FURP.ORG / PUBLIC DATA EXPLORER

ARROWHEAD SENIOR LIVING COMMUNITY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ARROWHEAD SENIOR LIVING COMMUNITY (EIN 41-1978619)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-25
IRS object ID
201701159349300935
Schema version
2015v3.0
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)
Return2017-04-25T12:19:26-07:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411978619EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARROWHEAD SENIOR LIVING COMMUNITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARROBusinessNameControlTxt
Phone7636891162PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 EAST RUM RIVER DRIVE SOUTHAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-04-25SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDY OPSAHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,829,632GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bhshealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionOur mission is to witness to God's love by providing compassionate, quality care with special concern for the underserved and those in need.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee194TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$60,605PYContributionsGrantsAmt
CY Contributions Grants$33,250CYContributionsGrantsAmt
PY Program Service Revenue$11,791,695PYProgramServiceRevenueAmt
CY Program Service Revenue$11,777,812CYProgramServiceRevenueAmt
PY Investment Income$17,565PYInvestmentIncomeAmt
CY Investment Income$18,570CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,869,865PYTotalRevenueAmt
CY Total Revenue$11,829,632CYTotalRevenueAmt
PY Grants And Similar Paid$143,831PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$590,970CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,573,403PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,627,730CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,290,492PYOtherExpensesAmt
CY Other Expenses$4,169,746CYOtherExpensesAmt
PY Total Expenses$12,007,726PYTotalExpensesAmt
CY Total Expenses$12,388,446CYTotalExpensesAmt
PY Revenues Less Expenses-$137,861PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$558,814CYRevenuesLessExpensesAmt
Total Assets BOY$10,135,988TotalAssetsBOYAmt
Total Assets EOY$8,751,983TotalAssetsEOYAmt
Total Liabilities BOY$8,326,518TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,419,172TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,809,470NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,332,811NetAssetsOrFundBalancesEOYAmt
MissionArrowhead Senior Living Community is a Catholic organization entrusted with advancing the health care ministry of the Benedictine Sisters of Duluth, Minnesota. Our mission is to witness to God's love by providing compassionate, quality care with special concern for the underserved and those in need.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,080,767ExpenseAmt
Grant$118,269GrantAmt
Revenue$7,286,602RevenueAmt
DescOperation of St. Michael's Health and Rehab. Center a 83 bed long-term care facility in Virgina, MN which provides skilled nursing care to the elderly.The facility had 90% occupancy and served 283 individuals during the fiscal year ending 6/30/16.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,269,697ExpenseAmt
Grant$472,701GrantAmt
Revenue$4,491,210RevenueAmt
DescOperation of St. Raphael's Health and Rehab. Center a 76 bed long-term care and 14 unit Assisted living facility in Virgina, MN which provides skilled nursing care to the elderly.The facility had 64% occupancy and served 132 individuals during the fiscal year ending 6/30/16.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$11,350,464TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee194EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKI CFOPersonNm
Phone7636891162PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 LEXINGTON AVE NORTH 201AddressLine1Txt
CitySHOREVIEWCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KEVIN RYMANOWSKI
CFO OF BHS1.0039.00Yes (X)Yes (X)$0$360,750$57,384
ANDY OPSAHL
VP OPERATIONS10.0030.00Yes (X)Yes (X)$0$190,296$35,105
ROCKLON CHAPIN
CURRENT CEO BHS1.0039.00Yes (X)Yes (X)$0$487,039$100,669
DICK WAGER
SVP OF BHS1.0039.00Yes (X)Yes (X)$0$240,646$35,857
MIKE SCHULTZ
ADMIN OF SRHRC40.000.00Yes (X)$0$105,293$14,896
CHERYL A HIGH
ADMIN OF SMHRC40.000.00Yes (X)$0$111,401$20,045
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$1,495,425TotReportableCompRltdOrgAmt
Total Other Compensation$263,956TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE HEALTH SYSTEMBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DR SAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT COMPANYServicesDesc
Compensation$397,520CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$33,250RelatedOrganizationsAmt
Total Contributions$33,250TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$11,777,812TotalRevenueColumnAmt
Related Or Exempt Func Income$11,777,812RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,777,812TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,070TotalRevenueColumnAmt
Exclusion$16,070ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,500OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,500OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,500TotalRevenueColumnAmt
Exclusion$2,500ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,829,632TotalRevenueColumnAmt
Related Or Exempt Func Income$11,777,812RelatedOrExemptFuncIncomeAmt
Exclusion$18,570ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$585,165TotalAmt
Program Services$585,165ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,805TotalAmt
Program Services$5,805ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,013,449TotalAmt
Program Services$5,728,891ProgramServicesAmt
Management And General$284,558ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$253,147TotalAmt
Program Services$235,427ProgramServicesAmt
Management And General$17,720ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$909,176TotalAmt
Program Services$845,534ProgramServicesAmt
Management And General$63,642ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$451,958TotalAmt
Program Services$420,321ProgramServicesAmt
Management And General$31,637ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$397,520TotalAmt
Management And General$397,520ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$976TotalAmt
Management And General$976ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,422TotalAmt
Management And General$11,422ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$504,703TotalAmt
Program Services$504,703ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,647TotalAmt
Program Services$16,647ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$73,649TotalAmt
Management And General$73,649ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$141,732TotalAmt
Management And General$141,732ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$686,244TotalAmt
Program Services$686,244ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,342TotalAmt
Program Services$25,048ProgramServicesAmt
Management And General$10,294ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,338TotalAmt
Program Services$4,681ProgramServicesAmt
Management And General$657ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$411,055TotalAmt
Program Services$411,055ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$138,893TotalAmt
Program Services$138,893ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supply Expense$695,790$695,790
SURCHARGE$447,585$447,585
FOOD$385,888$385,888
EQUIPMENT REPAIRS$62,683$58,508$4,175

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$154,279TotalAmt
Program Services$154,279ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,388,446TotalAmt
Program Services$11,350,464ProgramServicesAmt
Management And General$1,037,982ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$69,308BOYAmt
EOY-$565,683EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,283,607BOYAmt
EOY$1,476,902EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$46,262BOYAmt
EOY$51,944EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,253,193LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,917,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,551,287BOYAmt
EOY$6,335,614EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$145,205BOYAmt
EOY$132,939EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,040,319BOYAmt
EOY$1,320,267EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,135,988BOYAmt
EOY$8,751,983EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,357,399BOYAmt
EOY$1,452,941EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,163,885BOYAmt
EOY$5,838,568EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$24,535BOYAmt
EOY$16,117EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$644,170BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$136,529BOYAmt
EOY$111,546EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,326,518BOYAmt
EOY$7,419,172EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,715,525BOYAmt
EOY$1,244,795EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,945BOYAmt
EOY$88,016EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,809,470BOYAmt
EOY$1,332,811EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,135,988BOYAmt
EOY$8,751,983EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$558,814ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,316NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$93,471OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$28,159CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,087CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,605CurrentTaxYearMinus1YearAmt
Current Tax Year$33,250CurrentTaxYearAmt
Total$244,470TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,377,375CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,005,192CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,148,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,791,695CurrentTaxYearMinus1YearAmt
Current Tax Year$11,777,812CurrentTaxYearAmt
Total$62,100,483TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,405,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,088,279CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,187,778CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,852,300CurrentTaxYearMinus1YearAmt
Current Tax Year$11,811,062CurrentTaxYearAmt
Total$62,344,953TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$62,344,953PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,065CurrentTaxYearMinus1YearAmt
Current Tax Year$16,070CurrentTaxYearAmt
Total$70,119TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,065CurrentTaxYearMinus1YearAmt
Current Tax Year$16,070CurrentTaxYearAmt
Total$70,119TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,408,651CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,106,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,204,417CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,868,365CurrentTaxYearMinus1YearAmt
Current Tax Year$11,827,132CurrentTaxYearAmt
Total$62,415,072TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99890PublicSupportCY509Pct
Public Support PY5090.99910PublicSupportPY509Pct
Investment Income CY0.00110InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$243,618OtherCostOrOtherBasisAmt
Book Value$243,618BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,426,410OtherCostOrOtherBasisAmt
Depreciation$3,615,309DepreciationAmt
Book Value$5,811,101BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,754OtherCostOrOtherBasisAmt
Depreciation$72,864DepreciationAmt
Book Value$2,890BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,490,871OtherCostOrOtherBasisAmt
Depreciation$1,229,406DepreciationAmt
Book Value$261,465BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,540OtherCostOrOtherBasisAmt
Book Value$16,540BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,335,614TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
BOND FUNDS$156,766
DUE FROM AFFILIATES$379,419
RESTRICTED ASSET$17,892
TRUSTED FUNDS$766,190
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,320,267TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT$111,545
Rounding$1
FieldValueIRS element (for citing)
Total Liability$111,546TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b: Explanation of escrow account liabilityCARETAKER OF RESIDENT TRUST FUNDS AND SECURITY DEPOSITS IN A SEPARATE ACCOUNT.
Part X : FIN48 FootnoteTax Exempt StatusBHS 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 (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411531892501 (C) 3$544,495$0CAPITAL FUND / SUPPORT
BHS FOUNDATION
503 E THIRD STDULUTHMN55805411513014501 (C) 3$40,670$0SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$5,805CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationArrowhead Senior Living Communities offer employees tuition payment through an educational assistance plan that complies with Section 127 of the Internal Revenue Code and the Minnesota Nursing Facility Employee Scholarship Fund (Bulletin #01-62-05).To provide payment for expenses incurred by eligible Senior Care employees for the successful completion of approved courses that lead to career advancement.TRANSFERS 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 PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDY OPSAHL
VP OPERATIONS$168,355$21,941$28,550$6,555$225,401$28,550
DICK WAGER
SVP OF BHS$230,816$9,830$26,144$9,713$276,503$26,144
KEVIN RYMANOWSKI
CFO OF BHS$319,601$41,149$38,615$18,769$418,134$38,615
ROCKLON CHAPIN
CURRENT CEO BHS$391,184$95,855$91,486$9,183$587,708$91,486

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III, Additional InformationFormAndLineReferenceDesc
ExplanationROCKLON CHAPIN CEO,AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND 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 COMMITTEE2. INDEPENDENT COMPENSATION CONSULTANT3. WRITTEN EMPLOYMENT CONTRACT4. COMPENSATION SURVEY OR STUDY5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Eveleth MNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005140BondIssuerEIN
CUSIP299715AS1CUSIPNum
Bond Issued2007-04-18BondIssuedDt
Issue Price$8,271,476IssuePriceAmt
PurposeSEE PART VPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,432,908RetiredAmt
Total Proceeds$8,271,476TotalProceedsAmt
In Reserve Fund$641,505InReserveFundAmt
Refunding Escrow$8,106,176RefundingEscrowAmt
Issuance Costs From Proceeds$165,429IssuanceCostsFromProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
No Rebate DueYes (true)NoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationPROCEEDS OF THE SERIES 2007 BONDS TO REFUND AND REDEEM SERIES 2000 BONDS USED TO REFINANCE THE ACQUISITION OF FACILITY LOCATED IN VIRGINIA AND EVELETH MINNESOTA. AND PAY CERTAIN COSTS OF ISSUING THE SERIES 2007 BONDS.THE LAST REBATE COMPUTATION WAS PERFORMED ON 6/30/2011.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe 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, Line 6: Explanation of Classes of Members or ShareholderBenedictine Health System, a Minnesota nonprofit corporation, is the sole member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach Director of the Corporation is appointed by Benedictine Health System
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersBenedictine 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, Line 11b: Form 990 Review ProcessAN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn 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 Persons 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, Line 19: Other Organization Documents Publicly AvailableNOT AVAILABLE TO PUBLIC
Other Changes In Net Assets Or Fund Balances - Other DecreasesCHANGE IN TEMP. RES. NA = -$5929
Other Changes In Net Assets Or Fund Balances - Other IncreasesWORKERS COMP DISTRIBUTION = $99400
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessThe 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.
OFFICER COMPENSATIONROCKLON CHAPIN CEO AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND THE FOLLOWING RELATED ORGANIZATIONS.ARROWHEAD SENIOR LIVING COMMUNITY41-1978619BENEDICTINE CARE CENTERS41-1907571BENEDICTINE HEALTH CENTER41-1381401BENEDICTINE HEALTH SYSTEM 41-1531892BENEDICTINE HEALTH SYSTEM FOUNDATION41-1513014BENEDICTINE LIVING COMMUNITIES41-1639687BENEDICTINE LIVING COMMUNITIES -BISMARCK INC.26-4376543BENEDICTINE LIVING COMMUNITY OF MORA27-4219119BENEDICTINE LIVING COMMUNITY OF NEW LONDON27-4218436BENEDICTINE LIVING COMMUNITY OF SPOONER45-0700468BENEDICTINE LIVING COMMUNITY OF ST. PETER86-1113231BENEDICTINE LIVING COMMUNITY OF WINSTED27-4219293BENEDICTINE SENIOR LIVING COMMUNITY OF ST PETER27-2716531BRIDGES CARE COMMUNITY26-2620983CERENITY SENIOR CARE36-3517696CERENITY CARE CENTER - WHITE BEAR LAKE41-1983267CITY OF LAKES CARE CENTER41-1985663ELLENDALE EVERGREEN PLACE, INC41-1796445LIVING COMMUNITY OF ST. JOSEPH41-2011661MADONNA MEADOWS OF ROCHESTER47-0855891MADONNA TOWERS OF ROCHESTER, INC41-1809914NAZARETH LIVING CENTER43-1450394ROSEWOOD COURT41-2011389SAINT ANNE OF WINONA41-0850791ST. GERTRUDE'S HEALTH CENTER41-1848720STEELE COUNTY COMMUNITIES FOR A LIFETIME INC27-0705237STEEPLE POINTE SENIOR LIVING COMMUNITY41-1852273TEKAKWITHA NURSING CENTER, INC41-1809912VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091CRS OF WISCONSIN 39-0982340BENEDICTINE LIVING CENTER OF FRIDLEY 46-2904490REGINA SENIOR LIVING 46-3700475BLC OF BYRON 47-1538777

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BENEDICTINE HEALTH SYSTEM
1995 E RIVER DRIVE SCAMBRIDGEMN55008411531892SUPPORTING ORG.MN501 (C)39N/Afalse
BENEDICTINE CARE CENTERS
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411907571NURSING HOMEMN501 (C)39falseBHS
Benedictine Health Center
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411381401NURSING HOMEMN501 (C)39falseBHS
CITY OF LAKES CARE CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411985663NURSING HOMEMN501 (C)39falseBHS
Benedictine Living Communities
1995 E RUM RIVER DRVIE SCAMBRIDGEMN55008411639687NURSING HOMEMN501 (C)39falseBHS
Benedictine Living Com of St Peter
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008861113231NURSING HOMEMN501 (C)39falseBHS
STEEPLE POINTE SENIOR LIV COMM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411852273NURSING HOMEMN501 (C)39falseBHS
Cerenity Senior Care
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008363517696NURSING HOMEMN501 (C)39falseNA
Cerenity Care Cen- White Bear Lake
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411983267NURSING HOMEMN501 (C)39falseNA
BHS FOUNDATION
503 E THIRD STDULUTHMN55805411513014FUND DEVELOPMENTMN501 (C) 39falseBHS
Living Community of St Joseph
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008412011661NURSING HOMEMN501 (C)39falseBHS
Madonna Towers of Rochester
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411809914NURSING HOMEMN501 (C)39falseBHS
St Gertrudes Health Center
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411848720NURSING HOMEMN501 (C)39falseBHS
Villa St Vincent
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411352227NURSING HOMEMN501 (C)39falseBHS
Tekakwitha Nursing Center Inc
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411809912NURSING HOMEMN501 (C)39falseBHS
BLC OF BISMARCK
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008264376543NURSING HOMEMN501 (C)39falseBHS
BLC OF MORA
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274219119NURSING HOMEMN501 (C)39falseBHS
BLC OF NEW LONDON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274218436NURSING HOMEMN501 (C)39falseBHS
BLC OF WAHPETON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008454274091NURSING HOMEMN501 (C)39falseBHS
BLC OF WINSTED
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274219293NURSING HOMEMN501 (C)39falseBHS
BLC OF RED WING
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008454929398NURSING HOMEMN501 (C)39falseBHS
BLC OF SPOONER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008450700468NURSING HOMEMN501 (C)39falseBHS
BRIDGES CARE COMMUNITY
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008262620983NURSING HOMEMN501 (C)39falseBHS
BSLC OF ST PETER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008272716531ASSISTED LIVINGMN501 (C)39falseBHS
CATHOLIC RESIDENTIAL SERVICES
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008390982340NURSING HOMEWI501 (C)39falseBHS
ELLENDALE EVERGREEN PLACE
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411796445ASSISTED LIVINGMN501 (C)39falseBHS
MADONNA MEADOWS
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008470855891ASSISTED LIVINGMN501 (C)39falseBHS
NAZARETH LIVING CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008431450394NURSING HOMEMO501 (C)39falseNA
ROSEWOOD COURT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008412011389ASSISTED LIVINGMN501 (C)39falseBHS
SAINT ANNE OF WINONA
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008410850791NURSING HOMEMN501 (C)39falseBHS
STEELE COUNTY COMMUNITIES FOR A LIFETIME
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008270705237NURSING HOMEMN501 (C)39falseNA
BLC OF FRIDLEY
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008462904490NURSING HOMEMN501 (C)39falseBHS
REGINA SENIOR LIVING
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008463700475NURSING HOMEMN501 (C)39falseBHS
BLC OF BYRON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008471538777NURSING HOMEMN501 (C)39falseBHS
VILLA ST BENEDICT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008364343235ASSISTED LIVING501 (C) 39falseNA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd