KITTSON MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- KITTSON MEMORIAL HOSPITAL ASSOCIATION (EIN 41-0724034)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-14
- IRS object ID
- 202602269349300435
- Schema version
- 2024v5.5
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-14T08:50:11-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 WEST BRIDGE STREET | AddressLine1Txt |
| City | OWATONNA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410724034 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KITTSON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KITT | BusinessNameControlTxt |
| Phone | 2188433612 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 700 | AddressLine1Txt |
| City | HALLOCK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56728 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA SWENSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2188433612 | PhoneNum |
| Signature | 2026-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN HARTERT | PreparerPersonNm |
| PTIN | P02236744 | PTIN |
| Phone | 5074467100 | PhoneNum |
| Preparation | 2026-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KITTSON MEMORIAL HEALTHCARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREA SWENSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 S BIRCH AVE | AddressLine1Txt |
| City | HALLOCK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56728 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,196,410 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KITTSONHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1919 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | KITTSON ENSURES THAT NORTHWESTERN MINNESOTA RESIDENTS HAVE ACCESS TO HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 212 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $11,195 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $95,076 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,669,921 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,372,269 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,305,972 | CYProgramServiceRevenueAmt |
| PY Investment Income | $214,956 | PYInvestmentIncomeAmt |
| CY Investment Income | $208,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $39,627 | PYOtherRevenueAmt |
| CY Other Revenue | $8,470 | CYOtherRevenueAmt |
| PY Total Revenue | $17,721,928 | PYTotalRevenueAmt |
| CY Total Revenue | $21,192,490 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,731 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,120 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,272,786 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,808,341 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,691,660 | PYOtherExpensesAmt |
| CY Other Expenses | $10,719,381 | CYOtherExpensesAmt |
| PY Total Expenses | $17,971,177 | PYTotalExpensesAmt |
| CY Total Expenses | $18,531,842 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$249,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,660,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,990,074 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,137,811 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,249,557 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,732,849 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,740,517 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,404,962 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARING FOR FAMILY AND FRIENDS, KITTSON HEALTHCARE COLLABORATES WITH OTHERS TO ENSURE AREA RESIDENTS HAVE ACCESS TO SERVICES NECESSARY TO MAINTAIN THEIR HEALTH AND WELL-BEING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,954,855 | ExpenseAmt |
| Grant | $4,120 | GrantAmt |
| Revenue | $18,305,972 | RevenueAmt |
| Desc | SINCE 1922, KITTSON HEALTHCARE PRIDES ITSELF ON PROVIDING CONTINUOUS SERVICE TO THE CITIZENS OF KITTSON COUNTY AND SURROUNDING AREAS. KITTSON HEALTHCARE HAS BEEN THE SOLE HOSPITAL IN KITTSON COUNTY SINCE JANUARY 1995. KITTSON COUNTY IS CONSIDERED DEEP RURAL OR A FRONTIER COUNTY AND HAS 1,098.8 SQUARE MILES OF LAND MAKING IT THE 18TH LARGEST COUNTY MINNESOTA BY TOTAL AREA. THE SERVICE AREA POPULATION AS OF 2025 CENSUS WAS LISTED AS 4,031. TODAY, KITTSON HEALTHCARE IS A TWELVE-BED ACUTE CARE FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL WITH EMERGENCY ROOM SERVICES AND FIFTY BED LONG TERM CARE FACILITY WHICH ALSO INCLUDES A HOME HEALTHCARE AGENCY, EIGHT BED ASSISTED LIVING FACILITY AND AN AMBULANCE SERVICE. THERE IS A MEDICAL CLINIC LOCATED IN THE COMPLEX AS WELL AS A SATELLITE MEDICAL CLINIC IN KARLSTAD, MINNESOTA. IN ACCORDANCE WITH LAWS SUCH AS THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT AND SOCIAL SECURITY ACT, EMERGENCY SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY INCLUDING STABILIZATION AND TRANSFER IF APPROPRIATE OR REQUESTED. HOME HEALTH SERVICES PROVIDE MEDICAL AND PERSONAL ASSISTANCE TO THOSE PATIENTS WHO ARE HOME BOUND. THIS VALUED SERVICE PROVIDES AREA RESIDENTS WITH THE ASSISTANCE THEY NEED TO LIVE INDEPENDENTLY WHETHER IT BE HOUSEKEEPING SERVICES, MEDICATION DISPENSATION, OR DAILY DRESSING CHANGES. KITTSON HEALTHCARE'S ASSISTED LIVING COMPLEX PROVIDES AREA RESIDENTS WITH OPTIONS TO ASSIST IN THEIR TRANSGRESSION FROM LIVING INDEPENDENTLY TO CONGREGATE DINING WITH OTHER ASSISTED LIVING RESIDENTS, MEDICATION DISPENSATION ASSISTANCE, AND ACCESS TO ACTIVITIES IN THE NURSING HOME. RESIDENTS ARE ALSO ABLE TO "COME AND GO" AS THEY PLEASE WITH ACCESS TO THEIR OWN TRANSPORTATION OR TRANSPORTATION MAY BE ARRANGED. THE COMMUNITY CARE PROGRAM IS AVAILABLE THROUGH THE BUSINESS OFFICE TO ASSIST INDIVIDUALS WITH PAYING THEIR HEALTHCARE BILLS FOR SERVICES RENDERED AT KITTSON HEALTHCARE. THE BUSINESS OFFICE ASSISTS INDIVIDUALS WITH COMPLETING ENROLLMENT FORMS ARE AVAILABLE FOR ADDITIONAL INFORMATION. | Desc |
| Total Program Service Expenses | $14,954,855 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 0 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 212 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | ANDREA SWENSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2188433612 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 SOUTH BIRCH AVENUE | AddressLine1Txt |
| City | HALLOCK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56728 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| HUNT HUGH | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $627 | $0 | $0 | |
| ESCARENO HENRY | |||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $468 | $0 | $0 | |
| SWANSON MICHAEL | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $550 | $0 | $0 | |
| DIAMOND STACY | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $650 | $0 | $0 | |
| HULTGREN KENNY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $444 | $0 | $0 | ||
| YOUNGGREN BETTY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $208 | $0 | $0 | ||
| GRANDSTRAND SAMUEL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $402 | $0 | $0 | ||
| HANSON GEORGE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $232 | $0 | $0 | ||
| JANELLE CRAIGMILE THRU 12025 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $394 | $0 | $0 | ||
| LARTER DR ROLAND THRU 32025 | |||||||
| DIRECTOR | 1.00 | Yes (X) | $359 | $0 | $0 | ||
| SANDY WILSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SURDY JAMES | |||||||
| CMO, EX-OFFICIO | 40.00 | Yes (X) | $412,619 | $0 | $94,768 | ||
| SWENSON ANDREA | |||||||
| CEO | 40.00 | Yes (X) | $150,235 | $0 | $37,953 | ||
| NEIL FRIZZEL | |||||||
| CONTRACTED CFO | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHNSON JULIE A H | |||||||
| NURSE PRACTITIONER | 32.00 | $257,988 | $0 | $56,232 | Yes (X) | ||
| COOK VANESSA | |||||||
| PHYSICIAN | 32.00 | $204,782 | $0 | $17,281 | Yes (X) | ||
| PINNOCK AMANDA | |||||||
| NURSE PRACTITIONER | 32.00 | $194,917 | $0 | $48,789 | Yes (X) | ||
| OLIVER KARRAH | |||||||
| PHYSICIAN ASSISTANT | 32.00 | $180,502 | $0 | $27,563 | Yes (X) | ||
| JOHNSON NICOLE | |||||||
| PHARMACIST | 32.00 | $156,035 | $0 | $40,291 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,561,412 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $322,877 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | 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 |
|---|---|---|---|---|---|
| ROCK MEDICAL GROUP | |||||
| 2717 N 118TH ST SUITE 210 | OMAHA | NE | 68164 | NH TRAVEL STAFFING | $686,052 |
| EIDE BAILLY LLP | |||||
| 800 NICOLLET MALL STE 1300 | MINNEAPOLIS | MN | 55402 | PROFESSIONAL FEES | $664,412 |
| BIG STONE THERAPIES INC | |||||
| 500 PARK ST E | ANNANDALE | MN | 55302 | CONTRACT THERAPY SERVICES- PT, OT, SPEEC | $558,436 |
| LAKES MEDICAL STAFFING LLC | |||||
| 10101 246TH STREET N | SCANDIA | MN | 55073 | STAFFING AGENCY | $548,018 |
| CLIFTONLARSONALLEN | |||||
| 220 SOUTH SIXTH STREET STE 300 | MINNEAPOLIS | MN | 55402 | PROFESSIONAL FEES | $220,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $26,410 | FundraisingAmt |
| Government Grants | $2,528,060 | GovernmentGrantsAmt |
| All Other Contributions | $115,451 | AllOtherContributionsAmt |
| Total Contributions | $2,669,921 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT & RESIDENT SER | 623000 | $16,426,739 | $16,426,739 | |
| PHARMACY | 456110 | $1,631,687 | $1,631,687 | |
| CENTRAL MN DIAGNOSTIC | 561439 | $129,730 | $129,730 | |
| OTHER PROGRAM REVENUE | 624100 | $117,816 | $106,621 | $11,195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,305,972 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,627 | TotalRevenueColumnAmt |
| Exclusion | $184,627 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,390 | 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 | $12,390 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,390 | TotalRevenueColumnAmt |
| Exclusion | $12,390 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,500 | TotalRevenueColumnAmt |
| Exclusion | $23,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $26,410 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,920 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,920 | TotalRevenueColumnAmt |
| Exclusion | -$3,920 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,192,490 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,294,777 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,195 | UnrelatedBusinessRevenueAmt |
| Exclusion | $216,597 | 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 | $4,120 | TotalAmt |
| Program Services | $4,120 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $996,129 | TotalAmt |
| Program Services | $199,226 | ProgramServicesAmt |
| Management And General | $796,903 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,529,974 | TotalAmt |
| Program Services | $5,236,902 | ProgramServicesAmt |
| Management And General | $293,072 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,924 | TotalAmt |
| Program Services | $132,924 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,057 | TotalAmt |
| Program Services | $461,943 | ProgramServicesAmt |
| Management And General | $223,114 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,257 | TotalAmt |
| Program Services | $389,992 | ProgramServicesAmt |
| Management And General | $74,265 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,745 | TotalAmt |
| Program Services | $56 | ProgramServicesAmt |
| Management And General | $24,689 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,746 | TotalAmt |
| Management And General | $896,746 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,456,504 | TotalAmt |
| Program Services | $4,324,193 | ProgramServicesAmt |
| Management And General | $132,311 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,355 | TotalAmt |
| Program Services | $2,819 | ProgramServicesAmt |
| Management And General | $27,536 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,495 | TotalAmt |
| Program Services | $605,255 | ProgramServicesAmt |
| Management And General | $114,240 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,598 | TotalAmt |
| Program Services | $92,565 | ProgramServicesAmt |
| Management And General | $248,033 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,995 | TotalAmt |
| Program Services | $165,494 | ProgramServicesAmt |
| Management And General | $340,501 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,676 | TotalAmt |
| Program Services | $65,174 | ProgramServicesAmt |
| Management And General | $8,502 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,819 | TotalAmt |
| Program Services | $37,920 | ProgramServicesAmt |
| Management And General | $26,899 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,912 | TotalAmt |
| Program Services | $100,912 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,383 | TotalAmt |
| Program Services | $403,922 | ProgramServicesAmt |
| Management And General | $153,461 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,603 | TotalAmt |
| Management And General | $130,603 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & INST | $1,739,418 | $1,739,418 | |
| BAD DEBT EXPENSE | $602,701 | $602,701 | |
| FOOD | $215,371 | $211,942 | $3,429 |
| CERTIFICATES/LICENSES | $143,351 | $143,351 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,709 | TotalAmt |
| Program Services | $34,026 | ProgramServicesAmt |
| Management And General | $82,683 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,531,842 | TotalAmt |
| Program Services | $14,954,855 | ProgramServicesAmt |
| Management And General | $3,576,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321 | BOYAmt |
| EOY | $403,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,840,326 | BOYAmt |
| EOY | $6,939,843 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,278,258 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,712,371 | BOYAmt |
| EOY | $1,745,800 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,437 | BOYAmt |
| EOY | $230,274 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,675 | BOYAmt |
| EOY | $82,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,851,280 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,589,330 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,501,537 | BOYAmt |
| EOY | $2,261,950 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,621,149 | BOYAmt |
| EOY | $807,744 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,093,258 | BOYAmt |
| EOY | $388,027 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,990,074 | BOYAmt |
| EOY | $15,137,811 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,108,317 | BOYAmt |
| EOY | $1,872,889 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,609 | BOYAmt |
| EOY | $1,909,228 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,631 | BOYAmt |
| EOY | $950,732 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,249,557 | BOYAmt |
| EOY | $4,732,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,644,941 | BOYAmt |
| EOY | $10,340,279 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,576 | BOYAmt |
| EOY | $64,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,740,517 | BOYAmt |
| EOY | $10,404,962 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,990,074 | BOYAmt |
| EOY | $15,137,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,660,648 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,797 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $673 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $673 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | IN-DIRECT LOBBYING ACTIVITIES VIA MINNESOTA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $14,159 | BeginningBalanceAmt |
| Additions During Year | $0 | AdditionsDuringYearAmt |
| Distributions During Year | $5,169 | DistributionsDuringYearAmt |
| Ending Balance | $8,990 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $63,026 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,657 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $64,683 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $61,156 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,870 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $63,026 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $57,383 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,773 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $61,156 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,574 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,191 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $57,383 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,681 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,893 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $59,574 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.77300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22700 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,985 | OtherCostOrOtherBasisAmt |
| Book Value | $12,985 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,762,104 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,743,872 | DepreciationAmt |
| Book Value | $1,018,232 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,076,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,845,458 | DepreciationAmt |
| Book Value | $1,230,733 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,261,950 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RIGHT OF USE LEASE | $49,795 |
| THIRD PARTY PAYOR SETTLEMENTS | $900,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $950,732 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,597,506 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,797 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $3,797 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,593,709 | RevenueSubtotalAmt |
| Other Revenues Not Included | $598,781 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $598,781 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,192,490 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,933,061 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,920 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,920 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,929,141 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $602,701 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $602,701 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,531,842 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | A SMALL AUXILIARY OPERATES UNDER THE HOSPITAL'S EIN. |
| PART IV, LINE 2B: | THE CENTER HOLDS FUNDS UNDER AN AGENCY RELATIONSHIP FOR THE RESIDENTS OF THE NURSING FACILITY. |
| 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 UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THESE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES, AS DEFINED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE CENTER BELIEVES THAT IT IS COMPLIANT WITH ALL IRS TAX REGULATIONS AND AS OF SEPTEMBER 30, 2025 AND 2024 HAS NOT RECORDED LIABILITIES FOR INCOME TAXES. THE CENTER WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE IF INCURRED. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 602,701. FUNDRAISING EVENT EXPENSES -3,920. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 3,920. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 602,701. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $26,410 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $26,410 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $2,106 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,814 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $26,410 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $26,410 | CharitableContributionsTotAmt |
| Rent Fclty Costs Total Events | $2,106 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,814 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $3,920 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,920 | NetIncomeSummaryAmt |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | $26,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,191,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,275,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,218,154 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,275,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,155,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,116,046 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,039,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,970,885 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,918,049 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,052,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,126,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,034,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,092,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,344,574 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,309,917 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,119,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $602,701 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,604,597 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,445,219 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$840,622 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| 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 | KITTSON MEMORIAL HEALTHCARE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 SOUTH BIRCH AVENUE | AddressLine1Txt |
| City | HALLOCK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56728 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://KITTSONHC.ORG/SERVICES/PATIENT | WebsiteAddressTxt |
| State License | 371450 | 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KITTSON MEMORIAL HEALTHCARE 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 |
| 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | 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 | HTTPS://KITTSONHC.ORG/WHO-WE-ARE/CHNA.HTML | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://KITTSONHC.ORG/WHO-WE-ARE/CHNA.HTML | StrategyWebsiteURLTxt |
| 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://KITTSONHC.ORG/SERVICES/PATIENT-FINANCIAL-SERVICES/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://KITTSONHC.ORG/SERVICES/PATIENT-FINANCIAL-SERVICES/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://KITTSONHC.ORG/SERVICES/PATIENT-FINANCIAL-SERVICES/ | 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 |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KITTSON MEMORIAL HEALTHCARE CENTER | PART V, SECTION B, LINE 5: THE 2025 KITTSON HEALTHCARE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)/IMPLEMENTATION PLAN (IP) AND THE JOINT KITTSON COUNTY COMMUNITY HEALTH ASSESSMENT (CHA)/COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS BEGAN BY FORMING A WORKGROUP WITHIN KITTSON HEALTHCARE LED BY ANDREA SWENSON, CHIEF EXECUTIVE OFFICER AND JEANNA KUJAVA, PUBLIC HEALTH DIRECTOR. THE WORKGROUP ALSO INCLUDED THE FOLLOWING MEMBERS KALIE BJERKE, CURRENT HOSPITAL DIRECTOR OF NURSES, KIRK SUTTON, PREVIOUS HOSPITAL DIRECTOR OF NURSES, LAURA HANSON, NURSING HOME DIRECTOR OF NURSES, JODEE SUGDEN, HOME HEALTH & ASSISTED LIVING ADMINISTRATOR, AND JEN PETERSON, CLINIC MANAGER. PATRICK OLSON, DATA SPECIALIST, HEALTHY QUIN COUNTIES COMMUNITY HEALTH BOARD PROVIDED SECONDARY DATA AND JACEY SPAETH, PUBLIC HEALTH PROJECT CORP VOLUNTEER ASSISTED. THE 2025 SURVEY QUESTIONS REFLECTED IDENTICAL QUESTIONS ASKED FROM THE 2022 SURVEY WITH A FEW ADDITIONAL QUESTIONS ADDED. THIS WAS INTENTIONAL IN ORDER TO CREATE COMPARISON DATA. THE SURVEY SOFTWARE POPULATED THE SURVEY QUESTIONS AND CAPTURED ZIP CODE DATA. THE SURVEY TOOL WAS TITLED 2025 KITTSON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. MULTIPLE FORMATS OF THE SURVEY WERE CREATED AND INCLUDED A QR CODE, WEB LINK AND PAPER COPIES IN ORDER TO CAPTURE A HIGH RATE OF COMPLETION. A PAID AD WAS PUBLISHED IN THE NORTH STAR NEWS WEEKLY NEWSPAPER AND THE KITTSON COUNTY ENTERPRISE FOLLOWED BY SCHEDULED SOCIAL MEDIA POSTS. THE PUBLIC EDUCATION CAMPAIGN EDUCATED THE COMMUNITY ABOUT THE IMPORTANCE OF COMPLETING THE ASSESSMENT. PAPER COPIES OF THE SURVEY WERE PROVIDED TO AREA SENIOR CENTERS OR COMMUNITY CENTERS LOCATED IN THE LARGEST CITIES OF HALLOCK, LANCASTER, KARLSTAD, LAKE BRONSON AND KENNEDY AND SERVED AS AN AGE FRIENDLY APPROACH. THE PAPER SURVEYS ALSO ALLOWED FOR GATHERING INPUT FROM INDIVIDUALS WITH LIMITED TECHNOLOGY SKILLS OR THAT LACKED ACCESS TO THE INTERNET. EMPLOYEES OF KITTSON HEALTHCARE REFLECT EACH CITY IN KITTSON COUNTY. EMPLOYEES WERE THEREFORE ENGAGED IN THE ASSESSMENT PROCESS IN A VARIETY OF WAYS. EDUCATION ABOUT THE ASSESSMENT PROCESS WAS INCLUDED ON THE AGENDA OF MULTIPLE MONTHLY DEPARTMENT MANAGER MEETINGS IN ORDER TO GARNER SUPPORT AND DEPARTMENT LEVEL UNDERSTANDING OF THE CHNA/CHA PROCESS AND PURPOSE. DEPARTMENT MANAGERS PROMOTED SURVEY COMPLETION AND EMPLOYEES WERE ENCOURAGED TO VOLUNTEER AT THE KITTSON COUNTY FAIR BOOTH DURING WORK TIME. THE SURVEY QR CODE AND LINK WAS PRINTED AND SHARED BY THE BUSINESS OFFICE IN MONTHLY BILLING MAILINGS. THE SURVEY WAS AVAILABLE AT THE FRONT DESK OF THE BUSINESS OFFICE AND THE CLINIC. SURVEY QR CODE AND LINK WAS PRINTED AND SHARED VIA INTERDEPARTMENTAL MAILBOXES AT THE THREE PUBLIC SCHOOL DISTRICTS AS WELL AS THE KITTSON COUNTY COURTHOUSE. JACEY SPAETH AND JEANNA KUJAVA UPLOADED THE PAPER SURVEY RESULTS INTO THE SURVEY MONKEY SOFTWARE WHERE ALL OF THE RESULTS WERE TABULATED TOGETHER AND ANONYMOUS. THE GOAL WAS TO CAPTURE A MINIMUM OF 100 RETURNED SURVEYS. THE SURVEY WAS OPEN STARTING JANUARY 2025 AND CLOSED MAY 2025 AFTER ACHIEVING THE GOAL OF 104 SURVEYS COLLECTED. THE WORKGROUP MET REGULARLY UP TO MONTHLY, PROVIDED ESSENTIAL FEEDBACK THROUGHOUT THE DURATION OF THE PROCESS AND ATTENDED WORKGROUP MEETINGS AS SCHEDULING WOULD ALLOW. THE WORKGROUP MADE THE DECISION TO PRIORITIZE PROMOTION OF THE SURVEY TOOL OVER CONDUCTING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS BASED UPON STAFF CAPACITY, WORKLOAD AND PROJECT BUDGET. THE PUBLIC HEALTH CORP VOLUNTEER PROJECT COORDINATOR STAFF TIME, FOUNDATIONAL PUBLIC HEALTH CAPABILITY GRANT FUNDING AND KITTSON HEALTHCARE IN KIND STAFF TIME WAS UTILIZED TO SUPPORT THE ASSESSMENT PROCESS. KITTSON COUNTY BUCKS WERE GIVEN AWAY AS A DRAWING AT THE KITTSON COUNTY FAIR AS AN INCENTIVE TO VOTE FOR TOP HEALTH PRIORITIES. THE WORKGROUP REVIEWED THE SURVEY RESULTS AND ORGANIZED THEM INTO FIVE PRIORITIES. NEXT, JEN PETERSON, RN CLINIC MANAGER INCLUDED THE IDENTIFIED PRIORITIES ON THE NEXT STANDING MEDICAL STAFF MEETING FOR DISCUSSION WITH THE KITTSON HEALTHCARE MEDICAL PROVIDERS. THE KITTSON HEALTHCARE MEDICAL DIRECTOR AND HEALTHCARE PROVIDERS REVIEWED THE FIVE PRIORITIES, AND OFFERED FEEDBACK. THERE WAS CONSENSUS AMONG THE MEMBERS OF THE WORKGROUP AND MEMBERS OF THE MEDICAL STAFF TO MOVE FORWARD WITH PUBLIC ENGAGEMENT TO REDUCE THE FIVE PRIORITIES DOWN TO THREE PRIORITIES THAT WOULD THEN GUIDE THE IMPLEMENTATION PLAN. USING A PAPER VOTE OR BALLOT BASED SURVEY, THE PUBLIC VOTED FOR THEIR TOP THREE OF THE FIVE PRIORITIES SELECTED BY THE WORKGROUP AND THE MEDICAL STAFF. THROUGH AN INTERACTIVE DISPLAY BOOTH AT THE KITTSON COUNTY FAIR, THE PUBLIC WAS ENGAGED TO PARTICIPATE. THE THEME WAS "THE PATH TO WELLNESS AND INCLUDED A FIND AND SEEK ACTIVITY FOR CHILDREN AS WELL AS A DRAWING TO WIN KITTSON COUNTY BUCKS FOR INDIVIDUALS WHO INCLUDED THEIR NAME AND CONTACT INFORMATION IN CONJUNCTION WITH THEIR VOTE. KITTSON HEALTHCARE EMPLOYEES DECORATED A DOUBLE BOOTH SPACE WITH A FUN OUTDOOR TRAIL THEME AND INCLUDED WHITE LIGHTS, PICNIC TABLE, STUFFED ANIMALS AND A FIRE PIT DISPLAY. KITTSON HEALTHCARE EMPLOYEES VOLUNTEERED WITH THE BOOTH SET UP/TAKE DOWN AS WELL AS ENGAGING THE PUBLIC AS THEY VISITED THE BOOTH THROUGHOUT THE KITTSON COUNTY FAIR JULY 17-20, 2025. OVER FIFTY-NINE YOUTH INTERACTED BY COMPLETING A FIND AND SEEK ACTIVITY CARD WHILE ONE HUNDRED AND ONE MEMBERS OF THE PUBLIC AGED 16 AND OLDER CAST THEIR VOTE FOR THEIR PRIORITIES. THE BREAKDOWN OF VOTES CONSISTED OF SOME PEOPLE ONLY VOTING FOR ONE PRIORITY AND OTHERS VOTING FOR THREE PRIORITIES FROM THE OPTIONS LISTED. THE FIVE HEALTH PRIORITY TOPICS WERE STROKE, DIABETES INCLUDING OBESITY, SMOKING INCLUDING VAPING, HEART HEALTH AND MENTAL HEALTH. THE TOP THREE PRIORITIES BASED UPON THE TOTAL POTENTIAL NUMBER OF VOTES OF 303, THE TOP THREE PRIORITIES WERE CALCULATED AND DETERMINED TO BE: 1). MENTAL HEALTH-84 VOTES (28% OF THE TOTAL VOTES) 2). HEART HEALTH-68 VOTES (22% OF THE TOTAL VOTES) 3). DIABETES INCLUDING OBESITY-68 VOTES (21% OF THE TOTAL VOTES) THE COMMUNITY'S MOST PRESSING CONCERNS WILL GUIDE FUTURE PLANNING, PROGRAMMING, AND RESOURCE ALLOCATION EFFORTS THROUGH A COORDINATED HOSPITAL IMPLEMENTATION PLAN AND PUBLIC HEALTH IMPROVEMENT PLAN.PARTICIPANT PROFILE AND COMMUNITY ALIGNMENTAS PART OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A CONVENIENCE SURVEY WAS CONDUCTED TO GATHER LOCAL INPUT, WITH 104 PARTICIPANTS RESPONDING. WHEN COMPARED TO THE 2023 AMERICAN COMMUNITY SURVEY (ACS) 5-YEAR ESTIMATES, THE 2025 CHNA SAMPLE INCLUDED A HIGHER PROPORTION OF RESPONDENTS WITH COLLEGE AND GRADUATE-LEVEL EDUCATION, A GREATER NUMBER OF OLDER ADULTS, AND A SIGNIFICANTLY LARGER SHARE OF FEMALE PARTICIPANTS. RACIAL AND ETHNIC REPRESENTATION CLOSELY MIRRORED KITTSON COUNTY DEMOGRAPHICS, WITH MOST RESPONDENTS IDENTIFYING AS WHITE AND NON-HISPANIC OR LATINO (U.S. CENSUS BUREAU, 2023).COMPARING SURVEY RESULTS WITH THE ACS DATA IS ESSENTIAL FOR UNDERSTANDING HOW WELL THE PARTICIPANTS REFLECT THE BROADER COMMUNITY. RECOGNIZING DEMOGRAPHIC DIFFERENCES HELPS TO ENSURE THAT THE VOICES OF ALL RESIDENTS ARE CONSIDERED, ESPECIALLY THOSE WHO MAY BE UNDERREPRESENTED IN THE SURVEY. THIS COMPARISON SUPPORTS MORE EQUITABLE DECISION-MAKING BY IDENTIFYING WHOSE PERSPECTIVES ARE INCLUDED AND WHERE ADDITIONAL OUTREACH IS NEEDED TO ENSURE EVERYONE HAS A VOICE.THE 2025 CHNA SURVEY OFFERS VALUABLE, TIMELY INSIGHT INTO THE PRIORITIES AND EXPERIENCES OF LOCAL RESIDENTS. WHILE NO SINGLE DATA SOURCE CAN CAPTURE EVERY PERSPECTIVE, THE INCLUSION OF SECONDARY DATA HELPS PROVIDE IMPORTANT CONTEXT. THE 2022 CHNA RESULTS ARE REFERENCED TO HIGHLIGHT HOW THE POPULATION CAPTURED IN THE 2022 SURVEY DIFFERS FROM THE 2025 SAMPLE. THE COMPARISON BETWEEN THE 2022 CHNA AND THE 2025 CHNA ISN'T MEANT TO EVALUATE ONE SURVEY OVER ANOTHER, BUT TO HIGHLIGHT HOW DIFFERENCES IN SURVEY PARTICIPANTS MAY AFFECT RESULTS. VARIATIONS MAY REFLECT WHO RESPONDED RATHER THAN ACTUAL CHANGES IN COMMUNITY NEEDS. BY EXAMINING MULTIPLE DATA SOURCES OVER TIME, WE CAN DISTINGUISH REAL TRENDS FROM DATA NOISE, LEADING TO MORE ACCURATE INSIGHTS AND INCLUSIVE PLANNING. |
| KITTSON MEMORIAL HEALTHCARE CENTER | PART V, SECTION B, LINE 6B: THE HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH KITTSON COUNTY PUBLIC HEALTH. |
| KITTSON MEMORIAL HEALTHCARE CENTER | PART V, SECTION B, LINE 11: KITTSON HEALTHCARE IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN IN COLLABORATION WITH KITTSON HEALTHCARE PUBLIC HEALTH, THE HEALTHY QUIN COUNTIES COMMUNITY HEALTH BOARD, COMMUNITY ORGANIZATIONS, AND LOCAL HEALTHCARE PROVIDERS. THE 2025 CHNA IDENTIFIED MENTAL HEALTH, HEART HEALTH, AND DIABETES INCLUDING OBESITY AS THE HIGHEST-PRIORITY COMMUNITY HEALTH NEEDS BASED ON COMMUNITY SURVEY RESPONSES, PROVIDER INPUT, PUBLIC VOTING RESULTS, AND SECONDARY HEALTH DATA.TO ADDRESS MENTAL HEALTH, KITTSON HEALTHCARE CONTINUES TO SUPPORT ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH PARTNERSHIPS WITH ALLUMA FOR COMMUNITY MENTAL HEALTH COUNSELING SERVICES AND RURAL PSYCHIATRY ASSOCIATES FOR PSYCHIATRIC AND MENTAL HEALTH TELEHEALTH SERVICES. KITTSON HEALTHCARE ALSO WORKS WITH PUBLIC HEALTH AND COMMUNITY PARTNERS TO INCREASE AWARENESS OF MENTAL HEALTH RESOURCES, IMPROVE ACCESS TO SERVICES, AND SUPPORT EARLY IDENTIFICATION AND INTERVENTION EFFORTS.TO ADDRESS HEART HEALTH, KITTSON HEALTHCARE PROVIDES LOCAL ACCESS TO PRIMARY CARE, EMERGENCY SERVICES, CARDIAC REHABILITATION SERVICES, DIAGNOSTIC TESTING, PREVENTIVE SCREENINGS, PATIENT EDUCATION, AND CHRONIC DISEASE MANAGEMENT SERVICES. KITTSON HEALTHCARE WILL CONTINUE TO PROMOTE ACTIVITIES THAT ENCOURAGE CARDIOVASCULAR RISK REDUCTION THROUGH HEALTHY LIFESTYLE CHOICES, ROUTINE SCREENINGS, AND COMMUNITY EDUCATION EFFORTS.TO ADDRESS DIABETES INCLUDING OBESITY, KITTSON HEALTHCARE PROVIDES PRIMARY CARE SERVICES, DIABETES EDUCATION RESOURCES, NUTRITIONAL COUNSELING OPPORTUNITIES, PREVENTIVE SCREENINGS, AND CHRONIC DISEASE MANAGEMENT SERVICES. KITTSON HEALTHCARE WILL CONTINUE COLLABORATING WITH PUBLIC HEALTH AND COMMUNITY PARTNERS TO SUPPORT HEALTHY EATING, PHYSICAL ACTIVITY, OBESITY PREVENTION, AND IMPROVED DIABETES MANAGEMENT AMONG RESIDENTS OF THE SERVICE AREA.ADDITIONAL HEALTH NEEDS IDENTIFIED DURING THE ASSESSMENT PROCESS INCLUDED STROKE AND SMOKING/VAPING. THESE NEEDS WERE CONSIDERED DURING THE PRIORITIZATION PROCESS BUT WERE NOT SELECTED AS PRIMARY IMPLEMENTATION PRIORITIES DUE TO LIMITED ORGANIZATIONAL RESOURCES AND BECAUSE MANY STRATEGIES ADDRESSING HEART HEALTH AND DIABETES/OBESITY ARE EXPECTED TO POSITIVELY INFLUENCE STROKE-RELATED RISK FACTORS. LIKEWISE, SMOKING AND VAPING PREVENTION EFFORTS MAY BE INCORPORATED INTO BROADER PREVENTION, EDUCATION, AND WELLNESS INITIATIVES AS RESOURCES ALLOW.KITTSON HEALTHCARE AND KITTSON HEALTHCARE PUBLIC HEALTH DEPARTMENT WILL MONITOR PROGRESS TOWARD IMPLEMENTATION PLAN OBJECTIVES, EVALUATE OUTCOMES, AND MODIFY STRATEGIES AS APPROPRIATE DURING THE THREE-YEAR IMPLEMENTATION PERIOD TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.IMPLEMENTATION STRATEGY RECOMMENDATIONSKITTSON HEALTHCARE AND KITTSON HEALTHCARE PUBLIC HEALTH DEPARTMENT WILL LEAD THE IMPLEMENTATION PLAN FOR IMPROVING THE HEALTH OF THE COMMUNITY BY MONITORING AND MEASURING PROGRESS, AND IMPACT OF OBJECTIVES, MODIFY AND ADJUST OBJECTIVES AS NEEDED TO ALIGN WITH REQUIRED STATE STANDARDS AND METRICS, AND IDENTIFY OPPORTUNITIES FOR ENGAGING ADDITIONAL PARTNERS AND THE COMMUNITY OVER THE NEXT THREE YEARS.WHILE MULTIPLE HEALTH MEASURES WERE INVESTIGATED AND WILL CONTINUE TO BE EXPLORED, THE TOP COMMUNITY CONCERNS FOR THE 2025 IMPLEMENTATION PLAN AS VOTED UPON BY COMMUNITY MEMBERS INCLUDED;- MENTAL HEALTH- HEART HEALTH- DIABETES INCLUDING OBESITYIN ORDER TO MOVE FORWARD, IT WILL BE ESSENTIAL TO CONTINUE THE COMMUNITY CONVERSATION RELATED TO IMPROVING THE OVERALL HEALTH OF KITTSON COUNTY. WHILE THIS IMPLEMENTATION PLAN HAS ESTABLISHED STEPS TOWARD IMPROVED HEALTH, IT WILL REQUIRE A PERSONAL COMMITMENT BY EACH INDIVIDUAL TO ENGAGE IN THE PROCESS IN ORDER TO ACHIEVE IMPROVED PHYSICAL AND MENTAL HEALTH OF KITTSON COUNTY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - KITTSON MEMORIAL CLINIC OF KARLSTAD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 ROOSEVELT AVENUE WEST | AddressLine1Txt |
| City | KARLSTAD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56372 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | KITTSON HEALTHCARE UTILIZES FPG IN DETERMINING ELIGIBILITY. |
| PART I, LINE 6A: | THE ANNUAL COMMUNITY BENEFIT REPORT IS MADE AVAILABLE UPON REQUEST. |
| PART I, LINE 7: | THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 FROM THE IRS TO CALCULATE THE AMOUNTS IN LINE 7B AND USED ACTUAL COSTS TO CALCULATE THE AMOUNTS IN LINES 7G AND 7I. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDED IN PART I, LINE 7G INCLUDE COSTS AND REVENUES ASSOCIATED WITH HALLOCK RURAL HEALTH CLINIC, KARLSTAD RURAL HEALTH CLINIC, EMERGENCY ROOM SERVICES, CARDIAC REHABILITATION SERVICES, THE SKILLED NURSING FACILITY, ADULTS & PEDIATRICS, MEDICAL SUPPLIES, AND OBSERVATION BEDS. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $602,701. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | KITTSON HEALTHCARE SUPPORTS ACTIVITIES THAT STRENGTHEN THE COMMUNITY AND ENHANCE THE QUALITY OF LIFE OF AREA RESIDENTS. KITTSON HEALTHCARE MANAGERS, IN PARTNERSHIP WITH THE KITTSON MEMORIAL AUXILIARY, DELIVER COMMUNITY MEALS ON WHEELS FOR TWO MONTHS EACH YEAR, HELPING SUPPORT LOCAL RESIDENTS AND COMMUNITY-BASED SERVICES. KITTSON HEALTHCARE ALSO PROVIDES FINANCIAL CONTRIBUTIONS TO HELP FUND "AFTER PROM PARTY" EVENTS AT TWO AREA PUBLIC SCHOOLS. THESE EVENTS SUPPORT SAFE, SUBSTANCE-FREE ACTIVITIES FOR AREA STUDENTS FOLLOWING THEIR SCHOOL PROMS AND DEMONSTRATE KITTSON HEALTHCARE'S COMMITMENT TO THE WELL-BEING AND VITALITY OF THE COMMUNITIES IT SERVES. |
| PART III, LINE 2: | IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS COLLECTION HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 3: | THE ORGANIZATION HAS NOT IDENTIFIED A METHOD TO REASONABLY ESTIMATE THE PORTION OF OUR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | SEE THE "PATIENT AND RESIDENT RECEIVABLES" SECTION IN NOTE 1 (PAGE 15) TO THE FINANCIAL STATEMENTS FOR INFORMATION ABOUT THE CALCULATION OF BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 IS DUE TO THE NON-ALLOWABLE/NON-REIMBURSABLE COSTS PER THE MEDICARE COST REPORT AND WOULDN'T NECESSARILY BE CONSIDERED COMMUNITY BENEFIT IN NATURE.THE MEDICARE ALLOWABLE COSTS REPORTED IN PART III, LINE 6 WERE DERIVED USING THE FY 2025 FILED MEDICARE COST REPORT. |
| PART III, LINE 9B: | COLLECTION EFFORTS ARE MADE BY CONTACTING THE PATIENT THROUGH WRITTEN CORRESPONDENCE. IF, THROUGHOUT ANY COMMUNICATION WITH THE PATIENT, THE COLLECTOR AND PATIENT DISCUSS THAT THE PATIENT IS NOT ABLE TO AFFORD PAYMENTS AS REQUIRED BY OUR POLICY, THE PATIENT IS ENCOURAGED TO APPLY FOR COMMUNITY CARE. AN APPLICATION, PLAIN LANGUAGE SUMMARY, AND FAP ARE SENT TO THE PATIENT TO REVIEW AND COMPLETE. ACCORDING TO FEDERAL POVERTY GUIDELINES, THE PATIENT MAY QUALIFY FOR ALL OR A PERCENT OF CHARGES WRITTEN OFF THEIR ACCOUNT. ADDITIONAL INFORMATION IS OFFERED TO HELP THEM APPLY FOR STATE FUNDED PROGRAMS. |
| PART VI, LINE 2: | PUBLIC HEALTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS INFORMATION IS THEN SHARED WITH FACILITY MANAGEMENT AND THE BOARD OF DIRECTORS. GOING FORWARD, A CHNA WILL BE CONDUCTED EVERY THREE YEARS TO MAKE THIS ASSESSMENT.IN ADDITION TO CONDUCTING THE CHNA EVERY THREE YEARS, KITTSON INFORMALLY LISTENS TO THE PUBLIC'S REQUEST FOR SERVICES. KITTSON'S WEBSITE HAS A SURVEY TO HELP IDENTIFY KEY HEALTH TRENDS, CONCERNS, AND SERVICES NEEDED IN THE AREA. THROUGH OUR PUBLIC HEALTH AND SCHOOL HEALTH WORK, WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF THE COMMUNITY AND MEETING THE NEEDS AT THE TIME. FOR EXAMPLE, KITTSON HELD PUBLIC MEETINGS WITH COUNSELORS WHEN THE COMMUNITY HAD A NEED FOR ADDITIONAL SUPPORT AND INFORMATION REGARDING SUICIDE. |
| PART VI, LINE 3: | PATIENTS ARE INFORMED ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH CONSPICUOUS NOTICES ON BILLING STATEMENTS, PUBLIC DISPLAYS WITHIN ADMISSIONS AND EMERGENCY SERVICE AREAS, AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY (COMMUNITY CARE POLICY), PLAIN LANGUAGE SUMMARY AND APPLICATION ON THE HOSPITAL'S WEBSITE, AND PAPER COPIES AVAILABLE FREE OF CHARGE. PATIENTS WHO INDICATE FINANCIAL DIFFICULTY ARE PROVIDED INFORMATION REGARDING COMMUNITY CARE ELIGIBILITY AND ASSISTANCE WITH APPLYING FOR MEDICAID AND OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. |
| PART VI, LINE 4: | KITTSON HEALTHCARE PRIMARILY SERVES THE RESIDENTS OF KITTSON COUNTY, WHICH IS LOCATED IN NORTHWEST MINNESOTA, WITH A POPULATION OF APPROXIMATELY 4,200. THIS IS A VERY RURAL AREA WITH 3.9 PERSONS PER SQUARE MILE. THE MEDIAN HOUSEHOLD INCOME IS $76,100 WITH 10% OF THE POPULATION BELOW POVERTY LEVELS. PERSONS 65 YEARS AND OVER REPRESENT 28.9% OF THE POPULATION KITTSON COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA FOR PRIMARY CARE. THE ORGANIZATION IS THE SOLE HOSPITAL IN THE COUNTY AND OPERATES ONE OF THE TWO NURSING HOMES IN THE COUNTY. |
| PART VI, LINE 5: | KITTSON HEALTHCARE PROMOTES THE HEALTH AND WELL-BEING OF AREA RESIDENTS THROUGH A VARIETY OF SERVICES AND ACTIVITIES. THESE INCLUDE AMBULANCE STAND-BY SERVICES AT LOCAL PUBLIC HIGH SCHOOL SPORTING EVENTS; FREE BLOOD PRESSURE CHECKS AT RURAL HEALTH CLINICS; REDUCED-COST SPORTS PHYSICALS FOR AREA ATHLETES; REDUCED-COST HEALTH SCREENINGS FOR AREA VOLUNTEER FIREFIGHTERS; REDUCED-COST DOT BUS PHYSICALS FOR AREA SCHOOLS; FREE AND REDUCED-COST CARE FOR QUALIFYING INDIVIDUALS; AND A HEALTH SERVICES INFORMATION BOOTH AT THE FOUR-DAY COUNTY FAIR.KITTSON HEALTHCARE ALSO PROVIDES ESSENTIAL HEALTHCARE SERVICES THAT PRIVATE ENTITIES MAY NOT OTHERWISE CONSIDER PROVIDING DUE TO LOW PATIENT VOLUME AND MINIMAL FINANCIAL RETURN. THESE SERVICES INCLUDE ASSISTED LIVING, NURSING HOME CARE, ELDERLY WAIVER SERVICES, HOME HEALTH SERVICES, AMBULANCE SERVICES, AND OTHER NEEDED HEALTHCARE SERVICES. KITTSON HEALTHCARE'S GOVERNING BOARD CONSIDERS THESE SERVICES ESSENTIAL TO MEETING THE HEALTHCARE NEEDS OF KITTSON COUNTY RESIDENTS AND MAINTAINING ACCESS TO CARE IN THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURDY JAMES | ||||||||||||||
| CMO, EX-OFFICIO | $412,244 | $0 | $0 | $0 | $375 | $0 | $62,250 | $0 | $32,518 | $0 | $507,387 | $0 | $0 | $0 |
| JOHNSON JULIE A H | ||||||||||||||
| NURSE PRACTITIONER | $148,076 | $0 | $109,687 | $0 | $225 | $0 | $28,634 | $0 | $27,598 | $0 | $314,220 | $0 | $0 | $0 |
| PINNOCK AMANDA | ||||||||||||||
| NURSE PRACTITIONER | $123,299 | $0 | $69,946 | $0 | $1,672 | $0 | $11,695 | $0 | $37,094 | $0 | $243,706 | $0 | $0 | $0 |
| COOK VANESSA | ||||||||||||||
| PHYSICIAN | $204,527 | $0 | $0 | $0 | $255 | $0 | $6,143 | $0 | $11,138 | $0 | $222,063 | $0 | $0 | $0 |
| OLIVER KARRAH | ||||||||||||||
| PHYSICIAN ASSISTANT | $115,307 | $0 | $61,634 | $0 | $3,561 | $0 | $26,066 | $0 | $1,497 | $0 | $208,065 | $0 | $0 | $0 |
| JOHNSON NICOLE | ||||||||||||||
| PHARMACIST | $155,810 | $0 | $0 | $0 | $225 | $0 | $4,681 | $0 | $35,610 | $0 | $196,326 | $0 | $0 | $0 |
| SWENSON ANDREA | ||||||||||||||
| CEO | $150,010 | $0 | $0 | $0 | $225 | $0 | $9,014 | $0 | $28,939 | $0 | $188,188 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT AS CHAIRPERSON, THE VICE PRESIDENT, THE SECRETARY AND THE TEASURER. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN THE MEETING OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ALSO ADDRESS ANY MEDICAL STAFF, PERSONNEL OR BUILDING ISSUES ON AN AS-NEEDED BASIS OR MAY REFER SUCH ISSUES TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION CONTRACTED WITH EIDE BAILLY LLP TO PROVIDE CHIEF FINANCIAL OFFICER AND FINANCIAL MANAGEMENT SERVICES DURING THE TAX YEAR. SERVICES INCLUDED OVERSIGHT OF FINANCIAL REPORTING, BUDGETING, ACCOUNTING OPERATIONS, AUDIT COORDINATION, AND OTHER FINANCE FUNCTIONS CUSTOMARILY PERFORMED BY A CHIEF FINANCIAL OFFICER. NEIL FRIZZEL, WHO SERVED AS THE ORGANIZATION'S TOP FINANCIAL OFFICIAL AND IS REPORTED IN PART VII, SECTION A, WAS EMPLOYED AND COMPENSATED BY EIDE BAILLY LLP. KITTSON HEALTHCARE PAID EIDE BAILLY LLP FOR ALL CONTRACTED CFO SERVICES PROVIDED BY NEIL TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP IN THE ASSOCIATION SHALL BE ANY NATURAL PERSON OF LEGAL AGE PURCHASING ONE OR MORE MEMBERSHIP SHARES OF THE CORPORATION FOR THE SUM OF $50.00 EACH. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS ARE ALLOWED TO VOTE FOR MEMBERS OF THE BOARD AT THE ANNUAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO REVIEWED THE PROPOSED FORM 990 AND VIRTUALLY DISTRIBUTED THE FORM 990 TO THE GOVERNING BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. UPON APPROVAL BY THE GOVERNING BOARD, THE 990 WAS THEN FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE BOARD'S POLICY TO AVOID ANY POSSIBLE APPEARANCE OF IMPROPRIETY OR BREACH OF THE MEMBER'S FIDUCIARY RESPONSIBILITY BY HAVING BOARD MEMBERS ANNUALLY ACKNOWLEDGE ANY POTENTIAL BUSINESS OR PERSONAL CONFLICTS IN REGARDS TO KITTSON MEMORIAL'S BUSINESS AFFAIRS. IT IS NOT THE INTENTION OF THIS POLICY TO PRECLUDE A BOARD MEMBER FROM BEING INVOLVED IN THE DISCUSSION OF A SUBJECT WHERE THE BOARD MEMBER HAS A CONFLICT OF INTEREST. HOWEVER, DISCRETION SHOULD BE EXERCISED AND THE BOARD MEMBER IS EXPECTED TO ABSTAIN FROM VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY IS SIGNED ANNUALLY AT THE BOARD'S REGULAR MEETING IN JANUARY. THIS STATEMENT IS RETAINED BY THE PRESIDENT AND A COPY FILED IN THE CEO'S OFFICE. THE PRESIDENT IS RESPONSIBLE TO CALL INTO QUESTION A POSSIBLE CONFLICT OF INTEREST OF A PARTICULAR BOARD MEMBER WHEN APPLICABLE IN THE EVENT THE BOARD MEMBER DOES NOT DECLARE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS DETERMINED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS. THE GOVERNING BOARD REVIEWS SALARY SURVEY INFORMATION FROM THE MN HOSPITAL ASSOCIATION AND OFFERS COMPETITIVE WAGES BASED ON THE SURVEY. THE DOCUMENTATION OF SUCH DECISION IS RECORDED AND FILED ON THE EMPLOYEE'S HR FILE. OTHER OFFICERS' COMPENSATION IS DETERMINED BY THE CEO. THE CEO REVIEWS SALARY SURVEY INFOMRATION FROM THE MN HOSPTIAL ASSOCIATION AND OFFERS THE KEY EMPLOYEE'S COMPETITIVE WAGES BASED ON THE SURVEY. THE DOCUMENTATION OF SUCH DECISION IS RECORDED AND FILED ON THE EMPLOYEE'S HR FILE. COMPENSATION WAS LAST REVIEWED IN 2025. |
| FORM 990, PART VI, SECTION C, LINE 19 | KITTSON MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,324,193. MANAGEMENT AND GENERAL EXPENSES 132,311. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,456,504. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
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