2017-05-03T14:11:53-07:00 2016-06-30 990 2015-07-01 462904490 BENEDICTINE LIVING CENTER OF FRIDLEY LLC DBA INTERLUDE RESTORATIVE SUITES BENE 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI CFO 2017-05-03 2015 2021-01-29 14:40:06Z NICOLE DONAHUE 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 5922342 false false X interluderestorativesuites.org X 2013 MN Our mission is to witness to God's love by providing compassionate, quality care with special concern for the underserved and those in need. 5 1 62 15 0 1750000 40 671090 5922024 2 278 0 2421092 5922342 0 0 1575045 5675221 0 0 1281391 3546164 2856436 9221385 -435344 -3299043 17355101 17313917 15530445 18787854 1824656 -1473937 Interlude provides hospitality-driven, personalized rehabilitative care. false false 8467343 5922024 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. 8467343 true false false false false false false false false false true false false false false true true true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false false false 23 0 true 62 true false false false false false false false false 0 false false false false false false false false false false X 5 1 false true false false true true true true true false false true true true true true true false false false MN X KEVIN RYMANOWSKI CFO 7636891162 4000 LEXINGTON AVE N 201 SHOREVIEW MN 55126 ROCKLON CHAPIN CEO OF BHS 1.00 39.00 X X 0 487039 100669 DICK WAGER SVP OF BHS 1.00 39.00 X 0 240646 35857 KEVIN RYMANOWSKI CFO OF BHS 1.00 39.00 X X 0 360750 57384 STEVEN PRZYBILLA VP OF BHS 1.00 39.00 X X 0 139375 27379 HELEN STRIKE Director 1.00 0.00 X X 0 0 0 SHARON JOHNSON PART YR. ADMIN. 40.00 0.00 X 0 119484 13477 NICOLE DONAHUE CURRENT ADMIN 40.00 0.00 X 0 0 0 1347294 234766 0 false true false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 MANAGEMENT SERVICES 361389 PATHWAY HEALTH SERVICES 2025 4TH STREET WHITE BEAR LAKE MN 55110 NURSING SERVICES 121073 2 40 40 RESIDENT SERVICES 623000 5922024 5922024 5922024 278 278 0 0 0 0 0 0 0 0 5922342 5922024 278 0 0 0 0 0 0 4813704 4634622 179082 29877 28383 1494 475155 451397 23758 356485 338661 17824 361389 361389 0 14464 14464 0 0 0 542990 542990 38678 38678 59486 59486 71064 71064 0 634542 634542 20904 18865 2039 0 2686 1105 1581 0 0 576434 576434 54640 54640 Medical Supply Expense 756114 756114 SURCHARGE (BED TAX) 152480 152480 FOOD 131688 131688 EQUIPMENT REPAIRS / LEASES 55769 33908 21861 72836 72836 9221385 8467343 754042 0 80266 414921 0 0 273865 1036960 0 0 0 0 2287 3651 15201181 712070 14858966 14489111 0 0 0 1390629 1343901 749088 25373 17355101 17313917 939119 1684526 12900000 12744002 1691326 4359326 15530445 18787854 X 1824656 -1473937 1824656 -1473937 17355101 17313917 X -3299043 450 X X false true X true false X 2260000 1750000 40 4010040 671090 5922024 6593114 0 0 0 2260000 2421090 5922064 10603154 0 0 10603154 2 278 280 0 2 278 280 0 0 2260000 2421092 5922342 10603434 X 0.00000 0.00000 13962665 463697 13498968 1238516 248373 990143 14489111 X 5922342 5922342 5922342 9221385 9221385 9221385 Part X : FIN48 Footnote 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. false false false false false false false false false false DICK WAGER SVP OF BHS 230816 9830 26144 9713 276503 26144 KEVIN RYMANOWSKI CFO OF BHS 319601 41149 38615 18769 418134 38615 ROCKLON CHAPIN CEO OF BHS 391184 95855 91486 9183 587708 91486 STEVEN PRZYBILLA VP OF BHS 117976 21399 24877 2502 166754 24877 Part III, Additional Information 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. A CITY OF FRIDLEY 416007700 2013-12-30 10000000 CONSTRUCTION false false false B CITY OF MOUNDS VIEW MN 416008912 2013-12-30 2900000 CONSTRUCTION false false false A 155998 10000000 200000 9800000 2015 false false false true B 2900000 58000 2842000 2015 false false false true A false false false false false true B false false false false false true A false true false false false true B false true false false false true A true B true Part VI 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. 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 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 BHS false ARROWHEAD SENIOR LIVING COMMUNITY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411978619 NURSING HOMES MN 501 (c) 3 9 BHS false BENEDICTINE CARE CENTERS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411907571 NURISNG HOMES MN 501 (c) 3 9 BHS false BENEDICTINE HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411381401 NURISNG HOME MN 501 (c) 3 9 BHS false BLC INC 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411639687 NURISNG HOME MN 501 (c) 3 9 BHS false BLC - BISMARCK 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 264376543 NURSING HOME MN 501 (c) 3 9 BHS false BLC- MORA 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219119 NURISNG HOME MN 501 (c) 3 9 BHS false BLC - NEW LONDON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274218436 NURSING HOME MN 501 (c) 3 9 BHS false BLC -SPOONER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 450700468 NURSING HOME MN 501 (c) 3 9 BHS false BLC ST PETER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 861113231 NURSING HOME MN 501 (c) 3 9 BHS false BLC - WINSTED 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219293 NURSING HOME MN 501 (c) 3 9 BHS false BENE SENIOR LIV COMM OF ST PETER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 272716531 ASSISTED LIVING MN 501 (c) 3 9 BHS false BRIDGES CARE COMMUNITY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 262620983 NURISNG HOME MN 501 (c) 3 9 BHS false CERENITY SENIOR CARE 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 363517696 NURISNG HOME MN 501 (c) 3 9 NA false CITY OF LAKES CARE CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411985663 SUPPORT ORG MN 501 (c) 3 9 BHS false CERENITY CARE CENTER - WBL 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411983267 NURISNG HOME MN 501 (c) 3 9 NA false ELLENDALE EVERGREEN PLACE INC 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411796445 ASSISTED LIVING MN 501 (c) 3 9 BHS false LIVING COMMUNITY OF ST JOSEPH 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011661 NURISNG HOME MN 501 (c) 3 9 BHS false MADONNA MEADOWS OF ROCHESTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 470855891 ASSISTED LIVING MN 501 (c) 3 9 BHS false MADONNA TOWERS OF ROCHESTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809914 NURSING HOME MN 501 (c) 3 9 BHS false NAZARETH LIVING CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 431450394 NURSING HOME MO 501 (c) 3 9 NA false ROSEWOOD COURT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011389 ASSISED LIVING MN 501 (c) 3 9 BHS false SAINT ANNE OF WINONA 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 410850791 NURSING HOME MN 501 (c) 3 9 BHS false ST GERTRUDES HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411848720 NURSING HOME MN 501 (c) 3 9 BHS false STEELE COUNTY COMM FOR A LIFETIME 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 270705237 NURSING HOME MN 501 (c) 3 9 NA false TEKAKWITHA NURSING CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809912 NURSING HOME MN 501 (c) 3 9 BHS false VILLA ST VINCENT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411352227 NURSING HOME MN 501 (c) 3 9 BHS false BLC - RED WING 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 454929398 NURSING HOME MN 501 (c) 3 9 BHS false CATHOLIC RESIDENTIAL SERVICES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 390982340 NURSING HOME MN 501 (c) 3 9 BHS false STEEPLE POINTE SEN LIV COMM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411852273 NURSING HOME MN 501 (c) 3 9 BHS false VILLA ST BENEDICT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 364343235 NURSING HOME MN 501 (c) 3 9 NA false REGINA SENIOR LIVING 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 463700475 NURSING HOME MN 501 (c) 3 9 BHS false BLC OF BYRON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 471538777 NURSING HOME MN 501 (c) 3 9 BHS false BLC OF WAHPETON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 454274091 ASSISTED LIVING MN 501 (C) 3 9 BHS false false false false false false false false false false false false false true false true false false false false