2023-05-19T11:15:44-04:00 2022-09-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2021-10-01 202581924 RENVILLE HEALTH SERVICES RENV 3205894902 205 SE ELM AVE RENVILLE MN 56284 MARI CHAMBERS CFO 3205894902 2023-05-11 true MARI CHAMBERS 999009999 KELLY M DEMUTH P00947751 3202353311 2023-05-11 2021 2023-04-26 12:10:37Z CAROL RAW 801 NEVADA AVENUE MORRIS MN 56267 6709693 false X WWW.SFHS.ORG X 2005 MN WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES RENVILLE 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 13 171 46598 955694 625054 5787395 5909501 -2341 -1352 145381 174874 6886129 6708077 5252 3370 0 3917998 4252839 0 0 2835303 2733414 6758553 6989623 127576 -281546 8266748 6904121 6565110 5517396 1701638 1386725 X WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES RENVILLE 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 5945115 3370 5909501 RENVILLE HEALTH SERVICES CONSISTS OF A 45 BED SKILLED NURSING FACILITY AND TWO INDEPENDENT/ASSISTED LIVING CENTERS WITH 72 UNITS IN RURUAL MINNESOTA. 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 12,751 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 69 PATIENTS IN THE NURSING HOME AND PROVIDED HOUSING FOR MORE THAN 73 TENANTS AT THE INDEPENDENT/ASSISTED LIVING CENTER. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 72 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 3,300,000. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE LIMITED. MANAGEMENT SERVICES PROVIDED TO RELATED ORGANIZATIONS IN SUPPORT OF EACH ORGANIZATION'S EXEMPT PURPOSE. 5945115 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 6 0 true 171 true true true 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 3205894902 801 NEVADA AVENUE MORRIS MN 56267 CAROL RAW PRES/CEO 1.00 39.00 X 0 232244 27444 CANDANCE STEPAN RN 40.00 X 0 175651 20138 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 169333 19807 SCOT ALLEN VP - SENIOR 1.00 39.00 X 0 166389 19647 CAMILLA PETERSON-DEVRIES VP CORP COMP 1.00 39.00 X 0 146432 18703 CHRISTINE BAKKE SENIOR SERVI 1.00 39.00 X 0 132274 26511 CHAD MEYER VP BEH DEV S 1.00 39.00 X 0 135834 21476 WILLIAM MONCRIEF FORMER - CFO X 0 127874 9450 SHERRY WAGNER CONTROLLER 1.00 39.00 X 0 116564 5960 LEAH NELSON FORMER - VP X 0 87894 10129 LUVERNE HOFFMAN FORMER CEO X 0 96000 0 DANIEL DRIPPS DIRECTOR 1.00 14.00 X 0 0 0 JENNIFER ANN GOODNOUGH DIRECTOR 1.00 14.00 X 0 0 0 PAUL LETENDRE DIRECTOR 1.00 14.00 X 0 0 0 JOHN LUETMER DIRECTOR 1.00 14.00 X 0 0 0 ELIZABETH MEICHSNER VICE CHAIR 1.00 14.00 X 0 0 0 PATRICK NELSON DIRECTOR 1.00 14.00 X 0 0 0 JOAN REICOSKY DIRECTOR 1.00 14.00 X 0 0 0 PAUL RENTZ DIRECTOR 1.00 14.00 X 0 0 0 FATHER TODD SCHNEIDER DIRECTOR 1.00 14.00 X 0 0 0 JENNIFER JEANNE SEALES DIRECTOR 1.00 14.00 X 0 0 0 TAMELA SPERR DIRECTOR 1.00 14.00 X 0 0 0 ALYSSA THOOFT CHAIR 1.00 14.00 X 0 0 0 LORRAINE WIESE SECR. / TRES 1.00 14.00 X 0 0 0 MARI CHAMBERS CFO 1.00 39.00 X 0 0 0 1586489 179265 true true false ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 PARENT CO SERVI 975161 CPM CONSTRUCTION 13226 BUSH LANE EDEN PRAIRIE MN 56267 CONSTRUCTION 522479 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY 181789 3 623301 1753 625054 RESIDENT SERVICE REVENUE 5862903 5862903 MANAGEMENT AGENT 561000 46598 46598 5909501 264 264 1616 -1616 -1616 -1616 MEALS 109169 109169 OTHER 58505 58505 RENTAL 7200 7200 174874 6708077 6036161 46598 264 3370 3370 3335161 2883866 451295 67334 58223 9111 512152 442851 69301 338192 292430 45762 262000 262000 80 80 8400 8400 5850 5850 9288 9288 68106 68106 293958 293958 13904 13904 7800 5860 1940 161417 161417 466145 466145 68003 48419 19584 SUPPLIES 425747 425747 MEDICAL PROFESSIONAL FEES 208009 208009 REAL ESTATE TAXES 138011 138011 DHS SURCHARGE 136058 136058 460638 380751 79887 6989623 5945115 1044508 0 1132820 219945 696526 590748 10003 20184 11756011 5682767 6427399 6073244 8266748 6904121 596646 496929 3423377 2954282 49270 50337 2495817 2015848 6565110 5517396 X 1701638 1386725 1701638 1386725 8266748 6904121 X -281546 -33367 X false true X true false X 5443 13329 361131 955694 625054 1960651 5372173 6972997 7040125 5887856 6037777 31310928 5377616 6986326 7401256 6843550 6662831 33271579 1223073 898770 1094544 572009 1082309 4870705 1223073 898770 1094544 572009 1082309 4870705 28400874 99 481 356 964 264 2164 99 481 356 964 264 2164 2281 2281 5379996 6986807 7401612 6844514 6663095 33276024 0.85350 0.85060 0.00000 0.00000 X true 49270 42432 41365 50337 true X 223539 223539 10563596 4958542 5605054 802400 604768 197632 166476 119457 47019 6073244 DUE TO RELATED PARTY 2042442 OPERATING LEASE PAYABLE 32195 DEFERRED FINANCING - TE BONDS -58789 2015848 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 PRES/CEO 232244 12097 15347 259688 CANDANCE STEPAN RN 175651 8798 11340 195789 GEOFFREY RYAN SEN SVC REG DIRECTOR 169333 8467 11340 189140 SCOT ALLEN VP - SENIOR SERVICES 166389 8319 11328 186036 CAMILLA PETERSON-DEVRIES VP CORP COMPLIANCE 146432 7363 11340 165135 CHRISTINE BAKKE SENIOR SERVICE REGIO 132274 7257 19254 158785 CHAD MEYER VP BEH DEV SRVCS 135834 7039 14437 157310 WILLIAM MONCRIEF FORMER - CFO 127874 9450 137324 LEAH NELSON FORMER - VP OF HR 87894 4459 5670 98023 LUVERNE HOFFMAN FORMER CEO 96000 96000 A MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 5165000 REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENT false false false B MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 2445000 REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENT false false false A 317817 false false true true B 151278 false false true true 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 true A true B true PURPOSE OF ISSUE DESCRIPTION MINNWEST BANK REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENTS TO RHS, AND (C) CONSTRUCTION OF A 24-BED ATRIUM ADDITION TO RHS AND RELATED REMODELING AND SITE IMPROVEMENTS. PURPOSE OF ISSUE DESCRIPTION MINNWEST BANK REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENTS TO RHS, AND (C) CONSTRUCTION OF A 24-BED ATRIUM ADDITION TO RHS AND RELATED REMODELING AND SITE IMPROVEMENTS. ELIZABETH LETICH - DAUGHTER OF CAROL RAW, CEO 121334 EMPL -ADMIN FHS false ANDY RAW - SON OF CAROL RAW, CEO 40978 EMPL -MAINT BVHS false DENNIS LINDOR - HUSBAND OF DAWN BJORGE, DON/TR 45232 EMPL -CORP STAFF PCS false JUSTIN NELSON - SON OF LEAH NELSON - VP HR 66473 EMPL -IT ANALY SFHS false STACY RICHARDS - DAUGHER OF JUDY RICHARDS, DIRE 1734 EMPL -CORP STAFF PCS false RACHEL RESENDIZ - SISTER OF EMILY STRAW, ADMIN 15835 EMPL -RN PHS 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 EMPLOYEMENT 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 RENVILLE 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 2, PART III, LINE 4D MANAGEMENT SERVICES PROVIDED TO RELATED ORGANIZATIONS IN SUPPORT OF EACH ORGANIZATION'S EXEMPT PURPOSE. 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 SPERR 46592 208TH ST MORRIS , MN 56267 DANIEL DRIPPS 505 LYNDALE AVE MORRIS , MN 56267 JENNIFER ANN GOODNOUGH 901 PARK AVE MORRIS , MN 56267 FATHER TODD SCHNEIDER BOX 287 MORRIS , MN 56267 ELIZABETH MEICHSNER 26362 LUCKEN DRIVE HANCOCK , MN 56244 PAUL RENTZ 23041 469TH AVE MORRIS , MN 56267 JOAN REICOSKY 24 E BROOK AVE MORRIS , MN 56267 PATRICK NELSON 18704 COUNTY ROAD 22 GLENWOOD , MN 56334 PAUL LETENDRE 17546 457TH AVE MORRIS , MN 56267 LORRAINE WIESE 252 SOUTH COLUMBIA AVE MORRIS , MN 56267 JOHN LUETMER 202 EAST 2ND STREET MORRIS , MN 56267 JENNIFER JEANNE SEALES 23132 469TH AVE MORRIS , MN 56267 ALYSSA THOOFT 305 EAST MAIN STREET CYRUS , MN 56323 WILLIAM MONCRIEF 801 NEVADA AVENUE MORRIS , MN 56267 LEAH NELSON 801 NEVADA AVENUE MORRIS , MN 56267 LUVERNE HOFFMAN 801 NEVADA AVENUE MORRIS , MN 56267 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 -33,367 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 ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 12B N/A false ZUMBROTA HEALTH SERVICES 433 MILL STREET ZUMBROTA MN 55992 510487275 CAREGIVER MN 501C3 10 SFHS false false false true false false false false false false false true false true false false false false true false ST FRANCIS HEALTH SERVICES OF MORR M 328203 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 33367 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR K 18575 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED LOANS OF 2,954,282 AS SHOWN IN FORM 990, PART X, LINE 20 AND THERE WAS ONE NEW LOAN GUARANTEE DURING THIS FISCAL YEAR. THE ORGANIZATION ALSO HAS INTERCOMPANY LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. OF 1,756,087 AS SHOWN ON 990, PART X, LINE 24. THE ORGANIZATION HAS PAID INTEREST OF 66,203 TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC.