FURP.ORG / PUBLIC DATA EXPLORER

SAINT ANNE OF WINONA: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SAINT ANNE OF WINONA (EIN 41-0850791)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349304407
Schema version
2009v1.7
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)
Timestamp2011-05-13T12:36:09-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410850791EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ANNE OF WINONABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone7636891162Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN RYMANOWSKIName
TitleCFOTitle
Date Signed2011-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRand GettlerNameOfPrincipalOfficerPerson

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 Receipts11664624GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.saintanneofwinona.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ACUTE AND TERTIARY CARE SERVICES, LONG-TERM CARE SERVICES, REHABILITATION SERVICES AND OTHER HEALTH RELATED SERVICES TO THE SURROUNDING COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees286TotalNbrEmployees
Total Nbr Volunteers325TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year23147ContributionsGrantsPriorYear
Contributions Grants Current Year70888ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11153248ProgramServiceRevenuePriorYear
Program Service Revenue CY11456662ProgramServiceRevenueCY
Investment Income Prior Year-286563InvestmentIncomePriorYear
Investment Income Current Year137074InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10889832TotalRevenuePriorYear
Total Revenue Current Year11664624TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year14615GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9580GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6651605SalariesEtcPriorYear
Salaries Etc Current Year7094022SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year66TotalFundrsngExpCurrentYear
Other Expense Prior Year4069385OtherExpensePriorYear
Other Expenses Current Year4021225OtherExpensesCurrentYear
Total Expenses Prior Year10735605TotalExpensesPriorYear
Total Expenses Current Year11124827TotalExpensesCurrentYear
Revenues Less Expenses Prior Year154227RevenuesLessExpensesPriorYear
Revenues Less Expenses CY539797RevenuesLessExpensesCY
Total Assets BOY10737552TotalAssetsBOY
Total Assets EOY11109149TotalAssetsEOY
Total Liabilities BOY6849522TotalLiabilitiesBOY
Total Liabilities EOY6629394TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3888030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4479755NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE ACUTE AND TERTIARY CARE SERVICES, LONG-TERM CARE SERVICES, REHABILITATION SERVICES AND OTHER HEALTH RELATED SERVICES TO THE SURROUNDING COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6996089Expense
Revenue8176861Revenue
DescriptionOperation of Saint Anne of Winona, is a 109 bed long-term care in Winona, Minnesota which provides skilled nursing care to the elderly.The facility had a 93% occupancy and served 284 individualus during the fiscal yearending 6/30/10.We offer specialty services related to memory care, palliative care, clinically complex care and rehabilitation services. In 2008 we designated a wing of our facility to serve short term stay residents. Our Transitional Care Unit meets the needs of the community by offering full rehab inpatient and outpatient rehab services.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2536383Expense
Revenue2822516Revenue
DescriptionOperation of Saint Anne Assisted Living center - Callista Court, is a 75 unit facility in Winona, Minnesota which provides assisted living care to the elderly.The facility had a 94% occupancy and served 104 individualus during the fiscal yearending 6/30/10.Residents are involved in activities including exercise, outings, movies, music and religious activities. Nursing services and outpatient rehab are available to residents to meet their individualized needs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense300869Expense
Revenue457285Revenue
DescriptionThe Benedictine Adult Day Center (BADC) is a comprehensive enriching program with creative activities, nutritious meals, and dignified personal care. Clients coming to this program receive support in their healthcare, personal and social needs, allowing clients to continue to live in their community setting and giving respite to their caregiver. The Saint Anne Training Center (SATC) offers a Federally approved course designed to educate capable compassionate nursing assistants in caring for our aging population. Additional classes focus on restorative training and feeding assistant training.Description
FieldValueIRS element (for citing)
Total Program Service Expense9833341TotalProgramServiceExpense
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
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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 OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees286NumberOfEmployees
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
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBENEDICTINE HEALTH SYSTEMNamePerson
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeOfficerOfficer
Sr Martha Bechtold
Director1.00X000
Sr Armella Oblak
Director1.00X000
ROGER METZ
Director1.00X000
Rand Gettler
ADMIN / CEO40.00X012891519439X
Ms Erica Jerowski
Director1.00X000
Ms Betsy Rowekamp
Director1.00X000
Ms Chris Boldt
VP Operations1.00X015290730922X
Ms Alberta Rosburg
Director1.00X000
Mr James Hanzel
CHAIR1.00X000X
Mr Gabriel Manrique
VICE CHAIR1.00X000X
Mr Dennis Theede
Director1.00X000
Mr Dennis Rasmussen
SEC / TREAS.1.00X000X
KEVIN RYMANOWSKI
CFO0.000
DR HORACE J ANDERSEN
Director1.00X000
DALE THOMPSON
EX-OFFICIO1.00X0574547109000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs856369TotalReportableCompFrmRltdOrgs
Total Other Compensation159361TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE HEALTH SYSTEMBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1
CityCAMBRIDGECity
StateMNState
ZIP Code55008ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMANAGING COMPANYDescriptionOfServices
Compensation766397Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations68271RelatedOrganizations
All Other Contributions2617AllOtherContributions
Total Contributions70888TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300081768618176861
ASSISTED LIVING62300028225162822516
ADULT DAY CARE623000457285457285
FieldValueIRS element (for citing)
Total Program Service Revenue11456662TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column137074TotalRevenueColumn
Exclusion$137,074ExclusionAmount

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 Column11664624TotalRevenueColumn
Related Or Exempt Function Income11456662RelatedOrExemptFunctionIncome
Exclusion$137,074ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9580Total
Program Services9580ProgramServices

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)
Total5825915Total
Program Services5428737ProgramServices
Management And General397112ManagementAndGeneral
Fundraising66Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total101725Total
Program Services94604ProgramServices
Management And General7121ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total706878Total
Program Services657397ProgramServices
Management And General49481ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total459504Total
Program Services427339ProgramServices
Management And General32165ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total727668Total
Management And General727668ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total534Total
Management And General534ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6560Total
Management And General6560ManagementAndGeneral

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total32541Total
Program Services32541ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total560562Total
Program Services538737ProgramServices
Management And General21825ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total737469Total
Program Services737469ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total29159Total
Program Services22852ProgramServices
Management And General6307ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2282Total
Program Services1645ProgramServices
Management And General637ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total647352Total
Program Services647352ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total113396Total
Program Services113396ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SURCHARGE306835306835
PURCHASED SERVICES212031212031
FOOD375435375435
EQUIPMENT REPAIRS76168665009668
Dues5177951779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total141454Total
Program Services109112ProgramServices
Management And General32342ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11124827Total
Program Services9833341ProgramServices
Management And General1291420ManagementAndGeneral
Fundraising66Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY940071BOY
EOY797174EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY802036BOY
EOY885210EOY

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)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33256BOY
EOY25910EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17948589LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11478899LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6652280BOY
EOY6469690EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2139799BOY
EOY2115724EOY

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)
BOY88905BOY
EOY88902EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY81205BOY
EOY726539EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10737552BOY
EOY11109149EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1026482BOY
EOY806354EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5423040BOY
EOY5473040EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY400000BOY
EOY350000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6849522BOY
EOY6629394EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3592710BOY
EOY4110358EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY295320BOY
EOY369397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3888030BOY
EOY4479755EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10737552BOY
EOY11109149EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years364322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years90704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23147CurrentTaxYearMinus1Year
Current Tax Year70888CurrentTaxYear
Total754365Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9230002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9911355CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10419330CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11153248CurrentTaxYearMinus1Year
Current Tax Year11456672CurrentTaxYear
Total52170607Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9594324CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10002059CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10624634CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11176395CurrentTaxYearMinus1Year
Current Tax Year11527560CurrentTaxYear
Total52924972Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50952924972PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57242CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-29650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-286563CurrentTaxYearMinus1Year
Current Tax Year137074CurrentTaxYear
Total-60482Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57242CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-29650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-286563CurrentTaxYearMinus1Year
Current Tax Year137074CurrentTaxYear
Total-60482Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total52864490Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis250000OtherCostOrOtherBasis
Book Value250000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14866209OtherCostOrOtherBasis
Depreciation9693748Depreciation
Book Value5172461BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis420302OtherCostOrOtherBasis
Depreciation352353Depreciation
Book Value67949BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2387998OtherCostOrOtherBasis
Depreciation1432798Depreciation
Book Value955200BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24080OtherCostOrOtherBasis
Book Value24080BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6469690TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Rounding1
RESTRICTED ASSET90690
LIMITED USE ASSETS635848
FieldValueIRS element (for citing)
Total Book Value Other Assets726539TotalBookValueOtherAssets

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant9580AmountOfCashGrant
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationSaint Anne 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 within Saint Anne of Winona.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ms Chris Boldt
13383619071161731474918382916173
DALE THOMPSON
451359123188946741432668354794674

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Port Authority of Winona MNBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN411694912IssuerEIN
Date Issued2004-06-10DateIssued
Issue Price6600000IssuePrice
Description Of PurposeSEE SCH ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds6843309TotalProceeds
Amount In Reserve Fund232000AmountInReserveFund
Amount Defeased6255340AmountDefeased
Issuance Costs From Proceeds355969IssuanceCostsFromProceeds
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Regulatory Safe Harbor SatisfiedfalseRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CHRIS BOLDT
VP OPERATIONS766397MANAGING COMPANYfalse
DALE THOMPSON
CEO OF RELATED COM766397MANAGING COMPANYfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNOT AVALIVABLE TO PUBLIC
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe CEO of Saint Anne of Winona is employed by Benedictine Health System, the manager of Saint Anne and, his/her salary is set by Benedictine Health System. BHS sets compensation for the CEO at the median for comparable organizations. Data regarding comparable organizations is obtained from an independent compensation consultant at the time of hire and is periodically refreshed to ensure continued consistency with market comparables. Records documenting the compensation process are maintained by the manager's human resource department. Compensation for other key employees is set by the CEO in consultation with the manager based on the same philosophy.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPERIODIC AUDITS OF TRANSACTIONS TO ENSURE THAT CONFILICTS OF INTEREST DO NOT EXIST.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessAN ELECTONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach Director of the Corporation is appointed by Benedictine Health System
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderBenedictine Health System, a Minnesota nonprofit corporation, is the sole member of the Corporation.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe Corporation contracts with Benedictine Health Systems, a related organization, for Management Services. Benedictine Health System employed the Administrator/CEO of the Corporation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

EINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCode
BENEDICTINE HEALTH SYSTEM FOUNDATION
411513014SUPPORTING ORGANIZATIONMN501 (C) 3YESN/A
Villa St Benedict
364343235NURSING HOMEMN501 (C) 3YESN/A
Villa St Vincent
411352227NURSING HOMEMN501 (C) 3YESN/A
Tekakwitha Living Center
411809912NURSING HOMEMN501 (C) 3YESN/A
ARROWHEAD SENIOR LIV COMM
411978619NURSING HOMEMN501 (C) 3YESN/A
St Gertrudes Health & Rehabilitation C
411848720NURSING HOMEMN501 (C) 3YESN/A
Rosewood Court
412011389ASSISTED LIVINGMN501 (C) 3YESN/A
Madonna Towers of Rochester
411809914NURSING HOMEMN501 (C) 3YESN/A
Madonna Meadows of Rochester
470855891NURSING HOMEMN501 (C) 3YESN/A
Living Community of St Joseph
412011661NURSING HOMEMN501 (C) 3YESN/A
Evergreen Place
411796445ASSISTED LIVINGMN501 (C) 3YESN/A
Cerenity Care Center White Bear Lake
411983267NURSING HOMEMN501 (C) 3YESN/A
Cerenity Senior Care
363517696NURSING HOMEMN501 (C) 3YESN/A
Bridges Care Community
262620983NURSING HOMEMN501 (C) 3YESN/A
Benedictine Senior Living-Steeple Pointe
411852273ASSISTED LIVINGMN501 (C) 3YESN/A
Benedictine Living Comm of St Peter
861113231NURSING HOMEMN501 (C) 3YESN/A
Benedictine Living Communities
411639687NURSING HOMEMN501 (C) 3YESN/A
Benedictine Care Centers
411907571NURSING HOMEMN501 (C) 3YESN/A
Benedictine Health Center
411381401NURSING HOMEMN501 (C) 3YESN/A
BENEDICTINE HEALTH SYSTEM
411531892SUPPORTING ORGMN501 (C) 3YESN/A1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
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 OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BENEDICTINE HEALTH SYSTEM FOUNDATION
r68271
Madonna Towers of Rochester
l16201
Madonna Towers of Rochester
k4386
Benedictine Care Centers
l7083
Benedictine Care Centers
k10585
BENEDICTINE HEALTH SYSTEM
q22152
BENEDICTINE HEALTH SYSTEM
n190349
BENEDICTINE HEALTH SYSTEM
l576048