2016-01-11T17:01:15-06:00 2015-06-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2014-07-01 411879639 CHISHOLM HEALTH CENTER CHIS 2182545765 321 NE 6TH STREET CHISHOLM MN 55719 LUVERNE HOFFMAN PRESIDENT 2182545765 2016-01-05 true JAMES A GILMAN CPA P00112998 3205892602 2016-01-04 2014 2016-04-25 22:37:26Z LUVERNE HOFFMAN 801 NEVADA AVE MORRIS MN 56267 6188769 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 13 165 0 2514 1072 5863502 6137844 277 -2675 39559 47927 5905852 6184168 1400 2617 0 3553414 3272511 0 0 2028261 2333330 5583075 5608458 322777 575710 6074369 6267051 4656752 4273725 1417617 1993326 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 5076431 2617 6184168 CHISHOLM HEALTH CENTER IS A 78 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 27,374 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 194 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 85 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 2.8 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. 5076431 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 14 0 true 165 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 SHERRY WAGNER 3205894919 801 NEVADA AVENUE MORRIS MN 56267 RANDOLF J SUTTER CHAIR 1.00 X X 0 0 0 ANGEL A LOPEZ VICE CHAIR 1.00 X X 0 0 0 STEVEN E LIENEMANN SEC/TREASURE 1.00 X X 0 0 0 REV TODD P SCHNEIDER TRUSTEE 1.00 X 0 0 0 VIVIAN M HELTEMES TRUSTEE 1.00 X 0 0 0 KATIE ERDMAN TRUSTEE 1.00 X 0 0 0 ROSEMARIE W MURPHY TRUSTEE 1.00 X 0 0 0 NEIL E SCHMIDGALL TRUSTEE 1.00 X 0 0 0 JOAN M SCHMIDGALL TRUSTEE 1.00 X 0 0 0 STEPHANIE J KNOBLOCH TRUSTEE 1.00 X 0 0 0 KENNETH A WESTBROCK TRUSTEE 1.00 X 0 0 0 THOMAS H CAZA TRUSTEE 1.00 X 0 0 0 ALYSSA K THOOFT TRUSTEE 1.00 X 0 0 0 LUVERNE HOFFMAN PRES/CEO 1.00 39.00 X 0 215322 35744 CAROL RAW VP SENIOR SV 1.00 39.00 X 0 160035 13015 SHERRY WAGNER CFO 1.00 39.00 X 0 119485 6023 DENNIS LINDOR VP BEHAV SVC 1.00 39.00 X 0 109708 6752 GEOFFREY RYAN ADMIN - CHC 1.00 39.00 X 0 123198 6209 SCOTT JACKSON DIRECTOR OF 1.00 39.00 X 0 116138 11966 ROBERT DAHL ADMINISTRATO 1.00 39.00 X 0 108030 7145 PRISCILLA SCHILLING QA COORDINAT 1.00 39.00 X 0 105515 5957 LEAH NELSON VP HR 1.00 39.00 X 0 102078 7114 1159509 99925 false true false ST FRANCIS HEALTH SERVICES 801 NEVADA AVE MORRIS MN 56267 MANAGEMENT FEES 900035 BIG STONE THERAPIES INC 309 WASHINGTON AVE ORTONVILLE MN 56278 PROVIDE THERAPY 190594 2 1072 1072 NET RESIDENT SERVICE REVENUE 6137844 6137844 6137844 469 469 75 3219 -3144 -3144 -3144 4798 1382 3416 APARTMENT RENTAL 32865 32865 GUEST, EMPLOYEE & APT MEALS 9500 9500 MISCELLANEOUS 2146 2146 44511 6184168 6179211 469 2617 2617 2785178 2693771 91407 77193 74660 2533 83648 80903 2745 326492 315777 10715 294096 294096 2681 2681 6518 6518 15797 15797 15181 15181 189195 189195 1044 1044 16951 16951 115278 115278 310586 310586 54643 21977 32666 MEDICAL PROF. FEES 493641 493641 SUPPLIES 425572 425572 MEDICAL SURCHARGE 212522 212522 REPAIRS & MAINTENANCE 50010 50010 129615 89922 39693 5608458 5076431 532027 0 570689 939691 695160 674369 15485 33517 8477826 3937095 4705095 4540731 87940 78743 6074369 6267051 462355 459233 2043734 1828992 13974 14039 2136689 1963558 7903 4656752 4273725 X 1417617 1993326 1417617 1993326 6074369 6267051 575710 -1 X false true X true false X 2198 2919 2045 2514 1072 10748 6491058 6179759 5874333 5904458 6187153 30636761 6493256 6182678 5876378 5906972 6188225 30647509 290457 478975 600173 697709 701362 2768676 290457 478975 600173 697709 701362 2768676 27878833 984 398 592 277 469 2720 984 398 592 277 469 2720 6494240 6183076 5876970 5907249 6188694 30650229 0.90960 0.92210 0.00000 0.00000 X true 13974 53437 53372 14039 true X 10000 10000 7915754 3502797 4412957 534648 434298 100350 17424 17424 4540731 DUE TO RELATED PARTY 7903 7903 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. X X false false false false false false false false false LUVERNE HOFFMAN PRES/CEO 215322 18244 17500 251066 CAROL RAW VP SENIOR SVS 160035 13015 173050 A BREMER BANK HCF REV NOTE 2009A 416005047 2009-10-21 1143804 REFINANCING TAXABLE false false false A 48527 false false true true A false false false false false false true A true true false false false true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION BREMER BANK INDEBTEDNESS INCURRED TO FINANCE GENERAL REMODELING, INFRASTRUCTURE IMPROVEMENTS AND WINDOW REPLACEMENT AT CHC MARK HOFFMAN FAMILY OF 56597 EMPLOYED IN false LUVERNE HOFFMAN MAINTENANCE false PRES & CEO false ELIZABETH LETICH DAUGHTER OF 84375 EMPLOYED AS AN false CAROL RAW, VP ADMINISTRATOR false ANDREW RAW SON OF 41013 EMPLOYED IN false CAROL RAW, VP MAINTENANCE false DAWN BJORGE WIFE OF DENNIS 81149 EMPLOYED AS RN/PD false LINDOR VP OF false BEHAVIOR SVC false CHRISTOPHER WAGNER FAMILY OF 12648 EMPLOYED IN false SHERRY WAGNER MAINTENANCE false CFO false SCHEDULE L, PART IV CHRISTOPHER WAGNER 12,648 FAMILY OF EMPLOYED IN 0 SHERRY WAGNER MAINTENANCE 0 CFO SCHEDULE L, PART V DURING THE YEAR, THE ORGANIZATION MAY EMPLOYEE INDIVIDUALS WHO MAY BE RELATED TO AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE. PAYMENTS FOR SERVICES WOULD BE 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 WOULD BE 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 BOOK / TAX DEPRECIATION DIFFERENCE -1 AITKIN HEALTH SERVICES 301 MINNESOTA AVENUE AITKIN MN 56431 203367397 CAREGIVER MN 501C3 9 SFHS false BROWNS VALLEY HEALTH CENTER RR 1 BOX 182D SOUTH JEFFERSON BROWNS VALLEY MN 56219 411668347 CAREGIVER MN 501C3 9 SFHS false FRANCISCAN HEALTH CENTER 3910 MINNESOTA AVENUE DULUTH MN 55802 411799268 CAREGIVER MN 501C3 9 SFHS false FARMINGTON HEALTH SERVICES 3410 23RD STREET W FARMINGTON MN 55024 200100365 CAREGIVER MN 501C3 9 SFHS false GUARDIAN ANGELS HEALTH & REHAB CENT 1500 3RD AVENUE E HIBBING MN 55746 411810369 CAREGIVER MN 501C3 9 SFHS false LITTLE FALLS HEALTH SERVICES 1200 NE 1ST AVE LITTLE FALLS MN 56345 463626109 CAREGIVER MN 501C3 9 SFHS false PRAIRIE COMMUNITY SERVICES 801 NEVADA AVENUE MORRIS MN 56267 411598442 CAREGIVER MN 501C3 9 SFHS false PENNINGTON HEALTH SERVICES 130 LABREE AVENUE S THIEF RIVER FALLS MN 56701 205617275 CAREGIVER MN 501C3 9 SFHS false RENVILLE HEALTH SERVICES 205 SE ELM AVENUE RENVILLE MN 56284 202581924 CAREGIVER MN 501C3 9 SFHS false ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 11B N/A false VIEWCREST HEALTH CENTER 3111 CHURCH PLACE DULUTH MN 55811 411843283 CAREGIVER MN 501C3 9 SFHS false WEST WIND VILLAGE 1001 SCOTT AVENUE MORRIS MN 56267 237625632 CAREGIVER MN 501C3 9 SFHS false ZUMBROTA HEALTH SERVICES 433 MILL STREET ZUMBROTA MN 55992 510487275 CAREGIVER MN 501C3 9 SFHS false false false false false false false false false false false false false true false true false false false false ST FRANCIS HEALTH SERVICES OF MORR M 294096 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 1,828,991 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 1,963,558 AS SHOWN ON FORM 990, PART X, LINE 24. THE ORGANIZATION HAS PAID 55,353 IN INTEREST TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC DURING THE YEAR.