FURP.ORG / PUBLIC DATA EXPLORER

NAZARETH LIVING CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NAZARETH LIVING CENTER (EIN 43-1450394)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-11
IRS object ID
201320429349301117
Schema version
2011v1.5
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)
Timestamp2013-02-11T11:50:59-08:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431450394EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NAZARETH LIVING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNAZANameControl
Phone3144873950Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 NAZARETH LANEAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63129ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN RYMANOWSKIName
TitleCFOTitle
Date Signed2013-02-11DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOLA WESTHOFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1
CityCAMBRIDGECity
StateMNState
ZIP Code55008ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15621703GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.NAZARETHLIVINGCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionMEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF OLDER ADULTS IN ACCORDANCE WITH THE MISSION AND PHILOSOPHY OF THE SISTERS OF ST JOSEPH OF CARONDELET AND THE BENEDICTINE SISTERS IN DULUTH MINNESOTA.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees295TotalNbrEmployees
Total Nbr Volunteers74TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2658ContributionsGrantsPriorYear
Contributions Grants Current Year101854ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14848540ProgramServiceRevenuePriorYear
Program Service Revenue CY15363660ProgramServiceRevenueCY
Investment Income Prior Year146683InvestmentIncomePriorYear
Investment Income Current Year156189InvestmentIncomeCurrentYear
Other Revenue Prior Year7396OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15005277TotalRevenuePriorYear
Total Revenue Current Year15621703TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2654GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY92884GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8750034SalariesEtcPriorYear
Salaries Etc Current Year9151736SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year14158TotalFundrsngExpCurrentYear
Other Expense Prior Year5846556OtherExpensePriorYear
Other Expenses Current Year6067122OtherExpensesCurrentYear
Total Expenses Prior Year14599244TotalExpensesPriorYear
Total Expenses Current Year15311742TotalExpensesCurrentYear
Revenues Less Expenses Prior Year406033RevenuesLessExpensesPriorYear
Revenues Less Expenses CY309961RevenuesLessExpensesCY
Total Assets BOY20152844TotalAssetsBOY
Total Assets EOY20672773TotalAssetsEOY
Total Liabilities BOY14203488TotalLiabilitiesBOY
Total Liabilities EOY14279173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5949356NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6393600NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION IS ORGANIZED FOR THE PURPOSES OF PROVIDING, DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS, HEALTH, HOUSING AND OTHER SERVICES TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF OLDER ADULTS IN ACCORDANCE WITH THE MISSION AND PHILOSOPHY OF THE SISTERS OF ST JOSEPH OF CARONDELET, ST LOUIS PROVINCE AND THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY IN DULUTH MINNESOTA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10016267Expense
Grants92884Grants
Revenue11541035Revenue
DescriptionOperation of Nazareth Living Center, is a 140 bed skilled nursing facility in St. Louis Missouri known as McGovern Commons. The facility had a 90% occupancy and served 450 individualus during the fiscal yearending 6/30/12.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3564628Expense
Revenue3822625Revenue
DescriptionOperation of Nazareth Living Center a 150 unit assisted living facility in St. Louis Missouri known as Gleason Hall.The facility had a 57% occupancy and served 111 individualus during the fiscal yearending 6/30/12.Description
FieldValueIRS element (for citing)
Total Program Service Expense13580895TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees295NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKEVIN RYMANOWSKI CFONamePerson
Telephone Number7636891162TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1
CityCAMBRIDGECity
StateMNState
ZIP Code55008ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ELAINE S MOORE
Director1.00X000
STEVE CHIES
SVP OF BHS40.00X033102060142
ROBERT J MEYER
Director1.00X000
KEVIN RYMANOWSKI
CFO OF BHS40.00X030516958226X
TERRI PURVIANCE
Director1.00X000
S KATHLEEN O'MALLEY
Director1.00X000
JOHN SCHMEROLD
Secretary1.00X000X
BRIAN PALUCH
VICE CHAIR1.00X000X
S MARY CATHERINE O'GORMAN
Director1.00X000
TIMOTHY WALSH
Treasurer1.00X000X
S FRAN MAHER
Chair1.00X000X
ZAID HAYDAR
Director1.00X000
PATRICIA HENDRICKSON
Director1.00X000
CARL HENDRICKSON
Director1.00X000
LOLA WESTHOFF
CEO / ADMIN.40.00013121014574X
DALE THOMPSON
CEO OF BHS40.000744687111422X
Cathy Willis
Dir. of Nursing40.0010424400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org104244TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1512086TotalReportableCompFrmRltdOrgs
Total Other Compensation244364TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008MANAGING COMPANY934390
ALLIANCE REHAB
1520 KINGSINGTON RD SUITE 105OAK BROOKIL60523THERAPY SERVICES559743
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations101599RelatedOrganizations
All Other Contributions255AllOtherContributions
Total Contributions101854TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230001154103511541035
ASSISTED LIVING62300038226253822625
FieldValueIRS element (for citing)
Total Program Service Revenue15363660TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column156189TotalRevenueColumn
Exclusion$156,189ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15621703TotalRevenueColumn
Related Or Exempt Function Income15363660RelatedOrExemptFunctionIncome
Exclusion$156,189ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total89053Total
Program Services89053ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3831Total
Program Services3831ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7166863Total
Program Services6686321ProgramServices
Management And General471221ManagementAndGeneral
Fundraising9321Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total134669Total
Program Services125242ProgramServices
Management And General9427ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1267585Total
Program Services1178854ProgramServices
Management And General88731ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total582619Total
Program Services541836ProgramServices
Management And General40783ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total738635Total
Management And General738635ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10949Total
Management And General10949ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38925Total
Management And General38925ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total922787Total
Program Services922787ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total50761Total
Program Services50761ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total889666Total
Program Services842832ProgramServices
Management And General43017ManagementAndGeneral
Fundraising3817Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total195755Total
Management And General195755ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total988243Total
Program Services988243ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total18039Total
Program Services9384ProgramServices
Management And General7983ManagementAndGeneral
Fundraising672Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7136Total
Program Services4185ProgramServices
Management And General2916ManagementAndGeneral
Fundraising35Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total930461Total
Program Services930461ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total79535Total
Program Services79535ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT REPAIRS817055433227060313
Bad Debts154555154555
SURCHARGE279077279077
FOOD543385543385

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total137508Total
Program Services96221ProgramServices
Management And General41287ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15311742Total
Program Services13580895ProgramServices
Management And General1716689ManagementAndGeneral
Fundraising14158Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY752150BOY
EOY354082EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2059874BOY
EOY1870126EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY706522BOY
EOY1061109EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53392BOY
EOY39635EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3218BOY
EOY60707EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21850107LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12506745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9284521BOY
EOY9343362EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY290844BOY
EOY274834EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7002323BOY
EOY7668918EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20152844BOY
EOY20672773EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1036303BOY
EOY976079EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8070000BOY
EOY7820000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5097185BOY
EOY5483094EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14203488BOY
EOY14279173EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5529367BOY
EOY5840859EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY419989BOY
EOY552741EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5949356BOY
EOY6393600EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20152844BOY
EOY20672773EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses309961ReconcilationRevenueExpenses
Reconcilation Other Changes134283ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF ST JOSEPHBusinessNameLine1
FieldValueIRS element (for citing)
EIN436000071EIN
Type Of OrganizationRELIGIOUSTypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15854398OtherCostOrOtherBasis
Depreciation8593663Depreciation
Book Value7260735BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis425122OtherCostOrOtherBasis
Depreciation328706Depreciation
Book Value96416BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4587285OtherCostOrOtherBasis
Depreciation3584376Depreciation
Book Value1002909BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis983302OtherCostOrOtherBasis
Book Value983302BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9343362TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED ASSET5490579
INVESTMENT IN JOINT VENTURES318580
INTEREST IN NA OF AFFILIATE739232
DEBT SERVICE RESERVE FUND745615
CASH IN BANK DONATIONS
BOND FUNDS374912
FieldValueIRS element (for citing)
Total Book Value Other Assets7668918TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESTRICTED FUNDS PAYABLEDescription
Amount$5,483,094Amount
FieldValueIRS element (for citing)
Total Of Amounts5483094TotalOfAmounts
Total Revenue15621703TotalRevenue
Total Expenses15311742TotalExpenses
Excess Or Deficit For Year309961ExcessOrDeficitForYear
Net Unrealized GL On Investments1531NetUnrealizedGLOnInvestments
Other$132,752OtherAmount
Total Adjustments134283TotalAdjustments
Excess Or Deficit Per FS444244ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15621703TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15621703RevenueSubtotal
Total Revenue Per Form99015621703TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15311742TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15311742ExpensesSubtotal
Total Expenses Per Form99015311742TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteTax Exempt StatusThe Corporation has been granted exempt status relative to federal and Missouri corporate income taxes under Section 501 (c)(3) of the Internal Revenue Code. The Corporation 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 Corporation income tax returns are subject to review and examination by federal, state, and local authorities. The Corporation is not aware of any activities that would jeopardize its tax-exempt status. The Organization is not aware of any activities that are subject to tax on unrelated business income or excise or other taxes. The tax returns for the fiscal years 2009 to 2011 are open to examination by federal, local, and state authorities.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesNET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES $0 CONTRIBUTIONS OF TEMPORARILY RESTICTED NA $0 Change in Interest in Net Assets of Affiliated Foundation $132752 NA RELEASED FROM RESTRICTIONS $ -0

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
BHS FOUNDATION
503 E THIRD ST SUITE 400DULUTHMN55805411513014501 (C) 3595090SUPPORT
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411531892501 (C) 3295440CAPITAL FUND / SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierAdditional Supplemental InformationIdentifier
ExplanationTRANSFERS BETWEEN RELATED ORGANIZATIONS ARE ACCOUNTED FOR IN INTERNAL FINANCIAL STATEMENTS, OF WHICH ALL ARE UNDER COMMON CONTROL.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVE CHIES
2372084779446018490751106739116249075
KEVIN RYMANOWSKI
2237064441537048373902083636339537390
DALE THOMPSON
456495120375167817948491657385610994849

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
OFFICER COMPENSATIONDALE THOMPSON CEO AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND THE FOLLOWING 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 COMMUNITY26-2620983CENERITY 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 COMMUNITY41-1852273TEKAWITHA NURSING CENTER, INC41-1809912VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNOT AVAILABLE TO PUBLICForm 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThis 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 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessAN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.Form 990, Part VI, Line 11
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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach Director of the Corporation is appointed by Benedictine Health System and Sisters of St. Joseph of Carondelet.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderBenedictine Health System, a Minnesota nonprofit corporation and St. Joseph of Carondelet, St. Louis Province are the two members.Form 990, Part VI, Line 6
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 CorporationForm 990, Part VI, Line 3

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MADONNA MEADOWS OF ROCHESTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008470855891ASSISTED LIVINGMN501 (C) 39N/Afalse
STEEPLE POINTE SEN LIV COMM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411852273ASSISTED LIVINGMN501 (C) 39N/Afalse
VILLA ST VINCENT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411352227NURSING HOMEMN501 (C) 39N/Afalse
TEKAWITHA NURSING CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411809912NURSING HOMEMN501 (C) 39N/Afalse
ST GERTRUDES HEALTH CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411848720NURSING HOMEMN501 (C) 39N/Afalse
SAINT ANNE OF WINONA
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008410850791NURSING HOMEMN501 (C) 39N/Afalse
MADONNA TOWERS OF ROCHESTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411809914NURSING HOMEMN501 (C) 39N/Afalse
LIVING COMM OF ST JOSEPH
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008412011661NURSING HOMEMN501 (C) 39N/Afalse
CITY OF LAKES CARE CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411985663NURSING HOMEMN501 (C) 39N/Afalse
BRIDGES CARE COMMUNITY
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008262620983NURSING HOMEMN501 (C) 39N/Afalse
BLC-WINSTED
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274219293NURSING HOMEMN501 (C) 39N/Afalse
BLC OF ST PETER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008861113231NURSING HOMEMN501 (C) 39N/Afalse
BLC-SPOONER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008450700468NURSING HOMEMN501 (C) 39N/Afalse
BLC-NEW LONDON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274218436NURSING HOMEMN501 (C) 39N/Afalse
BLC - MORA
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274219119NURSING HOMEMN501 (C) 39N/Afalse
BENEDICTINE LIV COMM BISMARCK
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008264376543NURSING HOMEMN501 (C) 39N/Afalse
BENEDICTINE LIVING COMM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411639687NURSING HOMEMN501 (C) 39N/Afalse
BHS FOUNDATION
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411513014SUPPORTING ORGANIZATIONMN501 (C) 39N/Afalse
ARROWHEAD SENIOR LIVING COMM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411978619NURSING HOMEMN501 (C) 39N/Afalse
BENEDICTINE CARE CENTERS
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411907571NURSING HOMEMN501 (C) 39N/Afalse
SISTERS OF ST JOESPH OF CARONDELET
2 NAZARETH LANEST LOUISMO63129436000007RELIGIOUS ORGANIZATIONMO170 (B)(A)1N/Afalse
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411531892SUPPORTING ORGMN501 (C) 311N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg