FURP.ORG / PUBLIC DATA EXPLORER

CERENITY SENIOR CARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CERENITY SENIOR CARE (EIN 36-3517696)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-13
IRS object ID
201911339349301981
Schema version
2017v2.2
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)
Return2019-05-13T06:28:38-07:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Phone7636891162PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-05-13SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD RAUPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11995 E RUM RIVER DRIVE SAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,172,784GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cerenityseniorcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO ASSIST AND COORDINATE ACTIVITIES OF, AND FACILITIES FOR, HEALTH CARE, SOCIAL SERVICES, EDUCATION, AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee549TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$40,127PYContributionsGrantsAmt
CY Contributions Grants$3,029,490CYContributionsGrantsAmt
PY Program Service Revenue$34,521,796PYProgramServiceRevenueAmt
CY Program Service Revenue$33,114,680CYProgramServiceRevenueAmt
PY Investment Income$22,742PYInvestmentIncomeAmt
CY Investment Income$3,614CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$34,584,665PYTotalRevenueAmt
CY Total Revenue$36,147,784CYTotalRevenueAmt
PY Grants And Similar Paid$220,858PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$215,796CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,281,570PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,452,268CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,600,720PYOtherExpensesAmt
CY Other Expenses$14,410,536CYOtherExpensesAmt
PY Total Expenses$37,103,148PYTotalExpensesAmt
CY Total Expenses$35,078,600CYTotalExpensesAmt
PY Revenues Less Expenses-$2,518,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,069,184CYRevenuesLessExpensesAmt
Total Assets BOY$33,299,247TotalAssetsBOYAmt
Total Assets EOY$36,918,324TotalAssetsEOYAmt
Total Liabilities BOY$19,664,120TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,929,580TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,635,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,988,744NetAssetsOrFundBalancesEOYAmt
MissionCERENITY 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,605,372ExpenseAmt
Grant$215,796GrantAmt
Revenue$24,504,499RevenueAmt
DescOperation of three care facilities, with 245 long-term care beds in the St Paul, Minnesota area, which provides skilled nursing care to the elderly. The facilities had 86% occupancy and served 988 individuals during the fiscal year ending 6/30/18.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,959,876ExpenseAmt
Revenue$8,610,181RevenueAmt
DescOperation of four Assisted Living facilities with 276 units in the St. Paul, Minnesota area, which provides Assisted Living services to the elderly. The facilities had an average occupancy of 91% and served 465 individuals during the fiscal year ending 6/30/2018.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$31,565,248TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document155IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee549EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN RYMANOWSKI CFOPersonNm
Phone7636891162PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 LEXINGTON AVE N 201AddressLine1Txt
CitySHOREVIEWCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CATHERINE BARR
PART YR DIR.1.001.00Yes (X)$0$0$0
DAWN KSEPKA
Director1.001.00Yes (X)$0$0$0
JOAN GRZYWINSKI
Director1.001.00Yes (X)$0$0$0
RICHARD RAU
CHAIR1.001.00Yes (X)$0$0$0Yes (X)
JERRY CARLEY
CEO OF BHS1.0039.00Yes (X)$0$0$0Yes (X)
WILLIAM FOUSSARD
Director1.001.00Yes (X)$0$0$0
JONATHAN LUNDBERG
Director1.001.00Yes (X)$0$0$0
ROCKLON CHAPIN
PRIOR CEO BHS1.0039.00Yes (X)$0$521,895$97,324Yes (X)
KEVIN RYMANOWSKI
CFO OF BHS1.0039.00Yes (X)$0$396,232$85,174Yes (X)
TODD CARSEN
ADMIN OF CCH40.000.00$0$55,824$5,471Yes (X)
CHRIS BOLDT
President1.0039.00$0$302,458$44,326Yes (X)
KAY SCHUMACHER
ADMIN OF MSP.40.000.00$0$0$0Yes (X)
SALLY NEAL
RN40.000.00$119,571$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$119,571TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,276,409TotReportableCompRltdOrgAmt
Total Other Compensation$232,295TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008MANAGING COMPANY$1,593,122
TEXTILE CARE SERVICES
225 WOODLAKE DRIVE SEROCHESTERMN55904LAUNDRY SERVICES$243,836
CHESTER J YANIK & ASSOCIATES
4400 SHORELINE DRIVESPRING LAKE PARKMN55384DEVELOPMENT PLANNING$254,099
SENIOR CARE SOLUTIONS
PO BOX 2283STILLWATERMN55082NURSING SERVICES$149,953
MINNESOTA PROFESSIONAL NURSING
2021 E HENNEPIN AVEMINNEAPOLISMN55423NURSING SERVICES$149,839
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$3,003,949RelatedOrganizationsAmt
All Other Contributions$25,541AllOtherContributionsAmt
Total Contributions$3,029,490TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ASSISTED LIVING623000$8,610,181$8,610,181
RESIDENT REVENUE623000$24,504,499$24,504,499
FieldValueIRS element (for citing)
Total Program Service Revenue$33,114,680TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,614TotalRevenueColumnAmt
Exclusion$28,614ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$25,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$25,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$25,000TotalRevenueColumnAmt
Exclusion-$25,000ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,147,784TotalRevenueColumnAmt
Related Or Exempt Func Income$33,114,680RelatedOrExemptFuncIncomeAmt
Exclusion$3,614ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$153,820TotalAmt
Program Services$153,820ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$61,976TotalAmt
Program Services$61,976ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,722,772TotalAmt
Program Services$15,716,388ProgramServicesAmt
Management And General$1,006,384ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$257,481TotalAmt
Program Services$241,697ProgramServicesAmt
Management And General$15,784ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,132,988TotalAmt
Program Services$2,002,236ProgramServicesAmt
Management And General$130,752ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,339,027TotalAmt
Program Services$1,256,945ProgramServicesAmt
Management And General$82,082ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,593,122TotalAmt
Management And General$1,593,122ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,843TotalAmt
Management And General$8,843ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,268TotalAmt
Management And General$43,268ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,293,361TotalAmt
Program Services$3,293,361ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$109,052TotalAmt
Program Services$109,052ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,243TotalAmt
Management And General$190,243ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$345,417TotalAmt
Management And General$345,417ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,354,095TotalAmt
Program Services$2,354,095ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,493TotalAmt
Program Services$20,886ProgramServicesAmt
Management And General$7,607ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,125TotalAmt
Program Services$9,659ProgramServicesAmt
Management And General$8,466ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,616TotalAmt
Program Services$1,616ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,368,140TotalAmt
Program Services$1,368,140ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$224,413TotalAmt
Program Services$224,413ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supply Expense$1,812,592$1,812,592
FOOD$1,427,862$1,427,862
SURCHARGE$667,155$667,155
Bad Debts$364,011$364,011

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$560,728TotalAmt
Program Services$479,344ProgramServicesAmt
Management And General$81,384ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,078,600TotalAmt
Program Services$31,565,248ProgramServicesAmt
Management And General$3,513,352ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,307,442BOYAmt
EOY$779,839EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$65,357BOYAmt
EOY$1,462,493EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,251,820BOYAmt
EOY$3,676,728EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$243,084BOYAmt
EOY$203,402EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$39,323,578LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,875,626LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,891,846BOYAmt
EOY$23,447,952EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$563,323EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,539,698BOYAmt
EOY$6,784,587EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,299,247BOYAmt
EOY$36,918,324EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,874,521BOYAmt
EOY$5,488,299EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,295,408BOYAmt
EOY$18,554,139EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$269,009BOYAmt
EOY$250,573EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$225,182BOYAmt
EOY$636,569EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,664,120BOYAmt
EOY$24,929,580EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,420,086BOYAmt
EOY$10,555,618EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,580,906BOYAmt
EOY$715,225EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$634,135BOYAmt
EOY$717,901EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,635,127BOYAmt
EOY$11,988,744EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,299,247BOYAmt
EOY$36,918,324EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,069,184ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$66,348NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,781,915OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$25,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,807CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,098CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,127CurrentTaxYearMinus1YearAmt
Current Tax Year$3,029,490CurrentTaxYearAmt
Total$3,281,171TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,859,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,394,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,022,744CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,521,796CurrentTaxYearMinus1YearAmt
Current Tax Year$33,114,680CurrentTaxYearAmt
Total$167,913,480TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,885,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,549,536CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,053,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,561,923CurrentTaxYearMinus1YearAmt
Current Tax Year$36,144,170CurrentTaxYearAmt
Total$171,194,651TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$171,194,651PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,742CurrentTaxYearMinus1YearAmt
Current Tax Year$28,614CurrentTaxYearAmt
Total$86,101TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,742CurrentTaxYearMinus1YearAmt
Current Tax Year$28,614CurrentTaxYearAmt
Total$86,101TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$88,474CurrentTaxYearMinus3YearsAmt
Total$88,474TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,890,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,647,779CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,073,380CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,584,665CurrentTaxYearMinus1YearAmt
Current Tax Year$36,172,784CurrentTaxYearAmt
Total$171,369,226TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)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$27,710,826OtherCostOrOtherBasisAmt
Depreciation$11,556,198DepreciationAmt
Book Value$16,154,628BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,566,083OtherCostOrOtherBasisAmt
Depreciation$926,052DepreciationAmt
Book Value$640,031BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,951,894OtherCostOrOtherBasisAmt
Depreciation$3,393,376DepreciationAmt
Book Value$558,518BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,488,206OtherCostOrOtherBasisAmt
Book Value$5,488,206BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,447,952TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
AMOUNT DUE FROM AFFILIATES$430,077
LIMITED USE ASSETS$6,354,510
RESTRICTED ASSET
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,784,587TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
AMOUNTS DUE TO AFFILATES$441,556
ASSET RETIREMENT$195,013
FieldValueIRS element (for citing)
Total Liability$636,569TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b: Explanation of escrow account liabilityCARETAKER OF RESIDENT TRUST FUNDS AND SECURITY DEPOSITS IN A SEPARATE ACCOUNT.
Part X : FIN48 FootnoteTax Exempt StatusThe 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 (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BHS FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 E THIRD ST SUITE 400AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55008ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411513014RecipientEIN
IRC Section501 (C) (3)IRCSectionDesc
Cash Grant$153,820CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient39RecipientCnt
Cash Grant$61,976CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
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 PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS BOLDT
President$302,458$23,353$20,973$346,784$23,353
KEVIN RYMANOWSKI
CFO OF BHS$396,232$59,438$25,736$481,406$59,438
ROCKLON CHAPIN
PRIOR CEO BHS$521,895$85,010$12,314$619,219$85,010

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III, Additional InformationFormAndLineReferenceDesc
ExplanationJERRY CARLEY CEO,AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 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 COMMITTEE2. INDEPENDENT COMPENSATION CONSULTANT3. WRITTEN EMPLOYMENT CONTRACT4. COMPENSATION SURVEY OR STUDY5. 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 BON
A416005521792892HM62007-04-17$17,240,000SEE Part VIfalsefalsefalse
CITY OF ST PAUL 2017 BON
B521440935792892HM62017-12-18$15,910,000SEE Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,204,592$17,240,000$1,087,934$14,326,773$309,2242007Yes (true)falseYes (true)Yes (true)
B$15,910,000$13,726,469$2,133,530$50,0012018Yes (true)falseYes (true)Yes (true)

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
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
AfalseYes (true)falsefalsefalseYes (true)
BfalsefalsefalsefalseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
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
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe Corporation contracts with Benedictine Health System, a related organization, for Management Services. Benedictine Health System employed the President/CEO of the Corporation and the Administrators of the facilities.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderBenedictine 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, Line 7a: How Members or Shareholders Elect Governing BodyEach 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, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersBenedictine 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, Line 11b: Form 990 Review ProcessAN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn 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 Persons 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 Person 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, Line 19: Other Organization Documents Publicly AvailableNOT AVAILABLE TO PUBLIC
Other Changes In Net Assets Or Fund Balances - Other IncreasesCHANGE IN PERMANENTLY RES. NA = $83766
Other Changes In Net Assets Or Fund Balances - Other DecreasesCHANGE IN TEMP NA OF AFFILIATED FOUNDATION = -$2865681
OFFICER COMPENSATIONJERRY CARLEY CEO 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 NEW LONDON27-4218436BENEDICTINE LIVING COMMUNITY OF ST. PETER86-1113231BENEDICTINE LIVING COMMUNITY OF WINSTED27-4219293BENEDICTINE SENIOR LIVING COMMUNITY OF ST PETER27-2716531BRIDGES CARE CENTER26-2620983CERENITY 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 COMMUNITY41-1852273VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091CRS OF WISCONSIN 39-0982340REGINA SENIOR LIVING 46-3700475

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$4,230,615$15,816,072CERENITY SENIOR CARE
CERENITY - MARIAN OF ST PAUL LLC
6063 HUDSON RD 300WOODBURYMN55125320542938NURSING HOME AND ASSISTED LIVINGMN$5,003,686$15,151,965CERENITY SENIOR CARE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Cerenity Care Center White Bear Lake
1891 FLORENCE STREETWHITE BEAR LAKEMN55110411983267NURSING HOMEMN501 (C) 310CSCfalse
BENEDICTINE HEALTH SYSTEM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411531892SUPPORTING ORGMN501 (C) 310falseN/A
BHS FOUNDATION
503 E THIRD ST SUITE 400DULUTHMN55805411513014FUND DEVELOPMENTMN501 (C) 310BHSfalse
ARROWHEAD SENIOR LIVING COMMUNITY
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411978619NURSING HOMEMN501 (C) 310BHSfalse
BENEDICTINE CARE CENTERS
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411907571NURSING HOMEMN501 (C) 310BHSfalse
BENEDICTINE HEALTH CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411381401NURSING HOMEMN501 (C) 310BHSfalse
BENEDICTINE LIVING COMMUNITITES
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411639687NURSING HOMEMN501 (C) 310BHSfalse
BLC - BISMARCK INC
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008264376543NURSING HOMEMN501 (C) 310BHSfalse
BLC - NEW LONDON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274218436NURSING HOMEMN501 (C) 310BHSfalse
BLC - ST PETER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008861113231NURSING HOMEMN501 (C) 310BHSfalse
BLC - WINSTED
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008274219293NURSING HOMEMN501 (C) 310BHSfalse
BRIDGES CARE CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008262620983NURSING HOMEMN501 (C) 310BHSfalse
CITY OF LAKES CARE CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411985663NURSING HOMEMN501 (C) 310BHSfalse
LIVING COMMUNITY OF ST JOSEPH
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008412011661NURSING HOMEMN501 (C) 310BHSfalse
MADONNA TOWERS OF ROCHESTER INC
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411809914NURSING HOMEMN501 (C) 310BHSfalse
NAZARETH LIVING CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008431450394NURSING HOMEMO501 (C) 310NAfalse
SAINT ANNE OF WINONA
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008410850791NURSING HOMEMN501 (C) 310BHSfalse
ST GERTRUDES HEALTH CENTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411848720NURSING HOMEMN501 (C) 310BHSfalse
STEELE COUNTY COMMUNITIES FOR A LIFETIME
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008270705237NURSING HOMEMN501 (C) 310NAfalse
VILLA ST BENEDICT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008364343235NURSING HOMEMN501 (C) 310NAfalse
VILLA ST VINCENT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411352227NURSING HOMEMN501 (C) 310BHSfalse
ELLENDALE EVERGREEN PLACE
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411796445ASSISTED LIVINGMN501 (C) 310BHSfalse
MADONNA MEADOWS OF ROCHESTER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008470855891ASSISTED LIVINGMN501 (C) 310BHSfalse
ROSEWOOD COURT
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008412011389ASSISTED LIVINGMN501 (C) 310BHSfalse
BENEDICTINESENIOR LIV COMM OF ST PETER
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008861113231ASSISTED LIVINGMN501 (C) 310BHSfalse
STEEPLE POINTE SENIOR LIV COMM
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008411852273ASSISTED LIVINGMN501 (C) 310BHSfalse
BLC OF WAHPETON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008454274091ASSISTED LIVINGMN501 (C) 310BHSfalse
BLC OF RED WING
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008454929398NURSING HOMEMN501 (C) 310BHSfalse
CATHOLIC RESIDENTIAL SERVICES
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008390982340NURSING HOMEWI501 (C) 310BHSfalse
REGINA SENIOR LIVING
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008463700475NURSING HOMEMN501 (C) 310BHSfalse
BLC OF BYRON
1995 E RUM RIVER DRIVE SCAMBRIDGEMN55008471538777NURSING HOMEMN501 (C) 310BHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd