2022-05-15T11:34:28-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2020-07-01 411531892 BENEDICTINE HEALTH SYSTEM BENE 7633472200 6499 UNIVERSITY AVENUE NE NO 300 MINNEAPOLIS MN 55432 KEVIN RYMANOWSKI CFO 7633472200 2022-05-14 1 KEVIN RYMANOWSKI 999009999 CHRISTOPHER STEINHOFF P01587351 6123764500 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BENEDICTINE JERRY CARLEY 6499 UNIVERSITY AVENUE NE NO 300 MINNEAPOLIS MN 55432 52768389 0 0928 X WWW.BHSHEALTH.ORG X 1985 MN OUR MISSION IS TO WITNESS TO GOD'S LOVE BY PROVIDING COMPASSIONATE, QUALITY CARE. 13 13 109 3 7818 5638 2658939 2541193 49676306 49899657 -59308 517853 622796 -331466 52898733 52627237 1811081 2120668 0 0 22418616 24651128 0 0 0 27109432 33410302 51339129 60182098 1559604 -7554861 153472496 145897657 109816522 109841825 43655974 36055832 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 27580117 2120668 43430551 THE BENEDICTINE HEALTH SYSTEM ("BHS") 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. BHS OWNS, COLLABORATES WITH OTHERS, AND/OR HAS AN INTEREST WITH 57 PARTICIPATING ORGANIZATIONS WITH 2,107 SKILLED NURSING BEDS AND 2,136 ASSISTED LIVING AND INDEPENDENT SENIOR LIVING UNITS ACROSS THE UPPER MIDWEST, OFFERING SERVICES SUCH AS TRANSITIONAL CARE, REHABILITATION, MEMORY CARE, HOME HEALTH CARE, ADULT AND CHILD DAY CARE. 1940828 0 2541363 OPERATIONS OF DISREGARDED ENTITY - MADONNA SUMMIT OF BYRON, LLC (47-2337717) OPERATES BENEDICTINE LIVING COMMUNITY-BYRON, A 30-UNIT ASSISTED LIVING AND 20-UNIT INDEPENDENT LIVING FACILITY IN BYRON, MINNESOTA. THE FACILITY HAD 92.4% OCCUPANCY AND SERVED 65 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/21. 2826665 0 2890823 OPERATIONS OF DISREGARDED ENTITY - BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC (82-4307824) OPERATES BENEDICTINE LIVING COMMUNITY-NORTHFIELD, A 49-UNIT ASSISTED LIVING AND 48-UNIT INDEPENDENT LIVING FACILITY UNDER DEVELOPMENT IN NORTHFIELD, MINNESOTA. THE FACILITY OPENED IN NOVEMBER 2019. THE FACILITY HAD 57.1% OCCUPANCY AND SERVED 95 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/21. 3521534 0 1036920 OPERATIONS OF DISREGARDED ENTITY - BENEDICTINE LIVING COMMUNITY OF SHAKOPEE, LLC (82-4211716) OPERATES BENEDICTINE WINDERMERE WAY, A 67-UNIT ASSISTED LIVING AND 116-UNIT INDEPENDENT LIVING FACILITY IN SHAKOPEE, MINNESOTA. THE FACILITY OPENED IN DECEMBER 2020. THE FACILITY HAD 21% OCCUPANCY AND SERVED 57 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/21. 3521534 0 1036920 35869144 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 1 109 1 1 1 0 CJ 0 0 0 0 0 0 0 0 0 0 X 13 13 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 DIRECTOR 1.00 0.00 X 2000 0 0 CARRIE SHAW DIRECTOR 1.00 0.00 X 1800 0 0 DAVID MARC DIRECTOR 1.00 0.00 X 2000 0 0 DANIEL ZISMER DIRECTOR 1.00 0.00 X 1500 0 0 SR DANIEL LYNCH SECRETARY 1.00 0.00 X X 0 0 0 SR BEVERLY RAWAY DIRECTOR 1.00 0.00 X 0 0 0 SR CLARE MARIE TRETTEL DIRECTOR 1.00 0.00 X 0 0 0 PAUL GRIZZELL DIRECTOR 1.00 0.00 X 3200 0 0 JAY STEARNS DIRECTOR 1.00 0.00 X 2200 0 0 ROXANN DAGGET CHAIR 1.00 0.00 X X 5400 0 0 DAVID HOEL DIRECTOR 1.00 0.00 X 2000 0 0 JEFFREY GARLAND DIRECTOR 1.00 0.00 X 2800 0 0 TIM SCANLON VICE CHAIR 1.00 0.00 X X 3200 0 0 KEVIN RYMANOWSKI CFO & TREASURER 5.00 35.00 X 424864 0 143637 JERRY CARLEY CEO OF BHS 5.00 35.00 X 798732 0 129754 NEAL BUDDENSIEK SR. VICE PRESIDENT 20.00 20.00 X 209521 0 0 STEVEN PRZYBILLA SR. VICE PRESIDENT 40.00 0.00 X 394557 0 103300 BECKY URBANSKI SR. VICE PRESIDENT 40.00 0.00 X 294138 0 90573 ANDREW OPSAHL SR. VICE PRESIDENT 40.00 0.00 X 268946 0 80580 PATRICIA ANN NOTT SR. VICE PRESIDENT 40.00 0.00 X 269155 0 39035 TRENT PEPPER SR. VICE PRESIDENT 30.00 10.00 X 270382 0 56298 TIA BOWE VP-OPERATIONS 40.00 0.00 X 226640 0 52953 SHAWN JOHNSON VICE PRESIDENT 40.00 0.00 X 207962 0 52878 PENELOPE VIGGIANO VICE PRESIDENT 40.00 0.00 X 212454 0 45868 BARBARA WESSBERG EXECUTIVE DIRECTOR 0.00 40.00 X 237643 0 29126 JENNIFER BRUHN VP-OPERATIONS 40.00 0.00 X 184714 0 29177 4025808 0 853179 49 0 1 0 COHEN TAYLOR 807 BROADWAY STREET NE MINNEAPOLIS MN 55413 EXECUTIVE SEARCH SERVICES 133025 GRAPETREE MEDICAL STAFFING 2501 BOJI BEND DRIVE SUITE 100 MILFORD IA 51351 TEMPORARY NURSING STAFFING 125341 KRISTIN WARGIN 8523 SARATOGA LANE EDEN PRAIRIE MN 55347 PROCUREMENT CONSULTING 119925 ONENECK IT SOLUTIONS LLC PO BOX 857950 MINNEAPOLIS MN 554857950 IT BACKUP SERVICES 117470 4 2538793 2400 2541193 MEMBER SUPPORT FEES 623000 19334486 19334486 SELF-FUNDED INSURANCE 623000 18298902 18298902 RESIDENT SERVICES REVENUE 623000 6468942 6468942 IT SUPPORT FEES 623000 4152933 4152933 CONSULTING REVENUE 623000 2197315 2197315 -552921 -552921 49899657 517853 517853 149732 141152 8580 8580 7818 762 REBATE INCOME 900099 314882 314882 MISCELLANEOUS INCOME 900099 -654928 -654928 -340046 52627237 49899657 7818 178569 2105093 2105093 15575 15575 3599569 3599569 15685912 5670880 10015032 -38084 126079 -164163 4040123 1527051 2513072 1363608 487209 876399 492425 492425 69100 69100 3031 3031 1403465 338834 1064631 588911 588911 352109 28352 323757 2565035 2565035 1087738 793489 294249 297719 8603 289116 100423 100423 3606811 3606607 204 2040992 2040992 121394 121394 SELF FUNDED INSURANCE E 18591357 18591357 LEASE EXPENSES 1078195 40941 1037254 MISCELLANEOUS EXPENSES 367951 1138 366813 SUPPLIES 280576 205087 75489 363070 281857 81213 60182098 35869144 24312954 0 18140280 19272523 256977 76074 860752 710752 864667 740594 79287683 4279321 71088623 75008362 52231 67313 1985652 1392874 22244814 21946783 37978500 26682382 153472496 145897657 8027124 6236318 66597 113799 72839978 72890996 39460 33568 8984986 8607700 6825192 6763873 13033185 15195571 109816522 109841825 X 43289021 35693116 366953 362716 43655974 36055832 153472496 145897657 X -7554861 -41043 -4238 X X 0 1 X 1 0 X 4734918 6961587 2745872 2658939 2107193 19208509 45511916 50605832 50104703 49676306 49899657 245798414 50246834 57567419 52850575 52335245 52006850 265006923 1919218 3526675 5445893 1013192 1538457 2551649 2932410 5065132 7997542 257009381 13473 62349 81027 291140 667585 1115574 13473 62349 81027 291140 667585 1115574 12400 12400 1038958 610088 -340046 1309000 50260307 57629768 53970560 53248873 52334389 267443897 0.96100 0.96130 0.00420 0.00170 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 4984269 4984269 70382248 2785099 67597149 58809 9591 49218 3862357 1484631 2377726 75008362 AMOUNT DUE FROM AFFILIATES 984316 BOARD DESIGNATED FUNDS INSURANCE RESERVE 13219185 BOND FUND 1071462 DEFERRED COMP FUNDS 3317622 INVESTMENT IN AFFILIATED FOUNDATION 362715 REPLACEMENT RESERVE FUND 849329 DEBT SERVICE FUND 4486381 PROJECT FUND 2340956 ESCROW DEPOSITS 22596 THIRD PARTY PAYOR SETTLEMENTS 27820 26682382 AMOUNTS DUE TO AFFILIATES 7090714 INSURANCE FUND CURRENT LIABILITY 1480000 OTHER LIABILITIES 4126580 INTERCOMPANY BORROWING ADVANCE 2379481 LEASE PAYABLE 118796 15195571 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 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 16016335 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES SELF-INDEMNITY -552957 0 0 0 0 0 0 15463378 0 15463378 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 BENEDICTINE HEALTH SYSTEM FOUNDATION 503 E THIRD ST SUITE 400 DULUTH MN 55805 411513014 501(C)(3) 1153189 N/A N/A FOUNDATION EXPENSES ARROWHEAD SENIOR LIVING COMMUNITY 6499 UNIVERSITY AVENUE NE STE 300 MINNEAPOLIS MN 55432 411978619 501(C)(3) 719123 N/A N/A SYSTEM SUPPORT/STRATEGIC CAPITAL 2 0 SCHOLARSHIPS 6 11790 N/A N/A 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 551790 0 125753 0 121189 0 106948 0 22806 0 928486 0 0 0 KEVIN RYMANOWSKI CFO & TREASURER 328193 0 61982 0 34689 0 118225 0 25412 0 568501 0 0 0 STEVEN PRZYBILLA SR. VICE PRESIDENT 287831 0 53663 0 53063 0 102356 0 944 0 497857 0 0 0 BECKY URBANSKI SR. VICE PRESIDENT 199921 0 38449 0 55768 0 73345 0 17228 0 384711 0 0 0 ANDREW OPSAHL SR. VICE PRESIDENT 198823 0 25549 0 44574 0 72743 0 7837 0 349526 0 0 0 TRENT PEPPER SR. VICE PRESIDENT 218750 0 40500 0 11132 0 31050 0 25248 0 326680 0 0 0 PATRICIA ANN NOTT SR. VICE PRESIDENT 201734 0 38799 0 28622 0 29602 0 9433 0 308190 0 0 0 TIA BOWE VP-OPERATIONS 195472 0 25684 0 5484 0 27742 0 25211 0 279593 0 0 0 BARBARA WESSBERG EXECUTIVE DIRECTOR 193926 0 20581 0 23136 0 27582 0 1544 0 266769 0 0 0 SHAWN JOHNSON VICE PRESIDENT 189525 0 24242 0 -5805 0 27879 0 24999 0 260840 0 0 0 PENELOPE VIGGIANO VICE PRESIDENT 176602 0 24161 0 11691 0 20676 0 25192 0 258322 0 0 0 JENNIFER BRUHN VP-OPERATIONS 169501 0 11844 0 3369 0 20332 0 8845 0 213891 0 0 0 NEAL BUDDENSIEK SR. VICE PRESIDENT 185200 0 23699 0 622 0 0 0 0 0 209521 0 0 0 A CITY OF BYRON MN 416008945 124635AA1 2014-12-30 10000000 FACILITY CONSTRUCTION 0 0 0 B CITY OF RED WING MN 416005482 757140AM0 2018-07-30 21545957 FACILITY CONSTRUCTION 0 0 0 C CITY OF SHAKOPEE MN 416005539 81919TAA4 2018-12-21 55400000 FACILITY CONSTRUCTION 0 0 0 A 1392300 10000000 200000 9479152 320848 2015 0 0 1 1 B 21545957 800038 1323665 430919 663547 18327788 2019 0 0 1 1 C 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 C 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 1 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. FORM 990, PART VII, SECTION A: 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 RESTRICTED NET ASSETS -4,238. 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 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 472337717 SENIOR HOUSING MN -44756 8154527 BHS BENEDICTINE LIVING COMMUNITY-NORTHFIELD 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 824307824 SENIOR HOUSING MN -1189978 20574423 BHS BENEDICTINE LIVING COMMUNITY-SHAKOPEE LLC 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 824211716 SENIOR HOUSING MN -4178108 53679404 BHS 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 HEALTH SYSTEM FOUNDATION 503 E THIRD STREET DULUTH MN 55805 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 NURSING HOME 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 NURSING HOME MN 501(C)(3) LINE 10 BHS 1 BSLC OF ST PETER 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 272716531 ASSISTED LIVING 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 363517696 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 KODA LIVING COMMUNITY 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 270705237 NURSING HOME MN 501(C)(3) LINE 10 N/A 0 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 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 431450394 NURSING FACILITY MO 501(C)(3) LINE 10 N/A 1 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 6499 UNIVERSITY AVE NE SUITE 300 MINNEAPOLIS MN 55432 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 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 P 4142 CASH APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS L 224569 CASH BENEDICTINE CARE CENTERS O 279953 CASH BENEDICTINE CARE CENTERS L 1570384 CASH BENEDICTINE CARE CENTERS P 54695 CASH BENEDICTINE HEALTH CENTER L 1453509 CASH BENEDICTINE HEALTH CENTER P 55742 CASH BENEDICTINE HEALTH CENTER O 303954 CASH BENEDICTINE LIVING COMMUNITIES O 727668 CASH BENEDICTINE LIVING COMMUNITIES L 2058902 CASH BENEDICTINE LIVING COMMUNITIES P 80672 CASH BLC - BISMARCK P 32563 CASH BLC - BISMARCK L 912348 CASH BLC - BISMARCK O 151312 CASH BLC - ST PETER L 461543 CASH BLC - ST PETER P 21517 CASH BLC - ST PETER O 128720 CASH BLC - WAHPETON L 101219 CASH BLC - WINSTED O 29813 CASH BRIDGES CARE CENTER O 100216 CASH BRIDGES CARE CENTER L 300191 CASH BRIDGES CARE CENTER P 17509 CASH BSLC - ST PETER L 137918 CASH CATHOLIC RESIDENTIAL SERVICES L 957433 CASH CATHOLIC RESIDENTIAL SERVICES O 265688 CASH CATHOLIC RESIDENTIAL SERVICES P 41530 CASH CERENITY CARE CENTER - WHITE BEAR LAKE O 163455 CASH CERENITY CARE CENTER - WHITE BEAR LAKE L 1332041 CASH CERENITY CARE CENTER - WHITE BEAR LAKE P 44048 CASH CERENITY SENIOR CARE P 58944 CASH CERENITY SENIOR CARE O 328413 CASH CERENITY SENIOR CARE L 1922463 CASH CITY OF LAKES CARE CENTER O 130145 CASH CITY OF LAKES CARE CENTER P 25777 CASH CITY OF LAKES CARE CENTER L 764767 CASH ELLENDALE EVERGREEN PLACE P 1867 CASH ELLENDALE EVERGREEN PLACE L 59825 CASH KODA LIVING COMMUNITY P 23208 CASH KODA LIVING COMMUNITY O 113024 CASH KODA LIVING COMMUNITY L 737796 CASH LIVING COMMUNITY OF ST JOSEPH L 246947 CASH LIVING COMMUNITY OF ST JOSEPH O 143752 CASH LIVING COMMUNITY OF ST JOSEPH P 23669 CASH MADONNA MEADOWS OF ROCHESTER L 186922 CASH MADONNA MEADOWS OF ROCHESTER P 14104 CASH MADONNA TOWERS OF ROCHESTER P 33538 CASH MADONNA TOWERS OF ROCHESTER L 964841 CASH MADONNA TOWERS OF ROCHESTER O 138445 CASH NAZARETH LIVING CENTER O 125854 CASH NAZARETH LIVING CENTER L 1294980 CASH NAZARETH LIVING CENTER P 36197 CASH REGINA SENIOR LIVING O 113261 CASH REGINA SENIOR LIVING L 897405 CASH REGINA SENIOR LIVING P 23065 CASH ROSEWOOD COURT L 16161 CASH SAINT ANNE OF WINONA P 39228 CASH SAINT ANNE OF WINONA L 997057 CASH SAINT ANNE OF WINONA O 131011 CASH ST GERTRUDE'S HEALTH CENTER L 1180976 CASH ST GERTRUDE'S HEALTH CENTER P 36814 CASH STEEPLE POINTE SENIOR LIVING COMMUNITY P 7594 CASH STEEPLE POINTE SENIOR LIVING COMMUNITY O 3738 CASH STEEPLE POINTE SENIOR LIVING COMMUNITY L 136139 CASH VILLA ST BENEDICT O 148034 CASH VILLA ST BENEDICT L 649713 CASH VILLA ST BENEDICT P 11686 CASH VILLA ST VINCENT O 152845 CASH VILLA ST VINCENT P 35703 CASH VILLA ST VINCENT L 838943 CASH