HEALTHEAST CARE CENTER-WHITE BEAR LAKE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHEAST CARE CENTER-WHITE BEAR LAKE (EIN 41-1983267)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-11
- IRS object ID
- 201330429349300873
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-11T11:49:02-08:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411983267 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CERENITY CARE CENTER - WHITE BEAR LAKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CERE | NameControl |
| Phone | 7636891162 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 E RUM RIVER DRIVE S | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MN | State |
| ZIP Code | 55008 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN RYMANOWSKI | Name |
| Title | CFO | Title |
| Date Signed | 2013-02-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREG BAUMBERGER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 E RUM RIVER DRIVE S | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MN | State |
| ZIP Code | 55008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16321060 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.cerenityseniorcare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO ASSIST AND COORDINATE ACTIVITIES OF, AND FACILITIES FOR, HEALTH CARE, SOCIAL SERVICES, EDUCATION, AND RESEARCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 302 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 166 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14488 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16670040 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16304404 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1521 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2168 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16671727 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16321060 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 121669 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 594919 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9024599 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9276181 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6914364 | OtherExpensePriorYear |
| Other Expenses Current Year | 6639093 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16060632 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16510193 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 611095 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -189133 | RevenuesLessExpensesCY |
| Total Assets BOY | 9430459 | TotalAssetsBOY |
| Total Assets EOY | 9172645 | TotalAssetsEOY |
| Total Liabilities BOY | 5035366 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4909654 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4395093 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4262991 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 14204607 | Expense |
| Grants | 594915 | Grants |
| Revenue | 14924290 | Revenue |
| Description | Operation of Cenerity Senior Care - White Bear Lake, is a 184 bed long-term care in White Bear Lake, Minnesota which provides skilled nursing care to the elderly.The facility had a 89% occupancy and served 715 individualus during the fiscal yearending 6/30/12. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 997648 | Expense |
| Revenue | 1380114 | Revenue |
| Description | Operation of White Bear Lake Assisted Living center, is a 45 bed long-term care in White Bear Lake, Minnesota which provides assisted living care to the elderly.The facility had a 95% occupancy and served 69 individualus during the fiscal yearending 6/30/12. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 15202255 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 302 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEVIN RYMANOWSKI CFO | NamePerson |
| Telephone Number | 7636891162 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 E RUM RIVER DRIVE S | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MN | State |
| ZIP Code | 55008 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| BILL FOUSSARD | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| SR JEANNE ANN WEBER | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| DALE THOMPSON | ||||||
| CEO OF BHS | 40.00 | X | 0 | 744687 | 111422 | X |
| RICHARD RAU | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| SISTER MARY HEINEN CSJ | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| DEAN WAHLBERG | ||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| MIKE NASS | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| KEVIN RYMANOWSKI | ||||||
| CFO OF BHS | 40.00 | 0 | 305169 | 58226 | X | |
| GREG BAUMBERGER | ||||||
| CEO / ADMIN. | 40.00 | 0 | 120537 | 21613 | X | |
| CHUCK HEIDBRINK | ||||||
| President | 40.00 | 0 | 209379 | 36374 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 1379772 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 227635 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | |||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | MANAGING COMPANY | 1013697 |
| AEGIS THERAPIES | |||||
| BOX 8103 | FORT SMITH | AR | 72902 | THERAPY SERVICES | 1432112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 14488 | RelatedOrganizations |
| Total Contributions | 14488 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERVICES | 623000 | 14924290 | 14924290 |
| ASSISTED LIVING | 623000 | 1380114 | 1380114 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16304404 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2168 | TotalRevenueColumn |
| Exclusion | $2,168 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16321060 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16304404 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,168 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543528 | Total |
| Program Services | 543528 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51391 | Total |
| Program Services | 51391 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7472051 | Total |
| Program Services | 7312413 | ProgramServices |
| Management And General | 159638 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169492 | Total |
| Program Services | 166102 | ProgramServices |
| Management And General | 3390 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1071011 | Total |
| Program Services | 1049591 | ProgramServices |
| Management And General | 21420 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 563627 | Total |
| Program Services | 552354 | ProgramServices |
| Management And General | 11273 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819323 | Total |
| Management And General | 819323 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6471 | Total |
| Management And General | 6471 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500074 | Total |
| Program Services | 1500074 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13960 | Total |
| Program Services | 13960 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1027547 | Total |
| Program Services | 979473 | ProgramServices |
| Management And General | 48074 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194374 | Total |
| Management And General | 194374 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 501797 | Total |
| Program Services | 501797 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14079 | Total |
| Program Services | 9439 | ProgramServices |
| Management And General | 4640 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3889 | Total |
| Program Services | 3243 | ProgramServices |
| Management And General | 646 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324 | Total |
| Program Services | 324 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534928 | Total |
| Program Services | 534928 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107939 | Total |
| Program Services | 107939 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MISCELLANOUS | 93342 | 93342 |
| CENTRAL OFFICE COSTS | 367357 | 367357 |
| SURCHARGE | 526405 | 526405 |
| FOOD | 633244 | 633244 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 294040 | Total |
| Program Services | 255351 | ProgramServices |
| Management And General | 38689 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16510193 | Total |
| Program Services | 15202255 | ProgramServices |
| Management And General | 1307938 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2078319 | BOY |
| EOY | 1968143 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1706561 | BOY |
| EOY | 1457890 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32395 | BOY |
| EOY | 33888 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15209395 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10387204 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4765408 | BOY |
| EOY | 4822191 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104763 | BOY |
| EOY | 88221 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743013 | BOY |
| EOY | 802312 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9430459 | BOY |
| EOY | 9172645 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1662534 | BOY |
| EOY | 2001023 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3205000 | BOY |
| EOY | 2870000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36363 | BOY |
| EOY | 38631 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131469 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5035366 | BOY |
| EOY | 4909654 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4184253 | BOY |
| EOY | 3995120 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210840 | BOY |
| EOY | 267871 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4395093 | BOY |
| EOY | 4262991 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9430459 | BOY |
| EOY | 9172645 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -189133 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 57031 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 33471 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 340 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 30604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 166 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14488 | CurrentTaxYear |
| Total | 79069 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15314557 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16344989 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16670369 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16670040 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16304404 | CurrentTaxYear |
| Total | 81304359 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15348028 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16345329 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16700973 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16670206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16318892 | CurrentTaxYear |
| Total | 81383428 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 81383428 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34425 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7914 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1521 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2168 | CurrentTaxYear |
| Total | 48079 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34425 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7914 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1521 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2168 | CurrentTaxYear |
| Total | 48079 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15382453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16353243 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16703024 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16671727 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16321060 | CurrentTaxYear |
| Total | 81431507 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99940 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99890 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00110 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1585437 | OtherCostOrOtherBasis |
| Book Value | 1585437 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10834097 | OtherCostOrOtherBasis |
| Depreciation | 8305176 | Depreciation |
| Book Value | 2528921 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 131948 | OtherCostOrOtherBasis |
| Depreciation | 97348 | Depreciation |
| Book Value | 34600 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2281987 | OtherCostOrOtherBasis |
| Depreciation | 1984680 | Depreciation |
| Book Value | 297307 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 375926 | OtherCostOrOtherBasis |
| Book Value | 375926 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4822191 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| RESTRICTED ASSET | 38631 |
| LIMITED USE ASSETS | 763681 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 802312 | TotalBookValueOtherAssets |
| Total Revenue | 16321060 | TotalRevenue |
| Total Expenses | 16510193 | TotalExpenses |
| Excess Or Deficit For Year | -189133 | ExcessOrDeficitForYear |
| Other | $57,031 | OtherAmount |
| Total Adjustments | 57031 | TotalAdjustments |
| Excess Or Deficit Per FS | -132102 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16321060 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 16321060 | RevenueSubtotal |
| Total Revenue Per Form990 | 16321060 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16510193 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 16510193 | ExpensesSubtotal |
| Total Expenses Per Form990 | 16510193 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | 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 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 2009 to 2011 are open to examination by federal, local, and state authorities. |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Change in Interest in Net Assets of Affiliated Foundation $57031 |
| Part IV, Line 2b | Part IV, Line 2b: Explanation of escrow account liability | CARETAKER OF RESIDENT TRUST FUNDS IN A SEPARATE ACCOUNT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| CERENITY SENIOR CARE | ||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 363517696 | 501 (C) 3 | 475440 | 0 | ABSORB NA OF CLOSED RELATED FACIL. |
| BHS FOUNDATION | ||||||||
| 503 E THIRD ST | DULUTH | MN | 55805 | 411513014 | 501 (C) 3 | 65588 | 0 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIP PROGRAM | TypeOfGrant |
| Number Of Recipients | 38 | NumberOfRecipients |
| Amount Of Cash Grant | 51391 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|
| KEVIN RYMANOWSKI | ||||||
| 223706 | 44415 | 37048 | 37390 | 20836 | 363395 | 37390 |
| DALE THOMPSON | ||||||
| 456495 | 120375 | 167817 | 94849 | 16573 | 856109 | 94849 |
| CHUCK HEIDBRINK | ||||||
| 152842 | 22207 | 34330 | 21074 | 15300 | 245753 | 21074 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part III, Additional Information | Identifier |
| Return Reference | Part III, Additional Information | ReturnReference |
| Explanation | DALE THOMPSON CEO AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS.THE CEO / ADMIN. 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. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF WHITE BEAR LAKE SERIES 2004 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 416005641 | IssuerEIN |
| CUSIP Number | 963426AN1 | CUSIPNumber |
| Date Issued | 2004-05-01 | DateIssued |
| Issue Price | 4995000 | IssuePrice |
| Description Of Purpose | SEE PART V | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 2125000 | AmountRetired |
| Total Proceeds | 4995000 | TotalProceeds |
| Refunding Escrow | 3983100 | RefundingEscrow |
| Issuance Costs From Proceeds | 99900 | IssuanceCostsFromProceeds |
| Capital Expenditures | 912000 | CapitalExpenditures |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Regulatory Safe Harbor Satisfied | false | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| OFFICER COMPENSATION | DALE THOMPSON CEO AND KEVIN RYMANOWSKI CFO OF BENEDICTINE HEALTH SYSTEM 41-1531892 SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND THE FOLLOWING 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 COMMUNITY26-2620983CENERITY SENIOR CARE36-3517696CERENITY CARE CENTER - WHITE BEAR LAKE41-1983267CITY OF LAKES CARE CENTER41-1985663ELLENDALE EVERGREEN PLACE, INC41-1796445LIVING COMMUNITY OF ST. JOSEPH41-2011661MADONNA MEADOWS OF ROCHESTER47-0855891MADONNA TOWERS OF ROCHESTER, INC41-1809914NAZARETH LIVING CENTER43-1450394ROSEWOOD COURT41-2011389SAINT ANNE OF WINONA41-0850791ST. GERTRUDE'S HEALTH CENTER41-1848720STEELE COUNTY COMMUNITIES FOR A LIFETIME INC27-0705237STEEPLE POINTE SENIOR LIVING COMMUNITY41-1852273TEKAWITHA NURSING CENTER, INC41-1809912VILLA ST. BENEDICT36-4343235VILLA ST. VINCENT 41-1352227BLC OF RED WING 45-4929398BLC OF WAHPETON 45-4274091 | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | NOT AVAILABLE TO PUBLIC | Form 990, Part VI, Line 19 |
| 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 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | AN ELECTRONIC COPY OF THE FORM 990 WAS DISTRIBUTED PRIOR TO FILING. | Form 990, Part VI, Line 11 |
| 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 7b |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Each Director of the Corporation is appointed by the members. | Form 990, Part VI, Line 7a |
| 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 6 |
| 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 3 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VILLA ST VINCENT | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411352227 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| TEKAWITHA NURSING CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411809912 | 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 | |
| SAINT ANNE OF WINONA | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 410850791 | 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 | BHS | false | |
| MADONNA TOWERS OF ROCHESTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411809914 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| LIVING COMMUNITY OF ST JOSEPH | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 412011661 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| CITY OF LAKES CARE CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411985663 | 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 | |
| BLC OF WINSTED | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 274219293 | 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 - SPOONER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 450700468 | 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-MORA | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 274219119 | 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 | |
| BENEDICTINE LIVING COMMUNITIES | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411639687 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| BENEDICTINE CARE CENTERS | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411907571 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| ARROWHEAD SENIOR LIV COMM | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411978619 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| BENEDICTINE HEALTH CENTER | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411381401 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| BHS FOUNDATION | |||||||||||
| 503 E THIRD ST SUITE 400 | DULUTH | MN | 55805 | 411513014 | SUPPORTING ORG | MN | 501 (C) 3 | 9 | BHS | false | |
| HEALTHEAST | |||||||||||
| 1700 UNIVERSITY AVE | ST PAUL | MN | 55104 | 411560657 | HEALTH SYSTEM | MN | 501 (C) 3 | 11 | false | N/A | |
| CENERITY SENIOR CARE | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 363517696 | NURSING HOME | MN | 501 (C) 3 | 9 | BHS | false | |
| BENEDICTINE HEALTH SYSTEM | |||||||||||
| 1995 E RUM RIVER DRIVE S | CAMBRIDGE | MN | 55008 | 411531892 | SUPPORTING ORG | MN | 501 (C) 3 | 11 | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |