CHISHOLM HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CHISHOLM HEALTH CENTER (EIN 41-1879639)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2010-12-28
IRS object ID: 201130129349300603
Schema version: 2009v1.3
Source: Download XML · Original 990 at ProPublica

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

Return header
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	2010-12-28T16:23:59-06:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	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	CEO	Title
Phone	2182545765	Phone
Date Signed	2010-12-28	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	2010-12-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	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	6677601	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	171	TotalNbrEmployees
Total Nbr Volunteers	29	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6600929	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6622457	ProgramServiceRevenueCY
Investment Income Prior Year	4568	InvestmentIncomePriorYear
Investment Income Current Year	-15511	InvestmentIncomeCurrentYear
Other Revenue Prior Year	50788	OtherRevenuePriorYear
Other Revenue Current Year	51384	OtherRevenueCurrentYear
Total Revenue Prior Year	6656285	TotalRevenuePriorYear
Total Revenue Current Year	6658330	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5217	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9557	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3632806	SalariesEtcPriorYear
Salaries Etc Current Year	3593861	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2273282	OtherExpensePriorYear
Other Expenses Current Year	2265725	OtherExpensesCurrentYear
Total Expenses Prior Year	5911305	TotalExpensesPriorYear
Total Expenses Current Year	5869143	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	744980	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	789187	RevenuesLessExpensesCY
Total Assets BOY	6753840	TotalAssetsBOY
Total Assets EOY	6607762	TotalAssetsEOY
Total Liabilities BOY	5357430	TotalLiabilitiesBOY
Total Liabilities EOY	5092165	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1396410	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1515597	NetAssetsOrFundBalancesEOY
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	5254495	Expense
Grants	9557	Grants
Revenue	6658330	Revenue
Description	CHISHOLM HEALTH CENTER IS A 94 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 33,890 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 174 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 97 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 3.0 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE VERY LIMITED.	Description
Total Program Service Expense	5254495	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	14	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	171	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
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 BUTTERFIELD	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)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (22 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
DON GIESELMANN
CHAIR	1.00	X	X	0	0	0
GERALD LOHER
VICE CHAIR	1.00	X	X	0	0	0
DAN DRIPPS
SEC/TREAS	1.00	X	X	0	0	0
KATIE ERDMAN
TRUSTEE	1.00	X		0	0	0
FLOYD SCHMIDGALL
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
TRUSTEE	1.00	X		0	0	0
REV TIM BALTES
TRUSTEE	1.00	X		0	0	0
KAREN FOLKMAN
TRUSTEE	1.00	X		0	0	0
LUVERNE HOFFMAN
PRES/CEO	1.00		X	0	221968	16500
CAROL RAW
VICE PRES			X	0	169405	0
DENNIS LINDOR
VP BEHAV SVC			X	0	116913	0
ROBERT BUTTERFIELD
DIRECTOR OF			X	0	114418	0
JUNE SCHELDE
ADMIN - GAHR				0	131017	0	X
SCOTT JACKSON
DIRECTOR OF				0	120372	0	X
ROBERT DAHL
ADMIN - FHC/				0	112316	0	X
RICHARD LUDWIG
ADMIN - FHS				0	108890	0	X
LEAH NELSON
DIRECTOROF P				0	104881	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp Frm Rltd Orgs	1200180	TotalReportableCompFrmRltdOrgs
Total Other Compensation	16500	TotalOtherCompensation
Number Individuals GT100 K	9	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ST FRANCIS HEALTH SERVICES	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

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)
Description Of Services	MANAGEMENT FEES	DescriptionOfServices
Compensation	300600	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Total Revenue Column	6622457	TotalRevenueColumn
Related Or Exempt Function Income	6622457	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6622457	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2472	TotalRevenueColumn
Exclusion	$2,472	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	17983	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-17983	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-17983	TotalRevenueColumn
Related Or Exempt Function Income	-17983	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	2474	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	1288	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	1186	TotalRevenueColumn
Related Or Exempt Function Income	1186	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
APARTMENT RENTAL	34978	34978
GUEST, EMPLOYEE & APT MEALS	12742	12742
VENDING MACHINE	2478	2478

Field	Value	IRS element (for citing)
Total Other Revenue	50198	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6658330	TotalRevenueColumn
Related Or Exempt Function Income	6655858	RelatedOrExemptFunctionIncome
Exclusion	$2,472	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	9557	Total
Program Services	9557	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3013424	Total
Program Services	2941403	ProgramServices
Management And General	72021	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	86786	Total
Program Services	84712	ProgramServices
Management And General	2074	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	264167	Total
Program Services	257853	ProgramServices
Management And General	6314	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	229484	Total
Program Services	223999	ProgramServices
Management And General	5485	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	341800	Total
Management And General	341800	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	320	Total
Management And General	320	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6196	Total
Management And General	6196	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8539	Total
Management And General	8539	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	20495	Total
Management And General	20495	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	133296	Total
Program Services	133296	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	2764	Total
Management And General	2764	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3644	Total
Program Services	1726	ProgramServices
Management And General	1918	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	199622	Total
Program Services	199622	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	326212	Total
Program Services	326212	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	57444	Total
Management And General	57444	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL PROF. FEES	264792	212942	51850
MEDICAL SURCHARGE	264610	264610
SUPPLIES	240194	240194
FOOD	233967	233967
REPAIRS & MAINTENANCE	48717	48717

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	113113	Total
Program Services	75685	ProgramServices
Management And General	37428	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5869143	Total
Program Services	5254495	ProgramServices
Management And General	614648	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	732098	BOY
EOY	1010543	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	754476	BOY
EOY	626501	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	100586	BOY
EOY	53094	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7320135	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2527240	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5065028	BOY
EOY	4792895	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	101652	BOY
EOY	124729	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6753840	BOY
EOY	6607762	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	524636	BOY
EOY	513485	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3684537	BOY
EOY	4565913	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	15367	BOY
EOY	12767	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1132165	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	725	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5357430	BOY
EOY	5092165	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1396410	BOY
EOY	1515597	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1396410	BOY
EOY	1515597	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6753840	BOY
EOY	6607762	EOY

Field	Value	IRS element (for citing)
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 Minus3 Years	1690	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	500	CurrentTaxYearMinus2Years
Total	2190	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6061756	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6139661	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6167190	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6600929	CurrentTaxYearMinus1Year
Current Tax Year	6675129	CurrentTaxYear
Total	31644665	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6061756	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6141351	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6167690	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6600929	CurrentTaxYearMinus1Year
Current Tax Year	6675129	CurrentTaxYear
Total	31646855	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	188376	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	226334	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	255065	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	163875	CurrentTaxYearMinus1Year
Current Tax Year	353316	CurrentTaxYear
Total	1186966	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	188376	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	226334	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	255065	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	163875	CurrentTaxYearMinus1Year
Current Tax Year	353316	CurrentTaxYear
Total	1186966	Total

Field	Value	IRS element (for citing)
Public Support Total509	30459889	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	71249	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	69195	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31416	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4568	CurrentTaxYearMinus1Year
Current Tax Year	2472	CurrentTaxYear
Total	178900	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	71249	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	69195	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31416	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4568	CurrentTaxYearMinus1Year
Current Tax Year	2472	CurrentTaxYear
Total	178900	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6133005	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6210546	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6199106	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6605497	CurrentTaxYearMinus1Year
Current Tax Year	6677601	CurrentTaxYear
Total	31825755	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.95710	PublicSupportPercentage509
Prior Year Support Percentage	0.96560	PriorYearSupportPercentage
Investment Income Percentage	0.01000	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	15367	BeginningBalance
Additions During Year	36920	AdditionsDuringYear
Distributions During Year	39520	DistributionsDuringYear
Ending Balance	12767	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	6880662	OtherCostOrOtherBasis
Depreciation	2232231	Depreciation
Book Value	4648431	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	429473	OtherCostOrOtherBasis
Depreciation	295009	Depreciation
Book Value	134464	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4792895	TotalOfBookValueLandBuildings

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	7	NumberOfRecipients
Amount Of Cash Grant	9557	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 (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs
LUVERNE HOFFMAN
196748	25220	16500	238468
CAROL RAW
150494	18911		169405

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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	1118679	TotalProceeds
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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MARK HOFFMAN
FAMILY TO	51630	EMPLOYED IN	false
(no name)
LUVERNE HOFFMAN		MAINTENANCE	false
(no name)
PRES & CEO			false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 11	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
PURPOSE OF ISSUE DESCRIPTION	SCHEDULE K	BREMER BANK INFRASTRUCTURE IMPROVEMENTS AND WINDOW REPLACEMENT AT CHC
ADDITIONAL INFORMATION	SCHEDULE R	ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED EXISTING LOANS OF 4,565,913 AS SHOWN IN FORM 990, PART X, LINE 20. THERE WAS ALSO A NEW LOAN GUARANTEE BY ST. FRANCIS HEALTH SERVICES OF MORRIS, INC DURING THIS FISCAL YEAR IN THE AMOUNT OF 1,118,679 AS INCLUDED IN FORM 990, PART X, LINE 20.
ADDITIONAL INFORMATION	SCHEDULE O	FORM 990, PART VI, LINE 2 ADDITIONAL INFORMATION DURING 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 ORGANIZATION'S EXEMPT PURPOSE.

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	Direct Controlling Entity NADirectControllingEntityNA
AITKIN HEALTH SERVICES
301 MINNESOTA AVENUE	AITKIN	MN	56431	203367397	CAREGIVER	MN	501	9	SFHS
BROWNS VALLEY HEALTH CENTER
RR 1 BOX 182D SOUTH JEFFERSON	BROWNS VALLEY	MN	56219	411668347	CAREGIVER	MN	501	9	SFHS
FRANCISCAN HEALTH CENTER
3910 MINNESOTA AVENUE	DULUTH	MN	55802	411799268	CAREGIVER	MN	501	9	SFHS
FARMINGTON HEALTH SERVICES
3410 23RD STREET W	FARMINGTON	MN	55024	200100365	CAREGIVER	MN	501	9	SFHS
GUARDIAN ANGELS HEALTH & REHAB CENT
1500 3RD AVENUE E	HIBBING	MN	55746	411810369	CAREGIVER	MN	501	9	SFHS
PRAIRIE COMMUNITY SERVICES
801 NEVADA AVENUE	MORRIS	MN	56267	411598442	CAREGIVER	MN	501	9	SFHS
PENNINGTON HEALTH SERVICES
130 LABREE AVENUE S	THIEF RIVER FALLS	MN	56701	205617275	CAREGIVER	MN	501	9	SFHS
RENVILLE HEALTH SERVICES
205 SE ELM AVENUE	RENVILLE	MN	56284	202581924	CAREGIVER	MN	501	9	SFHS
ST FRANCIS HEALTH SERVICES (SFHS)
801 NEVADA AVENUE	MORRIS	MN	56267	411484416	MGMT COMP	MN	501	9		N/A
VIEWCREST HEALTH CENTER
3111 CHURCH PLACE	DULUTH	MN	55811	411843283	CAREGIVER	MN	501	9	SFHS
WEST WIND VILLAGE
1001 SCOTT AVENUE	MORRIS	MN	56267	237625632	CAREGIVER	MN	501	9	SFHS
ZUMBROTA HEALTH SERVICES
433 MILL STREET	ZUMBROTA	MN	55992	510487275	CAREGIVER	MN	501	9	SFHS

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	true	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 (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ST FRANCIS HEALTH SERVICES OF MORR
L	341800
ST FRANCIS HEALTH SERVICES OF MORR
Q	670000
ST FRANCIS HEALTH SERVICES OF MORR
E	1118679