2015-05-13T13:46:09-07:00 2014-06-30 990 2013-07-01 411983267 CERENITY CARE CENTER - WHITE BEAR LAKE CERE 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI CFO 2015-05-13 2013 2016-02-25 16:41:14Z PAT MCDONALD 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 15831294 false false X www.cerenityseniorcare.org X 2000 MN TO ASSIST AND COORDINATE ACTIVITIES OF, AND FACILITIES FOR, HEALTH CARE, SOCIAL SERVICES, EDUCATION, AND RESEARCH. 7 6 335 250 0 247173 1282908 15787040 14546767 6377 1619 0 16040590 15831294 82161 88203 0 10604800 9883960 0 0 5424269 5815809 16111230 15787972 -70640 43322 11214231 20420855 6907735 16180538 4306496 4240317 CERENITY CARE CENTER -WBL 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. false false 13450831 88203 13089386 Operation of Cerenity Care Center - White Bear Lake, is a 138 bed long-term care in White Bear Lake, Minnesota which provides skilled nursing care to the elderly.The facility had a 96% occupancy and served 599 individualus during the fiscal yearending 6/30/14. 1123519 1457381 Operation of White Bear Lake Assisted Living center, is a 43 bed long-term care in White Bear Lake, Minnesota which provides assisted living care to the elderly.The facility had a 97% occupancy and served 72 individualus during the fiscal yearending 6/30/14. 14574350 true true false false false false false false true false true false false false true true false true false false false false false false false false false true true true false false false false false false false false false false false false false false false false true true true false false true 33 0 true 335 true false false false false false false false false 0 false false false false false false false false false false X 7 6 false true false false true true true true true false false true true true true true true false false false X KEVIN RYMANOWSKI CFO 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 CATHERINE BARR Director 1.00 1.00 X 0 0 0 DAWN KSEPKA Director 1.00 1.00 X 0 0 0 JOAN GRZYWINSKI Director 1.00 1.00 X 0 0 0 RICHARD RAU CHAIR 1.00 1.00 X X 0 0 0 SR JEANNE ANN WEBER Director 1.00 1.00 X 0 0 0 WILLIAM FOUSSARD Director 1.00 1.00 X 0 0 0 ROCKLIN CHAPIN CURRENT CEO BHS 1.00 39.00 X X 0 178129 48964 DALE THOMPSON PRIOR CEO BHS 1.00 39.00 X 0 756460 127563 CHUCK HEIDBRINK President 10.00 30.00 X 0 165939 39283 GREG BAUMBERGER PRIOR ADMIN 40.00 0.00 X 0 109162 20641 KEVIN RYMANOWSKI CFO OF BHS 1.00 39.00 X 0 309776 69707 PAT MCDONALD NEW ADMIN. 40.00 0.00 X 0 0 0 1519466 306158 0 false true false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 MANAGING COMPANY 753978 ZELLNER SENIOR HEALTH CONSULTING 522 HACKMORE DRIVE ST PAUL MN 55123 NURSING SERVICES 261527 2 1282908 1282908 ASSISTED LIVING 623000 1457381 1457381 RESIDENT SERVICES 623000 13089386 13089386 14546767 1619 1619 0 0 0 0 0 0 0 0 15831294 14546767 1619 70013 70013 18190 18190 0 0 0 0 7963123 7831276 131847 189769 185974 3795 1129711 1107117 22594 601357 589330 12027 753978 753978 620 620 0 0 0 0 1005363 1005363 27577 27577 101593 101593 174561 174561 0 682920 682920 15321 11607 3714 0 8833 7513 1320 402 402 0 609927 609927 155254 155254 Medical Supply Expense 876026 876026 FOOD 596154 596154 SURCHARGE 482303 482303 Bad Debts 139686 139686 185291 177718 7573 15787972 14574350 1213622 0 893731 1469969 0 0 1337240 1474866 0 0 0 0 31350 26973 28057011 11379686 8066963 16677325 0 0 0 474978 461909 409969 309813 11214231 20420855 2500916 2341567 27953 67183 4378866 13539900 231888 6907735 16180538 X 3924480 3967802 382016 272515 4306496 4240317 11214231 20420855 X 43322 -109501 X false true X true false X 30604 166 14488 247173 1282908 1575339 16670369 16670040 16304404 15787040 14546767 79978620 0 0 0 16700973 16670206 16318892 16034213 15829675 81553959 0 0 81553959 2051 1521 2168 6377 1619 13736 0 2051 1521 2168 6377 1619 13736 0 0 16703024 16671727 16321060 16040590 15831294 81567695 0.99980 0.99980 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 1652437 1652437 22614219 9057256 13556963 249043 111633 137410 3541312 2210797 1330515 16677325 AMOUNTS DUE TO AFFILATES 218805 ASSET RETIREMENT OBLIGATION 13083 231888 X Part IV, Line 2b: Explanation of escrow account liability CARETAKER OF RESIDENT TRUST FUNDS IN A SEPARATE ACCOUNT. Part X : FIN48 Footnote Tax 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 Corporation's income tax returns are subject to review and examination by federal, state, and local authorities. The Corporation is not aware of any activities that would jeopardize its tax-exempt status. The Corporation is not aware of any activities that are subject to tax on unrelated business income or excise or other taxes. The tax returns for the fiscal years 2011 to 2013 are open to examination by federal, local, and state authorities. true BHS FOUNDATION 503 E THIRD ST DULUTH MN 55805 411513014 501 (C) 3 70013 0 SUPPORT 1 0 SCHOLARSHIP PROGRAM 15 18190 Grantmaker's Description of How Grants are Used CCC - White Bear Lake 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 White Bear Lake.TRANSFERS BETWEEN RELATED ORGANIZATIONS ARE ACCOUNTED FOR IN INTERNAL FINANCIAL STATEMENTS, OF WHICH ALL ARE UNDER COMMON CONTROL. false false false false false false false false false false CHUCK HEIDBRINK President 156453 9486 21628 17655 205222 21628 DALE THOMPSON PRIOR CEO BHS 477602 56221 222637 113098 14465 884023 113098 KEVIN RYMANOWSKI CFO OF BHS 242852 22123 44801 47455 22252 379483 47455 ROCKLIN CHAPIN CURRENT CEO BHS 178129 38959 10005 227093 38959 Part III, Additional Information DALE THOMPSON PART YEAR CEO, ROCKLON CHAPIN CURRENT 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. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company The Corporation contracts with Benedictine Health System, a related organization, for Management Services. Benedictine Health System employed the President/CEO of the Corporation and the Administrators of the facility. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Benedictine Health System, a Minnesota nonprofit corporation, and HealthEast, a Minnesota nonprofit corporation, and Clement Manor, Inc, a Wisconsion nonprofit corporation are the members of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each 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 Shareholders Benedictine 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 Process AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts This Corporation shall not enter into any contract or transaction with (a) its Director or officer or a member of the family of a Director or an officer; (b) a director or officer of a related organization (within the meaning of Minnesota Statutes, section 317A.011, Subd. 18) or a member of the family of a director or officer of a related organization; or (c) an organization in or of which this Corporation's Director or officer is a director, officer or legal representative or has a material financial interest; unless the material facts as to the contract or transaction and as to the director's or officer's interest are fully disclosed or known to the Board of Directors, and the Board of Directors authorizes, approves, or ratifies the contract or transaction in good faith by the affirmative vote (without counting any interested Director) of a majority of the entire Board of Directors, at a meeting at which there is a quorum without counting any interested Director. For purposes of these Bylaws, "member of the family" of a director or officer shall mean a spouse, parent, child, spouse of a child, brother, sister, or spouse of a brother or sister, of the director or officer. Failure to comply with the provisions of this section shall not invalidate any contract or transaction to which this Corporation is a party. The provisions of this section shall not apply to any contracts or transaction between or among BHS and its Subsidiaries. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NOT AVAILABLE TO PUBLIC Other Changes In Net Assets Or Fund Balances - Other Decreases CHANGE IN TEMP. RES. NA = -$109501 OFFICER COMPENSATION DALE THOMPSON PART YEAR CEO, ROCKLON CHAPIN CURRENT 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 MORA27-4219119BENEDICTINE LIVING COMMUNITY OF NEW LONDON27-4218436BENEDICTINE LIVING COMMUNITY OF SPOONER45-0700468BENEDICTINE LIVING COMMUNITY OF ST. PETER86-1113231BENEDICTINE LIVING COMMUNITY OF WINSTED27-4219293BENEDICTINE SENIOR LIVING COMMUNITY OF ST PETER27-2716531BRIDGES CARE COMMUNITY26-2620983CERENITY SENIOR CARE36-3517696CERENITY CARE CENTER - WHITE BEAR LAKE41-1983267CITY OF LAKES CARE CENTER41-1985663ELLENDALE EVERGREEN PLACE, INC41-1796445LIVING COMMUNITY OF ST. JOSEPH41-2011661MADONNA MEADOWS OF ROCHESTER47-0855891MADONNA TOWERS OF ROCHESTER, INC41-1809914NAZARETH LIVING CENTER43-1450394ROSEWOOD COURT41-2011389SAINT ANNE OF WINONA41-0850791ST. GERTRUDE'S HEALTH CENTER41-1848720STEELE COUNTY COMMUNITIES FOR A LIFETIME INC27-0705237STEEPLE POINTE SENIOR LIVING COMMUNITY41-1852273TEKAKWITHA NURSING CENTER, INC41-1809912VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091CRS OF WISCONSIN 39-0982340BENEDICTINE LIVING CENTER OF FRIDLEY 46-2904490REGINA SENIOR LIVING 46-3700475 BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411531892 SUPPORTING ORG MN 501 (C) 3 11 TYPE III N/A false CERENITY SENIOR CARE 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 363517696 NURSING HOME MN 501 (C) 3 9 NA true BHS FOUNDATION 503 E THIRD ST SUITE 400 DULUTH MN 55805 411513014 FUND DEVELOPMENT MN 501 (C) 3 9 BHS false BENEDICTINE HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411381401 NURSING HOME MN 501 (C) 3 9 BHS false ARROWHEAD SENIOR LIV COMM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411978619 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE CARE CENTERS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411907571 NURSING HOME MN 501 (C) 3 9 BHS false BENEDICTINE LIVING COMMUNITIES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411639687 NURSING HOME MN 501 (C) 3 9 BHS false BLC - BISMARCK 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 264376543 NURSING HOME MN 501 (C) 3 9 BHS false BLC-MORA 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219119 NURSING HOME MN 501 (C) 3 9 BHS false BLC- NEW LONDON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274218436 NURSING HOME MN 501 (C) 3 9 BHS false BLC - SPOONER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 450700468 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF ST PETER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 861113231 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF WINSTED 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 274219293 NURSING HOME MN 501 (C) 3 9 BHS false BRIDGES CARE COMMUNITY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 262620983 NURSING HOME MN 501 (C) 3 9 BHS false CITY OF LAKES CARE CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411985663 NURSING HOME MN 501 (C) 3 9 BHS false LIVING COMMUNITY OF ST JOSEPH 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011661 NURSING HOME MN 501 (C) 3 9 BHS false MADONNA TOWERS OF ROCHESTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809914 NURSING HOME MN 501 (C) 3 9 BHS false NAZARETH LIVING CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 431450394 NURSING HOME MN 501 (C) 3 9 NA false SAINT ANNE OF WINONA 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 410850791 NURSING HOME MN 501 (C) 3 9 BHS false ST GERTRUDES HEALTH CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411848720 NURSING HOME MN 501 (C) 3 9 BHS false TEKAKWITHA NURSING CENTER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411809912 NURSING HOME MN 501 (C) 3 9 BHS false VILLA ST VINCENT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411352227 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF WAHPETON 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 454274091 ASSISTED LIVING MN 501 (C) 3 9 BHS false BLC OF RED WING 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 454929398 NURSING HOME MN 501 (C) 3 9 BHS false BSLC OF ST PETER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 272716531 ASSSITED LIVING MN 501 (C) 3 9 BHS false CATHOLIC RESIDENTIAL SERVICES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 390982340 NURSING HOME WI 501 (C) 3 9 BHS false ELLENDALE EVERGREEN PLACE 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411796445 ASSISTED LIVING MN 501 (C) 3 9 BHS false MADONNA MEADOWS 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 470855891 ASSISITED LIVING MN 501 (C) 3 9 BHS false ROSEWOOD COURGT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 412011389 ASSISTED LIVING MN 501 (C) 3 9 BHS false STEELE COUNTY COMMUNITIES 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 270705237 NURSING HOME MN 501 (C) 3 9 BHS false STEEPLE POINTE SEN LIV COMM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 411852273 ASSISTED LIVING MN 501 (C) 3 9 BHS false VILLA ST BENEDICT 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 364343235 NURSING HOME MN 501 (C) 3 9 BHS false BLC OF FRIDLEY 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 462904490 NURSING HOME MN 501 (C) 3 9 BHS false REGINA SENIOR LIVING 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 463700475 NURSING HOME MN 501 (C) 3 9 BHS false false true true false false false false false false false false false true false true false false false false CERENITY SENIOR CARE c 900000