2012-05-04T14:00:01-05:00 2011-06-30 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2010-07-01 411306947 FRANCISCAN HEALTH COMMUNITY FRAN 6516462797 2076 ST ANTHONY AVENUE ST PAUL MN 55104 JOSEPH STANISLAV 6516462797 2012-05-03 1 KIM HUNWARDSEN CPA 9529446166 2012-04-04 2010 2016-02-24 21:20:13Z JOSEPH STANISLAV 2076 ST ANTHONY AVENUE ST PAUL MN 55104 3103775 0 X WWW.FRANCISCANCARE.ORG X 1938 MN PROVIDING HEALTH CARE, HOUSING AND SERVICES TO SENIORS. 14 13 221 140 0 0 98601 76255 9429776 2857347 63248 162182 0 0 9591625 3095784 0 0 0 0 6152967 1582014 0 0 0 4336936 1196108 10489903 2778122 -898278 317662 10087590 8735465 7460301 7101085 2627289 1634380 X FRANCISCAN HEALTH COMMUNITY CONTINUES CHRIST'S MINISTRY OF HEALING AND COMPASSION IN THE 21ST CENTURY BY PROVIDING HEALTH CARE, HOUSING AND SERVICES TO SENIORS. 0 1 1859229 2857347 FRANCISCAN HEALTH COMMUNITY (FHC) PROVIDES HOSPICE, HOME HEALTH AND NURSING SERVICES AND OPERATES A 54-UNIT SENIOR HOUSING FACILITY WITH SERVICES (RIVERVIEW HIGHLANDS APARTMENTS), A 72-UNIT SENIOR HOUSING FACILITY WITH SERVICES (HIGHLANDS ON GRAHAM), AND A NURSING FACILITY PROVIDING NURSING HOME CARE TO NEEDY VICTIMS OF INCURABLE CANCER (FRANCISCAN END OF LIFE CARE D/B/A OUR LADY OF PEACE HOME) LOCATED IN ST. PAUL, MINNESOTA.FHC OFFERS TWO HIGH QUALITY, HOME HEALTH CARE PROGRAMS IN ST. PAUL - HIGHLAND BLOCK NURSE PROGRAM AND FRANCISCAN HOME HEALTH - TO MEET THE DIVERSE NEEDS OF SENIORS AND THEIR FAMILIES. HIGHLAND BLOCK NURSE PROGRAM UTILIZED PROFESSIONAL STAFF AND VOLUNTEERS TO PROVIDE NURSING SERVICES AND PERSONAL CARE. FRANCISCAN HOME HEALTH SERVES ADULTS WHO ARE ACUTELY ILL, HOMEBOUND AND REQUIRE SKILLED CARE.THE MEDICARE-CERTIFIED ST. MARY'S HOSPICE PROGRAM IN ST. PAUL ASSISTS INDIVIDUALS AND FAMILY MEMBERS THROUGH THE DYING PROCESS WHEN LIFE EXPECTANCY IS SIX MONTHS OR LESS. THE GOAL IS TO MAKE THE FINAL DAYS AND WEEKS OF LIFE AS PEACEFUL AND NATURAL AS POSSIBLE BY COMFORTING THE WHOLE PERSON - MIND, BODY AND SPIRIT. 1859229 1 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 16 0 1 221 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 MN X SHEILA BETHKE 6517895020 2076 ST ANTHONY AVE ST PAUL MN 55104 X EDWIN MARTINI 0.10 X X 0 0 0 STEVE NIELSEN 0.10 X X 0 0 0 DAN SEVENICH 0.10 X X 0 0 0 THOMAS GRUNDHOEFER 0.10 X X 0 0 0 BERT BROST 0.10 X 0 0 0 MONA FREEBERG 0.10 X 0 0 0 STELLA LUNDQUIST 0.10 X 0 0 0 F ALEXANDRA KLAS 0.10 X 0 0 0 ROSE MARIE WALSH 0.10 X 0 0 0 SR MIRIAM RUBEL 0.10 X 0 0 0 FRANCES LONG 0.10 X 0 0 0 MARION ADCOCK 0.10 X 0 0 0 THOMAS VOGT 0.10 X 0 0 0 JOSEPH STANISLAV 25.00 X X 171990 0 11423 SHEILA BETHKE 25.00 X 85243 0 5843 257233 0 17266 1 0 1 0 PRO REHAB 200 LEWIS AVE S SUITE 210 WATERTOWN MN 55388 THERAPY SERVICES 270640 1 56352 19903 76255 RESIDENT REVENUE 623000 2454651 2454651 MANAGEMENT REVENUE 623000 325802 325802 MEALS ON WHEELS 623000 46513 46513 OTHER REVENUE 623000 30381 30381 2857347 100340 100340 69833 7991 69833 -7991 61842 61842 3095784 2857347 0 162182 285977 285977 1225003 877013 347990 65934 46612 19322 5100 2987 2113 29220 29220 7175 7175 31328 31328 23508 23508 152841 152841 101121 101121 16539 16539 450756 223660 227096 147783 147783 54846 54846 MEDICAL SUPPLIES 94527 94527 MEAL COST 73988 73988 DUES AND SUBSCRIPTIONS 4740 4740 SPECIAL ASSESSMENTS 3549 3549 4187 4187 2778122 1859229 918893 0 539183 375049 1374584 336673 32163 1068 36222 28839 7559411 5104531 2986287 2454880 4425573 4509621 693578 1029335 10087590 8735465 736321 356587 2863291 2866447 48233 28425 3797224 3738565 15232 111061 7460301 7101085 X 2320512 1337160 38634 29077 268143 268143 2627289 1634380 10087590 8735465 X 317662 -1310571 X 0 1 1 X 0 X 134227 462141 113001 98601 76255 884225 9732581 10048469 9776714 9429776 2857347 41844887 9866808 10510610 9889715 9528377 2933602 42729112 0 29666 38481 421025 489172 29666 38481 421025 489172 42239940 112538 142205 153984 77832 100340 586899 112538 142205 153984 77832 100340 586899 9979346 10652815 10043699 9606209 3033942 43316011 0.97520 0.98690 0.01350 0.01170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 268143 19904 19904 268143 268143 15494 15494 268143 268143 76992 76992 268143 1.00000 0 0 359503 359503 6953779 4944400 2009379 191548 112568 78980 54581 47563 7018 2454880 DEFERRED FINANCING COSTS 322127 RELATED PARTY RECEIVABLES 570013 OTHER RECEIVABLES 24014 RESIDENT TRUST FUNDS AND TENANT SECURITY DEPOSITS 28426 INVESTMENT IN CARE CHOICE, LLC 84755 1029335 RELATED PARTY LIABILITY 111061 111061 3095784 2778122 317662 449114 -1759685 -1310571 -992909 2531315 107068 107068 2424247 671537 671537 3095784 1977987 0 1977987 800135 800135 2778122 PART IV, LINE 2B: THE ORGANIZATION ACTS AS CUSTODIAN FOR THE FUNDS OF THE RESIDENTS AND HOLDS TENANT SECURITY DEPOSITS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME FROM THE INVESTMENTS HELD IN PERPETUITY IS EXPENDABLE TO SUPPORT VARIOUS HEALTH CARE SERVICES AND HOSPICE SERVICES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTRACOMPANY MANAGEMENT FEES ELIMINATED FOR TAX RETURN 107,068. LOSS ON DISCONTINUED OPERATIONS -1,874,384. TRANSFERS FROM RELATED PARTY 7,631. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTRACOMPANY MANAGEMENT FEES ELIMINATED FOR TAX RETURN 107,068. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS REPORTED IN FUND BALANCE FOR FINANCIAL STATEMENT 10,347. RIVERVIEW HIGHLANDS CONSOLIDATED FOR TAX RETURN PURPOSES 661,190. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RIVERVIEW HIGHLANDS CONSOLIDATED FOR TAX RETURN PURPOSES 800,135. X X X X 0 0 0 0 0 0 0 0 0 JOSEPH STANISLAV 159887 0 0 0 12103 0 3496 0 8241 0 183727 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 ST. MARY'S HOME CLOSED IN DECEMBER 2010. SOUTH WEST AREA MEALS PROGRAM STOPPED PROVIDING MEALS AT THE END OF NOVEMBER 2010. LASTLY, ST. MARY'S ADULT DAY SERVICES CLOSED THE END OF NOVEMBER 2010. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AND APPROVED FOR FILING BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE COVERED BY A CONFLICT OF INTEREST POLICY. THE BOARD REVIEWS POTENTIAL CONFLICTS AND DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS. IF A PERSON HAS A CONFLICT THEY ARE REQUIRED TO ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A COMPENSATION COMMITTEE WHICH USES AN INDEPENDENT CONSULTANT AND VARIOUS SALARY STUDIES WHEN DETERMINING A RECOMMENDATION FOR THE CEO'S COMPENSATION. THE FULL BOARD HAS FINAL APPROVAL FOR THE CEO'S COMPENSATION. THE CONTROLLER'S SALARY IS BASED ON A COMPARATIVE STUDY DONE BY THE CEO, WHO THEN RECOMMENDS AN AMOUNT TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: IN ADDITION TO THE HOURS SERVED AT FRANCISCAN HEALTH COMMUNITY, JOSEPH STANISLAV AND SHEILA BETHKE ALSO PROVIDE 5 HOURS PER WEEK OF SERVICE TO THE FRANCISCAN HEALTH AND HOUSING SERVICES AND 10 HOURS PER WEEK TO THE FRANCISCAN END OF LIFE CARE (OUR LADY OF PEACE HOME). ALL BOARD MEMBERS OF FRANCISCAN HEALTH COMMUNITY ALSO SERVE AS BOARD MEMBERS FOR FRANCISCAN HEALTH AND HOUSING SERVICES AND FRANCISCAN END OF LIFE CARE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 449,114. INTRACOMPANY MANAGEMENT FEES ELIMINATED FOR TAX RETURN 107,068. LOSS ON DISCONTINUED OPERATIONS -1,874,384. TRANSFERS FROM RELATED PARTY 7,631. TOTAL TO FORM 990, PART XI, LINE 5: -1,310,571. RIVERVIEW HIGHLANDS APARTMENTS LLC 1925 NORFOLK AVENUE ST PAUL MN 55116 411306947 SENIOR HOUSING WITH SERVICES MN 661190 2073095 FRANCISCAN HEALTH COMMUNITY FRANCISCAN HEALTH & HOUSING SERVICES 2076 ST ANTHONY AVE ST PAUL MN 55104 411942481 SENIOR HOUSING MN 501(C)(3) 509(A)(2) FRANCISCAN HEALTH COMMUNITY 1 OUR LADY OF PEACE HOME 2076 ST ANTHONY AVE ST PAUL MN 55104 410694708 END OF LIFE CARE MN 501(C)(3) 509(A)(1) FRANCISCAN HEALTH COMMUNITY 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 0 0 OUR LADY OF PEACE HOME N 216187 BOOK VALUE FRANCISCAN HEALTH & HOUSING SERVICES P 426471 BOOK VALUE OUR LADY OF PEACE HOME F 71711 BOOK VALUE