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        <BusinessNameLine1>CATHOLIC RESIDENTIAL SERVICES INC</BusinessNameLine1>
        <BusinessNameLine2>dba Benedictine Living Communities of WI</BusinessNameLine2>
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        <City>LA CROSSE</City>
        <State>WI</State>
        <ZIPCode>54601</ZIPCode>
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      <Name>KEVIN RYMANOWSKI</Name>
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      <DateSigned>2013-10-03</DateSigned>
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        <ManagementAndGeneral>97520</ManagementAndGeneral>
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        <ManagementAndGeneral>6904</ManagementAndGeneral>
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        <ProgramServices>21913</ProgramServices>
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        <ProgramServices>11482</ProgramServices>
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        <ProgramServices>92376</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>1737383</ProgramServices>
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        <ProgramServices>15780</ProgramServices>
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        <Description>RESIDENT CUSTODIAL FUNDS</Description>
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      <OtherAssets>
        <Description>DEFERRED FINANCE CHARGES</Description>
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        <Description>AMOUNT DUE FROM AFFILIATES</Description>
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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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        <Identifier>Part X</Identifier>
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        <Explanation>Tax-exempt StatusThe Organization is incorporated as a nonprofit, nonstock Wisconsin corporation. The Organization is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, and accordingly, no provision for incomes taxes has been provided. The Organization is covered under the group exemption for organizations listed in the Official Catholic Directory.The Organization follows the accounting standards for contingencies in evaluating uncertain tax positions. The Organization files informational returns as a tax-exempt Organization. The Organizations income tax returns are subject to review and examination by federal, state, and local authorities. The informational returns for the years 2009 to 2012 are open to examination by those authorities.</Explanation>
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        <NamePerson>DALE THOMPSON</NamePerson>
        <Title>CEO OF BHS</Title>
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        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>DALE THOMPSON CEO, DENNIS ACREA VP OF OPERATIONS AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS.THE CEO / ADMIN. 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.</Explanation>
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        <DateIssued>2009-07-30</DateIssued>
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      <GeneralExplanation>
        <ReturnReference>OFFICER COMPENSATION</ReturnReference>
        <Explanation>DALE THOMPSON 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 COMMUNITY26-2620983CENERITY 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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XII, Line 2c</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2: Change of Oversight or Selection Process</ReturnReference>
        <Explanation>CRS finanical statements were audited by an independent acountant for the time period of 1/1/2012 - 9/30/2012. When ownership changed. The last 3 months of this tax period were not audited. CRS will be changing fiscal year ends to June 30 and will be part of a complete audit at that time.To be consistant with their previous year end, thisThe 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Unrealized Capital Gain = $1683</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Reclass corporate allocation = $100155</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>NOT AVAILABLE TO PUBLIC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Each Director of the Corporation is appointed by Benedictine Health System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Benedictine Health System, a Minnesota nonprofit corporation, is the sole member of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>The following changes were made to Catholic Residential Services, Inc.s Articles of Incorporation in October 2012:1.One of the identified purposes of the organization was changed from develop and operate residential and related services provided within the nineteen counties of the Catholic Diocese of La Crosse, except those that come under the auspices of the Diocese of La Crosse to develop and operate residential, nursing, healthcare and related services. 2.The new Articles permit distributions to members of the Corporation.3.The new Articles identify Benedictine Health System as the member of the Corporation.4.The new Articles change the name of the registered agent. 5.The new Articles eliminate the provision in the old Articles stating that the Bishop of the Diocese of La Crosse is a permanent member of the Board of Directors. The following changes were made to Catholic Residential Services, Inc.s Bylaws in Oct. 2012:1.Purposes and Missiona.The new Bylaws provide that the purposes of the Corporation are to own, lease, manage, maintain, operate and conduct, directly or indirectly, and to assist and coordinate activities of, facilities for health care, education, care and housing for the aged and social services in accordance with the charitable works tradition of the Roman Catholic Church.b.The new Bylaws provide that the Corporation will always be guided by and act in accord with the Philosophy and Mission of the BSBA [Benedictine Sisters Benevolent Association] as expressed by the religious community the Sisters of St. Benedict of St. Scholastica Monastery in Duluth, Minnesota. 2.Sponsorship, Membership, and Reserved Powersa.The new Bylaws provide that the Corporation is sponsored by the Benedictine Sisters Benevolent Association. b.The new Bylaws identify Benedictine Health System as the member of the Corporation.c.The new Bylaws identify certain reserved powers as belonging to the Benedictine Sisters Benevolent Association and Benedictine Health System, respectively. 3.Board of Directors: a.The new Bylaws provide that the President of Benedictine Health System or designee and the Bishop of the Diocese of La Crosse or his designee serve as ex-officio Directors with voting rights. b.The new Bylaws provide that the Benedictine Sisters Benevolent Association has the right to appoint one member of the Board of Directors. c.The new Bylaws provide that Benedictine Health System determines the actual number of voting Directors and may appoint and remove Directors.d.The new Bylaws removed the requirements in the old Bylaws that the Board of Directors include a least one member of the diocesan clergy and one member of a religious order and that Directors live within the geographic boundaries of the Diocese of La Crosse. e.The new Bylaws provide that Directors may be paid for services as authorized by BHS and may be reimbursed for out-of-pocket expenses reasonably incurred on behalf of the Corporation.f.The new Bylaws removed the provision of the old Bylaws that the Bishop of the Diocese of La Crosse has the authority to veto Board decisions, to appoint or remove any Director, and to assign special efforts to the Corporation in emergency situations. g.The new Bylaws made changes to the provisions governing special meeting quorums and Director terms, meetings, and removal.4.Officersa.The new Bylaws provide for different titles of some of the Corporations officers.b.The new Bylaws made changes to the provisions governing the election, appointment, and removal of officers. 5.Committeesa.The new Bylaws made changes to the provisions governing the establishment of committees; the composition, appointment, and removal of committee members; and committee meetings.6.Othera.The new Bylaws include indemnification, conflict of interest, and confidentiality provisions.b.The new Bylaws provide that amendments to the Bylaws are subject to the approval of Benedictine Health System</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>The Corporation contracts with Benedictine Health System, a related organization, for Management Services. Benedictine Health System employed the President/CEO of the Corporation and the Administrators of the facilities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 3</Identifier>
        <ReturnReference>Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services</ReturnReference>
        <Explanation>Effective Oct. 1 2012, Catholic Residential Services, Inc., (CRS) La Crosse, Wis., and its four facilities became the newest members of the Benedictine Health System.CRS facilities in La Crosse include St. Josephs Rehabilitation Center with 80 skilled nursing beds, and the 45 unit MeadowWood Assisted Living; and in Wausau, Marywood Center with 90 skilled nursing beds and Northland House, an eight bed group home. The four communities employ more than 300 employees.Catholic healthcare organizations dedicate themselves to carrying on the Church's healing ministry. Every day they are challenged to reaffirm a mission and values that will enable healthcare to be delivered with competence and compassion, said The Most Reverend William P. Callahan, bishop of the Diocese of La Crosse. By seeking an affiliation with Benedictine Health Services, Catholic Residential Services will have access to the resources and unique expertise of an organization that shares our mission and values. We are pleased that Catholic Residential Services has chosen to become a member organization in BHS and are excited about the prospect of helping them grow their long term care ministry building upon their excellent reputation in the communities they serve, said Dale Thompson, BHS president/CEO. Residents currently living within the CRS organizations will see little change, as the current employees will continue to provide care. Jim Gajewski, who has served as president of CRS, has also been retained by BHS to lead the CRS facilities. Among the many advantages the affiliation with BHS brings to the CRS facilities, BHS will begin installing its electronic health record, which uses internet-based technology to coordinate resident care documentation, physicians orders and health care billing. We believe the BHS affiliation will enable us to continue to provide best-practice services despite an increasingly difficult healthcare environment with which all service providers are challenged. Although governments ability to adequately fund future health care needs is uncertain, we will nonetheless be well-positioned to achieve service growth and long-term sustainability, Gajewski said.</Explanation>
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        <PrimaryActivities>SUPPORTING ORG.</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501 (C) 3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>