 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 ELLENDALE EVERGREEN PLACE 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411796445 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE LIVING COMMUNITY - OWATONNA 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411852273 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 LIVING COMMUNITY OF ST JOSEPH 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 412011661 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 MADONNA MEADOWS OF ROCHESTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 470855891 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 MADONNA TOWERS OF ROCHESTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411809914 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 NAZARETH LIVING CENTER 2 NAZERETH LANE ST LOUIS MO 63128 431450394 NURSING FACILITY MO 501(C)(3) LINE 10 N/A 0 REGINA SENIOR LIVING 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 463700475 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 ROSEWOOD COURT 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 412011389 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 SAINT ANNE OF WINONA 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 410850791 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 ST GERTRUDE'S HEALTH CENTER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411848720 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 STEEPLE POINTE SENIOR LIVING COMMUNITY 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411852273 ASSISTED LIVING MN 501(C)(3) LINE 10 BHS 1 VILLA ST BENEDICT 1920 MAPLE AVENUE LISLE IL 60532 364343235 NURSING HOME MN 501(C)(3) LINE 10 N/A 0 VILLA ST VINCENT 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411352227 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BENEDICTINE GROUP SELF-INSURANCE ASSOCIATION 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 411548753 WORKERS' COMPENSATION PROGRAM MN N/A C 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS O 138648 CASH APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS L 428914 CASH BENEDICTINE CARE CENTERS O 304470 CASH BENEDICTINE CARE CENTERS L 1604335 CASH BENEDICTINE HEALTH CENTER L 1478383 CASH BENEDICTINE HEALTH CENTER P 54018 CASH BENEDICTINE HEALTH CENTER O 208667 CASH BENEDICTINE LIVING COMMUNITIES O 750797 CASH BENEDICTINE LIVING COMMUNITIES L 2053671 CASH BENEDICTINE LIVING COMMUNITIES P 60943 CASH BLC - 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