AITKIN HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AITKIN HEALTH SERVICES (EIN 20-3367397)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-13
IRS object ID
201410449349302011
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-13T15:26:44-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY DEUTH & SCHMIESING PLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 ATLANTIC AVEAddressLine1
CityMORRISCity
StateMNState
ZIP Code562671324ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN203367397EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AITKIN HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAITKNameControl
Phone2189275526Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 MINNESOTA AVEAddressLine1
CityAITKINCity
StateMNState
ZIP Code56431ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLUVERNE HOFFMANName
TitlePRESIDENTTitle
Phone2189275526Phone
Date Signed2014-02-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A GILMAN CPAName
Phone3205892602Phone
Date Prepared2014-02-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLUVERNE HOFFMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 NEVADA AVEAddressLine1
CityMORRISCity
StateMNState
ZIP Code56267ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3531431GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SFHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionWE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees107TotalNbrEmployees
Total Nbr Volunteers220TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year200ContributionsGrantsPriorYear
Contributions Grants Current Year1154ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3558411ProgramServiceRevenuePriorYear
Program Service Revenue CY3522403ProgramServiceRevenueCY
Investment Income Prior Year-1339InvestmentIncomePriorYear
Investment Income Current Year6127InvestmentIncomeCurrentYear
Other Revenue Prior Year4961OtherRevenuePriorYear
Other Revenue Current Year1659OtherRevenueCurrentYear
Total Revenue Prior Year3562233TotalRevenuePriorYear
Total Revenue Current Year3531343TotalRevenueCurrentYear
Grants And Similar Amnts CY850GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1863852SalariesEtcPriorYear
Salaries Etc Current Year1923093SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1870178OtherExpensePriorYear
Other Expenses Current Year1674266OtherExpensesCurrentYear
Total Expenses Prior Year3734030TotalExpensesPriorYear
Total Expenses Current Year3598209TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-171797RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-66866RevenuesLessExpensesCY
Total Assets BOY7005849TotalAssetsBOY
Total Assets EOY6967978TotalAssetsEOY
Total Liabilities BOY5996750TotalLiabilitiesBOY
Total Liabilities EOY6024429TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1009099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY943549NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3264910Expense
Grants850Grants
Revenue3531343Revenue
DescriptionAITKIN 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 14,888 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 103 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 52 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 1.6 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED.Description
Total Program Service Expense3264910TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees107NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHERRY WAGNERNamePerson
Telephone Number3205894919TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 NEVADA AVENUE SUITE 100AddressLine1
CityMORRISCity
StateMNState
ZIP Code56267ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
DON GIESELMANN
CHAIR1.00XX000
MAGGIE FLETCHER
TRUSTEE1.00X000
STEVE LIENEMANN
TRUSTEE1.00X000
KATIE ERDMAN
TRUSTEE1.00X000
BARBARA SPAULDING
TRUSTEE1.00X000
DOUGLAS WARTNER
TRUSTEE1.00X000
ANDY LOPEZ
VICE CHAIR1.00XX000
KENNY WESTBROCK
TRUSTEE - DO1.00X000
KEN KELLER
TRUSTEE1.00X000
RANDY SUTTER
SEC/TREASURE1.00XX000
FATHER ROBERT KIEFFER
TRUSTEE1.00X000
ROSE MURPHY
TRUSTEE1.00X000
NEIL SCHMIDGALL
TRUSTEEX000
LUVERNE HOFFMAN
PRES/CEO1.00X03520104471639.00
CAROL RAW
VP SENIOR SVX01315741732840.00
SHERRY WAGNER
CFO1.00X0101964604039.00
DENNIS LINDOR
VP BEHAV SVCX0811551113240.00
VIVIAN HELTEMES
TRUSTEE - ST1.00X000
GEOFFREY RYAN
ADMIN - CHC0116061577040.00X
SCOTT JACKSON
DIRECTOR OF01048211264640.00X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs887585TotalReportableCompFrmRltdOrgs
Total Other Compensation97632TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ST FRANCIS HEALTH SERVICES OF MORRI
801 NEVADA AVEMORRISMN56267MGMT FEES234784
BST BAXTER INC
309 WASHINGTON AVEORTONVILLEMN56278THERAPY184911
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions1154AllOtherContributions
Total Contributions1154TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVENUE35159383515938
MEAL REVENUE64656465
FieldValueIRS element (for citing)
Total Program Service Revenue3522403TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column127TotalRevenueColumn
Exclusion$127ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other6000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6000TotalRevenueColumn
Related Or Exempt Function Income6000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events150GrossIncomeFundraisingEvents
Fundraising Direct Expenses88FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column62TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column1597TotalRevenueColumn
Related Or Exempt Function Income1597RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1597TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3531343TotalRevenueColumn
Related Or Exempt Function Income3530000RelatedOrExemptFunctionIncome
Exclusion$127ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total850Total
Program Services850ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1629040Total
Program Services1592227ProgramServices
Management And General36813ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33183Total
Program Services32433ProgramServices
Management And General750ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total139098Total
Program Services135955ProgramServices
Management And General3143ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total121772Total
Program Services119020ProgramServices
Management And General2752ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total159600Total
Management And General159600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36321Total
Management And General36321ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6380Total
Management And General6380ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20392Total
Management And General20392ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total75539Total
Program Services75539ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1994Total
Management And General1994ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8872Total
Management And General8872ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total226029Total
Program Services226029ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total258885Total
Program Services258885ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total38060Total
Program Services16722ProgramServices
Management And General21338ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL PROFESSIONAL FEES264753264753
SUPPLIES2109242034597465
SURCHARGE EXPENSE133243133243
PURCHASED SERVICES104920104920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total128354Total
Program Services100875ProgramServices
Management And General27479ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3598209Total
Program Services3264910ProgramServices
Management And General333299ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY281284BOY
EOY333015EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY376252BOY
EOY401780EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17900BOY
EOY9875EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7256301LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1228487LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6123795BOY
EOY6027814EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY206618BOY
EOY195494EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7005849BOY
EOY6967978EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY273922BOY
EOY258182EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5692410BOY
EOY5490046EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY7932BOY
EOY5696EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY120505EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22486BOY
EOY150000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5996750BOY
EOY6024429EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1009099BOY
EOY943549EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1009099BOY
EOY943549EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7005849BOY
EOY6967978EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-66866ReconcilationRevenueExpenses
Reconcilation Other Changes1316ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5419CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years323CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200CurrentTaxYearMinus1Year
Current Tax Year1154CurrentTaxYear
Total14650Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2844055CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3742652CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3874385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3565066CurrentTaxYearMinus1Year
Current Tax Year3524150CurrentTaxYear
Total17550308Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2849474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3750206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3874708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3565266CurrentTaxYearMinus1Year
Current Tax Year3525304CurrentTaxYear
Total17564958Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1259594CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1413313CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1184469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1395950CurrentTaxYearMinus1Year
Current Tax Year1295689CurrentTaxYear
Total6549015Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1259594CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1413313CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1184469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1395950CurrentTaxYearMinus1Year
Current Tax Year1295689CurrentTaxYear
Total6549015Total
FieldValueIRS element (for citing)
Public Support Total50911015943PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year261CurrentTaxYearMinus1Year
Current Tax Year127CurrentTaxYear
Total1233Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year261CurrentTaxYearMinus1Year
Current Tax Year127CurrentTaxYear
Total1233Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2850052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3750449CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3874732CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3565527CurrentTaxYearMinus1Year
Current Tax Year3525431CurrentTaxYear
Total17566191Total
FieldValueIRS element (for citing)
Public Support Percentage5090.62710PublicSupportPercentage509
Prior Year Support Percentage0.62170PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance7932BeginningBalance
Additions During Year16180AdditionsDuringYear
Distributions During Year-18416DistributionsDuringYear
Ending Balance5696EndingBalance
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis25000OtherCostOrOtherBasis
Book Value25000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6946817OtherCostOrOtherBasis
Depreciation1046063Depreciation
Book Value5900754BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis230875OtherCostOrOtherBasis
Depreciation135367Depreciation
Book Value95508BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53609OtherCostOrOtherBasis
Depreciation47057Depreciation
Book Value6552BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6027814TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$150,000Amount
FieldValueIRS element (for citing)
Total Of Amounts150000TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION FOR UNREPORTED CONTRIBUTIONS OR ASSETSSCHEDULE D, PAGE 2, PART IV, LINE 1BTHE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS.
ESCROW LIABILITY ARRANGEMENT EXPLANATIONSCHEDULE D, PAGE 2, PART IV, LINE 2BTHE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLUVERNE HOFFMANNamePerson
TitlePRESCEOTitle
Comp Based On Related Orgs352010CompBasedOnRelatedOrgs
Deferred Comp Related Orgs27716DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs17000NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs396726TotalCompensationRelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PEOPLES NATIONAL BANKBusinessNameLine1
Business Name Line2HCF REVENUE NOTE SERIES 2011BusinessNameLine2
FieldValueIRS element (for citing)
Issuer EIN410870606IssuerEIN
Date Issued2011-07-29DateIssued
Issue Price5870000IssuePrice
Description Of PurposeISSUED LOAN TO REFINANCE PREVIOUS LOANS.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindfalseAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARK HOFFMAN
SON OF45483EMPLOYED INfalse
(no name)
LUVERNE HOFFMANMAINTENANCEfalse
(no name)
PRES & CEOfalse
ELIZABETH LETICH
DAUGHTER OF77642EMPLOYED ASfalse
(no name)
CAROL RAW, VPADMINISTRATORfalse
ANDREW RAW
SON OF32010EMPLOYED INfalse
(no name)
CAROL RAW, VPMAINTENANCEfalse
DAWN BJORGE
WIFE OF DENNIS71331EMPLOYED AS RN/PDfalse
(no name)
LINDOR VP OFfalse
(no name)
BEHAVIOR SVCfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationDURING THE YEAR THE ORGANIZATION MAY EMPLOY 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 ORGANIZATIONS EXEMPT PURPOSEExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONWE 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.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AEMPLOYMENT OPPORTUNITIES ARE VERY LIMITED.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION WITH COMMON CONTROL) MANAGES THE FACILITY.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CFO OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC REVIEWS THE TAX RETURN AS PART OF THE MANAGEMENT SERVICES.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUALLY 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON AN AS REQUESTED BASIS.
ADDITIONAL INFORMATIONFORM 990, PART XIOTHER CHANGES IN NET ASSETS DUE TO INTERCOMPANY TRANSFER FROM RELATED PARTY
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9INTERCOMPANY TRANSFER 1,316

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
CHISHOLM HEALTH SERVICES
321 NE 8TH STREETCHISHOLMMN55719411879639CAREGIVERMN501C39SFHSfalse
BROWNS VALLEY HEALTH CENTER
RR 1 BOX 182D SOUTH JEFFERSONBROWNS VALLEYMN56219411668347CAREGIVERMN501C39SFHSfalse
FRANCISCAN HEALTH CENTER
3910 MINNESOTA AVENUEDULUTHMN55802411799268CAREGIVERMN501C39SFHSfalse
FARMINGTON HEALTH SERVICES
3410 23RD STREET WFARMINGTONMN55024200100365CAREGIVERMN501C39SFHSfalse
GUARDIAN ANGELS HEALTH & REHAB CENT
1500 3RD AVENUE EHIBBINGMN55746411810369CAREGIVERMN501C39SFHSfalse
PRAIRIE COMMUNITY SERVICES
801 NEVADA AVENUEMORRISMN56267411598442CAREGIVERMN501C39SFHSfalse
PENNINGTON HEALTH SERVICES
130 LABREE AVENUE STHIEF RIVER FALLSMN56701205617275CAREGIVERMN501C39SFHSfalse
RENVILLE HEALTH SERVICES
205 SE ELM AVENUERENVILLEMN56284202581924CAREGIVERMN501C39SFHSfalse
ST FRANCIS HEALTH SERVICES (SFHS)
801 NEVADA AVENUEMORRISMN56267411484416MGMT COMPMN501C39falseN/A
VIEWCREST HEALTH CENTER
3111 CHURCH PLACEDULUTHMN55811411843283CAREGIVERMN501C39SFHSfalse
WEST WIND VILLAGE
1001 SCOTT AVENUEMORRISMN56267237625632CAREGIVERMN501C39SFHSfalse
ZUMBROTA HEALTH SERVICES
433 MILL STREETZUMBROTAMN55992510487275CAREGIVERMN501C39SFHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST FRANCIS HEALTH SERVICES OF MORR
M159600AMOUNT PAID OR ACCRUED
ST FRANCIS HEALTH SERVICES OF MORR
E5870000AMOUNT GUARANTEED
ST FRANCIS HEALTH SERVICES OF MORR
E125000AMOUNT BORROWED

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationST FRANCIS HEALTH SERVICES OF MORRIS INC HAS GUARANTEED EXISTING LOANS OF 5490046 INCLUDED ON FORM 990 PART X LINE 24 THE ORGANIZATION HAS AN INTERCOMPANY LOAN PAYABLE TO ST FRANCIS HEALTH SERVICES OF MORRIS INC OF 120505 INCLUDED ON FORM 990 PART X LINE 24 THE ORGANIZATION ALSO HAS PAID 1540 IN INTEREST TO ST FRANCIS HEALTH SERIVCES OR MORRIS INC THE ORGANIZATION RECEIVED 1316 IN EQUIPMENT FROM PENNINGTON HEALTH SERVICES A RELATED ORGANIZATION AS SHOWN ON FORM 990 PART XI LINE 9Explanation

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