2024-05-15T11:27:37-04:00 2023-09-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2022-10-01 510487275 ZUMBROTA HEALTH SERVICES ZUMB 5077328400 433 MILL ST ZUMBROTA MN 55992 MARI CHAMBERS CFO/VP FINANCE 5077328400 2024-05-08 true MARI CHAMBERS 999009999 true KELLY M DEMUTH P00947751 3202353311 2024-05-08 2022 2023-04-26 12:10:37Z CAROL RAW 801 NEVADA AVENUE MORRIS MN 56267 5627812 false X WWW.SFHS.ORG X 2003 MN WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES ZUMBROTA HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. 13 13 130 0 483422 816 4462427 5383279 110936 514 144301 243203 5201086 5627812 6205 1915 0 3465939 3381646 0 0 2257523 2397940 5729667 5781501 -528581 -153689 6864887 6907062 8181812 8485422 -1316925 -1578360 X WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES ZUMBROTA HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. false false 5016503 1915 5383279 ZUMBROTA HEALTH SERVICES CONSISTS OF A 40 BED SKILLED NURSING FACILITY AND A 22 UNIT INDEPENDENT/ASSISTED LIVING CENTER. THE FACILITY PROVIDES MEDICAL, SOCIAL, AND SPIRITUAL CARE TO ITS RESIDENTS WITHOUT REGARD TO RACE, COLOR, CREED, OR NATIONAL ORIGIN, IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT STATUS. DURING THE CURRENT REPORTING YEAR, THE ORGANIZATION HAD 16,799 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 77 PATIENTS IN THE NURSING HOME AND PROVIDED HOUSING FOR MORE THAN 22 TENANTS AT THE INDEPENDENT/ASSISTED LIVING CENTER. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 45 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE APPROXIMATELY 2,500,000. 5016503 true false false false false false false false true false true false false false true false false true false false false false false false false false false false false true true false false false false false false false false true false false false false false false true false false false true 5 0 true 130 true false false false false false false false false X 13 13 false true false false true false false true true true false false true true true true true true true false MN X MARI CHAMBERS 5077328400 801 NEVADA AVENUE MORRIS MN 56267 CAROL RAW CEO 1.00 39.00 X 0 248930 31866 CAMI PETERSON-DEVRIES VP - SENIOR 1.00 39.00 X 0 171967 23448 GEOFF RYAN SEN SER REG 40.00 X 0 161090 22949 SHANE ROCHE ADMINISTRATO 40.00 X 0 154634 24017 CHAD MEYER VP BEH-DEV S 40.00 X 0 152305 25891 JOSEPHA RAKOW LFH NURSING 40.00 X 0 145550 20286 MARI CHAMBERS CFO/VP FINAN 1.00 39.00 X 0 151376 11106 KELLI HILLS NAR 40.00 X 0 140113 21814 DANIEL LEE DRIPPS DIRECTOR 1.00 14.00 X 0 0 0 DOUGLAS WILLIAM EHLERS DIRECTOR 1.00 14.00 X 0 0 0 JENNIFER ANN GOODNOUGH CHAIR 1.00 14.00 X 0 0 0 TIMOTHY CHRIS GRAMM DIRECTOR 1.00 14.00 X 0 0 0 PAUL JOSEPH LETENDRE DIRECTOR 1.00 14.00 X 0 0 0 JOHN HENRY LUETMER DIRECTOR 1.00 14.00 X 0 0 0 PATRICK GARY NELSON VICE CHAIR 1.00 14.00 X 0 0 0 JOAN ELLEN REICOSKY DIRECTOR 1.00 14.00 X 0 0 0 PAUL JAMES RENTZ DIRECTOR 1.00 14.00 X 0 0 0 FATHER TODD PATRICK SCHNEIDER DIRECTOR 1.00 14.00 X 0 0 0 JENNIFER JEANNE SEALES DIRECTOR 1.00 14.00 X 0 0 0 TAMELA JEAN SPERR DIRECTOR 1.00 14.00 X 0 0 0 LORRAINE ANN WIESE SECR. / TRES 1.00 14.00 X 0 0 0 1325965 181377 false true false BIG STONE THERAPIES INC 309 WASHINGTON AVE ORTONVILLE MN 56278 THERAPY 310679 ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE SUITE 100 MORRIS MN 56267 PARENT CO SERVI 188916 FUSION MEDICAL STAFFING PO BOX 30131 OMAHA NE 68103 STAFFING 136388 3 816 816 RESIDENT SERVICE REVENUE 5383279 5383279 5383279 514 514 MISCELLANEOUS 192830 192830 APARTMENT AND GARAGE RENTAL 49620 49620 MEALS 753 753 243203 5627812 5626482 514 1915 1915 2637362 2363348 274014 41588 37267 4321 401716 359979 41737 300980 269709 31271 206004 206004 7928 7928 91 91 10527 10527 52691 52691 137771 137771 60177 60177 6865 2957 3908 159668 159668 441087 441087 52234 38006 14228 MEDICAL PROF. FEES 451719 451719 SUPPLIES 298606 298606 BAD DEBTS 149595 149595 DHS SURCHARGE EXPENSE 112600 112600 250377 192276 58101 5781501 5016503 764998 0 231589 858015 670069 553705 41303 3748 10906050 5414456 5921926 5491594 6864887 6907062 364968 424960 5398210 4752508 35863 42257 2382771 3265697 8181812 8485422 X -1316925 -1578360 -1316925 -1578360 6864887 6907062 X -153689 -107746 X false true X true false X 3383 289641 914951 483422 816 1692213 5760017 5872513 4786595 4606728 5626482 26652335 5763400 6162154 5701546 5090150 5627298 28344548 1627468 2051034 1831778 1738343 1849002 9097625 1627468 2051034 1831778 1738343 1849002 9097625 19246923 447 534 2636 936 514 5067 447 534 2636 936 514 5067 5763847 6162688 5704182 5091086 5627812 28349615 0.67890 0.68920 0.00000 0.00000 X true 35863 116977 110583 42257 true X 157071 157071 9814517 4791050 5023467 665483 495395 170088 268979 128011 140968 5491594 RELATED PARTY PAYABLE 3341700 OPERATING LEASEPAYABLE-RIGHT OF USE 24385 DEFERRED FINANCING COSTS -100388 3265697 SCHEDULE D, PAGE 2, PART IV, LINE 1B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. X X false false false false false false false false false CAROL RAW CEO 248930 13051 18815 280796 CAMI PETERSON-DEVRIES VP - SENIOR SERVICES 171967 8640 14808 195415 GEOFF RYAN SEN SER REG DIRECT 161090 8141 14808 184039 SHANE ROCHE ADMINISTRATOR 154634 7890 16127 178651 CHAD MEYER VP BEH-DEV SERVICES 152305 7985 17906 178196 JOSEPHA RAKOW LFH NURSING NAR 145550 7278 13008 165836 MARI CHAMBERS CFO/VP FINANCE 151376 11106 162482 KELLI HILLS NAR 140113 7006 14808 161927 A CITY OF ZUMBROTA HCSH REVENUE NOTE SERIES 2010 416005660 2010-11-19 1938878 REFINANCE DEBT FOR RENOVATION OF EXISTING 57 BED, 22,039 SQUARE FOOT FACILITY. false false false B BREMER BANK REVENUE NOTE SERIES 2015B 416005047 2015-12-10 5911476 REFINANCING DEBT false false false A 103678 false false true true B 435797 false false false false A false false false false false false true B false false false false false false true A true true false false false true B true true false false false false A true B true PURPOSE OF ISSUE DESCRIPTION CITY OF ZUMBROTA REFINANCE DEBT FOR RENOVATION OF EXISTING 57 BED, 22,039 SQUARE FOOT FACILITY. PURPOSE OF ISSUE DESCRIPTION BREMER BANK REFINANCING DEBT ELIZABETH LETICH - DAUGHTER OF CAROL RAW, CEO 119775 EMPL -ADMIN FHS false ANDY RAW - SON OF CAROL RAW, CEO 55174 EMPL -MAINT BVHS false DENNIS LINDOR - HUSBAND OF DAWN BJORGE, DON/TR 45918 EMPL -CORP STAFF PCS false STACY RICHARDS-DAUG-IN-LAW OF JUDY RICHARDS, DIRE 602 EMPL -CORP STAFF PCS false SCHEDULE L, PART V DURING THE YEAR, THE ORGANIZATION EMPLOYS INDIVIDUALS WHO MAY BE RELATED TO AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE. PAYMENTS FOR SERVICES ARE MADE ACCORDING TO EMPLOYMENT POLICY AND DONE AT ARMS LENGTH. DUE TO THE RURAL LOCATION OF THE ORGANIZATION AND THE NEED TO FIND QUALIFIED STAFF, THESE EMPLOYMENT RELATIONSHIPS ARE NECESSARY TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FORM 990 - ORGANIZATION'S MISSION WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES ZUMBROTA HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. FORM 990, PAGE 6, PART VI, LINE 3 ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION WITH COMMON CONTROL) MANAGES THE FACILITY. FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION IS ORGANIZED WITH MEMBERS. THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THE BOARD OF DIRECTORS OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. FORM 990, PAGE 6, PART VI, LINE 9 TAMELA JEAN SPERR 46592 208TH ST MORRIS , MN 56267 DANIEL LEE DRIPPS 505 LYNDALE AVE MORRIS , MN 56267 JENNIFER ANN GOODNOUGH 901 PARK AVE MORRIS , MN 56267 FATHER TODD PATRICK SCHNEIDER BOX 287 MORRIS , MN 56267 DOUGLAS WILLIAM EHLERS 26362 LUCKEN DRIVE HANCOCK , MN 56244 PAUL JAMES RENTZ 23041 469TH AVE MORRIS , MN 56267 JOAN ELLEN REICOSKY 24 E BROOK AVE MORRIS , MN 56267 PATRICK GARY NELSON 18704 COUNTY ROAD 22 GLENWOOD , MN 56334 PAUL JOSEPH LETENDRE 17546 457TH AVE MORRIS , MN 56267 LORRAINE ANN WIESE 252 SOUTH COLUMBIA AVE MORRIS , MN 56267 JOHN HENRY LUETMER 202 EAST 2ND STREET MORRIS , MN 56267 JENNIFER JEANNE SEALES 23132 469TH AVE MORRIS , MN 56267 TIMOTHY CHRIS GRAMM 305 EAST MAIN STREET CYRUS , MN 56323 FORM 990, PAGE 6, PART VI, LINE 11B THE CFO OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC REVIEWS THE TAX RETURN AS PART OF THE MANAGEMENT SERVICES. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY THE ORGANIZATION CONDUCTS IN-SERVICE TRAINING REVIEWING THE POLICY ON CONFLICTS OF INTEREST AND REQUIRES THE BOARD MEMBERS, MANAGEMENT STAFF, AND KEY EMPLOYEES TO DISCLOSE CONFLICTS. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND OFFICERS ARE EMPLOYEES OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION AND UNDER COMMON CONTROL). THE COMPENSATION PROCESS FOR THE CEO - ANNUALLY THE HR DIRECTOR SUBMITS THE CEO'S JOB DESCRIPTION, PERFORMANCE EVALUATION FORM, ST. FRANCIS HEALTH SERVICES OF MORRIS, INC'S PAY GRADE SCHEDULE AND COMPARABLE WAGE SURVEY(S) TO THE CHAIRMAN OF THE BOARD. THE CHAIRMAN AND THE EVALUATION COMMITTEE OF THE BOARD REVIEWS THE PERFORMANCE AND DETERMINES THE SALARY OF THE CEO. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO AND OFFICERS ARE EMPLOYEES OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION AND UNDER COMMON CONTROL). THE COMPENSATION PROCESS FOR OFFICERS - CEO AND THE HR DIRECTOR REVIEWS COMPARABLE WAGE SURVEY INFORMATION, REVIEWS PERFORMANCE (WITH INPUT FROM THE VP, IF APPROPRIATE) AND DETERMINES SALARY. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON AN AS REQUESTED BASIS. FORM 990, PART XI, LINE 9 INTERCOMPANY TRANSFERS -107,746 AITKIN HEALTH SERVICES 301 MINNESOTA AVENUE AITKIN MN 56431 203367397 CAREGIVER MN 501C3 10 SFHS false BROWNS VALLEY HEALTH CENTER RR 1 BOX 182D SOUTH JEFFERSON BROWNS VALLEY MN 56219 411668347 CAREGIVER MN 501C3 10 SFHS false CHISHOLM HEALTH CENTER 321 NE 8TH STREET CHISHOLM MN 55719 411879639 CAREGIVER MN 501C3 10 SFHS false DULUTH HEALTH SERVICES 3111 CHRUCH PLACE DULUTH MN 55811 411843283 CAREGIVER MN 501C3 10 SFHS false FARMINGTON HEALTH SERVICES 3410 23RD STREET W FARMINGTON MN 55024 200100365 CAREGIVER MN 501C3 10 SFHS false FRANCISCAN HEALTH CENTER 3910 MINNESOTA AVENUE DULUTH MN 55802 411799268 CAREGIVER MN 501C3 10 SFHS false GUARDIAN ANGELS HEALTH & REHAB CENT 1500 3RD AVENUE E HIBBING MN 55746 411810369 CAREGIVER MN 501C3 10 SFHS false KOOCHICHING HEALTH SERVICES 901 MAIN STREET LITTLEFORK MN 56653 810910949 CAREGIVER MN 501C3 10 SFHS false LITTLE FALLS HEALTH SERVICES 1200 NE 1ST AVE LITTLE FALLS MN 56345 463626109 CAREGIVER MN 501C3 10 SFHS false MORRIS HEALTH SERVICES 1001 SCOTT AVENUE MORRIS MN 56267 237625632 CAREGIVER MN 501C3 10 SFHS false PENNINGTON HEALTH SERVICES 2001 EASTWOOD DR THIEF RIVER FALLS MN 56701 205617275 CAREGIVER MN 501C3 10 SFHS false PRAIRIE COMMUNITY SERVICES 801 NEVADA AVENUE MORRIS MN 56267 411598442 CAREGIVER MN 501C3 10 SFHS false RENVILLE HEALTH SERVICES 205 SE ELM AVENUE RENVILLE MN 56284 202581924 CAREGIVER MN 501C3 10 SFHS false ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 12B N/A false false false false false false false false false false false true false true false false false false true false ST FRANCIS HEALTH SERVICES OF MORR M 206004 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 107746 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR K 11316 AMOUNT PAIR OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 4,752,508 AS SHOWN IN FORM 990, PART X, LINE 20.