2016-01-11T17:01:15-06:00 2015-06-30 411539592 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2014-07-01 202581924 RENVILLE HEALTH SERVICES RENV 3205894902 205 SE ELM AVE RENVILLE MN 56284 LUVERNE HOFFMAN PRESIDENT 3205894902 2016-01-05 true JAMES A GILMAN CPA P00112998 3205892602 2016-01-04 2014 2016-04-25 22:37:26Z LUVERNE HOFFMAN 801 NEVADA AVE MORRIS MN 56267 5282304 false X WWW.SFHS.ORG X 2005 MN 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 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 13 123 68 40086 25358 14121 5083059 5162673 -14841 -14984 124998 98852 5218574 5260662 7057 8563 0 2612561 2756979 0 3498 2477302 2407578 5096920 5173120 121654 87542 8367869 8133823 7300514 6978926 1067355 1154897 X 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 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 4775647 8563 5260663 RENVILLE HEALTH SERVICES CONSISTS OF A 56 BED SKILLED NURSING FACILITY, A 38 UNIT INDEPENDENT LIVING CENTER/ASSISTED LIVING CENTER 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 33,243 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 83 PATIENTS IN THE NURSING HOME AND PROVIDED HOUSING FOR MORE THAN 47 TENANTS AT THE INDEPENDENT/ASSISTED LIVING CENTER. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 70 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 2.2 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. 4775647 true false false false false false false false true false true false false false true false false true false false false false false false true 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 11 0 true 123 false true true 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 SHERRY WAGNER 3205894919 801 NEVADA AVENUE MORRIS MN 56267 RANDOLF J SUTTER CHAIR 1.00 X X 0 0 0 ANGEL A LOPEZ VICE CHAIR 1.00 X X 0 0 0 STEVEN E LIENEMANN SECRETARY/TR 1.00 X X 0 0 0 REV TODD P SCHNEIDER TRUSTEE 1.00 X 0 0 0 VIVIAN M HELTEMES TRUSTEE 1.00 X 0 0 0 ROSEMARIE W MURPHY TRUSTEE 1.00 X 0 0 0 KATIE J ERDMAN TRUSTEE 1.00 X 0 0 0 NEIL E SCHMIDGALL TRUSTEE 1.00 X 0 0 0 JOAN M SCHMIDGALL TRUSTEE 1.00 X 0 0 0 STEPHANIE J KNOBLOCH TRUSTEE 1.00 X 0 0 0 KENNETH A WESTBROCK TRUSTEE 1.00 X 0 0 0 THOMAS H CAZA TRUSTEE 1.00 X 0 0 0 ALYSSA K THOOFT TRUSTEE 1.00 X 0 0 0 LUVERNE HOFFMAN PRES/CEO 1.00 39.00 X 0 215322 35744 CAROL RAW VP SENIOR SV 1.00 39.00 X 0 160035 13015 SHERRY WAGNER CFO 1.00 39.00 X 0 119485 6023 DENNIS LINDOR VP BEHAV SVC 1.00 39.00 X 0 109708 6752 GEOFFREY RYAN ADMIN - CHC 1.00 39.00 X 0 123198 6209 SCOTT JACKSON DIRECTOR OF 1.00 39.00 X 0 116138 11966 ROBERT DAHL ADMINISTRATO 1.00 39.00 X 0 108030 7145 PRISCILLA SCHILLING QA COORDINAT 1.00 39.00 X 0 105515 5957 LEAH NELSON VP HR 1.00 39.00 X 0 102078 7114 1159509 99925 false true false AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY 379877 ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 MGMT FEES & OTH 341582 2 10313 3808 14121 RESIDENT SERVICE REVENUE 5122587 5122587 MANAGEMENT AGENT 561000 40086 40086 5162673 74 74 15058 -15058 -15058 -15058 5009 10313 6584 -1575 -1575 MEALS 86496 86496 RENTAL 7125 7125 OTHER 6806 6806 100427 5260662 5207956 40086 -1501 8563 8563 2272675 2215188 57487 63483 61877 1606 81556 79493 2063 339265 330683 8582 187515 187515 212 212 7005 7005 14879 6593 8286 12264 212 12052 165929 165929 4088 4088 15816 15816 239951 239951 391937 391937 65363 27303 38060 MEDICAL PROFESSIONAL FEES 390127 390127 SUPPLIES 348338 348338 MEDICAL SURCHARGE 157640 157640 REPAIRS AND MAINTENANCE 113874 113874 292640 237939 51203 3498 5173120 4775647 393975 3498 509411 577220 531220 498138 11752 28294 9730126 2803871 7205345 6926255 110141 103916 8367869 8133823 341073 375498 6416624 6077385 37067 33460 505750 484359 8224 7300514 6978926 X 1067355 1154897 1067355 1154897 8367869 8133823 87542 X false true X true false X 8891 6359 1450 25358 14121 56179 4535723 4808733 4667586 5167680 5223014 24402736 4544614 4815092 4669036 5193038 5237135 24458915 828005 758038 793156 812441 1090538 4282178 828005 758038 793156 812441 1090538 4282178 20176737 22 75 65 74 236 22 75 65 74 236 5658 5658 4544614 4815114 4674769 5193103 5237209 24464809 0.82470 0.82870 0.00000 0.00000 X true 37067 36078 39685 33460 true X 147134 147134 8894839 2367648 6527191 532472 347699 184773 155681 88524 67157 6926255 DUE TO RELATED PARTY 8224 8224 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. GOLF TOURNAMENT 14448 10313 4135 5990 14448 10313 4135 5990 5990 -1855 true SCHOLARSHIP 1 268 FMV SCHOLARSHIP 1 7205 FMV SCHOLARSHIP 1 1090 FMV X X false false false false false false false false false LUVERNE HOFFMAN PRES/CEO 215322 18244 17500 251066 CAROL RAW VP SENIOR SVS 160035 13015 173050 A MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 5165000 REFINANCING TAXABLE false false false B MINNWEST BANK REV NOTE 2009B 416005015 2009-12-10 2445000 REFINANCING TAXABLE false false false A 229399 false false true true B 109840 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 SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION MINNWEST BANK 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. MINNWEST BANK 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. MARK HOFFMAN SON OF 56597 EMPLOYED IN false LUVERNE HOFFMAN MAINTENANCE false PRES & CEO false ELIZABETH LETICH DAUGHTER OF 84375 EMPLOYED AS AN false CAROL RAW, VP ADMINISTRATOR false ANDREW RAW SON OF 41013 EMPLOYED IN false CAROL RAW, VP MAINTENANCE false DAWN BJORGE WIFE OF DENNIS 81149 EMPLOYED AS RN/PD false LINDOR, VP OF false BEHAV. SVC false CHRISTOPHER WAGNER SON OF SHERRY 12648 EMPLOYED-MAINTENANCE false WAGNER CFO false SCHEDULE L, PART IV CHRISTOPHER WAGNER 12,648 SON OF SHERRY EMPLOYED-MAINTENANCE 0 WAGNER CFO SCHEDULE L, PART V 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 EMPLOYEMENT RELATIONSHIPS WOULD BE NECESSARY TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. 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 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 4A OPPORTUNITIES ARE LIMITED. 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 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 CHISHOLM HEALTH CENTER 321 NE 8TH STREET CHISHOLM MN 55719 411879639 CAREGIVER MN 501C3 9 SFHS false FARMINGTON HEALTH SERVICES 3410 23RD STREET W FARMINGTON MN 55024 200100365 CAREGIVER MN 501C3 9 SFHS false FRANCISCAN HEALTH CENTER 3910 MINNESOTA AVENUE DULUTH MN 55802 411799268 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 LITTLE FALLS HEALTH SERVICES 1200 NE 1ST AVE LITTLE FALLS MN 56345 463626109 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 PRAIRIE COMMUNITY SERVICES 801 NEVADA AVENUE MORRIS MN 56267 411598442 CAREGIVER MN 501C3 9 SFHS false ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 11B N/A false VIEWCREST HEALTH CENTER 3111 CHRUCH 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 false false false false false false false false false false false false true false false false false false false ST FRANCIS HEALTH SERVICES OF MORR M 187515 AMOUNT PAID OR ACCRUED SCHEDULE R ST. FRANCIS HEALTH SERVICES OF MORRIS, INC HAS GUARANTEED LOANS OF 6,077,385 AS SHOWN IN FORM 990, PART X, LINE 20 AND THERE WERE NO NEW LOAN GUARANTEES DURING THIS FISCAL YEAR. THE ORGANIZATION ALSO HAS INTERCOMPANY LOAN PAYABLE TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC. OF 484,359 AS SHOWN ON 990, PART X, LINE 24. THE ORGANIZATION HAS PAID 14,880 TO ST. FRANCIS HEALTH SERVICES OF MORRIS, INC.