2016-05-11T12:13:06-07:00 2015-06-30 990 2014-07-01 274219119 BENEDICTINE LIVING COMMUNITY OF MORA dba ST CLARE LIVING COMMUNITY OF MORA BENE 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI CFO 2016-05-11 2014 2016-08-17 19:52:53Z JACK L'HEUREUX 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 6559197 false false 0928 X www.bhshealth.org X 2010 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. 3 0 133 40 0 17412 369330 5957287 6085144 942 696 492616 104027 6468257 6559197 59478 70748 0 3504199 3407492 0 0 2890304 2662519 6453981 6140759 14276 418438 1182524 1069040 957818 422798 224706 646242 Benedictine Living Community of Mora, dba St. Clare Living Community of Mora 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. false false 4671372 70748 4960633 St. Clare Living Community of Mora, is a 65 bed long-term care facility in Mora, Minnesota which provides skilled nursing care to the elderly.The facility had a 78% occupancy and served 185 individuals during the fiscal year ending 6/30/15. 990781 1124511 St. Clare Living Community of Mora, also provides a 27 unit Assisted Living facility in Mora, Minnesota.The facility had a 118% occupancy and served 55 individuals during the fiscal year ending 6/30/15. 5662153 true true false false false false false false true false true false false true false true false true false false false false false false false false false true true true false false false false false false false false false false false false false false false false true false false false false true 30 0 true 133 true false false false false false false false false 0 false false false false false false false false false false X 3 0 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 STEVE CHIES SVP OF BHS 1.00 39.00 X X 0 485843 48904 KEVIN RYMANOWSKI CFO OF BHS 1.00 39.00 X X 0 282545 69728 ROCKLON CHAPIN CURRENT CEO BHS 1.00 39.00 X X 0 469948 97766 DICK WAGER SVP OF BHS 1.00 39.00 X X 0 0 0 JACK L'HEUREUX CEO / ADMIN 40.00 0.00 X 0 97270 15549 DALE THOMPSON FORMER CEO BHS 0.00 0.00 X 0 486920 1309 1822526 233256 0 true true false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 MANAGING COMPANY 161257 1 369330 369330 ASSISTED LIVING 623000 1124511 1124511 RESIDENT SERVICES 623000 4960633 4960633 6085144 696 696 0 0 0 0 0 0 0 INSURANCE REFUNDS 623000 104027 104027 104027 6559197 6085144 104723 62699 62699 8049 8049 0 0 0 0 2785031 2676557 108474 48845 45670 3175 367576 343684 23892 206040 192647 13393 161257 161257 0 5590 5590 0 0 0 376064 376064 31443 31443 55933 55933 77400 77400 0 830521 830521 16994 14318 2676 0 5288 3026 2262 151 151 0 210729 210729 62991 62991 Medical Supply Expense 319125 319125 SURCHARGE 182975 182975 FOOD 170732 170732 EQUIPMENT REPAIRS / LEASES 54692 39441 15251 100634 91331 9303 6140759 5662153 478606 0 212069 197396 0 0 550630 483061 0 0 0 0 1643 20843 458161 323138 174043 135023 0 0 0 0 244139 232717 1182524 1069040 427037 374133 27920 26444 502861 22221 957818 422798 X 194121 622931 30585 23311 224706 646242 1182524 1069040 X 418438 3098 X X false true X true false X 1338 12160 30256 17412 369330 430496 2774963 6566930 6185668 5957287 6085144 27569992 0 0 0 2776301 6579090 6215924 5974699 6454474 28000488 0 0 28000488 1503 73 235 942 696 3449 0 1503 73 235 942 696 3449 0 492616 104027 596643 2777804 6579163 6216159 6468257 6559197 28600580 0.97900 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 272914 192999 79915 30026 18496 11530 155221 111643 43578 135023 AMOUNT DUE FROM AFFILIATES 939 DEBT SERVICE RESERVE FUND 196830 DESIGNATED CONTRIBUTIONS 23311 RESIDENT TRUST FUNDS 11637 232717 X Part IV, Line 2b: Explanation of escrow account liability CARETAKER OF RESIDENT TRUST FUNDS AND SECURITY DEPOSITS IN A SEPARATE ACCOUNT. 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 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 of excise or other taxes. true BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411531892 501 (C) 3 31356 0 CAPITAL FUND / SUPPORT BHS FOUNDATION 503 E THIRD ST DULUTH MN 55805 411513014 501 (C) 3 31343 0 SUPPORT 2 0 SCHOLARSHIPS 4 8049 Grantmaker's Description of How Grants are Used St. Clare Living Community of Mora offers 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. true false false false false false false false false false DALE THOMPSON FORMER CEO BHS 486920 1309 488229 1309 KEVIN RYMANOWSKI CFO OF BHS 245815 36730 47177 22551 352273 47177 ROCKLON CHAPIN CURRENT CEO BHS 377601 92347 84709 13057 567714 84709 STEVE CHIES SVP OF BHS 392887 92956 40429 8475 534747 40429 Part III, Additional Information ROCKLON CHAPIN CEO,STEVE CHIES PART YEAR SVP, DICK WAGER PART YEAR SVP, 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. 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, is the sole member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each 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 Shareholders Benedictine 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 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 This Corporation shall not enter into any contract or transaction with (a) its Director or officer or a member of the family of a Director or an officer; (b) a director or officer of a related organization (within the meaning of Minnesota Statutes, section 317A.011, Subd. 18) or a member of the family of a director or officer of a related organization; or (c) an organization in or of which this Corporation's Director or officer is a director, officer or legal representative or has a material financial interest; unless the material facts as to the contract or transaction and as to the director's or officer's interest are fully disclosed or known to the Board of Directors, and the Board of Directors authorizes, approves, or ratifies the contract or transaction in good faith by the affirmative vote (without counting any interested Director) of a majority of the entire Board of Directors, at a meeting at which there is a quorum without counting any interested Director. For purposes of these Bylaws, "member of the family" of a director or officer shall mean a spouse, parent, child, spouse of a child, brother, sister, or spouse of a brother or sister, of the director or officer. Failure to comply with the provisions of this section shall not invalidate any contract or transaction to which this Corporation is a party. The provisions of this section shall not apply to any contracts or transaction between or among BHS and its Subsidiaries. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NOT AVAILABLE TO PUBLIC Other Changes In Net Assets Or Fund Balances - Other Increases change in Net Assets of Temp Restricted Contributions = $0 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in Temp. NA of affiliated foundation = -$7274 Other Changes In Net Assets Or Fund Balances - Other Increases Insurance Surplus Distribution = $10372 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 SUPPORTIN ORG MN 501 (C) 3 11, TYPE III N/A false BENEDICTINE HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMRIDGE MN 55008 411381401 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE CARE CENTERS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411907571 NURSING HOME MN 501 (C) 3 9 BHS false Benedictine Living Communities 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411639687 NURSING HOME MN 501 (C) 3 9 BHS false Benedictine Living Com of St Peter 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 861113231 NURSING HOME MN 501 (C) 3 9 BHS false STEEPLE POINTE SEN LIV COMM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411852273 ASSISTED LIVING MN 501 (C) 3 9 BHS false Cerenity Senior Care 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 363517696 NURSING HOME MN 501 (C) 3 9 NA false Cerenity Care Cen- White Bear Lake 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411983267 NURSING HOME MN 501 (C) 3 9 NA false BHS FOUNDATION 503 E THIRD ST SUITE 400 DULUTH MN 55805 411513014 FUND DEVELOPMENT MN 501 (C) 3 9 BHS false Living Community of St Joseph 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011661 NURSING HOME 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 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 & Rehab 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411848720 NURSING HOME MN 501 (C) 3 9 BHS false Tekakwitha Living Center 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809912 NURSING HOME MN 501 (C) 3 9 BHS false ARROWHEAD SENIOR LIV COM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411978619 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMM OF NEW LONDON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274218436 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMM OF SPOONER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 450700468 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMMUNITY OF WINSTED 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219293 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF BISMARCK 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 264376543 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411381401 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 BLC OF RED WING 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 454929398 NURSING HOME MN 501 (C) 3 9 BHS false BRIDGE CARE COMMUNITY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 262620983 NURSING HOME MN 501 (C) 3 9 BHS false BSLC OF ST PETER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 272716531 ASSSITED LIVING MN 501 (C) 3 9 BHS false CATHOLIC RESIDENTIAL SERVICES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 390982340 NURSING HOME WI 501 (C) 3 9 BHS false ELLENDALE EVERGREEN PLACE 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411796445 NURSING HOME MN 501 (C) 3 9 BHS false MADONNA MEADOWS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 470855891 ASSISTED LIVING 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 NURSING HOME MN 501 (C) 3 9 BHS false STEELE COUNTY COMMUNITIES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 270705237 NURSING HOME MN 501 (C) 3 9 NA false VILLA ST VINCENT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411352227 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 BHS false LIVING SERVICES FOUNDATION 900 LONG LAKE RD STE 130 NEW BRIGHTON MN 55112 411936717 SUPPORTING ORG. MN 501 (C) 3 11 TYPE III N/A false BLC OF FRIDLEY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 462904490 NURSING HOME MN 501 (C) 3 9 BHS 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 false true true false true false false false false false false false true false true false false false false