CHISHOLM HEALTH CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHISHOLM HEALTH CENTER (EIN 41-1879639)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-28
- IRS object ID
- 201240889349300979
- 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
- Form 990
- Schedule A
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-28T16:53:25-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONWAY DEUTH & SCHMIESING PLLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 ATLANTIC AVE | AddressLine1 |
| City | MORRIS | City |
| State | MN | State |
| ZIP Code | 562671324 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411879639 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHISHOLM HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIS | NameControl |
| Phone | 2182545765 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 NE 8TH STREET | AddressLine1 |
| City | CHISHOLM | City |
| State | MN | State |
| ZIP Code | 55719 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LUVERNE HOFFMAN | Name |
| Title | PRESIDENT | Title |
| Phone | 2182545765 | Phone |
| Date Signed | 2012-03-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES A GILMAN CPA | Name |
| Phone | 3205892602 | Phone |
| Date Prepared | 2012-03-20 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LUVERNE HOFFMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NEVADA AVE | AddressLine1 |
| City | MORRIS | City |
| State | MN | State |
| ZIP Code | 56267 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6494240 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SFHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | WE ARE COMMITTED TO EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES CHISHOLM HEALTH CENTER AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE TO PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 158 | TotalNbrEmployees |
| Total Nbr Volunteers | 51 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 2198 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6622457 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6441664 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -15511 | InvestmentIncomePriorYear |
| Investment Income Current Year | -798 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 51384 | OtherRevenuePriorYear |
| Other Revenue Current Year | 47896 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6658330 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6490960 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 9557 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 8097 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3593861 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3499380 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2265725 | OtherExpensePriorYear |
| Other Expenses Current Year | 2239665 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5869143 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5747142 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 789187 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 743818 | RevenuesLessExpensesCY |
| Total Assets BOY | 6607762 | TotalAssetsBOY |
| Total Assets EOY | 6265397 | TotalAssetsEOY |
| Total Liabilities BOY | 5092165 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4865982 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1515597 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1399415 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE ARE COMMITTED TO EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES CHISHOLM HEALTH CENTER AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE TO PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5130456 | Expense |
| Grants | 8097 | Grants |
| Revenue | 6490960 | Revenue |
| Description | CHISHOLM HEALTH CENTER IS A 89 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 31,123 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 199 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 91 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 2.9 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. | Description |
| Total Program Service Expense | 5130456 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 158 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT WIKAN | NamePerson |
| Telephone Number | 3205894900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NEVADA AVENUE | AddressLine1 |
| City | MORRIS | City |
| State | MN | State |
| ZIP Code | 56267 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| DON GIESELMANN | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| DAN DRIPPS | ||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| KATIE ERDMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MAGGIE FLETCHER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA SPAULDING | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DOUGLAS WARTNER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ANDY LOPEZ | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KENNY WESTBROCK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KEN KELLER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RANDY SUTTER | ||||||||
| SEC/TREASURE | 1.00 | X | X | 0 | 0 | 0 | ||
| FATHER ROBERT KIEFFER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KAREN FOLKMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LUVERNE HOFFMAN | ||||||||
| PRES/CEO | 1.00 | X | 0 | 191109 | 43508 | |||
| CAROL RAW | ||||||||
| VICE PRES | X | 0 | 142263 | 18482 | ||||
| DENNIS LINDOR | ||||||||
| VP BEHAV SVC | X | 0 | 93410 | 14191 | ||||
| ROBERT WIKAN | ||||||||
| CFO DEC-PRES | X | 0 | 1923 | 0 | ||||
| JUNE SCHELDE | ||||||||
| ADMIN - GAHR | 0 | 110569 | 17321 | X | ||||
| SCOTT JACKSON | ||||||||
| DIRECTOR OF | 0 | 107218 | 9780 | X | ||||
| ROBERT DAHL | ||||||||
| ADMIN - FHC/ | 0 | 101761 | 13221 | X | ||||
| ROBERT BUTTERFIELD | ||||||||
| CFO JULY-JAN | X | 0 | 106250 | 16522 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 854503 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 133025 | TotalOtherCompensation |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ST FRANCIS HEALTH SERVICES | |||||
| 801 NEVADA AVE | MORRIS | MN | 56267 | MANAGEMENT FEES | 1789956 |
| UPPER LAKES FOOD | |||||
| 801 INDUSTRY AVE | CLOQUET | MN | 55720 | FOOD SUPPLY | 208186 |
| ELIM PREFERRED SERVICES | |||||
| 2820 VICKSBURG LANE | PLYMOUTH | MN | 55447 | NURSING SUPPLY | 143969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 2198 | AllOtherContributions |
| Total Contributions | 2198 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Total Revenue Column | 6441664 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6441664 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6441664 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 984 | TotalRevenueColumn |
| Exclusion | $984 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1782 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1782 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1782 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1782 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 2726 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 1498 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1228 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| APARTMENT RENTAL | 33835 | 33835 |
| GUEST, EMPLOYEE & APT MEALS | 10177 | 10177 |
| VENDING MACHINE | 2287 | 2287 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 369 | TotalRevenueColumn |
| Related Or Exempt Function Income | 369 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 46668 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6490960 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6486550 | RelatedOrExemptFunctionIncome |
| Exclusion | $984 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8097 | Total |
| Program Services | 8097 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2954712 | Total |
| Program Services | 2884094 | ProgramServices |
| Management And General | 70618 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85237 | Total |
| Program Services | 83200 | ProgramServices |
| Management And General | 2037 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245021 | Total |
| Program Services | 239021 | ProgramServices |
| Management And General | 6000 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214410 | Total |
| Program Services | 209286 | ProgramServices |
| Management And General | 5124 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358600 | Total |
| Management And General | 358600 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276 | Total |
| Management And General | 276 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6110 | Total |
| Management And General | 6110 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32 | Total |
| Management And General | 32 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9393 | Total |
| Management And General | 9393 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21990 | Total |
| Management And General | 21990 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150400 | Total |
| Program Services | 150400 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3295 | Total |
| Management And General | 3295 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3638 | Total |
| Program Services | 1723 | ProgramServices |
| Management And General | 1915 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186044 | Total |
| Program Services | 186044 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301392 | Total |
| Program Services | 301392 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49859 | Total |
| Management And General | 49859 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 459918 | 459918 | |
| MEDICAL SURCHARGE | 255237 | 255237 | |
| MEDICAL PROF. FEES | 197429 | 149355 | 48074 |
| CONSULTING | 87650 | 87650 | |
| REPAIRS & MAINTENANCE | 47857 | 47857 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100545 | Total |
| Program Services | 67182 | ProgramServices |
| Management And General | 33363 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5747142 | Total |
| Program Services | 5130456 | ProgramServices |
| Management And General | 616686 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1010543 | BOY |
| EOY | 1006334 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626501 | BOY |
| EOY | 552329 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53094 | BOY |
| EOY | 35069 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7374770 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2818637 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4792895 | BOY |
| EOY | 4556133 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124729 | BOY |
| EOY | 115532 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6607762 | BOY |
| EOY | 6265397 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 513485 | BOY |
| EOY | 475751 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4565913 | BOY |
| EOY | 4280529 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12767 | BOY |
| EOY | 9702 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 100000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5092165 | BOY |
| EOY | 4865982 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1515597 | BOY |
| EOY | 1399415 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1515597 | BOY |
| EOY | 1399415 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6607762 | BOY |
| EOY | 6265397 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 743818 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -860000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1690 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 500 | CurrentTaxYearMinus3Years |
| Current Tax Year | 2198 | CurrentTaxYear |
| Total | 4388 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6139661 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6167190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6600929 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6675129 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6491058 | CurrentTaxYear |
| Total | 32073967 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6141351 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6167690 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6600929 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6675129 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6493256 | CurrentTaxYear |
| Total | 32078355 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 226334 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 255065 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 163875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 353316 | CurrentTaxYearMinus1Year |
| Current Tax Year | 290457 | CurrentTaxYear |
| Total | 1289047 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 226334 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 255065 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 163875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 353316 | CurrentTaxYearMinus1Year |
| Current Tax Year | 290457 | CurrentTaxYear |
| Total | 1289047 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 30789308 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 69195 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31416 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4568 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2472 | CurrentTaxYearMinus1Year |
| Current Tax Year | 984 | CurrentTaxYear |
| Total | 108635 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 69195 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31416 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4568 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2472 | CurrentTaxYearMinus1Year |
| Current Tax Year | 984 | CurrentTaxYear |
| Total | 108635 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6210546 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6199106 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6605497 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6677601 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6494240 | CurrentTaxYear |
| Total | 32186990 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95660 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95710 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | true | AgentTrusteeEtc |
| Beginning Balance | 12767 | BeginningBalance |
| Additions During Year | 33177 | AdditionsDuringYear |
| Distributions During Year | -36242 | DistributionsDuringYear |
| Ending Balance | 9702 | EndingBalance |
| Included On FS | true | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10000 | OtherCostOrOtherBasis |
| Book Value | 10000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6919735 | OtherCostOrOtherBasis |
| Depreciation | 2476815 | Depreciation |
| Book Value | 4442920 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 445035 | OtherCostOrOtherBasis |
| Depreciation | 341822 | Depreciation |
| Book Value | 103213 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4556133 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO RELATED PARTY | Description |
| Amount | $100,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 100000 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION FOR UNREPORTED CONTRIBUTIONS OR ASSETS | SCHEDULE D, PAGE 2, PART IV, LINE 1B | THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. |
| ESCROW LIABILITY ARRANGEMENT EXPLANATION | SCHEDULE D, PAGE 2, PART IV, LINE 2B | THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIP | TypeOfGrant |
| Number Of Recipients | 6 | NumberOfRecipients |
| Amount Of Cash Grant | 8097 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|
| LUVERNE HOFFMAN | |||
| 191109 | 26055 | 17453 | 234617 |
| CAROL RAW | |||
| 142263 | 7113 | 11369 | 160745 |
| ROBERT BUTTERFIELD | |||
| 106250 | 5312 | 11210 | 122772 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREMER BANK | BusinessNameLine1 |
| Business Name Line2 | HCF REV NOTE 2009A | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 416005047 | IssuerEIN |
| Date Issued | 2009-10-21 | DateIssued |
| Issue Price | 1143804 | IssuePrice |
| Description Of Purpose | REFINANCING TAXABLE | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | false | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | false | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PURPOSE OF ISSUE DESCRIPTION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | BREMER BANK INDEBTEDNESS INCURRED TO FINANCE GENERAL REMODELING INFRASTRUCTURE IMPROVEMENTS AND WINDOW REPLACEMENT AT CHC | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MARK HOFFMAN | |||
| FAMILY TO | 48061 | EMPLOYED IN | false |
| (no name) | |||
| LUVERNE HOFFMAN | MAINTENANCE | false | |
| (no name) | |||
| PRES & CEO | false | ||
| ELIZABETH RAW | |||
| DAUGHTER TO | 18945 | EMPLOYED AS AN | false |
| (no name) | |||
| CAROL RAW | ADMINISTRATOR | false | |
| (no name) | |||
| VICE PRESIDENT | false | ||
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | DURING THE YEAR THE ORGANIZATION MAY EMPLOYEE INDIVIDUALS WHO MAY BE RELATED TO AN OFFICER DIRECTOR TRUSTEE OR KEY EMPLOYEE PAYMENTS FOR SERVICES WOULD BE MADE ACCORDING TO EMPLOYMENT POLICY AND DONE AT ARMS LENGTH DUE TO THE RURAL LOCATION OF THE ORGANIZATION AND THE NEED TO FIND QUALIFIED STAFF THESE EMPLOYMENT RELATIONSHIPS WOULD BE NECESSARY TO FURTHER THE ORGANIZATIONS EXEMPT PURPOSE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | WE ARE COMMITTED TO EXPRESS CHRIST'S MESSAGE OF LOVE AND HOPE BY PROVIDING FOR HEALTH, RESIDENTIAL, COMMUNITY, AND ALLIED SERVICES IN A HOLISTIC, COMPETENT, AND CARING MANNER THAT RECOGNIZES THE VALUE AND DIGNITY IN EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES CHISHOLM HEALTH CENTER AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE AGREE TO PROMOTE THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. |
| FIRST ACHIEVEMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION WITH COMMON CONTROL) MANAGES THE FACILITY. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION IS ORGANIZED WITH MEMBERS. THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THE BOARD OF DIRECTORS OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC REVIEWS THE TAX RETURN AS PART OF THE MANAGEMENT SERVICES. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY THE ORGANIZATION CONDUCTS IN-SERVICE TRAINING REVIEWING THE POLICY ON CONFLICTS OF INTEREST AND REQUIRES THE BOARD MEMBERS, MANAGEMENT STAFF, AND KEY EMPLOYEES TO DISCLOSE CONFLICTS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO AND OFFICERS ARE EMPLOYEES OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION AND UNDER COMMON CONTROL). THE COMPENSATION PROCESS FOR THE CEO - ANNUALLY THE HR DIRECTOR SUBMITS THE CEO'S JOB DESCRIPTION, PERFORMANCE EVALUATION FORM, ST. FRANCIS HEALTH SERVICES OF MORRIS, INC'S PAY GRADE SCHEDULE AND COMPARABLE WAGE SURVEY(S) TO THE CHAIRMAN OF THE BOARD. THE CHAIRMAN AND THE EVALUATION COMMITTEE OF THE BOARD REVIEWS THE PERFORMANCE AND DETERMINES THE SALARY OF THE CEO. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO AND OFFICERS ARE EMPLOYEES OF ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION AND UNDER COMMON CONTROL). THE COMPENSATION PROCESS FOR OFFICERS - CEO AND THE HR DIRECTOR REVIEWS COMPARABLE WAGE SURVEY INFORMATION, REVIEWS PERFORMANCE (WITH INPUT FROM THE VP, IF APPROPRIATE) AND DETERMINES SALARY. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON AN AS REQUESTED BASIS. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, PART VII | ST. 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AITKIN HEALTH SERVICES | |||||||||||
| 301 MINNESOTA AVENUE | AITKIN | MN | 56431 | 203367397 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| BROWNS VALLEY HEALTH CENTER | |||||||||||
| RR 1 BOX 182D SOUTH JEFFERSON | BROWNS VALLEY | MN | 56219 | 411668347 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| FRANCISCAN HEALTH CENTER | |||||||||||
| 3910 MINNESOTA AVENUE | DULUTH | MN | 55802 | 411799268 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| FARMINGTON HEALTH SERVICES | |||||||||||
| 3410 23RD STREET W | FARMINGTON | MN | 55024 | 200100365 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| GUARDIAN ANGELS HEALTH & REHAB CENT | |||||||||||
| 1500 3RD AVENUE E | HIBBING | MN | 55746 | 411810369 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| PRAIRIE COMMUNITY SERVICES | |||||||||||
| 801 NEVADA AVENUE | MORRIS | MN | 56267 | 411598442 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| PENNINGTON HEALTH SERVICES | |||||||||||
| 130 LABREE AVENUE S | THIEF RIVER FALLS | MN | 56701 | 205617275 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| RENVILLE HEALTH SERVICES | |||||||||||
| 205 SE ELM AVENUE | RENVILLE | MN | 56284 | 202581924 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| ST FRANCIS HEALTH SERVICES (SFHS) | |||||||||||
| 801 NEVADA AVENUE | MORRIS | MN | 56267 | 411484416 | MGMT COMP | MN | 501C3 | 9 | false | N/A | |
| VIEWCREST HEALTH CENTER | |||||||||||
| 3111 CHURCH PLACE | DULUTH | MN | 55811 | 411843283 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| WEST WIND VILLAGE | |||||||||||
| 1001 SCOTT AVENUE | MORRIS | MN | 56267 | 237625632 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| ZUMBROTA HEALTH SERVICES | |||||||||||
| 433 MILL STREET | ZUMBROTA | MN | 55992 | 510487275 | CAREGIVER | MN | 501C3 | 9 | SFHS | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST FRANCIS HEALTH SERVICES OF MORR | ||
| L | 358600 | CASH PAID OR ACCRUED |
| ST FRANCIS HEALTH SERVICES OF MORR | ||
| Q | 860000 | CASH TRANSFERRED |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | ST FRANCIS HEALTH SERVICES OF MORRIS INC HAS GUARANTEED EXISTING LOANS OF 4280529 AS SHOWN IN FORM 990 PART X LINE 20 THERE WERE NO NEW LOAN GUARANTEES DURING THE FISCAL YEAR | Explanation |
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