2011 Annual Report - Benedictine Health System
Transcription
2011 Annual Report - Benedictine Health System
stewards ANNUAL REPORT 2011 what it means to be a steward The Benedictine Health System is a mission-based, non-profit health system headquartered in Duluth, Minn., sponsored by the Benedictine Sisters of St. Scholastica Monastery in Duluth. BHS provides complete long-term care services for aging adults, including independent housing, assisted living, skilled nursing and rehabilitation services in seven Midwestern states. -2 - prayer Blest are You, God of the Universe, the gifts of all creation come from You. Thank You for our human, natural and financial resources. You inspired Saint Benedict to hold in trust the gifts we are given. Help us to care for the earth, for one another, and for all Your gifts of time, talent and treasure. We ask this through Jesus, the Christ, in the unity of the Holy Spirit, now and forever. Amen STEWARDSHIP what is a steward? For the Benedictine Health System – together with Hospitality, Respect and Justice – Stewardship is one of four Core Values that serve as a guide for our entire organization. Within BHS, we see a steward as one who embodies that value by identifying his or her own talents and generously sharing those gifts with others; who nurtures relationships by bringing out the best in others; who forms relationships with other individuals or institutions to provide for all in need. As stewards, we receive God’s gifts gratefully, cultivate them responsibly, share them lovingly in Justice with others and return them with increase to the Lord. In this year’s annual report, we have sought out simple everyday acts rooted in Stewardship that can have a significant impact on individuals, organizations, communities or the world at large. - 1- LETTER FROM THE PRIORESS Dear Friends: In our ever-changing world and one beset with so much turmoil, it seems fitting that the Benedictine Health System spent 2011 focusing on the deeper meaning of Stewardship. This foundational Core Value requires a certain stability, a sense of place and a faithfulness to the Mission during difficult times. Through learning and reflecting this year, BHS leadership and staff delved deeply into what it means to be a responsible steward of this special long-term health care ministry of the Sisters of St. Scholastica Monastery. By doing so, it encourages Stewardship as a way of life. It is a precious part of our life’s journey. It also makes a clear statement about the fidelity with which BHS lives the Mission entrusted to its care and nurturance. The Rule off St. Benedictt calls us to be good stewards and to gratefully use all that we have been given as sacred gifts. While important, Stewardship means so much more than carefully using financial and other resources to accomplish our work. Stewardship asks us to hold in reverence all we have been given and exercise great care in our relationships with others, ourselves and the Earth. Practicing and fully understanding Stewardship challenges us to gratefully use all resources and, especially, to call forth the best from every person. It encourages us to help people grow in wisdom and grace so this precious value can be passed along to those who will continue the Ministry into the future. Our mission is clear: to carry on the healing ministry of Jesus. We are all part of a greater story and part of a Divine Plan. In the name of all the Sisters of St. Scholastica Monastery, I want to express our deep gratitude to the circle of leaders and staff members who carry our health care ministry every minute of every day. Each one of you is a good and worthy steward of a ministry that started over a century ago. May you be blessed with the strength of God’s abiding grace in the ministry you serve and know that you are held daily in our hearts and in our prayers. Lovingly yours in Christ with abounding gratitude and prayer, Sister Lois Eckes, OSB Prioress, St. Scholastica Monastery BOARD OF DIRECTORS DEAN FOX, MD, FACP, VICE CHAIR BRIAN LASSITER, CHAIR SISTER MARY CHRISTA KROENING, OSB SISTER DONNA SCHROEDER, OSB, SECRETARY REPRESENTATIVE MIKE BEARD KATHLEEN LATOUR, MA, RHIA, FAHMA TERRY SCOTT, CPA ROXANN DAGGETT SISTER DANILE LYNCH, OSB MARY FRANCES SKALA, J.D. SISTER LOIS ECKES, OSB CHANDRA MEHROTRA, PH.D. DALE M. THOMPSON, CEO - 2- SISTER BEVERLY L RAWAY, OSB - 3- - 4 - STEWARDSHIP bringing out the best in others By bringing out the best in others and nurturing their careers we are encouraging Stewardship. As Winston Churchill once said: “We make a living by what we get; we make a life by what we give.” At the Benedictine Health System, no one embodies this sentiment more than Sister Claudia Riehl, OSB. Sister Claudia is well known throughout the organization. Her hugs and words of encouragement have the ability to make you think that you are her favorite person in the world. And you are. She leaves you with the desire to be a better person. Last year, the BHS Foundation established the Sister Claudia Riehl, OSB, Living a Legacy employee recognition program to acknowledge Participating Organization staff who embrace Sister Claudia’s zest for life and passion for our Values. Well into her 80s, Sister Claudia retired this year from her post of senior consultant, Benedictine heritage and values, but she hasn’t left our lives. Her spirit and wisdom lives on in each and every person she touched. STEWARDSHIP exploring our talents and treasures Our organization is filled with individuals who don’t simply have jobs or careers, but have found their true calling. When we do what we love, we are able to fully share our talents and treasures. This is Stewardship in its basic form. Denise Moen, St. Gertrude’s Health and Rehabilitation Center, Shakopee, Minn., and Mary Baumann, St. Mary’s Care Center, Winsted, Minn., are two examples of the thousands of employees within BHS who give their fullest everyday; who have found their true calling. Both are recipients of the inaugural Sister Claudia Riehl, OSB, Living a Legacy award and are highly lauded by their peers and the individuals they serve. Moen is an inspiration to others by introducing and modeling the Core Values to staff through formal methods, such as leading new employee orientation and training sessions, and informally through showing Hospitality, Stewardship, Respect and Justice in everything that she does. She has gone above and beyond her normal job duties by establishing an employee English as a Second Language program – which has resulted in new career opportunities for those who have taken the course – and was instrumental in beginning a collaborative with the local high school to get kids interested in nursing. Baumann can often be found going that extra mile for the residents she serves, including shopping for necessities during non-working hours and establishing programs that makes the residents feel valued and cherished. By providing stability to the residents and her coworkers and giving her full talents, her full ability, at all times, is a true measure of Stewardship in action. LETTER FROM THE BOARD CHAIR AND CEO Dear Members, Partners, Supporters and Friends of the Benedictine Health System: We are pleased to share the ongoing story of the Benedictine Health System. Focusing on our Core Value of Stewardship this year, we examined the significance of what it means to be a responsible steward of this ministry of the Sisters of St. Scholastica Monastery in Duluth. We are honored to be called to carry on their work – a responsibility that we share as partners. The Benedictine Health System is committed to leading the transformation of Catholic long-term care in the United States. Our Mission calls us to advance the Sister’s health care ministry with special concern for those in need. Despite industry and environmental challenges, 2011 was an exceptional year for the Benedictine Health System. An exciting and ambitious strategic plan was developed and approved this year. Our financial performance was especially strong in the midst of ever-changing reimbursement and payer mixes. We continue our journey to performance excellence, using Baldrige to refine and build processes and systems to best deliver care to the aging adults in our service regions. We work to develop leaders both now and for the future as leadership is key to organizational quality. And we are immersed in the Mission and furthering the Core Values of the System every day at our communities throughout the Midwest. We hope you will enjoy reading about the System’s impact and contributions during this past year. As always, we are grateful to our exceptional staff members, volunteers, physicians, trustees and friends for their commitment and dedication to advancing the work of the Ministry. It is through their passion and dedication that the BHS Vision of health, independence and choice for aging adults truly comes to life. Sincerely, Brian S. Lassiter, Board Chair Benedictine Health System Dale M. Thompson, President/CEO Benedictine Health System - 5- 2011 YEAR IN REVIEW Working to constantly advance our health care ministry, the following are selected highlights of System accomplishments in 2011. h[fehj1 WdZ \ekh Xhedp[ b[l[b 7c[h_YWd >[Wbj^ 9Wh[ 7iieY_Wj_ed%DWj_edWb 9[dj[h \eh 7ii_ij[Z B_l_d] 9ecc_jc[dj je GkWb_jo 7mWhZi je 8h_Z][i 9Wh[ 9ecckd_jo" 7ZW" C_dd$" ;l[h]h[[d FbWY[" ;bb[dZWb[" D$:$" B_l_d] 9ecckd_jo e\ Ij$ @ei[f^" Ij$ @ei[f^" Ce$" WdZ Ij$ 9bWh[ B_l_d] 9ecckd_jo e\ CehW" C_dd$ L_i_ed (&'+0 7 d[m ijhWj[]_Y fbWd \eh the System was developed with seven key imperatives to continue leadership in Catholic long-term care delivery. J^[ I_ij[h 9bWkZ_W H_[^b" EI8" B_l_d] W B[]WYo [cfbeo[[ h[Ye]d_j_ed fhe]hWc acknowledged 27 leaders who emulate ^[h i[hl_Y[ WdZ Yecc_jc[dj je 8>I$ J^[ Ioij[c ikhl_l[Z j^[ C_dd[iejW ijWj[ government shut down during the summer of (&''$ :kh_d] j^_i j_c[ j^[h[ mWi de _dj[hhkfj_ed e\ gkWb_jo YWh[ _d ekh eh]Wd_pWj_edi$ 8>I m[bYec[Z i[l[hWb d[m C[cX[h Eh]Wd_pWj_edi je j^[ Ioij[c0 =b[dEWai I[d_eh B_l_d] 9Wcfki" D[m BedZed" C_dd$" Ij$ CWhoÊi 9Wh[ 9[dj[h" M_dij[Z" C_dd$" Ij$ 9bWh[ B_l_d] 9ecckd_jo e\ CehW" C_dd$" WdZ Ifeed[h Dkhi_d] >ec[" Ifeed[h" M_i$ I_]d_ÓYWdj [\\ehj mWi Z[Z_YWj[Z je Yh[Wj_d] W d[m jeeb Å 9Wj^eb_Y WdZ 8[d[Z_Yj_d[ ?Z[dj_jo0 :_ij_d]k_i^_d] 9^WhWYj[h_ij_Yi \eh j^[ 8[d[Z_Yj_d[ >[Wbj^ Ioij[c Å je fhel_Z[ W guide for practices that are the foundation of ekh C_ii_ed [\\[Yj_l[d[ii WYheii j^[ Ioij[c$ ;cfbeo[[ fWhj_Y_fWj_ed _d j^[ C_ii_ed LWbk[i Survey was an impressive 91 percent with continued strong performance in workforce commitment and work group performance. D[m Xk_bZ_d]i eh WZZ_j_edi m[h[ Yecfb[j[Z eh ijWhj[Z je X[jj[h i[hl[ W]_d] WZkbji _d i[l[hWb cWha[j Wh[Wi$ J^[o _dYbkZ[0 j^[ =WhZ[d >eki[ Wj Ij$ CWhoÊi" M_dij[Z" C_dd$ j^[ Óhij 8>I ÇicWbb ^eki[È YedY[fj \WY_b_jo1 d[m _dZ[f[dZ[dj b_l_d] Wj 8[d[Z_Yj_d[ B_l_d] 9ecckd_jo e\ Ij$ F[j[h" C_dd$1 Ij =[hjhkZ[Êi >[Wbj^ WdZ H[^WX_b_jWj_ed 9[dj[h h[^WX_b_jWj_ed [nfWdi_ed _d I^Waef[[" C_dd$1 WdZ AeZW B_l_d] 9ecckd_jo" EmWjeddW" C_dd$ Ij[l[ 9^_[i" 8>I i[d_eh l_Y[ fh[i_Z[dj" ef[hWj_edi" h[Y[_l[Z j^[ 9[dj[h \eh >[Wbj^ 7Zc_d_ijhWj_ed WdZ 7]_d] I[hl_Y[i ;nY[bb[dY[ 9>77I; :_ij_d]k_i^[Z I[hl_Y[ 7mWhZ$ J^[ Ioij[c h[Y[_l[Z \kdZ_d] \eh dkc[heki fhe`[Yji WdZ fhe]hWci$ JejWb ]hWdj WdZ fWo#\eh#f[h\ehcWdY[ WmWhZi [nY[[Z[Z $1.4 million. J^[ Ioij[c ifedieh[Z j^[ WddkWb 8>I B[WZ[hi^_f 9ed\[h[dY[ m_j^ h[YehZ Wjj[dZWdY[ WdZ ^eij[Z j^[ j^_hZ JWij[ e\ 8[d[Z_Yj_d[ >eif_jWb_jo [l[dj$ 8>I `e_d[Z 9Wj^eb_Y I[d_eh I[hl_Y[i Wi W partner with a mission of coordinated care \eh i[d_ehi _d j^[ C_dd[Wfeb_i#Ij$ FWkb Wh[W$ M[ beea XWYa Wj j^[i[ WYYecfb_i^c[dji during 2011 with enthusiasm for our role in the future of Catholic long-term care and furthering the ministry of our sponsors, j^[ I_ij[hi e\ Ij$ IY^ebWij_YW CedWij[ho$ H[Ye]d_j_ed mWi h[Y[_l[Z _d cWdo Wh[Wi" _dYbkZ_d]0 j^[ 7c[h_YWd C[Z_YWb :_h[Yjeh 7iieY_Wj_ed <ekdZWj_ed%FÓp[h GkWb_jo 7mWhZ \eh gkWb_jo _cfhel[c[dj1 W I_bl[h 7ij[h 7mWhZ \eh j^[ (&'& 8>I WddkWb - 6- Consolidated Statement of Operations 2009 TOTAL OPERATING REVENUE $ TOTAL OPERATING EXPENSE OPERATING INCOME NON-OPERATING INCOME EXCESS OF REVENUE OVER EXPENSE $ 191,122,393 2010 $ 198,516,706 2011 $ 215,143,216 184,845,936 193,911,366 206,389,167 6,276,457 4,605,340 8,754,049 (4,805,833) 2,846,435 2,381,938 1,470,624 $ 7,451,775 $ 11,135,987 Selected Statistics 2009 2010 2011 NURSING BEDS 3,672 3,852 3,789 ASSISTED/INDEPENDENT UNITS 2,147 2,194 2,226 5,819 6,046 6,015 1,208,304 1,202,848 1,204,270 689,322 717,142 740,809 4,669 4,901 5,092 BED COMPLEMENT TOTAL BEDS/UNITS UTILIZATION NURSING FACILITY RESIDENT DAYS ASSISTED/INDEPENDENT DAYS TOTAL EMPLOYEE FULL-TIME EQUIVALENTS FISCAL YEAR ENDING JUNE 30. - 8- Collaboration Each year, the Benedictine Health System reaches out to communities throughout the upper Midwest by forming relationships and collaborative arrangements with other health care and Catholic organizations to provide complete long-term care services. While about half of our organizations are Member Organizations owned by BHS, the others are Ministry Partners, in which we serve as coowners or co-sponsors, or Associate Organizations, where we undertake management obligations. In 2011, BHS had six Ministry Partner organizations (Carondelet Long-Term Care Facilities, Cedarview Care Center, Cerenity Senior Care, Nazareth Living Center, Villa St. Benedict and Villa St. Vincent) and three Associate Organizations (Clement Manor, Country Manor and Lewiston Nursing Home) on 14 campuses. PARTNERS Operating Revenue 2011 $108,300,612 2010 $102,534,133 2009 $99,235,544 Total Assets 2011 $109,142,229 2010 $102,880,942 2009 $103,359,565 ASSOCIATE ORGANIZATIONS Operating Revenue 2011 $62,647,168 2010 $70,174,142 2009 $92,095,025 Total Assets 2011 $114,442,272 2010 $108,988,245 2009 $115,201,622 -9 - Consolidated Balance Sheets 2009 2010 2011 43,147,388 $ 42,489,429 15,274,955 15,401,856 21,294,132 1,583,613 2,091,215 5,141,098 55,443,755 60,640,459 68,924,659 37,588,830 45,506,599 62,215,562 146,103,689 155,438,291 165,130,017 8,044,427 8,498,129 8,979,701 247,180,701 $ 270,083,478 $305,249,939 ACCOUNTS PAYABLE AND ACCRUALS 21,056,613 24,214,400 30,468,388 CURRENT PORTION LONG-TERM DEBT 11,919,746 3,855,393 5,031,666 32,976,359 28,069,793 35,500,054 8,381,174 14,676,349 22,271,612 138,644,771 154,087,539 159,412,272 67,178,397 73,249,797 88,066,001 247,180,701 $ 270,083,478 $305,249,939 ASSETS CURRENT ASSETS CASH AND INVESTMENTS $ ACCOUNTS RECEIVABLE INVENTORIES AND PREPAID EXPENSES TOTA T L CURRENT ASSETS ASSETS LIMITED TO USE PROPERTY AND EQUIPMENT OTHER ASSETS TOTA T L ASSETS $ 38,585,187 $ LIABILITIES AND NET ASSETS CURRENT LIABILITIES TOTAL CURRENT LIABILITIES OTHER LIABILITIES LONG-TERM DEBT NET ASSETS TOTA T L LIABILITIES AND NET ASSETS $ - 10 - NURSING FACILITY CENSUS DAYS Ins./ Medicare Othe r Private Medicaid 2011 30.8% 49.9% 12.7% 6.6% 2010 30.8% 50.4% 12.4% 6.4% 12.9% 6.8% 2009 27.0% 0% 53.4% 20% 40% 60% 80% 100% NET RESIDENT SERVICE REVENUE 2011 2010 Nursing Facility Assisted/ Independent Ins./ Othe r $167.5 $33.0 $2.4 $152.9 2009 $2.0 $31.9 $148.0 $27.9 $3.0 millions 0 $50 $100 $150 $200 NET RESIDENT SERVICE REVENUE 2011 2010 Private Medicaid Medicare Ins./ Other $70.1 $68.5 $44.3 $20.0 $67.7 2009 $63.4 $59.9 $63.8 $37.7 $37.3 $18.1 $17.8 millions 0 $50 $100 - 11 - $150 $200 - 12 - HOSPITALITY Extending warmth and acceptance to each other and everyone we serve. STEWARDSHIP Providing wise and respectful use of all human and material resources. RESPECT Cherishing and promoting the worth of all human life with dignity and reverence. JUSTICE Advocating for the underserved and those in need as we work to eliminate prejudice. MISSION The Benedictine Health System is a Catholic organization entrusted with advancing the health care ministry of the Benedictine Sisters of Duluth, Minnesota. Our mission is to witness to God’s love by providing compassionate, quality care with special concern for the underserved and those in need. VISION Creating Benedictine Living Communities where health, independence and choice come to life. COMMUNITY BENEFIT Reaching out to those we serve is a distinguishing characteristic of our Catholic and Benedictine identity. Through community benefit the Benedictine Health System improves the health status of individuals and families, increases access to health programs and other services, and helps prepare for the future by providing education, training and research. It is a key element of our Mission and is how we advance the common good while being careful stewards of our many gifts and resources. Community benefit is defined as programs or activities that provide care or treatment as a response to identified community need. It can include charity care, unpaid costs of public programs, community health services, education for health professionals, subsidized health services, research and innovation, financial and in-kind donations, community building activities and other similar and related projects. For many years, the Benedictine Health System has followed the systematic method for planning, tracking and recording community benefit that was developed by the Catholic Health Association (CHA) of the United States, which has been recognized for its consistency in preparing and presenting this important data. In fiscal year 2011, the Benedictine Health System provided $24,436,840 in quantifiable community benefit in our locations spanning seven states. This substantial contribution represents a 60 percent increase in contributions from those that were provided in 2010. Equally impressive is the fact that 84,652 individuals were served through BHS community benefit services and programs in 2011. Community benefit is a tangible way to demonstrate the important value BHS Participating Organizations bring to the people and communities we serve. It helps us tell our story and supports our commitment to the BHS Mission, Vision and Core Values, as well as the health care vision of our sponsor, the Sisters of St. Scholastica Monastery in Duluth. - 13 - BENEDICTINE HEALTH SYSTEM FOUNDATION The Benedictine Health System Foundation and its 24 Association Foundations are dedicated to receiving the gifts of others and investing them wisely so that they can increase and provide greater benefit for those in the care of BHS Participating Organizations. Gifts have made a difference in the lives of many across the System as illustrated by the following: ?d M_dedW" Yecckd_jo ZedWj_edi je IW_dj Anne Foundation helped build an addition to Callista Court with 30 new assisted living apartments on three floors. J^[ 8[d[Z_Yj_d[ B_l_d] 9ecckd_jo e\ St. Peter Foundation received BHSF’s largest _d#a_dZ ZedWj_ed" (-+"&&& e\ 9WcXh_W Yekdj[hjefi \eh _ji d[m i[d_eh ^eki_d] \WY_b_jo$ M[ gratefully acknowledge the generosity of the :Wl_i \Wc_bo" 9WcXh_W" :Wl_iYe <eeZi" WdZ the Davis Family Dairies. M_j^ \kdZi ][d[hWj[Z Xo W i_b[dj WkYj_ed WdZ 8>I \h_[dZi WdZ \Wc_bo" (- Ioij[c employees received the first Sister Claudia H_[^b" EI8" B_l_d] W B[]WYo [cfbeo[[ recognition program award. =hWdji WdZ fWo#\eh#f[h\ehcWdY[ WmWhZi" jejWb_d] ceh[ j^Wd '$* c_bb_ed" m[h[ h[Y[_l[Z with the goal to support efforts to develop d[m YWh[ ceZ[bi" [lWbkWj[ _ddelWj_l[ fhWYj_Y[i" and enhance safety. Grants have helped BHS install ceiling tracks in most Minnesota locations to enhance resident care and employee safety. Performance awards have funded studies designed to reduce resident \Wbbi" _cfhel[ YWh[ WdZ [d^WdY[ fW_d cWdW][ment. Residents in one funded therapy program h[fehj[Z _dYh[Wi[Z ceX_b_jo" _dZ[f[dZ[dY[ WdZ satisfaction with their care. BHS corporate employees continue their commitment to making a difference in the b_l[i e\ ej^[hi hW_i_d] W jejWb e\ *,"&&& _d d[m fb[Z][i" ed]e_d] ]_\ji WdZ ekjh_]^j ]_\ji _d j^[ (&'' M[ 8[b_[l[ YWcfW_]d$ I_dY[ (&&," M[ 8[b_[l[ ^Wi hW_i[Z ceh[ j^Wd */+"&&& to provide support to System employees \WY_d] W b_\[ Yh_i_i" ^[bf h[i_Z[dji h[Wb_p[ j^[_h Zh[Wci" ikffehj if_h_jkWb YWh[ [ZkYWj_ed" WdZ help facilities enhance their environment and services. Efforts to strengthen Associated Foundation’s philanthropic efforts continue. BHSF’s major gift collaborative has resulted in the development of a major gifts manual which provides tools and techniques to enhance fund development. BHSF has added a planned giving officer to work with the Associated Foundations to create a planned giving program. 2011 TOTAL NET ASSETS $11,476,060 2010 '&"*-+"-+, 2009 -",'+"-,' 2011 TOTAL CONTRIBUTIONS $3,423,416 2010 )"(/)"),/ 2009 '",'+"/(& 2011 TOTAL CONTRIBUTIONS/GRANTS/ PERFORMANCE AWARDS* $5,161,141 2010 +",+-"+.* 2009 )"/*,"-)' *BHS Foundation and BHS Participating Organizations - 15 - locations BENEDICTINE HEALTH CENTER DULUTH, MINN. WESTWOOD APARTMENTS WESTWOOD TERRACE BENEDICTINE HEALTH CENTER NEW BRIGHTON, MINN. AT INNSBRUCK BENEDICTINE HEALTH CENTER MINNEAPOLIS, MINN. OF MINNEAPOLIS BENEDICTINE HEALTH SYSTEM DULUTH, MINN. FOUNDATION BENEDICTINE LIVING COMMUNITY ST. PETER, MINN. OF ST. PETER BENEDICTINE LIVING COMMUNITIES, INC. BENEDICTINE LIVING CENTER BISMARCK, N.D. GARRISON, N.D. OF GARRISON THE MEADOWS PRINCE OF PEACE CARE CENTER ELLENDALE, N.D. EVERGREEN PLACE ST. BENEDICT’S HEALTH CENTER DICKINSON, N.D. BENEDICT COURT ST. CATHERINE’S LIVING CENTER WAHPETON, N.D. ST. GABRIEL’S COMMUNITY BISMARCK, N.D. ST. ROSE CARE CENTER LAMOURE, N.D. ROSEWOOD COURT BENEDICTINE SENIOR LIVING OSSEO, MINN. AT STEEPLE POINTE BRIDGES CARE COMMUNITY ADA, MINN. CARONDELET LONG-TERM CARE FACILITIES CARONDELET MANOR KANSAS CITY, MO. ST. MARY’S MANOR BLUE SPRINGS, MO. VILLA SAINT JOSEPH OVERLAND PARK, KS CEDARVIEW CARE CENTER OWATONNA, MINN. CERENITY SENIOR CARE ST. PAUL, MINN. CERENITY SENIOR CARE - HUMBOLDT CERENITY CARE CENTER CERENITY RESIDENCE CERENITY SENIOR CARE - MARIAN OF ST. PAUL CERENITY CARE CENTER CERENITY RESIDENCE CERENITY SENIOR CARE - SOUTH ST. PAUL CERENITY RESIDENCE CERENITY SENIOR CARE - WHITE BEAR LAKE CERENITY CARE CENTER CERENITY RESIDENCE locations CLEMENT MANOR GREENFIELD, WIS. COUNTRY MANOR SARTELL, MINN. COUNTRY MANOR HEALTH CARE AND REHAB CENTER COUNTRY MANOR SENIOR APARTMENTS COUNTRY VILLA GLENOAKS SENIOR LIVING CAMPUS NEW LONDON, MINN. LEWISTON VILLA NURSING HOME LEWISTON, MINN. LIVING COMMUNITY OF ST. JOSEPH ST. JOSEPH, MO. MADONNA LIVING COMMUNITY ROCHESTER, MINN. OF ROCHESTER MADONNA MEADOWS OF ROCHESTER MADONNA TOWERS OF ROCHESTER NAZARETH LIVING CENTER ST. LOUIS, MO. SAINT ANNE OF WINONA WINONA, MINN. CALLISTA COURT SAINT ANNE EXTENDED HEALTH CARE ST. BRIGID’S AT HI-PARK RED WING, MINN. ST. CLARE LIVING COMMUNITY OF MORA MORA, MINN. ST. ELIGIUS HEALTH CENTER DULUTH, MINN. ST. GERTRUDE’S HEALTH AND SHAKOPEE, MINN. REHABILITATION CENTER THE GARDENS AT ST. GERTRUDE’S ST. ISIDORE HEALTH CENTER OF PLAINVIEW, MINN. GREENWOOD PRAIRIE GREEN PRAIRIE PLACE ST. MARY’S CARE CENTER WINSTED, MINN. THE GARDEN HOUSE AT ST. MARY’S LINDEN WOOD APARTMENTS ST. MICHAEL’S HEALTH AND VIRGINIA, MINN. REHABILITATION CENTER ST. RAPHAEL’S HEALTH AND EVELETH, MINN. REHABILITATION CENTER SPOONER NURSING HOME SPOONER, WIS. TEKAKWITHA LIVING CENTER SISSETON, S.D. VILLA ST. BENEDICT LISLE, ILL. VILLA ST. VINCENT CROOKSTON, MINN. GOOD SHEPHERD HALL THE SUMMIT 503 E. THIRD STREET SUITE 400 DULUTH, MINNESOTA 55805 1995 E. 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