AITKIN HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AITKIN HEALTH SERVICES (EIN 20-3367397)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-20
IRS object ID
201233559349300908
Schema version
2011v1.2
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)
Timestamp2012-12-20T15:06:49-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-12-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A GILMAN CPAName
Phone3205892602Phone
Date Prepared2012-12-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts3565527GrossReceipts
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 Employees99TotalNbrEmployees
Total Nbr Volunteers216TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year323ContributionsGrantsPriorYear
Contributions Grants Current Year200ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3870497ProgramServiceRevenuePriorYear
Program Service Revenue CY3558411ProgramServiceRevenueCY
Investment Income Prior Year-392InvestmentIncomePriorYear
Investment Income Current Year-1339InvestmentIncomeCurrentYear
Other Revenue Prior Year3293OtherRevenuePriorYear
Other Revenue Current Year4961OtherRevenueCurrentYear
Total Revenue Prior Year3873721TotalRevenuePriorYear
Total Revenue Current Year3562233TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1798352SalariesEtcPriorYear
Salaries Etc Current Year1863852SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1855TotalFundrsngExpCurrentYear
Other Expense Prior Year1891234OtherExpensePriorYear
Other Expenses Current Year1870178OtherExpensesCurrentYear
Total Expenses Prior Year3690086TotalExpensesPriorYear
Total Expenses Current Year3734030TotalExpensesCurrentYear
Revenues Less Expenses Prior Year183635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-171797RevenuesLessExpensesCY
Total Assets BOY7189251TotalAssetsBOY
Total Assets EOY7005849TotalAssetsEOY
Total Liabilities BOY6008355TotalLiabilitiesBOY
Total Liabilities EOY5996750TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1180896NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1009099NetAssetsOrFundBalancesEOY
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
Expense3381576Expense
Revenue3565527Revenue
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 14,994 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 110 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 Expense3381576TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees99NumberOfEmployees
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
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 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
TRUSTEE1.00X000
KEN KELLER
TRUSTEE1.00X000
RANDY SUTTER
SEC/TREASURE1.00XX000
FATHER ROBERT KIEFFER
TRUSTEE1.00X000
ROSE MURPHY
TRUSTEE1.00X000
NEIL SCHMIDGALL
TRUSTEEX000
LUVERNE HOFFMAN
PRES/CEO1.00X020801723442
CAROL RAW
VP SENIOR SVX014655014696
ROBERT WIKAN
CFO - DEC TO1.00X01080235481
DENNIS LINDOR
VP BEHAV SVCX09087614783
SHERRY WAGNER
CFO-MARCH TO1.00X0720583802
JUNE SCHELDE
ADMIN - GAHR011558815084X
SCOTT JACKSON
DIRECTOR OF01074656870X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs848577TotalReportableCompFrmRltdOrgs
Total Other Compensation84158TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HEALTH SERVICES OF MORRIBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 NEVADA AVEAddressLine1
CityMORRISCity
StateMNState
ZIP Code56267ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADV, MGMT FEESDescriptionOfServices
Compensation159600Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions200AllOtherContributions
Total Contributions200TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVENUE35523283552328
MEAL REVENUE60836083
FieldValueIRS element (for citing)
Total Program Service Revenue3558411TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column261TotalRevenueColumn
Exclusion$261ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1600Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1600Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1600TotalRevenueColumn
Related Or Exempt Function Income-1600RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events4627GrossIncomeFundraisingEvents
Fundraising Direct Expenses1694FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column2933TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS16281628
RENTAL400400
FieldValueIRS element (for citing)
Total Other Revenue2028TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3562233TotalRevenueColumn
Related Or Exempt Function Income3558839RelatedOrExemptFunctionIncome
Exclusion$261ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1545857Total
Program Services1489588ProgramServices
Management And General56269ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total51424Total
Program Services49552ProgramServices
Management And General1872ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total153542Total
Program Services147953ProgramServices
Management And General5589ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total113029Total
Program Services108915ProgramServices
Management And General4114ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total159600Total
Management And General159600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16325Total
Management And General16325ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6260Total
Management And General6260ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10753Total
Management And General10753ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9669Total
Management And General9669ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total121839Total
Program Services121839ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9452Total
Management And General9452ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total422Total
Program Services324ProgramServices
Management And General98ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total283788Total
Program Services283788ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total299108Total
Program Services299108ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total37383Total
Program Services16882ProgramServices
Management And General20501ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL PROFESSIONAL FEES286340286340
SUPPLIES222356222356
SURCHARGE EXPENSE135120135120
PURCHASED SERVICES106513105840673

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total165250Total
Program Services113971ProgramServices
Management And General49424ManagementAndGeneral
Fundraising1855Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3734030Total
Program Services3381576ProgramServices
Management And General350599ManagementAndGeneral
Fundraising1855Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY372746BOY
EOY281284EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY401118BOY
EOY376252EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32417BOY
EOY17900EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7058045LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec934250LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6315967BOY
EOY6123795EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY67003BOY
EOY206618EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7189251BOY
EOY7005849EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY245884BOY
EOY273922EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY5692410EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY15612BOY
EOY7932EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4980458BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY766401BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY22486EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6008355BOY
EOY5996750EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1180896BOY
EOY1009099EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1180896BOY
EOY1009099EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7189251BOY
EOY7005849EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-171797ReconcilationRevenueExpenses
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 Years1600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5419CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year323CurrentTaxYearMinus1Year
Current Tax Year200CurrentTaxYear
Total15096Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2860576CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2844055CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3742652CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3874385CurrentTaxYearMinus1Year
Current Tax Year3565066CurrentTaxYear
Total16886734Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2862176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2849474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3750206CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3874708CurrentTaxYearMinus1Year
Current Tax Year3565266CurrentTaxYear
Total16901830Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1134196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1259594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1413313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1184469CurrentTaxYearMinus1Year
Current Tax Year1395950CurrentTaxYear
Total6387522Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1134196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1259594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1413313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1184469CurrentTaxYearMinus1Year
Current Tax Year1395950CurrentTaxYear
Total6387522Total
FieldValueIRS element (for citing)
Public Support Total50910514308PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7999CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years578CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24CurrentTaxYearMinus1Year
Current Tax Year261CurrentTaxYear
Total9105Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7999CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years578CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24CurrentTaxYearMinus1Year
Current Tax Year261CurrentTaxYear
Total9105Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2870175CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2850052CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3750449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3874732CurrentTaxYearMinus1Year
Current Tax Year3565527CurrentTaxYear
Total16910935Total
FieldValueIRS element (for citing)
Public Support Percentage5090.62170PublicSupportPercentage509
Prior Year Support Percentage0.61580PriorYearSupportPercentage
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 Balance15612BeginningBalance
Additions During Year26801AdditionsDuringYear
Distributions During Year-34481DistributionsDuringYear
Ending Balance7932EndingBalance
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 Basis6807401OtherCostOrOtherBasis
Depreciation814906Depreciation
Book Value5992495BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis214289OtherCostOrOtherBasis
Depreciation119066Depreciation
Book Value95223BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11355OtherCostOrOtherBasis
Depreciation278Depreciation
Book Value11077BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6123795TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$22,486Amount
FieldValueIRS element (for citing)
Total Of Amounts22486TotalOfAmounts

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 (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
LUVERNE HOFFMAN
208017964113801231459
CAROL RAW
14655074617235161246

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindfalseAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARK HOFFMAN
FAMILY TO54006EMPLOYED INfalse
(no name)
LUVERNE HOFFMANMAINTENANCEfalse
(no name)
PRES & CEOfalse
ELIZABETH LETICH
DAUGHTER OF64272EMPLOYED ASfalse
(no name)
CAROL RAW, VICEADMINISTRATORfalse
(no name)
PRESIDENTfalse
ANDREW RAW
SON OF26945EMPLOYED INfalse
(no name)
CAROL RAWMAINTENANCEfalse
(no name)
VICE 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 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.
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 OrgtrueLoansOrGuaranteesFromOtherOrg
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST FRANCIS HEALTH SERVICES OF MORR
L159600AMOUNT PAID OR ACCRUED
ST FRANCIS HEALTH SERVICES OF MORR
E5870000AMOUNT 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 5692410 INCLUDED ON FORM 990 PART X LINE 24 THERE WERE WAS ONE NEW LOAN GUARANTEE DURING THIS FISCAL YEAR IN THE AMOUNT OF 5870000 THE ORGANIZATION ALSO HAS PAID 4659 IN INTEREST TO ST FRANCIS HEALTH SERIVCES OR MORRIS INCExplanation

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