2019-03-20T14:46:08-05:00 2018-06-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2017-07-01 411879639 CHISHOLM HEALTH CENTER CHIS 2182545765 321 NE 6TH STREET CHISHOLM MN 55719 CAROL RAW PRES/CEO 2182545765 2019-03-13 true KELLY M DEMUTH P00947751 3205892602 2019-03-13 66.77.118.76 2019-03-20 14:46:08 CD P 9D4B637B9099B69E85C56609468C7E91A686C7B8 75820246F2846FEBC67AE841C5CCFBC211D19F34 2017 2019-02-21 02:37:17Z CAROL RAW 801 NEVADA AVENUE MORRIS MN 56267 6798584 false X WWW.SFHS.ORG X 1997 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 CHISHOLM HEALTH CENTER 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 13 182 25 0 2592 3629 6610637 6745910 1452 1242 45173 47803 6659854 6798584 1489 13112 0 3798940 4005087 0 0 2482867 2398738 6283296 6416937 376558 381647 6167116 6056911 4270411 3912388 1896705 2144523 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 CHISHOLM HEALTH CENTER 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 6115251 13112 6745910 CHISHOLM HEALTH CENTER 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 25,400 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 186 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 79 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 3.1 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. 6115251 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 9 0 true 182 true 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 2182545765 801 NEVADA AVENUE SUITE 100 MORRIS MN 56267 STEVEN LIENEMANN CHAIR 1.00 14.00 X X 0 0 0 DANIEL DRIPPS VICE CHAIR 1.00 14.00 X X 0 0 0 VIVIAN HELTEMES SEC/TREASURE 1.00 14.00 X X 0 0 0 REV TODD P SCHNEIDER TRUSTEE 1.00 14.00 X 0 0 0 ELIZABETH MEICHSNER TRUSTEE 1.00 14.00 X 0 0 0 KATIE ERDMAN TRUSTEE 1.00 14.00 X 0 0 0 CARLA RILEY TRUSTEE 1.00 14.00 X 0 0 0 NEIL SCHMIDGALL TRUSTEE 1.00 14.00 X 0 0 0 MARK BERLINGER TRUSTEE 1.00 14.00 X 0 0 0 LORI WIESE TRUSTEE 1.00 14.00 X 0 0 0 KENNETH WESTBROCK TRUSTEE 1.00 14.00 X 0 0 0 MONSERRAT VAZQUEZ TRUSTEE 1.00 14.00 X 0 0 0 ALYSSA THOOFT TRUSTEE 1.00 14.00 X 0 0 0 CAROL RAW PRES/CEO 1.00 39.00 X 0 200365 22233 SCOT ALLEN VP 1.00 39.00 X 0 128860 20169 WILLIAM MONCRIEF CFO 1.00 39.00 X 0 109599 14982 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 132373 16777 CAMILLA PETERSON-DEVRIES SEN SVC REG 1.00 39.00 X 0 117453 20089 LUCAS KOEHNTOP IT DIRECTOR 1.00 39.00 X 0 113837 24812 DENNIS LINDOR VP 1.00 39.00 X 0 113573 5717 PRISCILLA SCHILLING DIRECTOR OF 1.00 39.00 X 0 111939 15720 LUVERNE HOFFMAN FORMER/CEO 0.00 40.00 X 0 263073 32223 1291072 172722 1 true true false ST FRANCIS HEALTH SERVICES 801 NEVADA AVE MORRIS MN 56267 MANAGEMENT FEES 677211 BIG STONE THERAPIES INC 309 WASHINGTON AVE ORTONVILLE MN 56278 PROVIDE THERAPY 531226 2 3629 3629 NET RESIDENT SERVICE REVENUE 6745910 6745910 6745910 1242 1242 APARTMENT RENTAL 35360 35360 GUEST, EMPLOYEE & APT MEALS 10031 10031 MISCELLANEOUS 2412 2412 47803 6798584 6793713 1242 13112 13112 3178757 3042551 136206 71177 68127 3050 436976 418252 18724 318177 304543 13634 199500 199500 7927 7927 7277 7277 28178 3168 25010 197996 197996 14998 14998 1932 1932 108794 108794 330303 330303 34255 26679 7576 MEDICAL PROF. FEES 582426 582426 SUPPLIES 403633 403633 MEDICAL SURCHARGE 197050 197050 REPAIRS & MAINTENANCE 92181 92181 192288 126936 65352 6416937 6115251 301686 0 968642 1046800 758409 850180 18491 32203 8690639 4646812 4326604 4043827 94970 83901 6167116 6056911 516055 489248 3185820 2877960 8214 6153 551030 528536 9292 10491 4270411 3912388 X 1896705 2144523 1896705 2144523 6167116 6056911 381647 -133829 X false true X true false X 2514 1072 2606 2592 3629 12413 5904458 6187153 6475289 6658844 6793713 32019457 5906972 6188225 6477895 6661436 6797342 32031870 697709 701362 1383701 820855 763210 4366837 697709 701362 1383701 820855 763210 4366837 27665033 277 469 690 1452 1242 4130 277 469 690 1452 1242 4130 5907249 6188694 6478585 6662888 6798584 32036000 0.86360 0.86480 0.00000 0.00000 X true 8214 3365 5426 6153 true X 10000 10000 8285222 4318173 3967049 1200 100 1100 394217 328539 65678 4043827 DUE TO RELATED PARTY 10491 10491 SCHEDULE D, PAGE 2, PART IV, LINE 1B THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. true SCHOLARSHIP 1 919 FMV SCHOLARSHIP 1 1566 FMV SCHOLARSHIP 1 3131 FMV SCHOLARSHIP 1 145 FMV SCHOLARSHIP 1 7351 FMV X X false false false false false false false false false CAROL RAW PRES/CEO 200365 17896 4337 222598 LUVERNE HOFFMAN FORMER/CEO 263073 31510 713 295296 A BREMER BANK HCF REV NOTE 2009A 416005047 2009-10-21 1143804 REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE GENERAL REMODELING, false false false B BREMER BANK REVENUE NOTE 2016 416005047 2015-12-10 1914128 REFINANCING DEBT false false false A 55998 false false true true B 74884 false false false false A false false false false false false true B false false false false false false false A true true false false false true B true false false false false false A true B true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION BREMER BANK INFRASTRUCTURE IMPROVEMENTS AND WINDOW REPLACEMENT. ELIZABETH LETICH DAUGHTER OF 92477 EMPLOYED AS false CAROL RAW, CEO ADMINISTRATOR - FHS false ANDY RAW SON OF CAROL 39039 EMPLOYED IN false RAW PRES & CEO MAINTENANCE BVHS false DAWN BJORGE SPOUSE - DENNIS 108890 RN/PD - PCS false LINDOR VP false KAITLYN PENISKA RELATIVE OF 26934 EMPLOYED AS A false LAURIE PENISKA NURSING ASSISTANT false DIR OF NURSING BVHS false false JUSTIN PENISKA RELATIVE - LAURIE PENISKA 21684 EMPL - NURSE ASST. false TARREN MCALISTER SON OF KERRI HICKS 36243 EMPL - NURSE ASST false KERRI HICKS NEICE OF CAROL RAW, CEO 56208 EMPL - DIR. OF HR false RILEIGH PORT DAUGHTER OF LANA PORT, DON 8689 EMPL - NURSE ASST false BRIAN PORT SPOUSE OF LANA PORT, DON 8916 EMPL - DIETARY MGR false CHERI BROUSE SISTER OF LANA PORT, DON 49718 EMPL - HR false SCHEDULE L, PART IV JUSTIN PENISKA RELATIVE - LAURIE 21,684 PENISKA EMPL - NURSE ASST. TARREN MCALISTER SON OF 36,243 KERRI HICKS EMPL - NURSE ASST KERRI HICKS NEICE OF 56,208 CAROL RAW, CEO EMPL - DIR. OF HR RILEIGH PORT DAUGHTER OF 8,689 LANA PORT, DON EMPL - NURSE ASST BRIAN PORT SPOUSE OF 8,916 LANA PORT, DON EMPL - DIETARY MGR CHERI BROUSE SISTER OF 49,718 LANA PORT, DON EMPL - HR 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 CHISHOLM HEALTH CENTER 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 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 TRANSFER -133,829 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 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 SERVICES 901 MAIN STREET LITTLEFORK MN 56663 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 130 LABREE AVENUE S 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 true false false true false ST FRANCIS HEALTH SERVICES OF MORR M 199500 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 133829 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 2,877,960 AS SHOWN IN FORM 990, PART X, LINE 20. THERE WERE NO NEW LOAN GUARANTEES DURING THE FISCAL YEAR. ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. HAS AN INTERCOMPANY LOAN OF 528,535 AS SHOWN ON FORM 990, PART X, LINE 24. THE ORGANIZATION HAS PAID 16,223 IN INTEREST TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC DURING THE YEAR.