2021-02-15T15:33:19-06:00 2020-09-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2019-10-01 202581924 RENVILLE HEALTH SERVICES RENV 3205894902 205 SE ELM AVE RENVILLE MN 56284 WILLIAM MONCRIEF CFO 3205894902 2021-02-09 true KELLY M DEMUTH P00947751 3205892602 2021-02-09 2019 2022-09-23 18:48:47Z CAROL RAW 801 NEVADA AVENUE MORRIS MN 56267 7449017 false X WWW.SFHS.ORG X 2005 MN WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES RENVILLE HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. 13 13 178 17 44750 200 361131 1693158 6879566 60 356 46887 207964 1740305 7449017 4379 6347 0 1008733 4158644 0 998 696110 3084126 1709222 7249117 31083 199900 8270349 8205566 6886677 6709951 1383672 1495615 X WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES RENVILLE HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. false false 6305422 6347 7449017 RENVILLE HEALTH SERVICES CONSISTS OF A 55 BED SKILLED NURSING FACILITY AND TWO INDEPENDENT/ASSISTED LIVING CENTERS WITH 72 UNITS IN RURUAL 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 15,884 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 91 PATIENTS IN THE NURSING HOME AND PROVIDED HOUSING FOR MORE THAN 72 TENANTS AT THE INDEPENDENT/ASSISTED LIVING CENTER. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 82 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 3.3 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE LIMITED. MANAGEMENT SERVICES PROVIDED TO RELATED ORGANIZATIONS IN SUPPORT OF EACH ORGANIZATION'S EXEMPT PURPOSE. 6305422 true false false false false false false false true false true false false false true false false true false false false false false false false false false false true true true false false false false false false false false true false false false false false false true false false false true 18 0 true 178 true true true false false false false false false false X 13 13 false true false false true false false true true false false false true true true true true true true false MN X WILLIAM MONCRIEF 3205894902 801 NEVADA AVENUE SUITE 100 MORRIS MN 56267 CAROL RAW PRES/CEO 1.00 39.00 X 0 233705 27403 GEOFFREY RYAN SEN SVC REG 1.00 39.00 X 0 148400 19131 SCOT ALLEN VP SENIOR SE 1.00 39.00 X 0 133910 22413 SHANE ROCHE ADMINISTRATO 0.00 40.00 X 0 125079 25850 PRISCILLA SCHILLING DIRECTOR OF 1.00 39.00 X 0 130784 18247 CHAD MEYER VP BEH DEV S 1.00 39.00 X 0 124368 21026 LUCAS KOEHNTOP IT DIRECTOR 1.00 39.00 X 0 115899 25698 WILLIAM MONCRIEF CFO 1.00 39.00 X 0 119715 17696 KEITH DAVIDSON DIRECTOR 1.00 14.00 X 0 0 0 DANIEL DRIPPS DIRECTOR 1.00 14.00 X 0 0 0 VIVIAN HELTEMES DIRECTOR 1.00 14.00 X 0 0 0 PAUL LETENDRE DIRECTOR 1.00 14.00 X 0 0 0 ELIZABETH MEICHSNER DIRECTOR 1.00 14.00 X 0 0 0 PATRICK NELSON DIRECTOR 1.00 14.00 X 0 0 0 CARLA RILEY VICE CHAIR 1.00 14.00 X X 0 0 0 REV TODD SCHNEIDER DIRECTOR 1.00 14.00 X 0 0 0 TAMELA SPERR DIRECTOR 1.00 14.00 X 0 0 0 ALYSSA THOOFT CHAIR 1.00 14.00 X X 0 0 0 MONSERRAT VAZQUEZ DIRECTOR 1.00 14.00 X 0 0 0 KENNETH WESTBROCK DIRECTOR 1.00 14.00 X 0 0 0 LORRAINE WIESE SECR. / TRE 1.00 14.00 X X 0 0 0 1131860 177464 false true false ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 MGMT FEES & OTH 411141 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY 341969 2 357201 3930 361131 RESIDENT SERVICE REVENUE 6834816 6834816 MANAGEMENT AGENT 561000 44750 44750 6879566 356 356 2655 2655 2655 MEALS 157407 157407 RENTAL 47383 47383 OTHER 519 519 205309 7449017 7040125 44750 3011 6347 6347 3148327 2737742 410585 105260 91533 13727 523100 454881 68219 381957 332145 49812 213000 213000 6105 6105 8925 8925 9721 9532 189 33612 33612 242458 242458 12603 12603 8006 6850 1156 194178 194178 465901 465901 58149 42428 15721 SUPPLIES 508331 508331 MEDICAL PROFESSIONAL FEES 303500 303500 COVID EXPENSES 222233 222233 PURCHASED SERVICES 200058 200058 597346 496837 99700 809 7249117 6305422 942697 998 529266 793047 592582 548979 11279 23241 11617100 4848039 7059760 6769061 77462 71238 8270349 8205566 471186 734092 76439 4321586 3878859 36680 48411 2033443 1944241 23782 27909 6886677 6709951 X 1383672 1495615 1383672 1495615 8270349 8205566 X 199900 -87957 X false true X true false X 2678 26467 5443 13329 361131 409048 5263940 5614580 5372173 6972997 7040125 30263815 5266618 5641047 5377616 6986326 7401256 30672863 1461995 1023603 1223073 898770 1094544 5701985 1461995 1023603 1223073 898770 1094544 5701985 24970878 21 1154 99 481 356 2111 21 1154 99 481 356 2111 614 2281 2895 5267253 5642201 5379996 6986807 7401612 30677869 0.81400 0.80000 0.00000 0.00000 X true 36680 38576 26845 48411 true X 223539 223539 10548487 4201807 6346680 721901 529969 191932 123173 116263 6910 6769061 DUE TO RELATED PARTY 27909 27909 SCHEDULE D, PAGE 2, PART IV, LINE 1B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. true SCHOLARSHIP 8 6347 FMV X X false false false false false false false false false CAROL RAW PRES/CEO 233705 27403 261108 GEOFFREY RYAN SEN SVC REG DIRECTOR 148400 19131 167531 SCOT ALLEN VP SENIOR SERVICES 133910 22413 156323 SHANE ROCHE ADMINISTRATOR-GAHR 125079 25850 150929 A MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 5165000 REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENT false false false B MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 2445000 REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENT false false false A 299878 false false true true B 142851 false false true true A false false false false false false true B false false false false false false true A true true false false false true B true true false false false true A true B false PURPOSE OF ISSUE DESCRIPTION MINNWEST BANK REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENTS TO RHS, AND (C) CONSTRUCTION OF A 24-BED ATRIUM ADDITION TO RHS AND RELATED REMODELING AND SITE IMPROVEMENTS. PURPOSE OF ISSUE DESCRIPTION MINNWEST BANK REFINANCING TAXABLE INDEBTEDNESS INCURRED TO FINANCE (A) ACQUISITION OF RHS; (B) CAPITAL IMPROVEMENTS TO RHS, AND (C) CONSTRUCTION OF A 24-BED ATRIUM ADDITION TO RHS AND RELATED REMODELING AND SITE IMPROVEMENTS. ELIZABETH LETICH - DAUGHTER OF CAROL RAW, CEO 107998 EMPL -ADMIN FHS false ANDY RAW - SON OF CAROL RAW, CEO 42784 EMPL -MAINT BVHS false KAITLYN PENISKA - RELATIVE LAURIE PENISKA, DON 29859 EMPL -NUR ASST BVHS false DENNIS LINDOR - HUSBAND OF DAWN BJORGE, DON/TR 25000 EMPL -CORP STAFF PCS false NORINE KOSOBUSKI DAUGHTER OF CARRIE CLAYBUNDY, ADMI 633 EMPL -TRANSP KHS false JUSTIN NELSON - SON OF LEAH NELSON - VP HR 13174 EMPL -IT ANALY SFHS false BAILEY HAGEN -DAUGHTER OF CHRISTINE HAGEN, DON 10026 EMPL -HSK AID KHS false CASSIDY HAGEN-DAUGHTER OF CHRISTINE HAGEN, DON 6616 EMPL -DIET. AID KHS false SCHEDULE L, PART V DURING THE YEAR, THE ORGANIZATION EMPLOYS INDIVIDUALS WHO MAY BE RELATED TO AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE. PAYMENTS FOR SERVICES ARE 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 EMPLOYEMENT RELATIONSHIPS ARE NECESSARY TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FORM 990 - ORGANIZATION'S MISSION WE ARE COMMITTED TO EXPRESSING CHRIST'S LOVE BY PROVIDING CARE THAT VALUES EVERY HUMAN LIFE. ST FRANCIS HEALTH SERVICES CONTROLS AND OPERATES RENVILLE HEALTH SERVICES AND IS SPONSORED BY THE CATHOLIC DIOCESE OF ST CLOUD. WE ARE DEDICATED TO PROMOTING THE ETHICAL AND RELIGIOUS DIRECTIVE FOR CATHOLIC HEALTH CARE SERVICES. FORM 990, PAGE 2, PART III, LINE 4D MANAGEMENT SERVICES PROVIDED TO RELATED ORGANIZATIONS IN SUPPORT OF EACH ORGANIZATION'S EXEMPT PURPOSE. FORM 990, PAGE 6, PART VI, LINE 3 ST. FRANCIS HEALTH SERVICES OF MORRIS, INC (A RELATED ORGANIZATION WITH COMMON CONTROL) MANAGES THE FACILITY. 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. 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. 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. 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. 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. 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 FORM 990, PART XI, LINE 9 INTERCOMPANY TRANSFERS -87,957 AITKIN HEALTH SERVICES 301 MINNESOTA AVENUE AITKIN MN 56431 203367397 CAREGIVER MN 501C3 10 SFHS false BROWNS VALLEY HEALTH CENTER RR 1 BOX 182D SOUTH JEFFERSON BROWNS VALLEY MN 56219 411668347 CAREGIVER MN 501C3 10 SFHS false CHISHOLM HEALTH CENTER 321 NE 8TH STREET CHISHOLM MN 55719 411879639 CAREGIVER MN 501C3 10 SFHS false DULUTH HEALTH SERVICES 3111 CHRUCH PLACE DULUTH MN 55811 411843283 CAREGIVER MN 501C3 10 SFHS false FARMINGTON HEALTH SERVICES 3410 23RD STREET W FARMINGTON MN 55024 200100365 CAREGIVER MN 501C3 10 SFHS false FRANCISCAN HEALTH CENTER 3910 MINNESOTA AVENUE DULUTH MN 55802 411799268 CAREGIVER MN 501C3 10 SFHS false GUARDIAN ANGELS HEALTH & REHAB CENT 1500 3RD AVENUE E HIBBING MN 55746 411810369 CAREGIVER MN 501C3 10 SFHS false KOOCHICHING HEALTH SERVICES 901 MAIN STREET LITTLEFORK MN 56653 810910949 CAREGIVER MN 501C3 10 SFHS false LITTLE FALLS HEALTH SERVICES 1200 NE 1ST AVE LITTLE FALLS MN 56345 463626109 CAREGIVER MN 501C3 10 SFHS false MORRIS HEALTH SERVICES 1001 SCOTT AVENUE MORRIS MN 56267 237625632 CAREGIVER MN 501C3 10 SFHS false PENNINGTON HEALTH SERVICES 2001 EASTWOOD DR THIEF RIVER FALLS MN 56701 205617275 CAREGIVER MN 501C3 10 SFHS false PRAIRIE COMMUNITY SERVICES 801 NEVADA AVENUE MORRIS MN 56267 411598442 CAREGIVER MN 501C3 10 SFHS false ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 12B N/A false ZUMBROTA HEALTH SERVICES 433 MILL STREET ZUMBROTA MN 55992 510487275 CAREGIVER MN 501C3 10 SFHS false false false false false false false false false false false false false true false false false false true false ST FRANCIS HEALTH SERVICES OF MORR M 285743 AMOUNT PAID OR ACCRUED ST FRANCIS HEALTH SERVICES OF MORR R 87957 AMOUNT TRANSFERED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED LOANS OF 3,878,859 AS SHOWN IN FORM 990, PART X, LINE 20 AND THERE WAS ONE NEW LOAN GUARANTEE DURING THIS FISCAL YEAR. THE ORGANIZATION ALSO HAS INTERCOMPANY LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. OF 1,944,241 AS SHOWN ON 990, PART X, LINE 24. THE ORGANIZATION HAS PAID INTEREST OF 72,743 TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC.