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FOUNDATION FOR HEALTH CARE CONTINUUMS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR HEALTH CARE CONTINUUMS (EIN 62-1611446)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-04-25
IRS object ID
201101159349300205
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)
Timestamp2011-04-25T09:51:19-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621611446EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATION FOR HEALTH CARE ContinuumsBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOUNNameControl
Phone6154697015Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12517 Myers Park CtAddressLine1
CityBrentwoodCity
StateTNState
ZIP Code37027ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid StewartName
TitleCEOTitle
Phone6154697015Phone
Date Signed2011-04-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid StewartNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12517 Myers Park CtAddressLine1
CityBrentwoodCity
StateTNState
ZIP Code37027ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22909118GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.continuums.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionPROVIDING HOUSING AND HEALTH CARE SERVICES THAT HONOR THE EVOLVING AGING POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees600TotalNbrEmployees
Total Nbr Volunteers341TotalNbrVolunteers
Total Gross UBI954435TotalGrossUBI
Net Unrelated Business Txbl Income-296617NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year48455ContributionsGrantsPriorYear
Contributions Grants Current Year161201ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19829093ProgramServiceRevenuePriorYear
Program Service Revenue CY19701600ProgramServiceRevenueCY
Investment Income Prior Year27012InvestmentIncomePriorYear
Investment Income Current Year8365InvestmentIncomeCurrentYear
Other Revenue Prior Year1083598OtherRevenuePriorYear
Other Revenue Current Year1211618OtherRevenueCurrentYear
Total Revenue Prior Year20988158TotalRevenuePriorYear
Total Revenue Current Year21082784TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12129829SalariesEtcPriorYear
Salaries Etc Current Year12322551SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8516663OtherExpensePriorYear
Other Expenses Current Year8296712OtherExpensesCurrentYear
Total Expenses Prior Year20646492TotalExpensesPriorYear
Total Expenses Current Year20619263TotalExpensesCurrentYear
Revenues Less Expenses Prior Year341666RevenuesLessExpensesPriorYear
Revenues Less Expenses CY463521RevenuesLessExpensesCY
Total Assets BOY27470203TotalAssetsBOY
Total Assets EOY40023544TotalAssetsEOY
Total Liabilities BOY23420520TotalLiabilitiesBOY
Total Liabilities EOY35478258TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4049683NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4545286NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE FOUNDATION FOR HEALTH CARE CONTINUUMS IS TO STRENGTHEN EACH COMMUNITY WE SERVE BY PROVIDING A WIDE SPECTRUM OF HOUSING AND HEALTH CARE SERVICES THAT HONOR THE EVOLVING AGING POPULATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11746832Expense
Revenue13021560Revenue
DescriptionCountry Manor Health and Rehab Center: This is a 165-bed Skilled Nursing Facility designed to help meet the needs of the aging and infirm. There were 57,632 resident days for the fiscal year. The center also provides outpatient Therapy services to the general public.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2383748Expense
Revenue2801130Revenue
DescriptionCountry Manor Extended Services: This program has two Home Health agencies designed to provide nursing services and therapy services to clients in their home. 259 clients were served during the year.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2036842Expense
Revenue1914908Revenue
DescriptionCountry Manor Senior Apartments: This is a 152-unit congregate housing facility for the elderly. There were an average of 149 units rented during the year.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2489827Expense
Revenue2456867Revenue
DescriptionThe Country Villa: This is a 45-unit congregate housing facility for the elderly. There were an average of 45 units rented during the year.Expenses $1,057,341. Including Grants Of $0. Revenue $1,127,981 Country Care-A-Van: This is a Transportation agency designed to provide non-emergency transportation services to the wheelchair-bound. Approximately 3,967 trips were provided during the year.Expenses $136,751. Including Grants Of $0. Revenue $113,982 Country Store & Pharmacy: This program serves the prescription needs of the residents of Country Manor, and is also open to fulfill the prescription needs of the general public.Expenses $677,535. Including Grants Of $0. Revenue $492,865 Kid's Country Child Care: This is a licensed Day-Care center that served 170 children during the year.Expenses $628,976. Including Grants Of $0. Revenue $722,039Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2489827TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2456867TotalOfOtherProgramServiceRev
Total Program Service Expense18657249TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees600NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN HARGUTHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3202588983TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 FIRST STREET NEAddressLine1
CitySARTELLCity
StateMNState
ZIP Code563771150ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Michael Rosen
Board President0.50XX1225000
Fred Brown
Board Secretary0.50XX975000
Felix Fraraccio
Director0.50X975000
Sherry Wheaton
Director0.50X975000
Paul Sanders
Director0.50X975000
David Stewart
CEO40.00X152489019147
Kevin Harguth
CFO40.00X10610303320
Brian Kelm
Administrator/Managing Agent40.00X012627521089
Becky Frericks
VP of Long Term Care40.00116470021359X
James Gotta
Pharmacist40.00112513010249X
Loni Stromme
Pharmacist40.0011077909562X
FieldValueIRS element (for citing)
Total Reportable Comp From Org649604TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs126275TotalReportableCompFrmRltdOrgs
Total Other Compensation84726TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
US Bank
PO Box 70870St PaulMN55170Debt Service1957024
Benedictine Health Services
503 EAST THIRD ST SUITE 400DULUTHMN55805Management Services739253
Apperts Food
900 South Highway 10St CloudMN56304Food Supplies582257
Xcel Energy
PO Box 9477MinneapolisMN55484Utilities376341
SFM
PO Box 583178MinneapolisMN55484Work Comp Insurance274918
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
All Other Contributions161201AllOtherContributions
Total Contributions161201TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
RESIDENT FEES6230001437488614374886
HOME CARE62161024866322486632
THERAPY SERVICES62431015826991582699
Daycare624410722039722039
MEALS623000421362$421,362

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column113982TotalRevenueColumn
Related Or Exempt Function Income113982RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19701600TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8365TotalRevenueColumn
Exclusion$8,365ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2551595GrossSalesOfInventory
Cost Of Goods Sold1826334CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column725261TotalRevenueColumn
Related Or Exempt Function Income492865RelatedOrExemptFunctionIncome
Unrelated Business Revenue232396UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column486357TotalRevenueColumn
Exclusion$486,357ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue486357TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21082784TotalRevenueColumn
Related Or Exempt Function Income19051064RelatedOrExemptFunctionIncome
Unrelated Business Revenue954435UnrelatedBusinessRevenue
Exclusion$916,084ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total342613Total
Program Services110165ProgramServices
Management And General232448ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10435445Total
Program Services10435445ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total44633Total
Program Services44253ProgramServices
Management And General380ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total523269Total
Program Services523269ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total976591Total
Program Services961037ProgramServices
Management And General15554ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total705040Total
Management And General705040ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62031Total
Management And General62031ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1138085Total
Program Services847735ProgramServices
Management And General290350ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total54547Total
Management And General54547ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1150199Total
Program Services979660ProgramServices
Management And General170539ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total70963Total
Management And General70963ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total642701Total
Program Services635313ProgramServices
Management And General7388ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22057Total
Management And General22057ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1747Total
Management And General1747ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1472488Total
Program Services1458542ProgramServices
Management And General13946ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1170705Total
Program Services1159478ProgramServices
Management And General11227ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total192019Total
Program Services190931ProgramServices
Management And General1088ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Food702178702178
License Surcharge464475464475
Miscellaneous249605249605
Repairs & Maintenance1138901125621328
Dues and Subscriptions3220532205

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total51777Total
Program Services32206ProgramServices
Management And General19571ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20619263Total
Program Services18657249ProgramServices
Management And General1962014ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1731867BOY
EOY2580923EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1309BOY
EOY115707EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1957867BOY
EOY1522412EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY265977BOY
EOY330021EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY179748BOY
EOY211341EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32964260LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10245461LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19140984BOY
EOY22718799EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1210123BOY
EOY1294123EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY735030BOY
EOY1152672EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2247298BOY
EOY10097546EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27470203BOY
EOY40023544EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1781612BOY
EOY2198334EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY29680BOY
EOY23463EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY21465926BOY
EOY33090673EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY127152BOY
EOY146157EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16150BOY
EOY19631EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23420520BOY
EOY35478258EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3914406BOY
EOY4248808EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY114196BOY
EOY296478EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21081BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4049683BOY
EOY4545286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27470203BOY
EOY40023544EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12857CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48455CurrentTaxYearMinus1Year
Current Tax Year161201CurrentTaxYear
Total283418Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18893946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16524300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19197666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20552175CurrentTaxYearMinus1Year
Current Tax Year21531156CurrentTaxYear
Total96699243Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18893946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16537157CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19258571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20600630CurrentTaxYearMinus1Year
Current Tax Year21692357CurrentTaxYear
Total96982661Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50996982661PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55829CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27012CurrentTaxYearMinus1Year
Current Tax Year8365CurrentTaxYear
Total201886Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55829CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27012CurrentTaxYearMinus1Year
Current Tax Year8365CurrentTaxYear
Total201886Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years400040CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years424631CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years460450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year441489CurrentTaxYearMinus1Year
Current Tax Year486357CurrentTaxYear
Total2212967Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19349815CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17032217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19759272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21069131CurrentTaxYearMinus1Year
Current Tax Year22187079CurrentTaxYear
Total99397514Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97570PublicSupportPercentage509
Prior Year Support Percentage0.97640PriorYearSupportPercentage
Investment Income Percentage0.00200InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00250PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Other IncomeGeneralExplanation

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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1408000OtherCostOrOtherBasis
Book Value1408000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22660057OtherCostOrOtherBasis
Depreciation8837240Depreciation
Book Value13822817BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis404286OtherCostOrOtherBasis
Depreciation157668Depreciation
Book Value246618BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3206613OtherCostOrOtherBasis
Depreciation1250553Depreciation
Book Value1956060BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5285304OtherCostOrOtherBasis
Book Value5285304BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22718799TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Assets Limited as to Use Under Bond Indenture Agreements10056226
RESIDENT TRUST FUNDS32120
INTEREST RECEIVABLE9200
FieldValueIRS element (for citing)
Total Book Value Other Assets10097546TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENT OBLIGATIONSDescription
Amount$19,631Amount
FieldValueIRS element (for citing)
Total Of Amounts19631TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:Resident Trust Funds Payable and Tenant Security Deposits Payable.
Part X:Tax Exempt Status Footnote: The Foundation's IRS Form 990s are subject to review and examination by federal, state, and local authorities. The Foundation is not aware of any activities that would jeopardize its tax-exempt status. The tax returns for the fiscal years 2007 to 2010 are open to examination by federal, local, and state authorities.Description of Uncertain Tax Positions Under FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1David StewartBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org152489BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org824DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org18323NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org171636TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3Organization has a management contract with Benedictine Health Systems (BHS). BHS provides the following services to the organization: operations personnel oversight, care-related consultation, legal and regulatory compliance oversight, and operations policies and oversight.
Form 990, Part VI, Section B, line 11A draft of the IRS Form 990 will be provided to all officers and Board members for review/approval prior to filing.
Form 990, Part VI, Section B, line 12cThe organization has adopted a conflict of interest policy that includes a disclosure statement to be answered by directors and officers or any other employee that can influence the actions of the organization. The policy states that the board, officers and management employees have the responsibility of administering the affairs of the organization honestly and prudently, and of exercising their best care, skill, and judgment for the sole benefit of the organization. The policy also provides, by example, certain transactions that may give rise to a conflict. It is the policy of the Board that the existence of any potential conflicts of interest described in the policy shall be disclosed before any transaction or decision is consummated.
Form 990, Part VI, Section B, line 15aThe Board of Directors review the CEO's compensation and follow rebuttable presumption guidelines which include the use of comparability data and contemporaneous substantiation of changes to the CEO's compensation.
Form 990, Part VI, Section C, line 19The Foundation's financial statements are available for public inspection through the Office of the Minnesota Attorney General. The Foundation's governing documents are open for public inspection through the Office of the Minnesota Secretary of State. The Foundation's conflict of interest policy is not open to the public.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Country Manor Campus LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 1st st neAddressLine1
CitySartellCity
StateMNState
ZIP Code56377ZIPCode
FieldValueIRS element (for citing)
EIN261712197EIN
Primary ActivitiesHealth CarePrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income12677047TotalIncome
EOY Assets40708879EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1River Terrace Estates IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 Caylor BlvdAddressLine1
CityBlufftonCity
StateINState
ZIP Code46714ZIPCode
FieldValueIRS element (for citing)
EIN237204803EIN
Primary ActivitiesSenior LivingPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg