2014-11-17T09:44:27-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-01-01 410726171 INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION INTE 2182835401 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 MELISSA MARCOTTE CFO 2182835401 2014-11-07 1 DARRYN MCGARVEY P00958683 6123764500 2013 2015-11-30 17:44:51Z RAINY LAKE MEDICAL CENTER DAN ODEGAARD 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 24564855 0 X WWW.RAINYLAKEMEDICAL.COM X 1945 MN TO PROMOTE AND PROVIDE HEALTH CARE AND WELLNESS SERVICES IN OUR REGION THAT EXCEED EXPECTATIONS. 12 7 202 26 12648 -149 88186 135431 25195442 24098008 102178 25801 583760 305615 25969566 24564855 0 0 0 0 9595663 9341588 0 0 8123 16007657 16346543 25603320 25688131 366246 -1123276 21869475 21405376 2977792 3422927 18891683 17982449 X TO SERVE PATIENTS AND PROMOTE WELLNESS, AND TO BE THE COMMUNITY'S TRUSTED CHOICE FOR HEALTHCARE BY PLACING PATIENTS FIRST, PROMOTING WELLNESS, EMBRACING CHANGE, AND FACILITATING A SEAMLESS CONTINUUM OF CARE. 0 0 19803953 0 24098008 PROVIDED HEALTH CARE SERVICES TO THE COMMUNITY OF INTERNATIONAL FALLS. IN ADDITION TO PROVIDING DIRECT PATIENT CARE AND IN FURTHERANCE OF ITS CHARTIABLE 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. DURING 2013, THERE WERE 7931 EMERGENCY/URGENT CARE VISITS, 75 DELIVERIES, 424 ACUTE CARE ADMISSIONS, AND 1580 TOTAL PATIENT DAYS. 19803953 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 35 0 202 1 1 1 0 0 0 0 0 0 0 0 0 X 12 7 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MELISSA MARCOTTE 2182835431 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 CHARLES HELLELOID MD CHAIR 4.00 0.00 X X 0 0 31 SUSAN CONGRAVE VICE-CHAIR 4.00 0.00 X X 0 0 32 BILL DOUGHERTY SECRETARY 4.00 2.00 X X 0 0 32 DON BILLIG TREASURER 4.00 0.00 X X 0 0 11 ROBERT ANDERSON MEMBER 4.00 0.00 X 0 0 11 JOSEPH BIANCO MD MEMBER 4.00 0.00 X 0 0 0 BRIAN BRIGGS MEMBER 4.00 2.00 X 0 0 17 GEORGE COCHRAN MEMBER 4.00 0.00 X 0 0 0 BONNIE ERICKSON MEMBER 4.00 0.00 X 0 0 27 JEFF HARDWIG MD MEMBER 4.00 0.00 X 0 0 32 JAY KNAAK MD MEMBER 4.00 0.00 X 0 0 27 MIKE MOTLEY MEMBER 4.00 0.00 X 0 0 32 BRAD REINERS MEMBER 4.00 0.00 X 0 0 32 GAIL ROGNERUD MEMBER 4.00 0.00 X 0 0 0 MARTIN SINCLAIR MEMBER 4.00 0.00 X 0 0 0 ANTHONY STONE MD MEMBER 4.00 0.00 X 0 0 32 JON TALSNESS MD MEMBER 4.00 0.00 X 0 0 11 BOB HALEY INTERIM CEO 39.00 1.00 X 0 0 0 MELISSA MARCOTTE CFO 39.00 1.00 X 118883 0 3966 DONITA ETTESTAD CNO 40.00 0.00 X 102702 0 4611 221585 0 8904 2 0 0 0 ESSENTIA HEALTHDULUTH CLINIC 400 EAST 3RD STREET DULUTH MN 55805 PROFESSIONAL & MANAGEMENT SERVICES FOR C 3876316 WAPITI MEDICAL GROUP PO BOX 92 NEWELL SD 57760 ER PHYSICIAN FEES 1234915 CONNECT HEALTHCARE LLC 107 FLYNN DRIVE SUITE 600 MILBANK SD 57252 HOSPITALIST PHYSICIAN FEES 845825 CMDI 150 10TH ST NW MILACA MN 56353 CT, ULTRASOUND AND MAMMOGRAPHY LEASE 532080 QUORUM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES; CONTRACT CEO 489477 16 27184 108247 11728 135431 PATIENT SERVICE REVENUE 621990 24098008 24085360 12648 24098008 25801 25801 27681 0 27681 27681 27681 CT SERVICES 900099 176100 176100 OTHER REVENUE 900099 76461 76461 MEANINGFUL USE REVENUE 900099 25373 25373 277934 24564855 24085360 12648 331416 X 122849 122849 7446289 5735199 1702967 8123 241840 222100 19740 950772 810592 140180 579838 494348 85490 764256 764256 201395 201395 48762 48762 7880789 6703005 1177784 32206 32206 425328 260231 165097 449984 33027 416957 299028 293861 5167 15696 2552 13144 731115 731115 82404 82404 CLINIC PATIENT SERVICES 3177667 3177667 BAD DEBT EXPENSE 872605 872605 TAXES AND SURCHARGES 401797 401797 MEDICAL SUPPLIES 332304 332304 631207 135347 495860 25688131 19803953 5876055 8123 11862717 11969897 2922800 2362483 355219 416410 122632 107909 14982871 9082406 5702874 5900465 684233 648212 219000 0 21869475 21405376 2564202 2552820 413590 870107 2977792 3422927 X 18891683 17946302 36147 18891683 17982449 21869475 21405376 X -1123276 214042 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 161319 161319 7961003 3549828 4411175 156684 121761 34923 6384359 5410817 973542 319506 319506 5900465 DUE TO RELATED PARTY 289523 OTHER LIABILITIES 483758 ASSET RETIREMENT OBLIGATION 96826 870107 X PART X, LINE 2: THE CENTER HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE CENTER FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT OF THE CENTER'S CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 1 1 1 X 1 X 0 1 0 1 1 346659 346659 0.01350 4530250 3081849 1448401 0.05640 4876909 3081849 1795060 0.06990 9131 9131 0.00040 11687 11687 0.00050 5305 5305 0.00020 26123 26123 0.00110 4903032 3081849 1821183 0.07100 138 138 0.00000 1285 1285 0.00010 28741 28741 0.00110 30164 30164 0.00120 1 872605 90334 8586336 8303753 282583 X 1 1 1 1 RAINY LAKE MEDICAL CENTER 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 WWW.RAINYLAKEMEDICAL.COM 365894 X X X X PROVIDER-BASED CLINIC RAINY LAKE MEDICAL CENTER 1 1 X X X X X X X X X 13 1 0 1 X HTTP://RAINYLAKEMEDICAL.COM/WP-CONTENT/UP X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X X X 1 1 X X X X 1 0 X X X X 1 X 0 0 RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 3: 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 INFORMAL COMMUNITY LEADERS AND INTERESTED CITIZENRY. RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 7: 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 12I: ELIGIBILITY FOR THE HOSPITAL'S COMMUNITY CARE PROGRAM IS BASED ON THREE CRITERIA: YOUR INCOME, YOUR RESOURCES, AND YOUR APPLICATION FOR, AND USE OF, ANY PRIVATE OR GOVERNMENTAL HEALTHCARE COVERAGE AVAILABLE TO YOU. RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 20D: 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. PART I, LINE 6A: RLMC MAKES ITS COMMUNITY BENEFIT REPORT AVAILABLE TO THE PUBLIC BY INCLUDING IT IN THEIR FINANCIAL STATEMENTS AND THROUGH THE MINNESOTA HOSPITAL ASSOCIATION ANNUAL REPORT. PART I, LINE 7: COSTING METHODOLOGY USED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 FOR LINES A, B, AND G. ACTUAL COSTS WERE USED TO DERIVE AMOUNTS ON LINES E, F, AND I. 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. PART III, LINE 2: BAD DEBT EXPENSE OF $872,605 WAS SUBTRACTED WHEN CALCULATING THE COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSE. PART III, LINE 3: THE RATIO OF COSTS TO CHARGES CALCULATED ON WORKSHEET 2 WAS USED TO DETERMINE THE AMOUNTS ON LINES 2 AND 3. ACCOUNTS THAT WENT TO BAD DEBT WERE REVIEWED AND COMPARED TO THE COMMUNITY CARE LOG TO IDENTIFY THOSE THAT WERE NOT PROCESSED AS COMMUNITY CARE DUE TO NON-RETURN OF THE APPLICATION.SEE THE "PATIENT ACCOUNTS RECEIVABLE, NET" SECTION ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS FOR INFORMATION ABOUT THE CALCULATION OF BAD DEBT EXPENSE. PART III, LINE 8: THERE WAS NO SHORTFALL CALCULATED IN 2013. THE AMOUNTS INCLUDED IN PART III, LINES 6-8 WERE DERIVED USING THE 2013 FILED MEDICARE COST REPORT. 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: 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 INFORMAL COMMUNITY LEADERS AND INTERESTED CITIZENRY. 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. PART VI, LINE 4: RLMC PRIMARILY SERVES THE POPULATION OF KOOCHINCHING COUNTY, MINNESOTA. THE COUNTY IS LARGE AND SPARSELY POPULATED WITH INTERNATIONAL FALLS AS THE MAIN POPULATION CENTER. OTHER NEARBY SMALLER COMMUNITIES INCLUDE LITTLEFORK, BIG FALLS, RANIER, BIRCHDALE AND LOMAN. COLLECTIVELY THESE COMMUNITIES MAKE UP THE PRIMARY SERVICE AREA (PSA). THE PSA HAS AN ESTIMATED POPULATION OF AROUND 12,000 AND IS PROJECTED TO CONTINUALLY DECLINE. THE AVERAGE DISPOSABLE HOUSEHOLD INCOME IS AROUND $49,000 WHICH IS 6% LOWER THAN THE U.S. AVERAGE. APPROXIMATELY 19% OF THE POPULATION IS OVER THE AGE OF 65. PART VI, LINE 5: REPRESENTATION ON THE BOARD IS PREDOMINANTLY LOCAL AS THE BYLAWS STATE THAT NO MORE THAN 4 TRUSTEES MAY RESIDE OUTSIDE OF THE SERVICE AREA. RLMC HAS IN PLACE AN OPEN MEDICAL STAFF MODEL. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE WILL CONSIST OF THE BOARD CHAIR AS CHAIRPERSON, THE BOARD VICE CHAIR, THE BOARD SECRETARY, THE BOARD TREASURER, AND TWO OTHER MEMBERS OF THE BOARD OF TRUSTEES (ONE AN ESSENTIA HEALTH TRUSTEE AND ONE A FALLS TRUSTEE) DETERMINED BY THE BOARD OF TRUSTEES AT ITS FIRST MEETING AFTER ELECTION. THE EXECUTIVE COMMITTEE WILL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE 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 A, LINE 2 BOARD MEMBERS CHARLES HELLELOID, MARTIN SINCLAIR, MIKE MOTLEY, JOSEPH BIANCO, JEFF HARDWIG, BRAD REINERS, AND ANTHONY STONE ARE EMPLOYEES OF ESSENTIA HEALTH. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL'S INTERIM CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES. THE HOSPITAL HAS AN AGREEMENT WITH QUORUM AND PAYS THEM MANAGEMENT FEES. FORM 990, PART VI, SECTION A, LINE 7A ONE HALF OF THE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE APPOINTED BY ESSENTIA HEALTH. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO, CEO, AND FINANCE COMMITTEE. IN ADDITION, A COPY OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS 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 IS 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 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 PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,210,097. MANAGEMENT AND GENERAL EXPENSES 744,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,954,380. CONTRACTED/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,492,908. MANAGEMENT AND GENERAL EXPENSES 406,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,899,657. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,243. SERVICE CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,509. FORM 990, PART XI, LINE 9: CHANGE IN RECOGNIZED PENSION COSTS 188,766. CHANGE IN INTEREST IN FOUNDATION 25,276. FALLS MEMORIAL HOSPITAL FOUNDATION INC 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 204585807 SUPPORT MN 501(C)(3) LINE 11A, I RAINY LAKE MEDICAL CENTER 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 RAINY LAKE MEDICAL CENTER FOUNDATION C 27184 FMV