FURP.ORG / PUBLIC DATA EXPLORER

BENEDICTINE LIVING COMMUNITIES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BENEDICTINE LIVING COMMUNITIES INC (EIN 41-1639687)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349302939
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)
Timestamp2011-05-13T11:25:54-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411639687EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BENEDICTINE LIVING COMMUNITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBENENameControl
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 PersonKEVIN GREFFNameOfPrincipalOfficerPerson

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 Receipts28822373GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionCREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND ASSIST FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE ELDERLY AND PERSONS WITH DISABILITIES, AND SOCIAL SERVICES IN ACCORDANCE WITH THE CHARITABLE WORKS TRADITION OF THE ROMAN CATHOLIC CHURCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees623TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year311555ContributionsGrantsPriorYear
Contributions Grants Current Year94078ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27167506ProgramServiceRevenuePriorYear
Program Service Revenue CY28688991ProgramServiceRevenueCY
Investment Income Prior Year62686InvestmentIncomePriorYear
Investment Income Current Year39304InvestmentIncomeCurrentYear
Other Revenue Prior Year564816OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year28106563TotalRevenuePriorYear
Total Revenue Current Year28822373TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16506396SalariesEtcPriorYear
Salaries Etc Current Year18373230SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year37270TotalFundrsngExpCurrentYear
Other Expense Prior Year9972175OtherExpensePriorYear
Other Expenses Current Year10066878OtherExpensesCurrentYear
Total Expenses Prior Year26478571TotalExpensesPriorYear
Total Expenses Current Year28440108TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1627992RevenuesLessExpensesPriorYear
Revenues Less Expenses CY382265RevenuesLessExpensesCY
Total Assets BOY18585894TotalAssetsBOY
Total Assets EOY19012256TotalAssetsEOY
Total Liabilities BOY19427087TotalLiabilitiesBOY
Total Liabilities EOY19710296TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-841193NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-698040NetAssetsOrFundBalancesEOY
Mission DescriptionCREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND ASSIST FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE ELDERLY AND PERSONS WITH DISABILITIES, AND SOCIAL SERVICES IN ACCORDANCE WITH THE CHARITABLE WORKS TRADITION OF THE ROMAN CATHOLIC CHURCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense25569354Expense
Revenue28688991Revenue
DescriptionOperation of 5 care facilities, with 425 long-term care beds and 26 unit assisted living in North Dakota which provides skilled nursing care to the elderly.The facility had a 92% occupancy and served 707 individualus during the fiscal year ending 6/30/10.Description
Total Program Service Expense25569354TotalProgramServiceExpense
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 IndividualsfalseGrantsToIndividuals
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 With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees623NumberOfEmployees
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 Members10NumberIndependentVotingMembers
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
TIM COX
Treasurer1.00XX000
STEVE CHIES
EX-OFFICIO1.00X030564058143
SISTER MARY SUSAN DEWITT
Secretary1.00XX000
SISTER KATHLEEN DOYLE
Director1.00X000
SISTER CLAUDIA RIEHL
Director1.00X000
SCOTT FOSS
CEO / ADMIN40.0007856220417X
RICK LEHNHERR
Director1.00X000
PAT GLYNN
Director1.00X000
KIM GOOD
CHAIR EMERITUS1.00XX000
KEVIN RYMANOWSKI
CFO0.000
KEVIN GREFF
President & CEO1.00X019444537675X
JON FRANTSVOG
CEO / ADMIN40.0007856020417X
JEANNETTE BERGER
CHAIR1.00XX000
HELEN WAMSTAD
CEO / ADMIN40.000531174987X
EMMY TRETTER
CEO / ADMIN40.0006407910780X
DEE GINSBACH
Director1.00X000
DALE THOMPSON
EX-OFFICIO1.00X0574547109000
ANTHONY HANSON
CEO / ADMIN40.0009305219964X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1442002TotalReportableCompFrmRltdOrgs
Total Other Compensation281383TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
REHAB VISIONS
11623 ARBOR STREETOMAHANE68144THERAPY SERVICES419258
BENEDICTINE HEALTH SYSTEM
1995 RUM RIVER DRIVE SCAMBRIDGEMN55008MANAGING COMPANY2075936
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations94078RelatedOrganizations
Total Contributions94078TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column28688991TotalRevenueColumn
Related Or Exempt Function Income28688991RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue28688991TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column39304TotalRevenueColumn
Exclusion$39,304ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCode
PROPERTY INSUR.SETTLEMENT623000
GAIN-RETIREMENT OF DEBT623000
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28822373TotalRevenueColumn
Related Or Exempt Function Income28688991RelatedOrExemptFunctionIncome
Exclusion$39,304ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total14478870Total
Program Services14163167ProgramServices
Management And General312708ManagementAndGeneral
Fundraising2995Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total236870Total
Program Services231185ProgramServices
Management And General5685ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2536121Total
Program Services2475254ProgramServices
Management And General60867ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1121369Total
Program Services1094456ProgramServices
Management And General26913ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2075937Total
Management And General2075937ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2092Total
Management And General2092ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44249Total
Management And General44249ManagementAndGeneral

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)
Total51925Total
Program Services51925ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1758425Total
Program Services1634782ProgramServices
Management And General89556ManagementAndGeneral
Fundraising34087Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2299568Total
Program Services2299568ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total190313Total
Program Services182191ProgramServices
Management And General7934ManagementAndGeneral
Fundraising188Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total115274Total
Program Services43695ProgramServices
Management And General71579ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total975299Total
Program Services975299ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1240Total
Program Services1240ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
TELEPHONE7782477824
PURCHASED SERVICES10299901029990
FOOD10832431083243
EQUIPMENT REPAIRS75934666969265
Dues6793067930

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total217635Total
Program Services166164ProgramServices
Management And General51471ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28440108Total
Program Services25569354ProgramServices
Management And General2833484ManagementAndGeneral
Fundraising37270Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1964959BOY
EOY2433573EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY327762BOY
EOY337478EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2287527BOY
EOY2539543EOY

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)
BOY92482BOY
EOY151641EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24919926LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15575094LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9987105BOY
EOY9344832EOY

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)
BOY-20721BOY
EOY425208EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3946780BOY
EOY3779981EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18585894BOY
EOY19012256EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2896220BOY
EOY3492208EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16215000BOY
EOY15910000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY274307BOY
EOY266528EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41560BOY
EOY41560EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19427087BOY
EOY19710296EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1109532BOY
EOY-1228108EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY268339BOY
EOY530068EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-841193BOY
EOY-698040EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18585894BOY
EOY19012256EOY
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 Years211689CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years263997CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year311555CurrentTaxYearMinus1Year
Current Tax Year94078CurrentTaxYear
Total1075076Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22553520CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23530290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25890898CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27167506CurrentTaxYearMinus1Year
Current Tax Year28688991CurrentTaxYear
Total127831205Total

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 Years22765209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23724047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26154895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27479061CurrentTaxYearMinus1Year
Current Tax Year28783069CurrentTaxYear
Total128906281Total

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 Total509128906281PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62686CurrentTaxYearMinus1Year
Current Tax Year39304CurrentTaxYear
Total355534Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62686CurrentTaxYearMinus1Year
Current Tax Year39304CurrentTaxYear
Total355534Total

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)
Total129261815Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99720PublicSupportPercentage509
Prior Year Support Percentage0.99700PriorYearSupportPercentage
Investment Income Percentage0.00280InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00300PriorYrInvestIncomePercentage
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 Basis686690OtherCostOrOtherBasis
Book Value686690BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20897511OtherCostOrOtherBasis
Depreciation12815599Depreciation
Book Value8081912BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis16600OtherCostOrOtherBasis
Depreciation7166Depreciation
Book Value9434BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3249442OtherCostOrOtherBasis
Depreciation2752329Depreciation
Book Value497113BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69683OtherCostOrOtherBasis
Book Value69683BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9344832TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED ASSET839789
LIMITED USE ASSETS2940192
DEFERRED DEBT FINANCING
FieldValueIRS element (for citing)
Total Book Value Other Assets3779981TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENTDescription
Amount$41,560Amount
FieldValueIRS element (for citing)
Total Of Amounts41560TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SROSEWOOD COURT 41-2011389 $246266 ELLENDALE EVERGREEN 41-1796445 $574361
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990ROSEWOOD COURT 41-2011389 $291214 ELLENDALE EVERGREEN 41-1796445 $604441 BLC - BISMARCK 26-4376543 $0
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund Balanceschange in NA of Rosewood court 41-2011389 $44948 change in NA of Evergreen 41-1796445 $22067 TRANSFER FROM BHS FOUNDATION $ -94078

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 (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
225503477213241649290885336378349290
KEVIN GREFF
14652219710282133673294323212036732
DALE THOMPSON
451359123188946741432668354794674

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Stark County NDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN456002242IssuerEIN
CUSIP Number855333AD2CUSIPNumber
Date Issued2007-06-01DateIssued
Issue Price18000000IssuePrice
Description Of PurposeSEE SCH O.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds18000000TotalProceeds
Amount In Reserve Fund1466138AmountInReserveFund
Issuance Costs From Proceeds512108IssuanceCostsFromProceeds
Capital Expenditures87331CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
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

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

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDALE THOMPSONNamePerson
FieldValueIRS element (for citing)
RelationshipDIRECTORRelationship
Amount Of Transaction2075936AmountOfTransaction
Description Of TransactionMANAGING COMPANYDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

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's of Benedictine Living Communities is employed by Benedictine Health System, the managers of BLC's 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 System, 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 NADirectControllingEntityNA
BENEDICTINE HEALTH SYSTEM FOUNDATION
411513014SUPPORTING ORG.MN501 (C) 3YESN/A
Villa St Vincent
411352227NURSING HOMEMN501 (C) 3YESN/A
Tekakwitha Living Center
411809912NURSING HOMEMN501 (C) 3YESN/A
ARROWHEAD SENIOR LIV COM
411978619NURSING HOMEMN501 (C) 3YESN/A
St Gertrudes Health & Rehab
411848720NURSING HOMEMN501 (C) 3YESN/A
Saint Anne of Winona
410850791NURSING 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 Cen- 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 Liv at Steeple Point
411852273NURSING HOMEMN501 (C) 3YESN/A
Benedictine Living Com of St Peter
861113231NURSING HOMEMN501 (C) 3YESN/A
Benedictine Health Center of Minneapolis
411985663NURSING 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/A
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 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 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 OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BENEDICTINE HEALTH SYSTEM FOUNDATION
c94078
Rosewood Court
k88934
Evergreen Place
k111485
BENEDICTINE HEALTH SYSTEM
q54336
BENEDICTINE HEALTH SYSTEM
n593405
BENEDICTINE HEALTH SYSTEM
l1482531