CERENITY-MARIAN of St. Paul, LLC

Mixed CMS roles

Provider / enrollment organization Enrollment PAC 9335407378 Enrollment ID O20171220000494

Linked facilitiesFacilities

12 parties: 3 organizations · 9 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Benedictine Health System	9931012655	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	50, 100
Kay Schumacher	9537161021	Individual	Contracted Managing Employee	0
Cerenity Senior Care	5496657041	Organization	5% or Greater Direct Ownership Interest	100
Fairview Bethesda Hospital	7214833763	Organization	5% or Greater Indirect Ownership Interest	50
Jennifer Bruhn	7810994605	Individual	Corporate Officer	0
Tricia Bergien	2567457872	Individual	Corporate Officer	0
Kevin J Rymanowski	2264511021	Individual	Corporate Officer	0
Jonathan E Lundberg	4688813066	Individual	Corporate Director	0
Gerald Carley	6507901634	Individual	Corporate Director	0
Joan Grzywinski	0648183582	Individual	Corporate Director	0
Dawn Marie Ksepka	3678725876	Individual	Corporate Director	0
William Foussard	5395907992	Individual	Corporate Director	0

Benedictine Health SystemPAC 9931012655
Organization50, 1005% or Greater Indirect Ownership Interest; Operational/Managerial Control
Kay SchumacherPAC 9537161021
Individual0Contracted Managing Employee
Cerenity Senior CarePAC 5496657041
Organization1005% or Greater Direct Ownership Interest
Fairview Bethesda HospitalPAC 7214833763
Organization505% or Greater Indirect Ownership Interest
Jennifer BruhnPAC 7810994605
Individual0Corporate Officer
Tricia BergienPAC 2567457872
Individual0Corporate Officer
Kevin J RymanowskiPAC 2264511021
Individual0Corporate Officer
Jonathan E LundbergPAC 4688813066
Individual0Corporate Director
Gerald CarleyPAC 6507901634
Individual0Corporate Director
Joan GrzywinskiPAC 0648183582
Individual0Corporate Director
Dawn Marie KsepkaPAC 3678725876
Individual0Corporate Director
William FoussardPAC 5395907992
Individual0Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Cerenity Marian of St Paul LLC CERENITY-MARIAN of St. Paul, LLC 72 residents		Other disclo…	4.15	Ovr★★★★☆Stf★★★★★Ins★★★☆☆QM★★☆☆☆	72

Cerenity Marian of St Paul LLC
CERENITY-MARIAN of St. Paul, LLC
Other disclosed role72 res4.15 HPRD
Overall 4Staffing Staff 5

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
12/15/2017	Cerenity Marian of St Paul LLC	CERENITY-MARIAN of St. Paul, LLC	Cerenity Senior Care	Buyer

12/15/2017
Cerenity Marian of St Paul LLC (Buyer)
Cerenity Senior Care → CERENITY-MARIAN of St. Paul, LLC

Related CMS associates

Name match to CERENITY-MARIAN of St. Paul, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.