2022-02-15T12:45:24-06:00 2021-09-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2020-10-01 205617275 PENNINGTON HEALTH SERVICES PENN 2186838100 2001 EASTWOOD DRIVE THIEF RIVER FALLS MN 56701 MARI CHAMBERS CFO 2186838100 2022-02-12 true MARI CHAMBERS 666666666 KELLY M DEMUTH P00947751 3205892602 2022-02-12 2020 2022-09-23 18:48:47Z CAROL RAW 801 NEVADA AVENUE MORRIS MN 56267 6161320 false X WWW.SFHS.ORG X 2006 MN WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES PENNINGTON HEALTH SERVICES, WHICH DOES BUSINESS AS THIEF RIVER CARE CENTER, AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. 13 13 197 22 0 361752 1126107 6635532 5009512 3700 19807 11579 2437 7012563 6157863 11217 12964 0 4191707 4099037 0 0 2731779 2620220 6934703 6732221 77860 -574358 12202102 12115070 9864596 10308738 2337506 1806332 X WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES PENNINGTON HEALTH SERVICES, WHICH DOES BUSINESS AS THIEF RIVER CARE CENTER, AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. false false 6042098 12964 5009512 PENNINGTON HEALTH SERVICES IS A 70 BED SKILLED NURSING FACILITY LOCATED IN RURAL 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 15,631 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 79 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 60 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 3,400,000. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE LIMITED. 6042098 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 true true true false false false false false false false false true false false false false false false true false false false true 2 0 true 197 true false false false false false false false false X 13 13 false true false false true false false true true false false false true true true true true true true false MN X MARI CHAMBERS 2186838100 801 NEVADA AVE MORRIS MN 56267 CAROL RAW PRES/CEO 1.00 39.00 X 0 228446 27602 PAULA HENDRICKSON ADMINISTRATO 0.00 40.00 X 0 191613 36921 TAMARA RETZLAFF NURSING CHAR 0.00 40.00 X 0 188410 36927 JODY CUNNINGHAM DIR OF NURSI 0.00 40.00 X 0 159810 39339 SCOT ALLEN VP SENIOR SE 1.00 39.00 X 0 167031 23936 JILL MONTZKA NURSING LPN 0.00 40.00 X 0 146958 28530 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 155750 19463 WILLIAM MONCRIEF FORMER - CFO 1.00 39.00 X 0 124256 17903 LEAH NELSON FORMER - VP 1.00 39.00 X 0 121389 17829 SHERRY WAGNER CONTROLLER 1.00 39.00 X 0 100703 5191 KEITH DAVIDSON DIRECTOR 1.00 14.00 X 0 0 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 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 REV 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 KENNETH WESTBROCK DIRECTOR 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 1584366 253641 1 true true false ST FRANCIS HEALTH SERVICES OF MORRIS 801 NEVADA AVE SUITE 100 MORRIS MN 56257 BILLINGS, LOANS 783244 BIG STONE THERAPIES INC 309 WASHINGTON AVE ORTONVILLE MN 56278 THERAPY 302395 ONESTAFF MEDICAL LLC BOX 3544 OMAHA NE 68103 TRAVEL NURSING 128398 3 1125632 475 1126107 RESIDENT SERVICE REVENUE 5009512 5009512 5009512 4004 4004 19260 3457 15803 15803 15803 MISCELLANEOUS 1613 1613 MEAL REVENUE 824 824 2437 6157863 5027752 4004 12964 12964 3418664 3223386 195278 50569 47680 2889 330709 311819 18890 299095 282010 17085 231000 231000 6465 6465 7192 7192 23639 23639 16407 16407 169693 169693 57295 57295 10498 6817 3681 278961 278961 353121 353121 38709 28064 10645 MEDICAL PROFESSIONAL FEES 364742 364742 SUPPLIES 329394 329394 DHS SURCHARGES 197050 197050 NURSING EXPENSES 141796 141796 394258 294601 99657 6732221 6042098 690123 0 1043922 1174383 538263 571063 22426 8117 13864867 3503360 10597491 10361507 12202102 12115070 468313 413522 111058 8058292 7797109 6448 4894 1297211 -76726 2093213 9864596 10308738 X 2337506 1806332 2337506 1806332 12202102 12115070 X -574358 43184 X false true X true false X 221 708 1990 361752 1126107 1490778 5855625 6662104 6831204 6647111 5011949 31007993 5855846 6662812 6833194 7008863 6138056 32498771 1279291 650522 1110240 1747771 1687362 6475186 1279291 650522 1110240 1747771 1687362 6475186 26023585 623 1828 3700 4004 10155 623 1828 3700 4004 10155 5856469 6664640 6833194 7012563 6142060 32508926 0.80050 0.81890 0.00000 0.00000 X true 6448 28593 30147 4894 true X 800000 800000 12362179 3057378 9304801 435131 349870 85261 267557 96112 171445 10361507 DUE TO RELATED PARTY 2134712 OPERATING LEASE PAYABLE 62222 DEFERRED FINANCING - TE BONDS -103721 2093213 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. true SCHOLARSHIPS 9 12964 FMV X X false false false false false false false false false CAROL RAW PRES/CEO 228446 11920 15682 256048 PAULA HENDRICKSON ADMINISTRATOR - MHS 191613 10116 26805 228534 TAMARA RETZLAFF NURSING CHARGE RN 188410 10125 26802 225337 JODY CUNNINGHAM DIR OF NURSING 159810 8916 30423 199149 SCOT ALLEN VP SENIOR SERVICES 167031 8588 15348 190967 JILL MONTZKA NURSING LPN 146958 7406 21124 175488 GEOFFREY RYAN SEN SVC REG DIRECTOR 155750 7788 11675 175213 WILLIAM MONCRIEF FORMER - CFO 124256 6228 11675 142159 LEAH NELSON FORMER - VP OF HR 121389 6154 11675 139218 A BELL STATE BANK REV NOTE SERIES 2012 2012-10-03 10000000 REFINANCE DEBT PRIMARILY false false false A 261183 false false true true A false false false false false false true A true true false false false true A true PURPOSE OF ISSUE DESCRIPTION BELL STATE BANK REFINANCE DEBT PRIMARILY ELIZABETH LETICH - DAUGHTER OF CAROL RAW, CEO 105003 EMPL -ADMIN FHS false ANDY RAW - SON OF CAROL RAW, CEO 45131 EMPL -MAINT BVHS false KAITLYN PENISKA - RELATIVE LAURIE PENISKA, DON 34258 EMPL -NUR ASST BVHS false DENNIS LINDOR - HUSBAND OF DAWN BJORGE, DON/TR 36411 EMPL -CORP STAFF PCS false JUSTIN NELSON - SON OF LEAH NELSON - VP HR 44629 EMPL -IT ANALY SFHS false CHANTEL TRIGGS - WIFE OF JOHNATHON TRIGGS, DON 12504 EMPL -RN ZHS 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 PENNINGTON HEALTH SERVICES, WHICH DOES BUSINESS AS THIEF RIVER CARE CENTER, AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE PROMOTE 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 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 43,184 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 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 ZUMBROTA HEALTH SERVICES 433 MILL STREET ZUMBROTA MN 55992 510487275 CAREGIVER MN 501C3 10 SFHS false false false true false true false false false false false true false true false false false false true false ST FRANCIS HEALTH SERVICES OF MORR M 260485 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 43184 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR K 13156 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR E 825975 AMOUNT GUARANTEED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED LOANS OF 7,797,109. THE BALANCE IS SHOWN ON FORM 990, PART X, LINE 20. THE ORGANIZATION ALSO HAS AN OUTSTANDING LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC OF 1,251,648 AS SHOWN IN FORM 990, PART X, LINE 24. THE ORGANIZATION ALSO PAID 29,485 IN INTEREST TO ST. FRANCIS HEALTH SERVICES OF MORRIS,INC.