AITKIN HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AITKIN HEALTH SERVICES (EIN 20-3367397)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-28
IRS object ID
201220889349300817
Schema version
2010v3.7
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)
Timestamp2012-03-28T16:53:25-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-03-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A GILMAN CPAName
Phone3205892602Phone
Date Prepared2012-03-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts3874732GrossReceipts
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 Employees92TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7554ContributionsGrantsPriorYear
Contributions Grants Current Year323ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3740904ProgramServiceRevenuePriorYear
Program Service Revenue CY3870497ProgramServiceRevenueCY
Investment Income Prior Year-26InvestmentIncomePriorYear
Investment Income Current Year-392InvestmentIncomeCurrentYear
Other Revenue Prior Year1009OtherRevenuePriorYear
Other Revenue Current Year3293OtherRevenueCurrentYear
Total Revenue Prior Year3749441TotalRevenuePriorYear
Total Revenue Current Year3873721TotalRevenueCurrentYear
Grants And Similar Amnts CY500GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1754775SalariesEtcPriorYear
Salaries Etc Current Year1798352SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year343TotalFundrsngExpCurrentYear
Other Expense Prior Year1850812OtherExpensePriorYear
Other Expenses Current Year1891234OtherExpensesCurrentYear
Total Expenses Prior Year3605587TotalExpensesPriorYear
Total Expenses Current Year3690086TotalExpensesCurrentYear
Revenues Less Expenses Prior Year143854RevenuesLessExpensesPriorYear
Revenues Less Expenses CY183635RevenuesLessExpensesCY
Total Assets BOY7289758TotalAssetsBOY
Total Assets EOY7189251TotalAssetsEOY
Total Liabilities BOY6292497TotalLiabilitiesBOY
Total Liabilities EOY6008355TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY997261NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1180896NetAssetsOrFundBalancesEOY
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
Expense3386658Expense
Grants500Grants
Revenue3873379Revenue
DescriptionAITKIN HEALTH SERVICES IS A 48 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 16,405 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 117 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 49 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 1.5 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED.Description
Total Program Service Expense3386658TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
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 BondsfalseTaxExemptBonds
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees92NumberOfEmployees
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 PersonROBERT WIKANNamePerson
Telephone Number3205894900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 NEVADA AVENUE SUITE 100AddressLine1
CityMORRISCity
StateMNState
ZIP Code56267ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DON GIESELMANN
CHAIR1.00XX000
MAGGIE FLETCHER
TRUSTEE1.00X000
DAN DRIPPS
VICE CHAIR1.00XX000
KATIE ERDMAN
TRUSTEE1.00X000
BARBARA SPAULDING
TRUSTEE1.00X000
DOUGLAS WARTNER
TRUSTEE1.00X000
ANDY LOPEZ
TRUSTEE1.00X000
KENNY WESTBROCK
TRUSTEE1.00X000
KEN KELLER
TRUSTEE1.00X000
RANDY SUTTER
SEC/TREASURE1.00XX000
FATHER ROBERT KIEFFER
TRUSTEE1.00X000
KAREN FOLKMAN
TRUSTEE1.00X000
LUVERNE HOFFMAN
PRES/CEO1.00X019110943508
CAROL RAW
DIR. OF NURSX014226318482
DENNIS LINDOR
VP BEHAV SVCX09341014191
ROBERT WIKAN
CFO - DEC TOX019230
JUNE SCHELDE
ADMIN - GAHR011056917321X
SCOTT JACKSON
DIRECTOR OF01072189780X
ROBERT DAHL
ADMIN - FHC/010176113221X
ROBERT BUTTERFIELD
CFO - JULY TX010625016522X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs854503TotalReportableCompFrmRltdOrgs
Total Other Compensation133025TotalOtherCompensation
Formers ListedtrueFormersListed
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 AVEMORRISMN56267ADV, MGMT FEES480563
BIG STONE THERAPIES
820 ROY STORTONVILLEMN56278THERAPIES227868
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions323AllOtherContributions
Total Contributions323TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVENUE38662063866206
MEAL REVENUE42914291
FieldValueIRS element (for citing)
Total Program Service Revenue3870497TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24TotalRevenueColumn
Exclusion$24ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other416Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-416Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-416TotalRevenueColumn
Related Or Exempt Function Income-416RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events3210GrossIncomeFundraisingEvents
Fundraising Direct Expenses595FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column2615TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS378378
RENTAL300300
FieldValueIRS element (for citing)
Total Other Revenue678TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3873721TotalRevenueColumn
Related Or Exempt Function Income3870759RelatedOrExemptFunctionIncome
Exclusion$24ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total500Total
Program Services500ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1514821Total
Program Services1459682ProgramServices
Management And General55139ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total51483Total
Program Services49609ProgramServices
Management And General1874ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total122697Total
Program Services118231ProgramServices
Management And General4466ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total109351Total
Program Services105371ProgramServices
Management And General3980ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total159600Total
Management And General159600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1790Total
Management And General1790ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6110Total
Management And General6110ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total100Total
Management And General100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7207Total
Management And General7207ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total125041Total
Program Services125041ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4358Total
Management And General4358ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1106Total
Program Services849ProgramServices
Management And General257ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total345198Total
Program Services345198ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total271118Total
Program Services271118ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total36593Total
Program Services16525ProgramServices
Management And General20068ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL PROFESSIONAL FEES274766274766
SUPPLIES242365242365
SURCHARGE EXPENSE135120135120
PURCHASED SERVICES10006799435632
CONSULTING9133291332

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total89363Total
Program Services51516ProgramServices
Management And General37504ManagementAndGeneral
Fundraising343Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3690086Total
Program Services3386658ProgramServices
Management And General303085ManagementAndGeneral
Fundraising343Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250827BOY
EOY372746EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY405897BOY
EOY401118EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32952BOY
EOY32417EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7005505LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec689538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6541686BOY
EOY6315967EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY58396BOY
EOY67003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7289758BOY
EOY7189251EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY242211BOY
EOY245884EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY11716BOY
EOY15612EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5148570BOY
EOY4980458EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY790000BOY
EOY766401EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6292497BOY
EOY6008355EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY997261BOY
EOY1180896EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY997261BOY
EOY1180896EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7289758BOY
EOY7189251EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses183635ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years1635CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5419CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7554CurrentTaxYearMinus1Year
Current Tax Year323CurrentTaxYear
Total16531Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2842012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2860576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2844055CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3742652CurrentTaxYearMinus1Year
Current Tax Year3874385CurrentTaxYear
Total16163680Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2843647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2862176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2849474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3750206CurrentTaxYearMinus1Year
Current Tax Year3874708CurrentTaxYear
Total16180211Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1217056CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134196CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1259594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1413313CurrentTaxYearMinus1Year
Current Tax Year1184469CurrentTaxYear
Total6208628Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1217056CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134196CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1259594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1413313CurrentTaxYearMinus1Year
Current Tax Year1184469CurrentTaxYear
Total6208628Total
FieldValueIRS element (for citing)
Public Support Total5099971583PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year243CurrentTaxYearMinus1Year
Current Tax Year24CurrentTaxYear
Total13152Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year243CurrentTaxYearMinus1Year
Current Tax Year24CurrentTaxYear
Total13152Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2847955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2870175CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2850052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3750449CurrentTaxYearMinus1Year
Current Tax Year3874732CurrentTaxYear
Total16193363Total
FieldValueIRS element (for citing)
Public Support Percentage5090.61580PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance11716BeginningBalance
Additions During Year113639AdditionsDuringYear
Distributions During Year-109743DistributionsDuringYear
Ending Balance15612EndingBalance
Included On FStrueIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6801833OtherCostOrOtherBasis
Depreciation588102Depreciation
Book Value6213731BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis178672OtherCostOrOtherBasis
Depreciation101436Depreciation
Book Value77236BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6315967TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
LUVERNE HOFFMAN
1911092605517453234617
CAROL RAW
142263711311369160745
ROBERT BUTTERFIELD
106250531211210122772

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARK HOFFMAN
FAMILY TO48061EMPLOYED INfalse
(no name)
LUVERNE HOFFMANMAINTENANCEfalse
(no name)
PRES & CEOfalse
ELIZABETH RAW
DAUGHTER TO18945EMPLOYED ASfalse
(no name)
CAROL RAW, VICEADMINISTRATORfalse
(no name)
PRESIDENTfalse

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 (10 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 ACHIEVEMENT 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.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIIST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS A MANAGEMENT AGREEMENT WITH THE RELATED ENTITY.

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 OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HEALTH SERVICES OF MORRBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved159600AmountInvolved
Method Of Amt DeterminationAMOUNT ACTUALLY PAIDMethodOfAmtDetermination

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 4980458 INCLUDED ON FORM 990 PART X LINE 23 AITKIN HEALTH SERVICES HAS AN EXISTING LOAN PAYABLE TO ST FRANCIS HEALTH SERVICES OF MORRIS INC AS SHOWN IN FORM 990 PART X LINE 24 THERE WERE NO NEW LOAN GUARANTEES DURING THIS FISCAL YEAR THE ORGANIZATION ALSO HAS PAID 38964 IN INTEREST TO ST FRANCIS HEALTH SERIVCES OR MORRIS INCExplanation

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