PHS INTERLUDE FRIDLEY LLC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PHS INTERLUDE FRIDLEY LLC (EIN 46-2904490)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-03
- IRS object ID
- 201721239349301587
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-03T14:11:53-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462904490 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENEDICTINE LIVING CENTER OF FRIDLEY LLC | BusinessNameLine1Txt |
| Business Name Line2 | DBA INTERLUDE RESTORATIVE SUITES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BENE | BusinessNameControlTxt |
| Phone | 7636891162 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 E RUM RIVER DRIVE S | AddressLine1Txt |
| City | CAMBRIDGE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55008 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN RYMANOWSKI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2017-05-03 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICOLE DONAHUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 E RUM RIVER DRIVE S | AddressLine1Txt |
| City | CAMBRIDGE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,922,342 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | interluderestorativesuites.org | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | Our 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 Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 62 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,750,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $40 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $671,090 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,922,024 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2 | PYInvestmentIncomeAmt |
| CY Investment Income | $278 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,421,092 | PYTotalRevenueAmt |
| CY Total Revenue | $5,922,342 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,575,045 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,675,221 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,281,391 | PYOtherExpensesAmt |
| CY Other Expenses | $3,546,164 | CYOtherExpensesAmt |
| PY Total Expenses | $2,856,436 | PYTotalExpensesAmt |
| CY Total Expenses | $9,221,385 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$435,344 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,299,043 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,355,101 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,313,917 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,530,445 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,787,854 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,824,656 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,473,937 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Interlude provides hospitality-driven, personalized rehabilitative care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,467,343 | ExpenseAmt |
| Revenue | $5,922,024 | RevenueAmt |
| Desc | Interlude Restorative Suites is a new generation of transitional care that provides post-acute care patients with a clinically advanced yet soothing environment in which to transition from hospital to home.Focused on hospitality, wellness and service delivered in a resort, spa-like environment; this center specializes in customized, high-quality, technologically advanced rehabilitation and recovery programs designed to reach optimal levels of individual health and ability. A smooth transition back to home is the goal for each guest.Located in Fridley, Minnesota, Interlude provided care for 598 clients during fiscal year 2016. | Desc |
| Total Program Service Expenses | $8,467,343 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 62 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN RYMANOWSKI CFO | PersonNm |
| Phone | 7636891162 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 LEXINGTON AVE N 201 | AddressLine1Txt |
| City | SHOREVIEW | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55126 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| ROCKLON CHAPIN | |||||||
| CEO OF BHS | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $487,039 | $100,669 |
| DICK WAGER | |||||||
| SVP OF BHS | 1.00 | 39.00 | Yes (X) | $0 | $240,646 | $35,857 | |
| KEVIN RYMANOWSKI | |||||||
| CFO OF BHS | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $360,750 | $57,384 |
| STEVEN PRZYBILLA | |||||||
| VP OF BHS | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $139,375 | $27,379 |
| HELEN STRIKE | |||||||
| Director | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SHARON JOHNSON | |||||||
| PART YR. ADMIN. | 40.00 | 0.00 | Yes (X) | $0 | $119,484 | $13,477 | |
| NICOLE DONAHUE | |||||||
| CURRENT ADMIN | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $1,347,294 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $234,766 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | |||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | MANAGEMENT SERVICES | $361,389 |
| PATHWAY HEALTH SERVICES | |||||
| 2025 4TH STREET | WHITE BEAR LAKE | MN | 55110 | NURSING SERVICES | $121,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $40 | AllOtherContributionsAmt |
| Total Contributions | $40 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT SERVICES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $5,922,024 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,922,024 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,922,024 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278 | TotalRevenueColumnAmt |
| Exclusion | $278 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,922,342 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,922,024 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $278 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,813,704 | TotalAmt |
| Program Services | $4,634,622 | ProgramServicesAmt |
| Management And General | $179,082 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,877 | TotalAmt |
| Program Services | $28,383 | ProgramServicesAmt |
| Management And General | $1,494 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,155 | TotalAmt |
| Program Services | $451,397 | ProgramServicesAmt |
| Management And General | $23,758 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,485 | TotalAmt |
| Program Services | $338,661 | ProgramServicesAmt |
| Management And General | $17,824 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,389 | TotalAmt |
| Management And General | $361,389 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,464 | TotalAmt |
| Management And General | $14,464 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,990 | TotalAmt |
| Program Services | $542,990 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,678 | TotalAmt |
| Program Services | $38,678 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,486 | TotalAmt |
| Management And General | $59,486 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,064 | TotalAmt |
| Management And General | $71,064 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,542 | TotalAmt |
| Program Services | $634,542 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,904 | TotalAmt |
| Program Services | $18,865 | ProgramServicesAmt |
| Management And General | $2,039 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,686 | TotalAmt |
| Program Services | $1,105 | ProgramServicesAmt |
| Management And General | $1,581 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,434 | TotalAmt |
| Program Services | $576,434 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,640 | TotalAmt |
| Program Services | $54,640 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supply Expense | $756,114 | $756,114 | |
| SURCHARGE (BED TAX) | $152,480 | $152,480 | |
| FOOD | $131,688 | $131,688 | |
| EQUIPMENT REPAIRS / LEASES | $55,769 | $33,908 | $21,861 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,836 | TotalAmt |
| Program Services | $72,836 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,221,385 | TotalAmt |
| Program Services | $8,467,343 | ProgramServicesAmt |
| Management And General | $754,042 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,266 | BOYAmt |
| EOY | $414,921 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,865 | BOYAmt |
| EOY | $1,036,960 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,287 | BOYAmt |
| EOY | $3,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,201,181 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $712,070 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,858,966 | BOYAmt |
| EOY | $14,489,111 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,390,629 | BOYAmt |
| EOY | $1,343,901 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,088 | BOYAmt |
| EOY | $25,373 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,355,101 | BOYAmt |
| EOY | $17,313,917 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $939,119 | BOYAmt |
| EOY | $1,684,526 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,900,000 | BOYAmt |
| EOY | $12,744,002 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,691,326 | BOYAmt |
| EOY | $4,359,326 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,530,445 | BOYAmt |
| EOY | $18,787,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,824,656 | BOYAmt |
| EOY | -$1,473,937 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,824,656 | BOYAmt |
| EOY | -$1,473,937 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,355,101 | BOYAmt |
| EOY | $17,313,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,299,043 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $450 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,260,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,750,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40 | CurrentTaxYearAmt |
| Total | $4,010,040 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $671,090 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,922,024 | CurrentTaxYearAmt |
| Total | $6,593,114 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,260,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,421,090 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,922,064 | CurrentTaxYearAmt |
| Total | $10,603,154 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $10,603,154 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $278 | CurrentTaxYearAmt |
| Total | $280 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $278 | CurrentTaxYearAmt |
| Total | $280 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,260,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,421,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,922,342 | CurrentTaxYearAmt |
| Total | $10,603,434 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,962,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $463,697 | DepreciationAmt |
| Book Value | $13,498,968 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,238,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $248,373 | DepreciationAmt |
| Book Value | $990,143 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,489,111 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,922,342 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $5,922,342 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,922,342 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,221,385 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,221,385 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,221,385 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | Tax 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|
| 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 | ||||||
| CEO OF BHS | $391,184 | $95,855 | $91,486 | $9,183 | $587,708 | $91,486 |
| STEVEN PRZYBILLA | ||||||
| VP OF BHS | $117,976 | $21,399 | $24,877 | $2,502 | $166,754 | $24,877 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III, Additional Information | FormAndLineReferenceDesc |
| Explanation | ROCKLON 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 (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CITY OF FRIDLEY | |||||||
| A | 416007700 | 2013-12-30 | $10,000,000 | CONSTRUCTION | false | false | false |
| CITY OF MOUNDS VIEW MN | |||||||
| B | 416008912 | 2013-12-30 | $2,900,000 | CONSTRUCTION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $155,998 | $10,000,000 | $200,000 | $9,800,000 | 2015 | false | false | false | Yes (true) |
| B | $2,900,000 | $58,000 | $2,842,000 | 2015 | false | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | The Series 2013 Notes were used to (A) pay the costs of constructing and equipping a 50-unit short term post actute facility and (B) pay certain costs of issuing the 2013 Notes. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | The 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 Shareholder | Benedictine Health System, a Minnesota nonprofit corporation, and Allina Health System, a Minnesota nonprofit are the two members of the Corporation. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The Company shall be managed by a board of Governors, consisting of no fewer than three and no more than five members. The number of Governors should be set by the board. Each Governor shall serve for an indefinite term. The Board shall consist of Class A and Class B Governors. Class A should be appointed by Allina and Class B Governors shall be appointed by BHS. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | Certain decisions require a Class A Governor vote as laid out in the bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | 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 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 Available | No documents available to the public. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | WORKERS COMP DISTRIBUTION = $450 |
| Form 990, Part XII, Line 2: Change of Oversight or Selection Process | 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. |
| OFFICER COMPENSATION | ROCKLON 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411531892 | SUPPORT ORG | MN | 501 (c) 3 | 9 | N/A | false | |
| BHS FOUNDATION | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411513014 | FUND DEVELOPMENT | MN | 501 (c) 3 | 9 | false | BHS | |
| ARROWHEAD SENIOR LIVING COMMUNITY | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411978619 | NURSING HOMES | MN | 501 (c) 3 | 9 | false | BHS | |
| BENEDICTINE CARE CENTERS | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411907571 | NURISNG HOMES | MN | 501 (c) 3 | 9 | false | BHS | |
| BENEDICTINE HEALTH CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411381401 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC INC | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411639687 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC - BISMARCK | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 264376543 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC- MORA | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 274219119 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC - NEW LONDON | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 274218436 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC -SPOONER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 450700468 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC ST PETER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 861113231 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC - WINSTED | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 274219293 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BENE SENIOR LIV COMM OF ST PETER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 272716531 | ASSISTED LIVING | MN | 501 (c) 3 | 9 | false | BHS | |
| BRIDGES CARE COMMUNITY | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 262620983 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| CERENITY SENIOR CARE | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 363517696 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | NA | |
| CITY OF LAKES CARE CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411985663 | SUPPORT ORG | MN | 501 (c) 3 | 9 | false | BHS | |
| CERENITY CARE CENTER - WBL | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411983267 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | NA | |
| ELLENDALE EVERGREEN PLACE INC | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411796445 | ASSISTED LIVING | MN | 501 (c) 3 | 9 | false | BHS | |
| LIVING COMMUNITY OF ST JOSEPH | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 412011661 | NURISNG HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| MADONNA MEADOWS OF ROCHESTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 470855891 | ASSISTED LIVING | MN | 501 (c) 3 | 9 | false | BHS | |
| MADONNA TOWERS OF ROCHESTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411809914 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| NAZARETH LIVING CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 431450394 | NURSING HOME | MO | 501 (c) 3 | 9 | false | NA | |
| ROSEWOOD COURT | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 412011389 | ASSISED LIVING | MN | 501 (c) 3 | 9 | false | BHS | |
| SAINT ANNE OF WINONA | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 410850791 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| ST GERTRUDES HEALTH CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411848720 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| STEELE COUNTY COMM FOR A LIFETIME | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 270705237 | NURSING HOME | MN | 501 (c) 3 | 9 | false | NA | |
| TEKAKWITHA NURSING CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411809912 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| VILLA ST VINCENT | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411352227 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC - RED WING | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 454929398 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| CATHOLIC RESIDENTIAL SERVICES | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 390982340 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| STEEPLE POINTE SEN LIV COMM | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411852273 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| VILLA ST BENEDICT | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 364343235 | NURSING HOME | MN | 501 (c) 3 | 9 | false | NA | |
| REGINA SENIOR LIVING | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 463700475 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC OF BYRON | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 471538777 | NURSING HOME | MN | 501 (c) 3 | 9 | false | BHS | |
| BLC OF WAHPETON | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 454274091 | ASSISTED LIVING | MN | 501 (C) 3 | 9 | false | BHS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |