2014-02-13T13:03:57-08:00 2013-06-30 990 2012-07-01 450700468 BENEDICTINE LIVING COMMUNITY OF SPOONER dba BENEDICTINE LIVING CENTER OF SPOONER BENE 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI 2014-02-13 2012 2015-11-30 17:44:51Z PETER LEER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 4970342 false false 0928 X www.bhshealth.org X 2011 MN Our mission is to witness to God's love by providing compassionate, quality care with special concern for the underserved and those in need. 3 0 108 85 0 8965 3743 6124807 4965925 5 674 0 6133777 4970342 30396 0 3779393 3455319 0 0 2587146 2366201 6366539 5851916 -232762 -881574 852952 858057 1020157 1871344 -167205 -1013287 Benedictine Living Community of Spooner is a Catholic organization entrusted with advancing the health care ministry of the Benedictine Sisters of Duluth, Minnesota. Our mission is to witness to God's love by providing compassionate, quality care with special concern for the underserved and those in need. false false 5250123 30396 4965925 Operation of BLC - Spooner, is a 90 bed skilled nursing facility in Spooner, Wisconsin.The facility had a 77% occupancy and served 134 individualus during the fiscal yearending 6/30/13. 5250123 true false false false false false false false true false true false false false false true false true false false false false false false false false false true false true false false false false false false false false false false false false false false false false true false false false false true 13 0 false 108 true false false false false false false false false 0 false false false false false false false false false false X 3 0 false true false false true true true true true false false true true true true true true false false false MN X KEVIN RYMANOWSKI CFO 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI 0.00 40.00 X X 0 307941 63553 STEVE CHIES 0.00 40.00 X X 0 327064 63085 DALE THOMPSON 0.00 40.00 X X 0 832055 123739 PETER LEER 40.00 0.00 X 0 48278 6083 LEONARD MEYSEMBOURG 40.00 0.00 X 0 50544 11368 1565882 267828 0 false true false SUNDANCE REHABILITATION 6549 PAYSPHERE CIRCLE CHICAGO IL 60674 THERAPY 302825 BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 MANAGING SERVICES 355927 AVIANDS 1751 W COUNTY ROAD B ROSEVILLE MN 55113 DIETARY SERVICES 307932 3 3743 3743 RESIDENT SERVICES 623000 4965925 4965925 4965925 74 74 0 0 0 600 600 600 600 0 0 0 0 4970342 4965925 674 X 30396 30396 0 0 0 0 0 2838214 2750749 87465 42049 39316 2733 325634 304468 21166 249422 233210 16212 355927 355927 10535 10535 3211 3211 0 0 0 871380 871380 2621 2621 27454 27454 73608 73608 0 232328 232328 8871 6413 2458 0 517 21 496 0 0 15504 15504 70446 70446 FOOD 67429 67429 BAD DEBTS 82966 82966 SURCHARGE (BED TAX) 178500 178500 Medical Supply Expense 301726 301726 63178 62650 528 5851916 5250123 601793 0 145221 75907 0 0 600051 708852 0 0 0 0 32916 5382 83129 27854 57887 55275 0 0 0 0 16877 12641 852952 858057 916201 1609163 16877 12641 87079 249540 1020157 1871344 X -167205 -1039264 25977 -167205 -1013287 852952 858057 X -881574 35492 X X false true X true false X 8965 3743 12708 6124807 4965925 11090732 0 0 0 6133772 4969668 11103440 0 0 11103440 5 74 79 0 5 74 79 0 0 6133777 4969742 11103519 X 0.00000 0.00000 false true X 35360 12032 23328 38255 15822 22433 9514 9514 55275 X Part X Part X : FIN48 Footnote Tax Exempt StatusBHS has been determined to qualify as a tax-exempt charitable, educational, and scientific organization under Section 501 (c)(3) of the Internal Revenue Code and also has been determined to be exempt from state income tax. The Organization follows the accounting standard for contingencies in evaluating the accounting for uncertainty in income taxes recognized in an entity's financial statements. The standard prescribes recognition and measurement of tax provisions taken or expected to be taken on a tax return that are not certain to be realized. The Organization income tax returns are subject to review and examination by federal, state, and local authorities. The Organization is not aware of any activities that would jeopardize its tax-exempt status. The Organization is not aware of any activities that are subject to tax on unrelated business income or excise or other taxes. The tax returns for the fiscal years 2010 to 2012 are open to examination by federal, local, and state authorities. Part IV, Line 2b Part IV, Line 2b: Explanation of escrow account liability CARETAKER OF RESIDENT FUNDS false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411531892 501 (C) 3 30396 0 CAPITAL FUND / SUPPORT 1 0 false false false false false false false false false false STEVE CHIES 248163 41146 37755 51711 11374 390149 51711 KEVIN RYMANOWSKI 238643 40112 29186 41815 21738 371494 41815 DALE THOMPSON 561818 101936 168301 108717 15022 955794 108717 Sch J, Part III, Additional Information Part III, Additional Information DALE THOMPSON CEO, STEVE CHIES VP, AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS.CEO LEN MEYSEMBOURG SALARY FROM CALANDER YEAR 2011 - IS 6 MONTHS OF PERIOD COMPANY WAS OPERATING. THE CEO IS COMPENSATED BY BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION. THIS ORGANIZATION USES THE FOLLOWING TO SET CEO / ADMINISTRATIVE COMPENSATIONS:1. COMPENSATION COMMITTEE2. INDEPENDENT COMPENSATION CONSULTANT3. WRITTEN EMPLOYMENT CONTRACT4. COMPENSATION SURVEY OR STUDY5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. OFFICER COMPENSATION DALE THOMPSON CEO, STEVE CHIES VP, AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND THE FOLLOWING RELATED ORGANIZATIONS.ARROWHEAD SENIOR LIVING COMMUNITY41-1978619BENEDICTINE CARE CENTERS41-1907571BENEDICTINE HEALTH CENTER41-1381401BENEDICTINE HEALTH SYSTEM 41-1531892BENEDICTINE HEALTH SYSTEM FOUNDATION41-1513014BENEDICTINE LIVING COMMUNITIES41-1639687BENEDICTINE LIVING COMMUNITIES -BISMARCK INC.26-4376543BENEDICTINE LIVING COMMUNITY OF MORA27-4219119BENEDICTINE LIVING COMMUNITY OF NEW LONDON27-4218436BENEDICTINE LIVING COMMUNITY OF SPOONER45-0700468BENEDICTINE LIVING COMMUNITY OF ST. PETER86-1113231BENEDICTINE LIVING COMMUNITY OF WINSTED27-4219293BENEDICTINE SENIOR LIVING COMMUNITY OF ST PETER27-2716531BRIDGES CARE COMMUNITY26-2620983CERENITY SENIOR CARE36-3517696CERENITY CARE CENTER - WHITE BEAR LAKE41-1983267CITY OF LAKES CARE CENTER41-1985663ELLENDALE EVERGREEN PLACE, INC41-1796445LIVING COMMUNITY OF ST. JOSEPH41-2011661MADONNA MEADOWS OF ROCHESTER47-0855891MADONNA TOWERS OF ROCHESTER, INC41-1809914NAZARETH LIVING CENTER43-1450394ROSEWOOD COURT41-2011389SAINT ANNE OF WINONA41-0850791ST. GERTRUDE'S HEALTH CENTER41-1848720STEELE COUNTY COMMUNITIES FOR A LIFETIME INC27-0705237STEEPLE POINTE SENIOR LIVING COMMUNITY41-1852273TEKAWITHA NURSING CENTER, INC41-1809912VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091CRS OF WISCONSIN 39-0982340 Form 990, Part XII, Line 2c Form 990, Part XII, Line 2: Change of Oversight or Selection Process The Benedictine Health System Audit / Finance Committee oversees the selection of the independent auditor and oversees the annual Consolidated Audit of Benedictine Health System and Affiliates which includes the Organization. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases change in Net Assets of Temp Restricted Contributions = $35492 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NOT AVAILABLE TO PUBLIC Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts This Corporation shall not enter into any contract or transaction with (a) its Director or officer or a member of the family of a Director or an officer; (b) a director or officer of a related organization (within the meaning of Minnesota Statutes, section 317A.011, Subd. 18) or a member of the family of a director or officer of a related organization; or (c) an organization in or of which this Corporation's Director or officer is a director, officer or legal representative or has a material financial interest; unless the material facts as to the contract or transaction and as to the director's or officer's interest are fully disclosed or known to the Board of Directors, and the Board of Directors authorizes, approves, or ratifies the contract or transaction in good faith by the affirmative vote (without counting any interested Director) of a majority of the entire Board of Directors, at a meeting at which there is a quorum without counting any interested Director. For purposes of these Bylaws, "member of the family" of a director or officer shall mean a spouse, parent, child, spouse of a child, brother, sister, or spouse of a brother or sister, of the director or officer. Failure to comply with the provisions of this section shall not invalidate any contract or transaction to which this Corporation is a party. The provisions of this section shall not apply to any contracts or transaction between or among BHS and its Subsidiaries. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Benedictine Health System has certain Reserved Powers relating to the activities of the Corporation as set out in the Corporation's By-Laws. In addition, in keeping with the Corporation's mission "to assist and coordinate activities of facilities for health care, education, and care for the aged and social services in accordance with the charitable works tradition of the Roman Catholic Church", all activities of the Corporation are required to be carried out in accordance with the charisms of the Benedictine Sisters Benevolent Association ("BSBA"), a civil law corporation for the Sisters of St. Benedict of St. Scholastica Monastery located in Duluth, Minnesota. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each Director of the Corporation is appointed by Benedictine Health System. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Benedictine Health System, a Minnesota nonprofit corporation, is the sole member of the Corporation. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company The Corporation contracts with Benedictine Health System, a related organization, for Management Services. Benedictine Health System employed the Administrator/CEO of the Corporation VILLA ST BENEDICT 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 364343235 NURSING HOME MN 501 (C) 3 9 BHS false VILLA ST VINCENT 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 411352227 NURSING HOME MN 501 (C) 3 9 BHS false STEELE COUNTY COMMUNITIES 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 270705237 NURSING HOME MN 501 (C) 3 9 BHS false ROSEWOOD COURT 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 412011389 NURSING HOME MN 501 (C) 3 9 BHS false NAZARETH LIVING CENTER 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 431450394 NURSING HOME MO 501 (C) 3 11 TYPE I BHS false MADONNA MEADOWS 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 470855891 ASSISTED LIVING MN 501 (C) 3 9 BHS false ELLENDALE EVERGREEN PLACE 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 411796445 NURSING HOME MN 501 (C) 3 9 BHS false CATHOLIC RESIDENTIAL SERVICES 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 390982340 NURSING HOME WI 501 (C) 3 9 BHS false BSLC OF ST PETER 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 272716531 ASSISTED LIVING MN 501 (C) 3 9 BHS false BRIDGES CARE COMMUNITY 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 262620983 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF RED WING 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 454929398 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF WAPHETON 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 454274091 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF BISMARCK 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 264376543 NURSING HOME MN 501 (C) 3 9 BHS false CITY OF LAKES CARE CENTER 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 411985663 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMMUNITY OF WINSTED 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219293 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMMUNITY OF NEW LOND 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274218436 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMMUNITY OF MORA 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219119 NURSING HOME MN 501 (C) 3 9 BHS false ARROWHEAD SENIOR LIV COM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411978619 NURSING HOME MN 501 (C) 3 9 BHS false Tekakwitha Living Center 1995 E RUM RIVER DIRVE S CAMBRIDGE MN 55008 411809912 NURSING HOME MN 501 (C) 3 9 BHS false St Gertrudes Health & Rehab 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411848720 NURSING HOME MN 501 (C) 3 9 BHS false Saint Anne of Winona 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 410850791 NURSING HOME MN 501 (C) 3 9 BHS false Madonna Towers of Rochester 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809914 NURSING HOME MN 501 (C) 3 9 BHS false Living Community of St Joseph 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011661 NURSING HOME MN 501 (C) 3 9 BHS false BHS FOUNDATION 503 E THIRD ST SUITE 400 DULUTH MN 55008 411513014 FUND DEVELOPMENT MN 501 (C) 3 9 BHS false Cerenity Care Cen- White Bear Lake 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411983267 NURSING HOME MN 501 (C) 3 9 BHS false Cerenity Senior Care 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 363517696 NURSING HOME MN 501 (C) 3 9 BHS false STEEPLE POINTE SEN LIV COMM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411852273 NURSING HOME MN 501 (C) 3 9 BHS false Benedictine Living Com of St Peter 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 861113231 NURSING HOME MN 501 (C) 3 9 BHS false Benedictine Living Communities 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411639687 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE CARE CENTERS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411907571 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411381401 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411531892 SUPPORTING ORG. MN 501 (C) 3 11 TYPE III N/A false false true false false false false false false false false false false true false true false false false false