INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSN: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSN (EIN 41-0726171)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-07
- IRS object ID
- 201613129349301656
- Schema version
- 2015v2.1
- 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 B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-07T12:56:34-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410726171 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | International Falls Memorial Hospital | BusinessNameLine1Txt |
| Business Name Line2 | Association | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 2182835401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Highway 71 | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Melissa Marcotte | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2182835401 | PhoneNum |
| Signature | 2016-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2016-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rainy Lake Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bonnie Erickson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Highway 71 | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,581,777 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rainylakemedical.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | To promote and provide health care and wellness services in our region that exceed expectations. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 211 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $2,200 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$299 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $924,683 | PYContributionsGrantsAmt |
| CY Contributions Grants | $287,561 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,525,928 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,181,150 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$2,394,920 | PYInvestmentIncomeAmt |
| CY Investment Income | $68,785 | CYInvestmentIncomeAmt |
| PY Other Revenue | $356,574 | PYOtherRevenueAmt |
| CY Other Revenue | $56,099 | CYOtherRevenueAmt |
| PY Total Revenue | $21,412,265 | PYTotalRevenueAmt |
| CY Total Revenue | $24,593,595 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,020 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,166 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,743,493 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,236,186 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $6,981 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,022,400 | PYOtherExpensesAmt |
| CY Other Expenses | $13,336,555 | CYOtherExpensesAmt |
| PY Total Expenses | $24,779,913 | PYTotalExpensesAmt |
| CY Total Expenses | $24,589,907 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,367,648 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,688 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,848,517 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,730,658 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,707,524 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,532,384 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,140,993 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,198,274 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Board-adopted mission is to "Provide accessible quality healthcare to our communities" using values of Respect, Integrity, Compassion and Excellence (RICE) in support of the vision comprised of the following elements: provider of choice for our communities, patient-centered culture, expanding services, regional specialty relationships and preferred healthcare employer. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,911,402 | ExpenseAmt |
| Grant | $17,166 | GrantAmt |
| Revenue | $24,178,950 | RevenueAmt |
| Desc | Provided health care services to the community of International Falls. In addition to providing direct patient care and in furtherance of its charitable purpose, Rainy Lake Medical Center (RLMC) provides a wide variety of benefits to the community including offering various community based service programs, cash contributions to non-profit agencies, the donation of space for use by community groups, and staff time of mentoring/job shadowing. Additionally, a number of health related education programs are provided for the benefit of the community, including health enhancements and wellness, classes on specific conditions, and programs designed to improve the general standards of the health of the community. RLMC also actively promotes its community care program, which provides free or reduced cost healthcare to patients who are unable to pay fully for services received. | Desc |
| Total Program Service Expenses | $19,911,402 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 211 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Melissa Marcotte | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2182835431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Highway 71 | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Susan Congrave | ||||||||
| Chair | 4.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $21 | |
| Jon Talsness MD | ||||||||
| Vice Chair | 4.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $11 | |
| Brian Briggs | ||||||||
| Secretary | 4.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $32 | |
| Don Billig | ||||||||
| Treasurer | 4.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $11 | |
| Robert Anderson | ||||||||
| Member | 4.00 | 0.00 | Yes (X) | $0 | $0 | $11 | ||
| Bonnie Erickson | ||||||||
| Member | 4.00 | 0.00 | Yes (X) | $0 | $0 | $11 | ||
| Jay Knaak MD | ||||||||
| Member/Physician/Chief of Staff | 40.00 | 0.00 | Yes (X) | $283,567 | $0 | $18,242 | ||
| Harold Odegaard | ||||||||
| CEO | 39.00 | 1.00 | Yes (X) | $340,047 | $0 | $27,790 | ||
| Melissa Marcotte | ||||||||
| CFO | 39.00 | 1.00 | Yes (X) | $129,344 | $0 | $2,492 | ||
| Heather Cook | ||||||||
| General Surgeon | 40.00 | 0.00 | $362,084 | $0 | $9,531 | Yes (X) | ||
| Ralf Lukner | ||||||||
| Physician | 40.00 | 0.00 | $262,527 | $0 | $3,664 | Yes (X) | ||
| Bradley Reiners | ||||||||
| Physician Assistant | 40.00 | 0.00 | $140,920 | $0 | $13,526 | Yes (X) | ||
| Nancy Burmeister | ||||||||
| Nurse Practitioner | 40.00 | 0.00 | $148,882 | $0 | $9,432 | Yes (X) | ||
| Katie Chezick | ||||||||
| Pharmacist | 40.00 | 0.00 | $118,808 | $0 | $9,081 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,786,179 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,855 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kraus-Anderson Construction Co | |||||
| 206 Beltrami Ave NW | Bemidji | MN | 56601 | Construction Contractor | $2,584,394 |
| Acute Care Inc | |||||
| 1609 N Ankeny Blvd Suite 200 | Ankeny | IA | 50023 | Physician Fees | $1,485,726 |
| Central MN Diagnostic Inc | |||||
| 150 10th St NW PO Box 158 | Milaca | MN | 56353 | CT, Ultrasound, Mammography, MRI Lease | $816,594 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 36685 | Computer System Maintenance and Implemen | $741,256 |
| RC Shefland Anesthesia LTD | |||||
| 27040 Cty Road 9 | Bemidji | MN | 56601 | Anesthesiologist Fees | $458,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $25,000 | RelatedOrganizationsAmt |
| Government Grants | $195,190 | GovernmentGrantsAmt |
| All Other Contributions | $67,371 | AllOtherContributionsAmt |
| Total Contributions | $287,561 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621990 | $23,839,543 | $23,839,543 |
| Equity in Earnings of JV | 621990 | $250,932 | $250,932 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,675 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,475 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,200 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,181,150 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,688 | TotalRevenueColumnAmt |
| Exclusion | $64,688 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,099 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,099 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,099 | TotalRevenueColumnAmt |
| Exclusion | $56,099 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $985,208 | SecuritiesAmt |
| Other | $7,071 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $985,402 | SecuritiesAmt |
| Other | $2,780 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$194 | SecuritiesAmt |
| Other | $4,291 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,097 | TotalRevenueColumnAmt |
| Exclusion | $4,097 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,593,595 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,178,950 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,200 | UnrelatedBusinessRevenueAmt |
| Exclusion | $124,884 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,166 | TotalAmt |
| Program Services | $17,166 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,235 | TotalAmt |
| Program Services | $294,059 | ProgramServicesAmt |
| Management And General | $513,176 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,617,829 | TotalAmt |
| Program Services | $6,664,566 | ProgramServicesAmt |
| Management And General | $1,947,496 | ManagementAndGeneralAmt |
| Fundraising | $5,767 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,347 | TotalAmt |
| Program Services | $111,070 | ProgramServicesAmt |
| Management And General | $29,177 | ManagementAndGeneralAmt |
| Fundraising | $100 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,032,844 | TotalAmt |
| Program Services | $819,189 | ProgramServicesAmt |
| Management And General | $212,934 | ManagementAndGeneralAmt |
| Fundraising | $721 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,931 | TotalAmt |
| Program Services | $472,426 | ProgramServicesAmt |
| Management And General | $165,112 | ManagementAndGeneralAmt |
| Fundraising | $393 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,171 | TotalAmt |
| Management And General | $72,171 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,943 | TotalAmt |
| Management And General | $44,943 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,700,829 | TotalAmt |
| Program Services | $4,935,973 | ProgramServicesAmt |
| Management And General | $764,856 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,339 | TotalAmt |
| Management And General | $92,339 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,782 | TotalAmt |
| Program Services | $185,168 | ProgramServicesAmt |
| Management And General | $277,614 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,549 | TotalAmt |
| Program Services | $296,549 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,905 | TotalAmt |
| Program Services | $17,587 | ProgramServicesAmt |
| Management And General | $3,318 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,449 | TotalAmt |
| Program Services | $72,494 | ProgramServicesAmt |
| Management And General | $54,955 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,524 | TotalAmt |
| Program Services | $774,711 | ProgramServicesAmt |
| Management And General | $813 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,297 | TotalAmt |
| Program Services | $100,297 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $3,600,857 | $3,600,798 | $59 |
| Bad Debts | $780,755 | $780,755 | |
| Repairs and Maintenance | $586,176 | $246,374 | $339,802 |
| MN Care Tax | $211,985 | $211,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,994 | TotalAmt |
| Program Services | $310,235 | ProgramServicesAmt |
| Management And General | $152,759 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,589,907 | TotalAmt |
| Program Services | $19,911,402 | ProgramServicesAmt |
| Management And General | $4,671,524 | ManagementAndGeneralAmt |
| Fundraising | $6,981 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,600,379 | BOYAmt |
| EOY | $9,346,927 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,230,170 | BOYAmt |
| EOY | $2,602,182 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,718 | BOYAmt |
| EOY | $420,385 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,063 | BOYAmt |
| EOY | $249,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,898,735 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,914,512 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,430,722 | BOYAmt |
| EOY | $8,984,223 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,465 | BOYAmt |
| EOY | $470,010 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,000 | BOYAmt |
| EOY | $592,851 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $64,187 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,848,517 | BOYAmt |
| EOY | $22,730,658 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,579,857 | BOYAmt |
| EOY | $3,603,432 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,980,752 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,667 | BOYAmt |
| EOY | $948,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,707,524 | BOYAmt |
| EOY | $8,532,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,007,209 | BOYAmt |
| EOY | $14,127,307 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,784 | BOYAmt |
| EOY | $70,967 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,140,993 | BOYAmt |
| EOY | $14,198,274 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,848,517 | BOYAmt |
| EOY | $22,730,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,688 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$44,053 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $97,646 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,371 | OtherCostOrOtherBasisAmt |
| Book Value | $87,371 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,173,271 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,902,080 | DepreciationAmt |
| Book Value | $4,271,191 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $650,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,944 | DepreciationAmt |
| Book Value | $482,703 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,598,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,844,488 | DepreciationAmt |
| Book Value | $1,754,250 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,388,708 | OtherCostOrOtherBasisAmt |
| Book Value | $2,388,708 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,984,223 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset Retirement Obligation | $40,600 |
| Estimated Third-Party Payor Settlements | $907,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $948,200 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,841,642 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$44,053 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$703,609 | OtherRevenueAmt |
| Revenue Not Reported | -$747,662 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,589,304 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,291 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,291 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,593,595 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,804,861 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$4,291 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$4,291 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,809,152 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $780,755 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $780,755 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,589,907 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Center is organized as a Minnesota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. The Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts included in revenue for financial statement -780,755. Change in recognized pension costs 77,146. |
| Part XI, Line 4b - Other Adjustments: | Gain on disposal of Equipment reported in Expenses for Financial Statement 4,291. |
| Part XII, Line 2d - Other Adjustments: | Gain on disposal of Equipment reported in Expenses for Financial Statement -4,291. |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts included in revenue for financial statement 780,755. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,241,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $613,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $627,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,316,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $613,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $702,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,766 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,481 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,839,820 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,432,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,407,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14310 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,810 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,894,877 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,432,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,462,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,210,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,045,720 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,165,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17500 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,714 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $780,755 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,130,604 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,166,525 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$35,921 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rainy Lake Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Highway 71 | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rainylakemedical.com | WebsiteAddressTxt |
| State License | 365894 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rural Health Clinic/Specialty Provider-Based Clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rainy Lake Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.rainylakemedical.com/patient-resources/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://rainylakemedical.com/patient-resources/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Rainy Lake Medical Center | Part V, Section B, Line 5: RLMC worked with the Koochiching County Health Department to complete its Community Health Needs Assessment. A representative of RLMC and the Director of the Koochiching County Health Department met with 34 key community stakeholders representing a broad section of the community including local service providers, members of the religious community, business owners, and citizens from International Falls and the greater county. The agencies represented included those serving the medically underserved and low-income populations of International Falls and Koochiching County. RLMC also conducted key stakeholder meetings throughout its service area, interviewing groups of individuals identified as information community leaders and interested citizenry. |
| Rainy Lake Medical Center | Part V, Section B, Line 6b: Koochiching County Health Department |
| Rainy Lake Medical Center | Part V, Section B, Line 7d: Hospital Website:http://www.rainylakemedical.com/patient-resources/ |
| Rainy Lake Medical Center | Part V, Section B, Line 11: Access to care for the community has been increased with the opening of the rural health clinic in February 2014 with three family-practice providers. An internist has been hired, as well as a surgeon, orthopedic PA and a female OB-GYN. This has allowed expanded specialty services to be offered locally, reducing the need for residents to travel. Both the primary care clinic and specialty clinic were relocated and expanded in 2015 in an effort to enhance patient care. Contracts with specialists from outside the area have allowed for more services to be offered on an outreach basis to the community in an effort to reduce the need to travel 100+ miles for certain services. Telemedicine services have also been installed in the ER; a benefit of which is a lesser need to transfer patients, meaning they can remain closer to home. The following are community needs that were identified but not addressed by RLMC: A) The high cost of healthcare and lack of health insurance (outside of RLMC's mission)B) Lack of mental health practitioners (outside of RLMC's mission)C) Transportation (outside of RLMC's mission)D) Access to health-related services such as meal programs, home care and Alzheimer support programs (duplication of effort with local county health department)E) Smoking rates among teens (duplication of effort with local county health department)F) Overuse of alcohol (outside of RLMC's mission)G) Drug abuse (outside of RLMC's mission)H) The impact of geographic isolation on mental health and the desire to be healthy (outside of RLMC's mission)I) Access to local mental health providers as well as regional treatment facilities (limited resources). |
| Rainy Lake Medical Center | Part V, Section B, Line 16i: Work closely with County services and community senior advocate. |
| Rainy Lake Medical Center | Part V, Section B, Line 22d: We follow the Minnesota Attorney General agreement for the most favorable non-governmental third party payor that provided the most revenue to the provider during the previous year. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | RLMC makes its community benefit data available to the public by including it in their audited financial statements and through the Minnesota Hospital Association Annual Report. |
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overallcost-to-charge ratio addressing all patient segments. Community health improvement services, line 7e, Health Professions Education, line 7f and Cash and in-kind contributions, line 7i, are reported based on actual expense amounts recorded in the general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report. |
| Part I, Ln 7 Col(f): | The bad debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column, is $780,755. |
| Part II, Community Building Activities: | RLMC invests resources towards emergency preparedness, particularly a "decontamination team" that conducts drills throughout the year. The team is skilled in setting up a portable decontamination tent, dressing in an appropriate level of PPE and practicing decontaminating patients. RLMC also supports efforts to have the safe removal and treatment of garbage and waste products. |
| Part III, Line 2: | For receivables associated with self-pay accounts, a provision for bad debts is recorded in the period of service based on past experience. |
| Part III, Line 4: | The footnote that describes bad debt expense is found on page 9 and 10 of the attached audit report. |
| Part III, Line 8: | RLMC is a critical access hospital. There was a shortfall for 2015due to sequestration. Even though Medicare was at a loss, the Hospitalprovides services to these patients because access to healthcare andindividual's health is important to the Hospital. Therefore, the Medicareshortfall is considered a community benefit.Medicare allowable costs were obtained from the 2015 Medicare cost report.The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | RLMC will not refer an account to a third party debt collection agency unless RLMC has given the patient reasonable opportunity to submit a community care application if the facts and circumstances suggest the patient may be eligible for community care, including for example, if the patient is uninsured or is on Minnesota Care, Medical Assistance, or other relief based on need. If a patient submits an application for community care after an account has been referred for collection activity, RLMC will suspend all collection activity until the patient's application has been processed and the patient has been notified of the decision. |
| Part VI, Line 2: | In addition to the Community Health Needs Assessment completed every 3 years, community forums are held as well as health fairs. Both give community members the chance to provide feedback on their health care needs. |
| Part VI, Line 3: | RLMC has staff that are Minnesota Community Application Agent (MNCAA) certified, which enables us to assist our patients with the Minnesota Care application process. RLMC communicates to patients our Community Care Program (Charity Care) in the following manner:1. Patients are given a Community Care brochure with a Minnesota Care insert at time of service.2. Statements and letters sent to patients offering Community Care.3. Phone calls are made to patients to discuss and offer Community Care and assistance with the Minnesota Care application process.4. All employees are educated annually about our Community Care program and three employees are educated to complete and submit Minnesota Care applications to the state for processing.5. Upon request, Community Care packets with applications for both our Community Care Program and the Minnesota Care Insurance are sent or given to patients.6. The RLMC website displays payment options where our Community Care Program is discussed. 7. One of the requirements for RLMC Community Care is a denial from the county in regards to financial assistance unless they are enrolled in the MN Senior Program. We offer to assist them with their Medical Assistance application.8. Signage communicating the Program to patients is displayed in many areas of the patient care area of the facility.9. Financial Counselors attend health fairs and other events in the community to promote the Program and answer any questions. |
| Part VI, Line 4: | RLMC's primary service area (PSA) is Koochiching County, Minnesota. The county is large and sparsely populated (less than 4.3 persons per square mile) with most of the population centered in International Falls. Other nearby communities includes Littlefork, Big Falls, Ranier, Birchdale and Loman. The PSA has an estimated population of less than 13,000, a decline of 3.5% since 2010. This population decline is projected to continue while the number of persons over 65 is expected to rise even more than the current 22.4% (up from 19.6% in 2010). The median household income is $41,725 (compared to $60,828 in Minnesota) and 15.3% of the PSA is living in poverty. |
| Part VI, Line 5: | Representation on the Board of Trustees is 100% local as all trustees are active and involved members of the local community. RLMC has in place an open medical staff model. The organization is investing over $6 million in expansion and renovation of the current facility in order to provide better patient care and more local care, eliminating the need to travel 100+ miles to receive care. The organization has also expanded the breadth of specialty services offered locally on an outreach basis.Emergency services are offered 24/7, 365 days a year to all needing care. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Tuition Reimbursement | GrantTypeTxt |
| Recipient | 5 | RecipientCnt |
| Cash Grant | $17,166 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In an effort to encourage personal and professional growth and career development, RLMC provides tuition reimbursement for employer-approved courses of study. Non-contract RLMC employees who meet the requirements of this section are eligible to participate in this program. Employees covered by collective bargaining agreements (CBA) are eligible to participate in the program as defined in their CBA. The course of study or class must be related to the employee's current position or a future position within RLMC for which the employee has a reasonable expectation of advancement. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jay Knaak MD | ||||||||||||||
| Member/Physician/Chief of Staff | $279,802 | $0 | $3,765 | $0 | $0 | $0 | $4,716 | $0 | $14,870 | $0 | $303,153 | $0 | $0 | $0 |
| Harold Odegaard | ||||||||||||||
| CEO | $243,342 | $0 | $69,079 | $0 | $27,626 | $0 | $1,984 | $0 | $28,773 | $0 | $370,804 | $0 | $0 | $0 |
| Heather Cook | ||||||||||||||
| General Surgeon | $357,706 | $0 | $0 | $0 | $4,378 | $0 | $0 | $0 | $10,875 | $0 | $372,959 | $0 | $0 | $0 |
| Ralf Lukner | ||||||||||||||
| Physician | $171,385 | $0 | $50,000 | $0 | $41,142 | $0 | $0 | $0 | $5,008 | $0 | $267,535 | $0 | $0 | $0 |
| Bradley Reiners | ||||||||||||||
| Physician Assistant | $105,920 | $0 | $35,000 | $0 | $0 | $0 | $0 | $0 | $14,870 | $0 | $155,790 | $0 | $0 | $0 |
| Nancy Burmeister | ||||||||||||||
| Nurse Practitioner | $113,882 | $0 | $35,000 | $0 | $0 | $0 | $2,912 | $0 | $7,813 | $0 | $159,607 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4a | FormAndLineReferenceDesc |
| Explanation | Dr. Ralf Lukner voluntarily resigned his employment with RLMC. As a result of his resignation on the separation date, his employment terminated and his clinical privileges and Medical Staff Membership at RLMC also automatically terminated. RLMC agreed to pay Dr. Lukner ninety days' severance pay in the amount of $62,500 less applicable payroll taxes, deductions and withholdings. Specifically in consideration of the separation pay and benefits, Dr. Lukner, for himself and anyone who had or obtains legal rights or claims through him, agree to release and forever discharge RLMC of and from any and all manner of claims, demands, actions, causes of action, administrative claims, liability, damages, claims for punitive or liquidating damages, claims for attorney's fees, costs and disbursements, individual or class action claims or demands of any kind whatsoever. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Our on-campus Rural Health Clinic moved into a newly renovated larger space in February 2015, along with opening a Specialty Clinic. In 2015 RLMC hired a general surgeon, an internal medicine physician and an OB-GYN. RLMC began billing for orthopedic procedures performed at the facility in March 2015 and also begin performing Sleep Studies in the 2nd quarter of 2015. A permanent onsite MRI machine was placed into service in February 2015. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee will consist of the Chair, the Vice Chair, the Secretary and the Treasurer elected by the Board of Trustees at its first meeting after election. The Chair shall serve as chair of the Executive Committee. The Executive Committee will have the power to transact all regular business of the Medical Center, as authorized by the full Board, during the interim between meetings of the Board of Trustees, provided any action taken will not conflict with the policies and expressed wishes of the Board of Trustees, and that it will refer all matters of major importance to the Board of Trustees. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared by the same accounting firm which prepares the audit and then it is reviewed by the CFO and CEO. In addition, a copy of the return is provided to the Board of Trustees for review before it is filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Organization's officers, directors, and key employees are reminded of the conflict of interest policy and must sign a conflict of interest statement annually. Disclosures of conflicts for the Board of Trustee members are distributed at every board meeting. When a conflict of interest exists, the interested trustee may be present for discussion to answer questions, but may not advocate for the action to be taken and may be asked to leave the room while a vote is taken. |
| Form 990, Part VI, Section B, line 15 | The compensation for the CEO is set by the Board of Directors and is documented in the board minutes and CEO's written contract. To set the CEO's compensation, RLMC uses three external reports for determining and setting salary ranges. These include the Minnesota Hospital Association Salary Survey Report, the "HHRAM" (Healthcare Human Resources Association of Minnesota) Salary Survey Book, and the Medical Group Management Associate (MGMA) Physician Compensation Report Survey. The compensation for other officers and key employees is reviewed and approved by the CEO. HHRAM Salary Survey is used in determining these salaries as well as longevity and performance evaluations. These decisions are documented in the employee's personnel file. All reviews are performed as least annually. |
| Form 990, Part VI, Section C, line 19 | The governing documents, financial statements, and conflict of interest policy are not open to the public. |
| Form 990, Part IX, line 11g | Contracted Services: Program service expenses 798,812. Management and general expenses 19,987. Fundraising expenses 0. Total expenses 818,799. Purchased Services: Program service expenses 624,002. Management and general expenses 642,109. Fundraising expenses 0. Total expenses 1,266,111. Physician Fees: Program service expenses 2,348,130. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,348,130. Other Fees: Program service expenses 181,096. Management and general expenses 68,108. Fundraising expenses 0. Total expenses 249,204. Equipment Rent: Program service expenses 983,933. Management and general expenses 34,652. Fundraising expenses 0. Total expenses 1,018,585. |
| Form 990, Part XI, line 9: | Change in recognized pension costs 77,146. Remove Change in net assets of Foundation 20,500. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Falls Memorial Hospital Foundation Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Highway 71 | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204585807 | EIN |
| Primary Activities | Support | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 11a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rainy Lake Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |