2012-03-28T16:53:25-05:00 2011-06-30 CONWAY DEUTH & SCHMIESING PLLP 401 ATLANTIC AVE MORRIS MN 562671324 990 2010-07-01 202581924 RENVILLE HEALTH SERVICES RENV 3205894902 205 SE ELM AVE RENVILLE MN 56284 LUVERNE HOFFMAN 3205894902 2012-03-20 true JAMES A GILMAN CPA 3205892602 2012-03-20 2010 2016-02-24 21:20:13Z LUVERNE HOFFMAN 801 NEVADA AVE MORRIS MN 56267 4587343 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 13 171 60 34248 -2800 16185 8891 4189102 4569971 1144 -509 8666 1276 4215097 4579629 2750 6000 0 2004741 2035032 0 123 2244734 2414933 4252225 4455965 -37128 123664 8801170 8704815 7760967 7540949 1040203 1163866 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 3937292 6000 4579629 RENVILLE HEALTH SERVICES CONSISTS OF A 46 BED SKILLED NURSING FACILITY, A 27 UNIT INDEPENDENT LIVING CENTER, AND A 15 UNIT 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 30,092 PATIENT DAYS AND PROVIDED SERVICES TO MORE THAN 154 PATIENTS. ALSO DURING THIS TIME PERIOD, THE ORGANIZATION EMPLOYED ABOUT 62 FULL TIME EQUIVALENT EMPLOYEES AND GROSS WAGES PAID OUT WERE MORE THAN 1.7 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. 3937292 true false false false false false false false true false true false false false false 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 false true 17 0 true 171 true 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 ROBERT WIKAN 3205894900 801 NEVADA AVENUE MORRIS MN 56267 X DON GIESELMANN 1.00 X X 0 0 0 MAGGIE FLETCHER 1.00 X 0 0 0 DAN DRIPPS 1.00 X X 0 0 0 KATIE ERDMAN 1.00 X 0 0 0 BARBARA SPAULDING 1.00 X 0 0 0 DOUGLAS WARTNER 1.00 X 0 0 0 ANDY LOPEZ 1.00 X 0 0 0 KENNY WESTBROCK 1.00 X 0 0 0 KEN KELLER 1.00 X 0 0 0 RANDY SUTTER 1.00 X X 0 0 0 FATHER ROBERT KIEFFER 1.00 X 0 0 0 KAREN FOLKMAN 1.00 X 0 0 0 LUVERNE HOFFMAN 1.00 X 0 191109 43508 CAROL RAW X 0 142263 18482 DENNIS LINDOR X 0 93410 14191 ROBERT WIKAN X 0 1923 0 JUNE SCHELDE X 0 110569 17321 SCOTT JACKSON X 0 107218 9780 ROBERT DAHL X 0 101761 13221 ROBERT BUTTERFIELD X X 0 106250 16522 854503 133025 true true false ST FRANCIS HEALTH SERVICES OF MORRI 801 NEVADA AVE MORRIS MN 56267 MGMT FEES & OTH 437820 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICE 294253 UPPER LAKES FOODS 801 INDUSTRY AVE CLOQUET MN 55720 FOOD SERVICE 125376 THURNCO INC 13810 HILL RIDGE DR MINNETONKA MN 55305 CONSTRUCTION 111305 4 6014 2877 8891 RESIDENT SERVICE REVENUE 4387282 4387282 MEALS 142518 142518 MANAGEMENT AGENT 561000 34248 34248 RENTAL 4500 4500 OTHER 1423 1423 4569971 509 -509 -509 -509 8481 6014 7205 1276 1276 4579629 4535214 34248 1276 6000 6000 1707241 1638951 68290 39661 38075 1586 146857 140983 5874 141273 135622 5651 243600 243600 933 933 6425 6425 26638 26638 28147 28147 205626 205626 4867 3748 1119 17834 15266 2568 315217 315217 338386 338386 62016 28577 33439 MEDICAL PROFESSIONAL FEES 384792 375172 9620 SUPPLIES 316312 257984 58328 PURCHASED SERVICES 162804 162804 MEDICAL SURCHARGE 129490 129490 PROPERTY TAXES 73938 73938 97908 71453 26332 123 4455965 3937292 518550 123 455150 405082 459410 303699 20669 20197 9286132 1439109 7730903 7847023 135038 128814 8801170 8704815 252676 278020 7480737 7231253 27554 31676 7760967 7540949 X 1040203 1163866 1040203 1163866 8801170 8704815 123664 -1 X false true true X false X 38383 59775 21318 16185 8891 144552 4131360 4083295 4194721 4156315 4535723 21101414 4169743 4143070 4216039 4172500 4544614 21245966 753704 560037 1003633 811706 828005 3957085 753704 560037 1003633 811706 828005 3957085 17288881 4298 3522 599 234 8653 4298 3522 599 234 8653 4174041 4146592 4216638 4172734 4544614 21254619 0.81340 0.81440 0.00000 X false false false false false true 27554 21439 -17317 31676 true false false false 144534 144534 8213251 1143218 7070033 486226 269064 217162 442121 26827 415294 7847023 EXPLANATION FOR UNREPORTED CONTRIBUTIONS OR ASSETS SCHEDULE D, PAGE 2, PART IV, LINE 1B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. ESCROW LIABILITY ARRANGEMENT EXPLANATION SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION ACTED AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. true SCHOLARSHIP 2 6000 X X false false false false false false false false false LUVERNE HOFFMAN 191109 26055 17453 234617 CAROL RAW 142263 7113 11369 160745 ROBERT BUTTERFIELD 106250 5312 11210 122772 MINNWEST BANK 416005015 2009-12-10 5165000 REFINANCING TAXABLE false false false MINNWEST BANK 416005015 2009-12-10 2445000 REFINANCING TAXABLE false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false PURPOSE OF ISSUE DESCRIPTION SCHEDULE K MINNWEST BANK INDEBTEDNESS INCURRED TO FINANCE A ACQUISITION OF RHS B CAPITAL IMPROVEMENTS TO RHS AND C CONSTRUCTION OF A 24BED 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 24BED ATRIUM ADDITION TO RHS AND RELATED REMODELING AND SITE IMPROVEMENTS MARK HOFFMAN FAMILY TO 48061 EMPLOYED IN false LUVERNE HOFFMAN MAINTENANCE false PRES & CEO false ELIZABETH RAW DAUGHTER TO 18945 EMPLOYED AS AN false CAROL RAW ADMINISTRATOR false VICE PRESIDENT false ADDITIONAL INFORMATION 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 ORGANIZATIONS EXEMPT PURPOSE 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 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. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A WAGES PAID OUT WERE MORE THAN 1.7 MILLION DOLLARS. THIS WAS ALL PROVIDED IN AN AREA WHERE MEDICAL AND EMPLOYMENT OPPORTUNITIES ARE LIMITED. ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D MANAGEMENT SERVICES PROVIDED TO RELATED ORGANIZATIONS IN SUPPORT OF EACH ORGANIZATION'S EXEMPT PURPOSE. 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. 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 ST FRANCIS HEALTH SERVICES (SFHS) 801 NEVADA AVENUE MORRIS MN 56267 411484416 MGMT COMP MN 501C3 9 N/A 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 CHISHOLM HEALTH CENTER 321 NE 8TH STREET CHISHOLM MN 55719 411879639 CAREGIVER MN 501C3 9 SFHS false VIEWCREST HEALTH CENTER 3111 CHRUCH PLACE DULUTH MN 55811 411843283 CAREGIVER MN 501C3 9 SFHS 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 L 243600 CASH PAID OR ACCRUED ADDITIONAL INFORMATION SCHEDULE R ST FRANCIS HEALTH SERVICES OF MORRIS INC HAS GUARANTEED LOANS OF 7231253 AS SHOWN IN FORM 990 PART X LINE 23 AND THERE WERE NO NEW LOAN GUARANTEES DURING THIS FISCAL YEAR