2020-05-05T11:26:57-05:00 2019-06-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 331 3RD ST SW WILLMAR MN 562013322 990 2018-07-01 203367397 AITKIN HEALTH SERVICES AITK 2189275526 301 MINNESOTA AVE AITKIN MN 56431 WILLIAM MONCRIEF CFO 2189275526 2020-04-24 true KELLY M DEMUTH P00947751 3202353311 2020-04-27 66.77.118.76 2020-05-05 11:26:57 CD P 90ACA0B3E6261688B3EAA4489A5CB5D7A661B12F 6A0B8FD7D4978DE1FCA6994EB370E0ADAE25EA29 2018 2020-09-22 18:59:49Z CAROL RAW 801 NEVADA AVE SUITE 100 MORRIS MN 56267 4737233 false X WWW.SFHS.ORG X 2005 MN WE ARE COMMITTED TO EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN 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 98 75 0 2129 0 4171363 4734159 1749 2566 1615 508 4176856 4737233 7084 9276 0 2594763 2888682 0 0 1747134 1676088 4348981 4574046 -172125 163187 5796151 5743435 5953327 5737424 -157176 6011 X WE ARE COMMITTED TO EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN 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 4117678 9276 7932280 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 15,717 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 123 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 48 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 2.1 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. 4117678 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 98 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 TAMELA SPERR 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 REV TODD SCHNEIDER DIRECTOR 1.00 14.00 X 0 0 0 ELIZABETH MEICHSNER DIRECTOR 1.00 14.00 X 0 0 0 KEITH DAVIDSON DIRECTOR 1.00 14.00 X 0 0 0 CARLA RILEY VICE CHAIR 1.00 14.00 X X 0 0 0 PATRICK NELSON DIRECTOR 1.00 14.00 X 0 0 0 PAUL LETENDRE DIRECTOR 1.00 14.00 X 0 0 0 LORRAINE WIESE SECR. / TRES 1.00 14.00 X X 0 0 0 KENNETH WESTBROCK DIRECTOR 1.00 14.00 X 0 0 0 MONSERRAT VAZQUEZ DIRECTOR 1.00 14.00 X 0 0 0 ALYSSA K THOOFT CHAIR 1.00 14.00 X X 0 0 0 CAROL RAW PRES/CEO 1.00 39.00 X 0 226171 25765 SCOT ALLEN VP - SENIOR 1.00 39.00 X 0 135115 21212 WILLIAM MONCRIEF CFO 1.00 39.00 X 0 118382 16368 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 145134 17706 PRISCILLA SCHILLING DIRECTOR OF 1.00 39.00 X 0 122234 16561 CAMILLA PETERSON-DEVRIES VP - CORP CO 1.00 39.00 X 0 119746 16437 CHAD MEYER VP BEH-DEV S 1.00 39.00 X 0 115340 19314 SHANE ROCHE ADMINISTRATO 0.00 40.00 X 0 115141 26224 1097263 159587 false true false ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 MGMT FEES 565018 BST BAXTER INC 309 WASHINGTON AVE ORTONVILLE MN 56278 THERAPY 242259 2 RESIDENT SERVICE REVENUE 4698787 4698787 MEAL REVENUE 35372 35372 4734159 2566 2566 MISCELLANEOUS 508 508 508 4737233 4734667 2566 9276 9276 2162166 1999087 163079 56595 52326 4269 422956 391055 31901 246965 228338 18627 122450 122450 825 825 6872 6872 4688 4688 6962 6962 15653 15653 124328 124328 7024 7024 9907 3708 6199 171693 171693 263216 263216 29049 23769 5280 MEDICAL PROFESSIONAL FEES 290790 290790 SUPPLIES 270404 270404 SURCHARGE EXPENSE 123860 123860 REPAIRS & MAINTENANCE 86092 74812 11280 142275 91016 51259 4574046 4117678 456368 0 173173 522585 578650 420086 13474 3858 7469777 2801621 4890980 4668156 139874 128750 5796151 5743435 252338 320074 4344290 4087447 3977 5752 61952 49151 1290770 1275000 5953327 5737424 X -157176 6011 -157176 6011 5796151 5743435 163187 X false true X true false X 1380 2198 446 2129 6153 3700514 3649182 3638139 4172978 4734667 19895480 3701894 3651380 3638585 4175107 4734667 19901633 1695344 1900800 5200192 1278311 2874738 12949385 1695344 1900800 5200192 1278311 2874738 12949385 6952248 85 1024 660 1749 2566 6084 85 1024 660 1749 2566 6084 3701979 3652404 3639245 4176856 4737233 19907717 0.34920 0.39120 0.00000 0.00000 X true 3977 9160 7385 5752 true X 25000 25000 7062087 2494556 4567531 315398 254750 60648 67292 52315 14977 4668156 DUE TO RELATED PARTY 1275000 1275000 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 SCHOLARSHIP 9276 SCHOLARSHIP SCHOLARSHIP SCHOLARSHIP SCHOLARSHIP SCHOLARSHIP SCHOLARSHIP SCHOLARSHIP X X false false false false false false false false false CAROL RAW PRES/CEO 226171 25765 251936 SCOT ALLEN VP - SENIOR SERVICES 135115 21212 156327 GEOFFREY RYAN SEN SVC REG DIRECTOR 145134 17706 162840 A PEOPLES NATIONAL BANK HCF REVENUE NOTE SERIES 2011 410870606 2011-07-29 5870000 ISSUED LOAN TO REFINANCE PREVIOUS LOANS. false false false A 256843 false false true true A false false false false false false true A true true false false false true A true ELIZABETH LETICH DAUGHTER OF CAROL RAW, CEO 86489 EMPL - ADMIN FHS false ANDY RAW SON OF CAROL RAW, CEO 42684 EMPL - MAINT BVHS false KAITLYN PENISKA RELATIVE OF LAURIE PENISKA DON 27997 EMPL -NUR ASSIT BVHS false TARREN MCALISTER SON OF KERRI HICKS 31692 EMPL - NURSE ASST false KERRI HICKS NEICE OF CAROL RAW, CEO 54645 EMPL - DIR. OF HR false RILEIGH PORT DAUGHTER OF LANA PORT, DON 24863 EMPL - NURSE ASST false BAILEY HAGEN DAUGHTER OF CHRISTINE HAGEN, DON 2551 EMPL - HSK AID false CHERI BROUSE SISTER OF LANA PORT, DON 51364 EMPL - HR 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 EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN 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. 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 false false ST FRANCIS HEALTH SERVICES OF MORR M 124133 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 4,087,447 INCLUDED ON FORM 990, PART X, LINE 20. THE ORGANIZATION HAS AN INTERCOMPANY LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC OF 49,151 INCLUDED ON FORM 990, PART X, LINE 24. THE ORGANIZATION ALSO HAS PAID 1,683 IN INTEREST TO ST. FRANCIS HEALTH SERIVCES OF MORRIS, INC.