FURP.ORG / PUBLIC DATA EXPLORER

CERENITY SENIOR CARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CERENITY SENIOR CARE (EIN 36-3517696)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202031979349307748
Schema version
2018v3.2
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)
Return2020-07-15T18:41:27-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363517696EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CERENITY SENIOR CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCEREBusinessNameControlTxt
Phone7633472200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVE NE SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55432ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7633472200PhoneNum
Signature2020-07-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER STEINHOFFPreparerPersonNm
PTINP01587351PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.188.188.148IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm18:52:20IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6090138281F26C81E44F33703B5A75F6ECDC86D4AtSubmissionCreationDeviceId
At Submission Filing Device Id8DF0D5A1DBF8E44DE93554FEEDBEEE801640FE4CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD RAUPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVE NE SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55432ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,178,378GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CERENITYSENIORCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO ASSIST AND COORDINATE ACTIVITES OF, AND FACILITIES FOR, HEALTH CARE, SOCIAL SERVICES, EDUCATION, AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee839TotalEmployeeCnt
Total Volunteers540TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,029,490PYContributionsGrantsAmt
CY Contributions Grants$189,615CYContributionsGrantsAmt
PY Program Service Revenue$33,114,680PYProgramServiceRevenueAmt
CY Program Service Revenue$30,722,051CYProgramServiceRevenueAmt
PY Investment Income$3,614PYInvestmentIncomeAmt
CY Investment Income$39,343CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$227,369CYOtherRevenueAmt
PY Total Revenue$36,147,784PYTotalRevenueAmt
CY Total Revenue$31,178,378CYTotalRevenueAmt
PY Grants And Similar Paid$215,796PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$50,451CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,452,268PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,858,914CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,410,536PYOtherExpensesAmt
CY Other Expenses$11,988,752CYOtherExpensesAmt
PY Total Expenses$35,078,600PYTotalExpensesAmt
CY Total Expenses$31,898,117CYTotalExpensesAmt
PY Revenues Less Expenses$1,069,184PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$719,739CYRevenuesLessExpensesAmt
Total Assets BOY$36,918,324TotalAssetsBOYAmt
Total Assets EOY$42,243,411TotalAssetsEOYAmt
Total Liabilities BOY$24,929,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,041,743TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,988,744NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,201,668NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OCERENITY SENIOR CARE IS ORGANIZED TO OWN, MAINTAIN, OPERATE, AND CONDUCT, DIRECTLY AND INDIRECTLY, HEALTH CARE FACILITIES FOR LONG TERM CARE AND CONGREGATE, ASSISTED AND INDEPENDENT HOUSING FOR THE ELDERLY, AND TO ASSIST AND COORDINATE ACTIVITIES OF, AND FACILITIES FOR, HEALTH CARE, SOCIAL SERVICES, EDUCATION, AND RESEARCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,380,341ExpenseAmt
Grant$50,451GrantAmt
Revenue$16,634,268RevenueAmt
DescOPERATION OF THREE CARE FACILITIES, WITH 237 LONG-TERM CARE BEDS IN THE ST.PAUL, MINNESOTA AREA, WHICH PROVIDES SKILLED NURSING CARE TO THE ELDERLY. IN JUNE 2019 A 30-BED TRANSITIONAL CARE FACILITY WAS CLOSED.THE FACILITIES HAD A 78.1% OCCUPANCY AND SERVED 795 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2019.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,988,461ExpenseAmt
Grant$0GrantAmt
Revenue$14,087,783RevenueAmt
DescOPERATION OF TWO ASSISTED LIVING FACILITIES WITH 244 UNITS IN THE ST.PAUL, MINNESOTA AREA, WHICH PROVIDES ASSISTED LIVING SERVICES TO THE ELDERLY.THE FACILITIES HAD AN AVERAGE OCCUPANCY OF 87% AND SERVED 297 INDIVIDUALS DURING THE FISCAL YEAR ENDING 6/30/2019.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$28,368,802TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document131IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee839EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKI CFOPersonNm
Phone7636896107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16499 UNIVERSITY AVE NE SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55432ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JERRY CARLEY
CEO OF BHS1.0039.00Yes (X)Yes (X)$0$493,059$136,483
KEVIN RYMANOWSKI
CFO OF BHS1.0039.00Yes (X)Yes (X)$0$360,445$87,709
CHRIS BOLDT
PRESIDENT1.0039.00Yes (X)$0$208,995$58,226
TODD CARSEN
ADMIN OF CCH40.000.00Yes (X)$0$127,593$49,124
KAY SCHUMACHER
ADMIN OF MINNEAPOLIS40.000.00Yes (X)$0$106,325$18,018
SALLY NEAL
RN40.000.00$106,357$0$0Yes (X)
DAVID EBOHO
REIMBURSEMENT RAI MDS MGR40.000.00$104,813$0$0Yes (X)
DAUDA OGUNFOWORA
RN40.000.00$103,575$0$0Yes (X)
ADERONKE OLUWANIYL
LPN40.000.00$100,939$0$0Yes (X)
RICHARD RAU
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
WILLIAM FOUSSARD
DIRECTOR1.001.00Yes (X)$0$0$0
JOAN GRZYWINSKI
DIRECTOR1.001.00Yes (X)$0$0$0
DAWN KSEPKA
DIRECTOR1.001.00Yes (X)$0$0$0
JONATHAN LUNDBERG
DIRECTOR1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$415,684TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,296,417TotReportableCompRltdOrgAmt
Total Other Compensation$349,560TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
US FOOD SERVICE - NW 6059
BANK OF AMERICA ATTN US FOODSCHICAGOIL60693FOOD & CULINARY SERVICE$1,377,693
BENEDICTINE HEALTH SYSTEM
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432MANAGEMENT SERVICES$1,351,835
BUILD STRONG EXTERIORS
1355 GENEVA AVENUE NORTHOAKDALEMN55128CONSTRUCTION SERVICES$353,239
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$169,822RelatedOrganizationsAmt
All Other Contributions$19,793AllOtherContributionsAmt
Total Contributions$189,615TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT REVENUE623000$16,606,019$16,606,019
ASSISTED LIVING623000$14,116,032$14,116,032
FieldValueIRS element (for citing)
Total Program Service Revenue$30,722,051TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,343TotalRevenueColumnAmt
Exclusion$39,343ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$73,915RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$73,915RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,915TotalRevenueColumnAmt
Exclusion$73,915ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$153,454TotalRevenueColumnAmt
Exclusion$153,454ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$153,454OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,178,378TotalRevenueColumnAmt
Related Or Exempt Func Income$30,722,051RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$266,712ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$50,451TotalAmt
Program Services$50,451ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,194,407TotalAmt
Program Services$14,898,959ProgramServicesAmt
Management And General$1,295,448ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$296,510TotalAmt
Program Services$296,510ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,137,916TotalAmt
Program Services$2,137,916ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,230,081TotalAmt
Program Services$1,230,081ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,351,835TotalAmt
Management And General$1,351,835ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,572TotalAmt
Management And General$16,572ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,496TotalAmt
Management And General$41,496ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,286,921TotalAmt
Program Services$1,077,851ProgramServicesAmt
Management And General$209,070ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$82,974TotalAmt
Program Services$82,974ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$176,607TotalAmt
Program Services$80,623ProgramServicesAmt
Management And General$95,984ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,020,569TotalAmt
Program Services$1,919,017ProgramServicesAmt
Management And General$101,552ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,601TotalAmt
Program Services$19,541ProgramServicesAmt
Management And General$15,060ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,022,030TotalAmt
Program Services$1,020,754ProgramServicesAmt
Management And General$1,276ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,535,045TotalAmt
Program Services$1,535,045ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$315,570TotalAmt
Program Services$315,570ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLY EXPENSE$1,491,335$1,430,607$60,728
FOOD$1,314,797$1,314,797
SURCHARGE$667,803$667,803
OTHER$290,825$7,247$283,578

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$339,772TotalAmt
Program Services$283,056ProgramServicesAmt
Management And General$56,716ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,898,117TotalAmt
Program Services$28,368,802ProgramServicesAmt
Management And General$3,529,315ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$779,839BOYAmt
EOY$1,142,160EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,462,493BOYAmt
EOY$1,525,979EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,676,728BOYAmt
EOY$3,201,396EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$203,402BOYAmt
EOY$233,738EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,127,515LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,378,856LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,447,952BOYAmt
EOY$30,748,659EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$563,323BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,784,587BOYAmt
EOY$5,391,479EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,918,324BOYAmt
EOY$42,243,411EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,488,299BOYAmt
EOY$4,070,645EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,554,139BOYAmt
EOY$15,464,332EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$250,573BOYAmt
EOY$231,702EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$10,378,998EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$636,569BOYAmt
EOY$896,066EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,929,580BOYAmt
EOY$31,041,743EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,555,618BOYAmt
EOY$9,883,268EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$715,225BOYAmt
EOY$600,499EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$717,901BOYAmt
EOY$717,901EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,988,744BOYAmt
EOY$11,201,668EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,918,324BOYAmt
EOY$42,243,411EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$719,739ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$47,391NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$114,728OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,127CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,029,490CurrentTaxYearMinus1YearAmt
Current Tax Year$189,615CurrentTaxYearAmt
Total$3,445,137TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,394,729CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,022,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,521,796CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,114,680CurrentTaxYearMinus1YearAmt
Current Tax Year$30,722,051CurrentTaxYearAmt
Total$165,776,000TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,549,536CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,053,842CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,561,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,144,170CurrentTaxYearMinus1YearAmt
Current Tax Year$30,911,666CurrentTaxYearAmt
Total$169,221,137TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$169,221,137PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,614CurrentTaxYearMinus1YearAmt
Current Tax Year$113,258CurrentTaxYearAmt
Total$193,921TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,614CurrentTaxYearMinus1YearAmt
Current Tax Year$113,258CurrentTaxYearAmt
Total$193,921TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,474CurrentTaxYearMinus4YearsAmt
Current Tax Year$153,454CurrentTaxYearAmt
Total$241,928TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,647,779CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,073,380CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,584,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,172,784CurrentTaxYearMinus1YearAmt
Current Tax Year$31,178,378CurrentTaxYearAmt
Total$169,656,986TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99740PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00110InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationINSURANCE REFUND - 2014 AMOUNT: $ 88,474. 2018 AMOUNT: $ 153,454.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$606,569OtherCostOrOtherBasisAmt
Book Value$606,569BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,934,101OtherCostOrOtherBasisAmt
Depreciation$12,696,561DepreciationAmt
Book Value$29,237,540BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,566,084OtherCostOrOtherBasisAmt
Depreciation$1,073,990DepreciationAmt
Book Value$492,094BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,020,761OtherCostOrOtherBasisAmt
Depreciation$3,608,305DepreciationAmt
Book Value$412,456BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,748,659TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
AMOUNT DUE FROM AFFILIATES$327,999
LIMITED USE ASSETS$5,038,114
THIRD PARTY PAYOR SETTLEMENTS$25,366
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,391,479TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
AMOUNTS DUE TO AFFILIATES$345,636
ASSET RETIREMENT$206,715
HEALTH INSURANCE RESERVE PAYABLE$343,715
FieldValueIRS element (for citing)
Total Liability$896,066TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:CARETAKER OF RESIDENT TRUST FUNDS AND SECURITY DEPOSITS IN A SEPARATE ACCOUNT.
PART X, LINE 2:TAX EXEMPT STATUS THE CORPORATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION 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'S 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 FILES ALL APPLICABLE RETURNS FOR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient15RecipientCnt
Cash Grant$50,450CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCERENITY SENIOR CARE 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 CERENITY SENIOR CARE. TRANSFERS BETWEEN RELATED ORGANIZATIONS ARE ACCOUNTED FOR IN INTERNAL FINANCIAL STATEMENTS, OF WHICH ALL ARE UNDER COMMON CONTROL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JERRY CARLEY
CEO OF BHS$0$450,000$0$0$0$43,059$0$99,000$0$37,483$0$629,542$0$0
KEVIN RYMANOWSKI
CFO OF BHS$0$295,734$0$36,609$0$28,102$0$61,741$0$25,968$0$448,154$0$0
CHRIS BOLDT
PRESIDENT$0$192,256$0$13,138$0$3,601$0$36,826$0$21,400$0$267,221$0$0
TODD CARSEN
ADMIN OF CCH$0$127,593$0$0$0$0$0$16,822$0$32,302$0$176,717$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationBENEDICTINE HEALTH SYSTEM'S (EIN: 41-1531892) CEO AND CFO, JERRY CARLEY AND KEVIN RYMANOWSKI, SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS. THE CEO IS COMPENSATED BY BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION. THIS ORGANIZATION USES THE FOLLOWING TO SET CEO/ ADMINISTRATIVE COMPENSATIONS: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF ST PAUL 2007 BOND
A416005521792892HM62007-04-17$17,240,000SEE PART VI000
CITY OF ST PAUL 2017 BOND
B416005521792892HM62017-12-18$15,910,000REFINANCING BOND000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,475,000$17,240,000$1,087,934$14,326,773$309,2242007Yes (1)0Yes (1)Yes (1)
B$15,910,000$13,726,469$2,133,530$50,0012020Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationPURSUANT TO THE LOAN AGREEMENT, PROCEEDS FROM THE SALE OF THE SERIES 2007 BONDS WILL BE LOANED TO THE COMPANY TO REFINANCE A 127-UNIT ASSISTED-LIVING AND INDEPENDENT LIVING MULTIFAMILY RENTAL HOUSING DEVELOPMENT FOR THE ELDERLY LOCATED IN ST. PAUL,MINNESOTA. IN ADDITION, PROCEEDS FROM THE SALE OF SERIES 2007 BONDS, TOGETHER WITH OTHER SOURCES, WILL FUND CERTAIN ACCRUED ASSET MANAGEMENT FEES AND GROUND LEASE RENTS,FUND CERTAIN RESERVE FUNDS DESCRIBED HEREIN AND PAY THE COSTS OF ISSUANCE. LAST REBATE COMPUTATION WAS PERFORMED ON 10/31/2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OFFICER COMPENSATIONBENEDICTINE HEALTH SYSTEM'S (EIN: 41-1531892) CEO AND CFO, JERRY CARLEY AND KEVIN RYMANOWSKI, SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS. SEE SCHEDULE R FOR INFORMATION ON RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 3THE CORPORATION CONTRACTS WITH BENEDICTINE HEALTH SYSTEM, A RELATED ORGANIZATION, FOR MANAGEMENT SERVICES. BENEDICTINE HEALTH SYSTEM EMPLOYED THE PRESIDENT/CEO OF THE CORPORATION AND THE ADMINISTRATORS OF THE FACILITIES.
FORM 990, PART VI, SECTION A, LINE 6BENEDICTINE HEALTH SYSTEM, A MINNESOTA NONPROFIT CORPORATION AND HEALTHEAST, A MINNESOTA NONPROFIT CORPORATION, AND CLEMENT MANOR INC, A WISCONSIN NONPROFIT CORPORATION, ARE THE MEMBERS OF THE ORGANIZAION.
FORM 990, PART VI, SECTION A, LINE 7AEACH DIRECTOR OF THE CORPORATION IS APPOINTED BY THE VOTING MEMBERS IN ACCORDANCE WITH THE MEMBERSHIP AGREEMENT. THE VOTING MEMBERS SHOULD BE COMPRISED OF FIVE PERSONS, TWO REPRESENTING HEALTHEAST, TWO REPRESENTING BHS AND ONE REPRESENTING CMI.
FORM 990, PART VI, SECTION A, LINE 7BBENEDICTINE HEALTH SYSTEM AND HEALTHEAST HAVE CERTAIN RESERVED POWERS RELATING TO THE ACTIVITIES OF THE CORPORATION AS SET OUT IN THE CORPORATION'S BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT. THE BHS COMPLIANCE DEPARTMENT WILL DISTRIBUTE THE STATEMENTS AND COLLECT AND MAINTAIN THE COMPLETED STATEMENTS. THE BHS COMPLIANCE MANAGER WILL REVIEW THE STATEMENTS AND PROVIDE A SUMMARY OF THE IDENTIFIED CONFLICTS OF INTEREST TO THE BHS CHIEF COMPLIANCE OFFICER, WHO WILL ALERT THE BHS CEO AND THE CHAIR OF THE BHS BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. AN "INTERESTED PERSON" IS ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE SYSTEM, INCLUDING BUT NOT LIMITED TO A BOARD MEMBER, BOARD COMMITTEE MEMBER, OR OFFICER OR DIRECTOR OF BHS OR A FACILITY (SUCH AS FACILITY CEO/ADMINISTRATORS AND BHS SENIOR LEADERS AND DIRECTORS). FOR INTERESTED PERSONS WHO ARE EMPLOYEES (OTHER THAN THE BHS CEO), FOLLOWING DISCLOSURE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS,THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. FOR THE BHS CEO AND BOARD AND COMMITTEE MEMBERS, FOLLOWING DISCLOSURE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON WILL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE DETERMINE IF A CONFLICT OF INTEREST EXISTS. THE INTERESTED PERON MAY PARTICIPATE IN DELIBERATION REGARDING THE TRANSACTION IF THE APPLICABLE SUPERVISOR, BOARD, OR COMMITTEE DETERMINES A CONFLICT OF INTEREST DOES NOT EXIST. AN INTERESTED PERSON WHO HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST AND MAY NOT BE PRESENT DURING SUCH DELIBERATION OR DECISION MAKING. THE INTERESTED PERSON MAY BE ALLOWED TO MAKE A PRESENTATION TO THE SUPERVISOR, BOARD, OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT AS TO WHICH THE CONFLICT OF INTERESTS REFERS PRIOR TO THE DELIBERATION AND DECISION.
FORM 990, PART VI, SECTION C, LINE 19NOT AVAILABLE TO PUBLIC
FORM 990, PART XI, LINE 9:CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -114,728.
FORM 990, PART XII, LINE 2C: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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARIAN CENTER - GEAC LLC
6063 HUDSON RD 300WOODBURYMN55125411988959ASSISTED LIVINGMN$4,527,630$15,554,377CERENITY SENIOR CARE
CERENITY - MARIAN OF ST PAUL LLC
6063 HUDSON RD 300WOODBURYMN55125320542938NURSING HOME AND ASSISTED LIVINGMN$9,670,575$20,791,529CERENITY SENIOR CARE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BENEDICTINE HEALTH SYSTEM
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411531892SUPPORTING ORGANIZATIONMN501(C)(3)LINE 10N/A0
BENEDICTINE HEALTH SYSTEM FOUNDATION
503 E THIRD STREETDULUTHMN55805411513014FUND DEVELOPMENTMN501(C)(3)LINE 100BHS
BENEDICTINE CARE CENTERS
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411907571NURSING HOMESMN501(C)(3)LINE 100BHS
BENEDICTINE HEALTH CENTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411381401NURSING HOMEMN501(C)(3)LINE 100BHS
CITY OF LAKES CARE CENTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411985663NURSING HOMEMN501(C)(3)LINE 100BHS
BENEDICTINE LIVING COMMUNITIES
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411639687NURSING HOMESMN501(C)(3)LINE 100BHS
BLC OF ST PETER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432861113231NURSING HOMEMN501(C)(3)LINE 100BHS
STEEPLE POINTE SEN LIVING COMMUNITY
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411852273ASSISTED LIVINGMN501(C)(3)LINE 100BHS
BRIDGES CARE CENTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432262620983NURSING HOMEMN501(C)(3)LINE 100BHS
ELLENDALE EVERGREEN PLACE
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411796445ASSISTED LIVINGMN501(C)(3)LINE 100BHS
LIVING COMMUNITY OF ST JOSEPH
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432412011661NURSING HOMEMN501(C)(3)LINE 100BHS
MADONNA MEADOWS OF ROCHESTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432470855891ASSISTED LIVINGMN501(C)(3)LINE 100BHS
MADONNA TOWERS OF ROCHESTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411809914NURSING HOMEMN501(C)(3)LINE 100BHS
ROSEWOOD COURT
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432412011389ASSISTED LIVINGMN501(C)(3)LINE 100BHS
SAINT ANNE OF WINONA
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432410850791NURSING HOMEMN501(C)(3)LINE 100BHS
ST GERTRUDE'S HEALTH CENTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411848720NURSING HOMEMN501(C)(3)LINE 100BHS
ARROWHEAD SENIOR LIVING COMMUNITIES
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411978619NURSING HOMEMN501(C)(3)LINE 100BHS
VILLA ST VINCENT
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411352227NURSING HOMEMN501(C)(3)LINE 100BHS
BLC - BISMARCK
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432264376543NURSING HOMEMN501(C)(3)LINE 100BHS
NAZARETH LIVING CENTER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432431450394NURSING FACILITYMN501(C)(3)LINE 10N/A0
BLC - NEW LONDON
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432274218436NURSING HOMEMN501(C)(3)LINE 100BHS
BLC - WINSTED
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432274219293NURSING HOMEMN501(C)(3)LINE 100BHS
BSLC - ST PETER
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432272716531ASSISTED LIVINGMN501(C)(3)LINE 100BHS
BLC - RED WING
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432454929398NURSING HOMEWI501(C)(3)LINE 100BHS
BLC - WAHPETON
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432454274091ASSISTED LIVINGMN501(C)(3)LINE 100BHS
CATHOLIC RESIDENTIAL SERVICES
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432390982340NURSING HOMEMN501(C)(3)LINE 100BHS
REGINA SENIOR LIVING
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432463700475NURSING HOMEMO501(C)(3)LINE 100BHS
BLC - BYRON
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432471538777NURSING HOMEMN501(C)(3)LINE 100BHS
KODA LIVING COMMUNITY
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432270705237NURSING HOMEMN501(C)(3)LINE 10N/A0
CERENITY CARE CENTER - WHITE BEAR LAKE
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432411983267NURSING HOMEMN501(C)(3)LINE 10N/A0
VILLA ST BENEDICT
6499 UNIVERSITY AVE NE SUITE 300MINNEAPOLISMN55432364343235NURSING HOMEMN501(C)(3)LINE 10N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd