Civic Intelligence

Koochiching Health Services

990 • Fiscal year 2018 • EIN 81-0910949

Jul 01, 2017 to Jun 30, 2018 • Filed on Mar 15, 2019

901 Main StreetLittlefork, MN 56653

(320) 589-2004

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$3,516,367

Flat from 2018

Net Assets

Flat

$2,152,116

Flat from 2018

Liabilities

Flat

$1,364,251

Flat from 2018

Revenue And Expenses

Revenue

Flat

$4,001,715

Flat from 2018

Expenses

Flat

$3,853,412

Flat from 2018

Net Income

Flat

$148,303

Flat from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$3.0M$2.0M$1.0M$0Assets 2016: $2,747,894Liabilities 2016: $1,179,520Net Assets 2016: $1,568,3742016Assets 2017: $3,455,909Liabilities 2017: $1,448,426Net Assets 2017: $2,007,4832017Assets 2018: $3,516,367Liabilities 2018: $1,364,251Net Assets 2018: $2,152,1162018Assets 2018: $3,516,367Liabilities 2018: $1,364,251Net Assets 2018: $2,152,1162018Assets 2019: $3,474,196Liabilities 2019: $1,663,255Net Assets 2019: $1,810,9412019Assets 2020: $3,232,059Liabilities 2020: $1,892,126Net Assets 2020: $1,339,9332020Assets 2021: $3,546,571Liabilities 2021: $1,507,318Net Assets 2021: $2,039,2532021Assets 2022: $2,898,202Liabilities 2022: $1,047,617Net Assets 2022: $1,850,5852022Assets 2023: $2,739,440Liabilities 2023: $1,103,109Net Assets 2023: $1,636,3312023Assets 2024: $3,063,407Liabilities 2024: $1,112,634Net Assets 2024: $1,950,7732024

Highlighted filing

2018

Assets$3,516,367
Liabilities$1,364,251
Net Assets$2,152,116

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2016: $823,741Expenses 2016: $852,367Net Income 2016: -$28,6262016Revenue 2017: $4,242,423Expenses 2017: $3,803,314Net Income 2017: $439,1092017Revenue 2018: $4,001,715Expenses 2018: $3,853,412Net Income 2018: $148,3032018Revenue 2018: $4,001,715Expenses 2018: $3,853,412Net Income 2018: $148,3032018Revenue 2019: $4,125,088Expenses 2019: $4,466,263Net Income 2019: -$341,1752019Revenue 2020: $4,429,985Expenses 2020: $4,422,784Net Income 2020: $7,2012020Revenue 2021: $5,521,321Expenses 2021: $4,880,158Net Income 2021: $641,1632021Revenue 2022: $5,024,511Expenses 2022: $5,186,276Net Income 2022: -$161,7652022Revenue 2023: $4,690,322Expenses 2023: $4,794,271Net Income 2023: -$103,9492023Revenue 2024: $5,471,332Expenses 2024: $5,140,609Net Income 2024: $330,7232024

Highlighted filing

2018

Revenue$4,001,715
Expenses$3,853,412
Net Income$148,303
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Mar 15, 2019
Return Version
2017v2.3
Gross Receipts
$4,001,715
Mission and Program Overview

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 farmington 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,884,801$2,673,924▼ $210,877
Accounts Receivable$401,226$681,749▲ $280,523
Cash and Non-Interest-Bearing Accounts$149,375$143,353▼ $6,022
Other Notes and Loans Receivable, Net$20,507--
Prepaid Expenses and Deferred Charges-$17,341-
Total Assets$3,455,909$3,516,367▲ $60,458
Liabilities
Other Liabilities$714,302$678,480▼ $35,822
Unsecured Notes Loans Payable$443,583$372,939▼ $70,644
Accounts Payable and Accrued Expenses$270,696$291,150▲ $20,454
Escrow Account Liability$19,845$21,682▲ $1,837
Total Liabilities$1,448,426$1,364,251▼ $84,175
Net Assets / Fund Balance
Unrestricted Net Assets$2,007,483$2,152,116▲ $144,633
Total Net Assets Fund Balance$2,007,483$2,152,116▲ $144,633
Total Liabilities and Net Assets / Fund Balance$3,455,909$3,516,367▲ $60,458

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,491,531$386,146$2,877,677
Equipment$160,150$82,330$242,480
Other Land Buildings$7,243$21,727$28,970
Land$15,000-$15,000
Compensation and Service Providers

Employees

NameTitleOtherTotal
Geoffrey RyanSen Svc Reg$149,200$149,200
Scot AllenVP - Senior$149,029$149,029
Lucas KoehntopIt Director$138,649$138,649
Camilla Peterson-devriesSen Svc Reg$137,542$137,542
Priscilla SchillingDirector of$127,659$127,659
William MoncriefCFO$124,581$124,581
Dennis LindorVP$119,290$119,290

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
St Francis Health ServicesMgmt Fees801 NEVADA AVE, Morris, MN 56267$441,235
Rainy Lake Medical CenterTherapy1400 HIGHWAY 71, International Falls, MN 56649$162,497
Revenue and Support

Revenue Composition

Contributions and Grants
$975
Program Service Revenue
$3,968,628
Investment Income
$1,169
Other Revenue
$30,943
Change in Net Assets
$148,303
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,500,145
Other Expenses$1,339,045
Grants and Similar Amounts Paid$14,222
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,027,643$129,074-$2,156,717
Depreciation Depletion$245,036--$245,036
Payroll Taxes$210,010$13,369-$223,379
Occupancy$155,038--$155,038
All Other Expenses$69,852$23,158-$93,010
Fees for Services Management-$87,230-$87,230
Pension Plan Contributions$72,021$4,585-$76,606
Other Expenses$59,956$799-$60,755
Other Employee Benefits$40,843$2,600-$43,443
Interest$51$27,451-$27,502
Insurance$17,065$5,837-$22,902
Grants to Domestic Individuals$14,222--$14,222
Office Expenses-$12,845-$12,845
Travel-$10,839-$10,839
Fees for Services Legal-$10,351-$10,351
Advertising-$5,915-$5,915
Fees for Services Accounting-$4,406-$4,406
Total Functional Expenses$3,514,953$338,459$0$3,853,412
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Dawn BjorgeSon of CarolEmployed inNo$108,890
Elizabeth LetichDaughter ofEmployed asNo$92,477
Kerri Hicks Neice ofRelative ofNursing AssistantNo$56,208
Cheri Brouse Sister ofPeniskaEmpl - Nurse AsstNo$49,718
Andy RawCarol Raw, CEOAdministrator - FhsNo$39,039
Tarren Mcalister Son ofLindor VpEmployed as aNo$36,243
Kaitlyn PeniskaRaw Pres & CEOMaintenance BvhsNo$26,934
Justin Peniska Relative - LaurieSpouse - DennisRn/pd - PcsNo$21,684
Brian Port Spouse ofDir of NursingEmpl - Nurse Asst.No$8,916
Rileigh Port Daughter ofLaurie PeniskaBvhsNo$8,689
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capitalized Lease - Deferred$485,318
Due to Related Party$193,162
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Koochiching Health Services
EIN
81-0910949
Phone
3205892004
Address
901 MAIN STREET, LITTLEFORK, MN 56653

Signing Officer

Name
Carol Raw
Title
Pres/CEO
Phone
3205892004
Signed
2019-03-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carol Raw
Formed
2016
Legal Domicile
Mn
Voting Board Members
13
Independent Board Members
13
Employees
89
Volunteers
21

Preparer

Firm
Conway Deuth & Schmiesing Pllp
Address
401 ATLANTIC AVE, MORRIS, MN 56267-1324
Preparer
Kelly M Demuth
Phone
3205892602
Supplemental Narrative

Additional Explanations

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 farmington 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, Part XI, Line 9

Intercompany transfers -3,670

Financial Statement Notes

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.

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