2012-05-07T12:26:45-07:00 2011-06-30 990 2010-07-01 411983267 CERENITY CARE CENTER - WHITE BEAR LAKE CERE 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 KEVIN RYMANOWSKI 2012-05-07 2010 2016-02-24 21:20:13Z GREG BAUMBERGER 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 16671727 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 7 327 200 0 30604 166 16670369 16670040 2051 1521 0 16703024 16671727 63842 121669 0 9152380 9024599 0 0 6683579 6914364 15899801 16060632 803223 611095 9536079 9430459 5962921 5035366 3573158 4395093 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 13709134 121669 15393529 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 90% occupancy and served 628 individualus during the fiscal yearending 6/30/11. 997079 1276511 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 65 individualus during the fiscal yearending 6/30/11. 14706213 true false false false false false false false true false true false false true false true true true false false false false false false false false false true true true true false false false false false false false false false false false false false false false true false false false false true 24 0 true 327 true false false false false false false false false false false false 0 false false false false false false false false false false false X 7 7 false true false false true true true true true false false false true true true true true true false false false false MN X X KEVIN RYMANOWSKI CFO 7636891162 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 TIM HANSON 1.00 X 0 0 0 SR JEANNE ANN WEBER 1.00 X 0 0 0 SISTER MARY HEINEN CSJ 1.00 X 0 0 0 RICHARD RAU 1.00 X 0 0 0 KEVIN RYMANOWSKI 40.00 X 0 270417 46886 GREG BAUMBERGER 40.00 X 0 120118 21647 DEAN WAHLBERG 1.00 X X 0 0 0 DALE THOMPSON 40.00 X X 0 571536 109913 CHUCK HEIDBRINK 40.00 X 0 193010 37538 BILL FOUSSARD 1.00 X 0 0 0 1155081 215984 0 false true false BENEDICTINE HEALTH SYSTEM 1995 E RUM RIVER DRIVE S CAMBRIDGE MN 55008 MANAGING COMPANY 1032112 AEGIS THERAPIES BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 1316385 2 166 166 SKILLED NURSING 623000 15393529 15393529 ASSISTED LIVING 623000 1276511 1276511 16670040 1521 1521 0 0 0 0 0 0 0 0 16671727 16670040 1521 61311 61311 60358 60358 0 0 0 0 7210405 7056087 154318 164916 161618 3298 1109965 1087766 22199 539313 528527 10786 1032112 1032112 784 784 0 0 0 0 0 12732 12732 1084174 1040317 43857 0 0 490293 490293 12752 5308 7444 0 3477 954 2523 271 271 0 542621 542621 130997 130997 SURCHARGE 525022 525022 PURCHASED SERVICES 1564361 1564361 FOOD 596667 596667 EQUIPMENT REPAIRS 103343 53612 49731 CENTRAL OFFICE COSTS 447052 447052 367706 340610 27096 16060632 14706213 1354419 0 2585919 2078319 0 0 1264398 1706561 0 0 0 0 30711 32395 14789272 10023864 4261646 4765408 0 0 0 121305 104763 1272100 743013 9536079 9430459 2257198 1662534 3530000 3205000 38174 36363 137549 131469 5962921 5035366 X 3573158 4184253 210840 3573158 4395093 9536079 9430459 X 611095 210840 X false true true X false false X 25648 33471 340 30604 166 90229 13947189 15314557 16344989 16670369 16670040 78947144 0 0 0 13972837 15348028 16345329 16700973 16670206 79037373 0 0 79037373 43823 34425 7914 2051 1521 89734 0 43823 34425 7914 2051 1521 89734 0 0 14016660 15382453 16353243 16703024 16671727 79127107 0.99890 0.99830 0.00110 0.00170 X false true 353886 353886 11740057 7998540 3741517 461547 90780 370767 2155218 1934544 220674 78564 78564 4765408 RESTRICTED ASSET 36363 LIMITED USE ASSETS 706650 AMOUNT DUE FROM AFFILIATE 743013 16671727 16060632 611095 210840 210840 821935 16671727 16671727 16671727 16060632 16060632 16060632 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 2008 to 2010 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 $210840 Part IV, Line 2b Part IV, Line 2b: Explanation of escrow account liability CARETAKER OF RESIDENT TRUST FUNDS IN A SEPARATE ACCOUNT. true BHS FOUNDATION 503 E THIRD ST DULUTH MN 55805 411513014 501 (C) 3 61311 0 SUPPORT 1 0 SCHOLARSHIP PROGRAM 43 60358 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 KEVIN RYMANOWSKI 211649 44415 14353 28196 18690 317303 28196 DALE THOMPSON 451161 120375 94642 15271 681449 94642 CHUCK HEIDBRINK 151801 22270 18939 22317 15221 230548 22317 Sch J, Part III, Additional Information Part III, Additional Information 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 COMMITTE2. INDEPENDENT COMPENSATION CONSULTANT3. WRITTEN EMPLOYMENT CONTRACT4. COMPENSATION SURVEY OR STUDY5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. CITY OF WHITE BEAR LAKE SERIES 2004 416005641 963426AN1 2004-05-01 4995000 SEE PART V false false false 1790000 4995000 3983100 99900 912000 2004 false false true true false false false false true false false false false false false false PROCEEDS OF SERIES 2004 BONDS WERE USED TO REFUND A PRIOR BOND OFFERING, FUND A DEFT SERVICE RESERVE FUND, FUND IMPROVEMENTS TO THE WHITE BEAR LAKE FACILITIES AND PAY CERTAIN COSTS OF ISSUANCE. OFFICIER 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 41-1352227 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NOT AVAILABLE TO PUBLIC Form 990, Part VI, Line 12c 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 11 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 7a 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 6 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 3 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. 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 411513014 SUPPORTING ORG MN 501 (C) 3 11 BHS false HEALTHEAST 411560657 HEALTH SYSTEM MN 501 (C) 3 11 N/A false CENERITY SENIOR CARE 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 N/A false false true false false false false false false false false false true false true false false false false