2021-02-15T15:33:19-06:00 2020-09-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2019-10-01 203367397 AITKIN HEALTH SERVICES AITK 2189275526 301 MINNESOTA AVE AITKIN MN 56431 WILLIAM MONCRIEF CFO 2189275526 2021-02-09 true KELLY M DEMUTH P00947751 3205892602 2021-02-09 2019 2022-09-23 18:48:47Z CAROL RAW 801 NEVADA AVE SUITE 100 MORRIS MN 56267 5119298 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 AITKIN HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST. CLOUD. WE AGREE TO PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. 13 13 101 0 118661 1201153 4988149 4909 2045 7579 1203198 5119298 3935 0 726347 3040496 0 0 401262 1889769 1127609 4934200 75589 185098 5781074 5651739 5727161 5474401 53913 177338 X WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST. FRANCIS HEALTH SERVICES CONTROLS AND OPERATES AITKIN HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST. CLOUD. WE AGREE TO PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. false false 4353159 3935 5119298 AITKIN HEALTH SERVICES IS A 44 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 15,706 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 109 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 50 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 2,300,000 DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. 4353159 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 0 0 true 101 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 WILLIAM MONCRIEF 2189275526 801 NEVADA AVE SUITE 100 MORRIS MN 56267 CAROL RAW PRES/CEO 1.00 39.00 X 0 233405 27403 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 148400 19131 SCOT ALLEN VP - SENIOR 1.00 39.00 X 0 133910 22413 SHANE ROCHE ADMINISTRATO 0.00 40.00 X 0 125079 25850 PRISCILLA SCHILLING DIRECTOR OF 1.00 39.00 X 0 130784 18247 CHAD MEYER VP BEH-DEV S 1.00 39.00 X 0 124368 21026 WILLIAM MONCRIEF CFO 1.00 39.00 X 0 119715 17696 KEITH DAVIDSON DIRECTOR 1.00 14.00 X 0 0 0 DANIEL L DRIPPS DIRECTOR 1.00 14.00 X 0 0 0 VIVIAN M HELTEMES DIRECTOR 1.00 14.00 X 0 0 0 PAUL LETENDRE DIRECTOR 1.00 14.00 X 0 0 0 ELIZABETH MEICHSNER DIRECTOR 1.00 14.00 X 0 0 0 PATRICK NELSON DIRECTOR 1.00 14.00 X 0 0 0 CARLA RILEY VICE CHAIR 1.00 14.00 X X 0 0 0 REV TODD SCHNEIDER DIRECTOR 1.00 14.00 X 0 0 0 TAMELA SPERR DIRECTOR 1.00 14.00 X 0 0 0 ALYSSA K THOOFT CHAIR 1.00 14.00 X X 0 0 0 MONSERRAT VAZQUEZ DIRECTOR 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 X 0 0 0 1015661 151766 false true false ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 MGMT FEES 290820 BIG STONE THERAPIES INC 500 CROSS STREET BIG STONE CITY SD 57216 THERAPY 272605 2 118661 118661 RESIDENT SERVICE REVENUE 4947144 4947144 MEAL REVENUE 41005 41005 4988149 4909 4909 RENTAL INCOME 5400 5400 MISCELLANEOUS 2179 2179 7579 5119298 4995728 4909 3935 3935 2349634 2182437 167197 78969 73350 5619 391640 363771 27869 220253 204580 15673 144000 144000 315 315 7108 7108 5772 5772 5018 5018 14061 14061 123888 123888 4190 4190 5560 4115 1445 157096 157096 245612 245612 43881 35132 8749 MEDICAL PROFESSIONAL FEES 313612 313612 SUPPLIES 305391 305391 SURCHARGE EXPENSE 123860 123860 REPAIRS & MAINTENANCE 94056 83270 10786 296349 133110 163239 4934200 4353159 581041 0 601572 459995 403033 592122 15547 7564951 3095721 4650500 4469230 125969 114845 5781074 5651739 362719 482383 216756 4021261 3750309 6719 8182 45890 32601 1290572 984170 5727161 5474401 X 53913 177338 53913 177338 5781074 5651739 X 185098 -61673 X false true X true false X 2198 446 2129 118661 123434 3649182 3638139 4172978 4734667 4995728 21190694 3651380 3638585 4175107 4734667 5114389 21314128 1900800 5200192 1278311 2874738 1938785 13192826 1900800 5200192 1278311 2874738 1938785 13192826 8121302 1024 660 1749 2566 4909 10908 1024 660 1749 2566 4909 10908 3652404 3639245 4176856 4737233 5119298 21325036 0.38080 0.34920 0.00000 0.00000 X true 6719 10169 8706 8182 true X 25000 25000 7101874 2770159 4331715 338107 271366 66741 99970 54196 45774 4469230 DUE TO RELATED PARTY 984170 984170 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 233405 27403 260808 GEOFFREY RYAN SEN SVC REG DIRECTOR 148400 19131 167531 SCOT ALLEN VP - SENIOR SERVICES 133910 22413 156323 SHANE ROCHE ADMINISTRATOR- GAHR 125079 25850 150929 A PEOPLES NATIONAL BANK HCF REVENUE NOTE SERIES 2011 410870606 2011-07-29 5870000 ISSUED LOAN TO REFINANCE PREVIOUS LOANS. false false false A 270952 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 PEOPLES NATIONAL BANK ISSUED LOAN TO REFINANCE PREVIOUS LOANS. ELIZABETH LETICH - DAUGHTER OF CAROL RAW, CEO 107998 EMPL -ADMIN FHS false ANDY RAW - SON OF CAROL RAW, CEO 42784 EMPL -MAINT BVHS false KAITLYN PENISKA - RELATIVE LAURIE PENISKA, DON 29859 EMPL -NUR ASST BVHS false DENNIS LINDOR - HUSBAND OF DAWN BJORGE, DON/TR 25000 EMPL -CORP STAFF PCS false NORINE KOSOBUSKI DAUGHTER OF CARRIE CLAYBUNDY, ADMI 633 EMPL -TRANSP KHS false JUSTIN NELSON - SON OF LEAH NELSON - VP HR 13174 EMPL -IT ANALY SFHS false BAILEY HAGEN -DAUGHTER OF CHRISTINE HAGEN, DON 10026 EMPL -HSK AID KHS false CASSIDY HAGEN-DAUGHTER OF CHRISTINE HAGEN, DON 6616 EMPL -DIET. AID KHS 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 AITKIN HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST. CLOUD. WE AGREE TO 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 ORGANZIED 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 -61,673 BROWNS VALLEY HEALTH CENTER RR 1 BOX 182D SOUTH JEFFERSON BROWNS VALLEY MN 56219 411668347 CAREGIVER MN 501C3 10 SFHS false CHISHOLM HEALTH SERVICES 321 NE 8TH STREET CHISHOLM MN 55719 411879639 CAREGIVER MN 501C3 10 SFHS false DULUTH HEALTH SERVICES 3111 CHURCH 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 CENTER 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 HEALH 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 ZUMBROTA HEALTH SERVICES 433 MILL STREET ZUMBROTA MN 55992 510487275 CAREGIVER MN 501C3 10 SFHS false false false false false false false false false false false false false true false false false false true false ST FRANCIS HEALTH SERVICES OF MORR M 145195 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 61673 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 3,750,309 INCLUDED ON FORM 990, PART X, LINE 20. THE ORGANIZATION HAS AN INTERCOMPANY LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC OF 32,601 INCLUDED ON FORM 990, PART X, LINE 24. THE ORGANIZATION ALSO HAS PAID 1,195 IN INTEREST TO ST. FRANCIS HEALTH SERIVCES OF MORRIS, INC.