ASTERA HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ASTERA HEALTH (EIN 41-0713913)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-06
IRS object ID: 202303109349300705
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-06T09:14:55-06:00	ReturnTs
Tax Period End	2022-12-31	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	220 SOUTH 6TH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410713913	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASTERA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASTE	BusinessNameControlTxt
Phone	2186313510	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET N	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOEL BEISWENGER	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	2186313510	PhoneNum
Signature	2023-11-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOEL	PersonFirstNm
Person Last	BEISWENGER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MACKENZIE MCNAUGHTON	PreparerPersonNm
PTIN	P02025805	PTIN
Phone	6123764500	PhoneNum
Preparation	2023-11-01	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Change	Yes (X)	NameChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOEL BEISWENGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET N	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$84,252,515	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.ASTERAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	530	TotalEmployeeCnt
Total Volunteers	95	TotalVolunteersCnt
Total Gross UBI	$22,750	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,151,202	PYContributionsGrantsAmt
CY Contributions Grants	$1,406,727	CYContributionsGrantsAmt
PY Program Service Revenue	$77,272,654	PYProgramServiceRevenueAmt
CY Program Service Revenue	$80,860,669	CYProgramServiceRevenueAmt
PY Investment Income	$368,521	PYInvestmentIncomeAmt
CY Investment Income	$589,293	CYInvestmentIncomeAmt
PY Other Revenue	$1,270,450	PYOtherRevenueAmt
CY Other Revenue	$1,192,019	CYOtherRevenueAmt
PY Total Revenue	$90,062,827	PYTotalRevenueAmt
CY Total Revenue	$84,048,708	CYTotalRevenueAmt
PY Grants And Similar Paid	$57,114	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$71,282	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,194,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$41,192,976	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$297,248	CYTotalFundraisingExpenseAmt
PY Other Expenses	$34,674,646	PYOtherExpensesAmt
CY Other Expenses	$35,991,908	CYOtherExpensesAmt
PY Total Expenses	$76,926,218	PYTotalExpensesAmt
CY Total Expenses	$77,256,166	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,136,609	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,792,542	CYRevenuesLessExpensesAmt
Total Assets BOY	$80,743,979	TotalAssetsBOYAmt
Total Assets EOY	$125,596,386	TotalAssetsEOYAmt
Total Liabilities BOY	$33,347,565	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,915,870	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,396,414	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,680,516	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$63,201,946	ExpenseAmt
Grant	$272,860	GrantAmt
Revenue	$80,860,669	RevenueAmt
Desc	ASTERA HEALTH IS A PRIVATE, NOT-FOR-PROFIT 25-BED CRITICAL ACCESS HEALTH SYSTEM COMMITTED TO PROVIDING PERSONALIZED SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. AN 11-MEMBER VOLUNTEER GOVERNING BOARD PRESIDES OVER THE HOSPITAL, WHICH IS ACCREDITED BY THE JOINT COMMISSION. ASTERA HEALTH IS EQUIPPED WITH INTENSIVE CARE UNITS, SURGERY SUITES, LABOR AND DELIVERY SUITES, AN INPATIENT UNIT, DIAGNOSTIC X-RAY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL AND OCCUPATIONAL THERAPY, CHIROPRACTIC, AND 24-HOUR EMERGENCY AND AMBULANCE CARE. ADDITIONALLY, ASTERA HEALTH OPERATES SIX CERTIFIED RURAL HEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES AS HEALTH PROFESSIONAL SHORTAGE AREAS. AS ONE OF THE LARGEST EMPLOYERS IN WADENA COUNTY, OUR 369 (FTES) EMPLOYEES AND 95 VOLUNTEERS CONTRIBUTE TO OUR PATIENTS AND COMMUNITIES.ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES BY OFFERING SEVERAL CLASSES, EVENTS, AND SUPPORT GROUPS TO EDUCATE AND PROMOTE HEALTHY LIVING. EMS COURSES, INJURY PREVENTION FOR ATHLETES AND ADULT CLASSES, CPR CLASSES, PREGNANCY CLASSES, SUMMER INTERNSHIP PROGRAM, AND OUR BITE SIZE CONVERSATION MONTHLY LUNCH AND LEARN PROGRAM ARE JUST SOME OF THE FREE OFFERINGS AVAILABLE TO THE COMMUNITIES WE SERVE. THE ASTERA HEALTH FOUNDATION PROVIDES STUDENT AND STAFF SCHOLARSHIPS AS WELL AS COMMUNITY GRANTS TO IMPROVE HEALTH. OUR UNCOMPENSATED CARE (CHARITY CARE) PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. OUR FINANCIAL ASSISTANCE PROGRAM (FAP) IS PUBLISHED ONLINE, AND OUR PATIENT FINANCIAL ADVOCATES ASSIST THOSE IN NEED OF USING THE FAP.THE COMMUNITY PARAMEDIC OUTREACH PROGRAM SERVES PATIENTS AT RISK OF USING THE ER OR INPATIENT UNIT FOR PRIMARY CARE SERVICES. THE PROGRAM HELPS THEM FIND MORE APPROPRIATE RESOURCES FOR THEIR MEDICAL NEEDS, CONDUCTING 368 VISITS DURING 2022, REDUCING THE COST OF CARE FOR THOSE INDIVIDUALS. ASTERA HEALTH SERVES AS A CLINICAL ROTATION SITE FOR NURSING STUDENTS AND FOR RADIOLOGY AND LABORATORY TECHNICIANS FROM AREA TECHNICAL COLLEGES, PARTICIPATING AS PRECEPTOR SITES FOR MEDICAL SCHOOLS INCLUDING THE RURAL PHYSICIAN ASSOCIATE PROGRAM AND SUMMER INTERNSHIP IN MEDICINE, AS WELL AS PROVIDING CAMPUS-BASED PRECEPTOR PHYSICIANS TO THE UNIVERSITY OF MINNESOTA-DULUTH AND ST. CLOUD RESIDENCY PROGRAMS.	Desc
Total Program Service Expenses	$63,201,946	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	0	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	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	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	Yes (1)	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	153	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	530	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOEL BEISWENGER CEO	PersonNm
Phone	2186317489	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET N	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MATTHEW VAN BRUGGEN
BOARD MEMBER	4.00	Yes (X)	$4,000	$0	$0
TERRY DAVIS
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
RYAN ANDERSON
BOARD CHAIR	4.00	Yes (X)	$0	$0	$0	Yes (X)
PAUL DRANGE
BOARD VICE CHAIR	4.00	Yes (X)	$3,709	$0	$0	Yes (X)
DAVE FJELDHEIM
BOARD MEMBER	4.00	Yes (X)	$3,536	$0	$0
JOLENE JOHANNES
BOARD SECRETARY	4.00	Yes (X)	$0	$0	$0
STEVE DAVIS MD
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
JACKIE OCH
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
SHANEEN SCHMIDT MD
BOARD MEMBER	4.00	Yes (X)	$21,746	$0	$0
BOBBI ADAMS MD
CMO	4.00	Yes (X)	$1,200	$0	$0	Yes (X)
DAVID QUINCER
BOARD MEMBER	4.00	Yes (X)	$2,268	$0	$0
JOEL BEISWENGER
CEO, PRESIDENT	40.00		$396,904	$0	$39,289	Yes (X)
KIM AAGARD
CFO	40.00		$223,519	$0	$32,541	Yes (X)
JOSE ALBA
CAO (TO JULY 2022)	40.00		$122,201	$0	$2,412	Yes (X)
THOMAS PINT
CNO	40.00		$208,265	$0	$6,157	Yes (X)
TERESA JOHNSON
CHRO	40.00		$192,034	$0	$34,752	Yes (X)
MEDLEY SHAMP
CAO (SINCE OCTOBER 2022)	40.00		$153,479	$0	$41,719	Yes (X)
RACHEL REDIG MD
PHYSICIAN	40.00		$536,351	$0	$43,139		Yes (X)
NATHANIEL RONNING MD
PHYSICIAN	40.00		$706,902	$0	$6,820		Yes (X)
BENJAMIN ROBERTSON MD
PHYSICIAN	40.00		$1,296,919	$0	$50,631		Yes (X)
TRAVIS SWARTZ MD
PHYSICIAN	40.00		$524,185	$0	$45,530		Yes (X)
RYAN SCOTT MD
PHYSICIAN	40.00		$503,453	$0	$46,579		Yes (X)
TIMOTHY MONSON MD
PHYSICIAN	40.00		$447,050	$0	$26,885		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,347,721	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$376,454	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	51	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
MA MORTENSON AND COMPANY
700 MEADOW LN N	GOLDEN VALLEY	MN	55422	BUILDING CONTRACTOR	$37,676,608
WADENA MEDICAL CENTER LTD
4 DEERWOOD AVE	WADENA	MN	56482	PHYSICIAN SERVICES	$4,454,556
REGIONAL DIAGNOSTIC RADIOLOGY
PO BOX 1611	EVANSVILLE	IN	47706	RADIOLOGY READING FEES	$928,529
BSG MAINTENANCE OF GREEN BAY INC
PO BOX 165	NEWBURG	MN	53060	HOUSEKEEPING AND LAUNDRY SERVICES	$774,429
HAMMEL GREEN AND ABRAHAMSON INC
420 5TH STREET NORTH	MINNEAPOLIS	MN	55401	BUILDING ARCHITECT	$472,436

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Fundraising	$127,084	FundraisingAmt
Government Grants	$402,561	GovernmentGrantsAmt
All Other Contributions	$877,082	AllOtherContributionsAmt
Total Contributions	$1,406,727	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SERVICE REVENUE	621400	$75,964,425	$75,964,425
PHARMACY	456110	$4,503,298	$4,503,298
CMDI INCOME	561499	$370,196	$370,196
INDUSTRIAL BILLING	561000	$22,750		$22,750

Field	Value	IRS element (for citing)
Total Program Service Revenue	$80,860,669	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$467,194	TotalRevenueColumnAmt
Exclusion	$467,194	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$697,396	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$99,293	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$598,103	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$598,103	TotalRevenueColumnAmt
Exclusion	$598,103	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$72,099	SecuritiesAmt
Other	$50,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$72,099	SecuritiesAmt
Other	$50,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,099	TotalRevenueColumnAmt
Exclusion	$122,099	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$27,049	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$127,084	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$100,606	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$73,557	TotalRevenueColumnAmt
Exclusion	-$73,557	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$18,584	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,908	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,676	TotalRevenueColumnAmt
Exclusion	$14,676	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS	624100	$351,104	$351,104
CLINIC REVENUE	624100	$150,196	$150,196
EMPLOYEE/GUEST MEALS	722514	$141,505	$141,505

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,992	TotalRevenueColumnAmt
Exclusion	$9,992	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$652,797	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,048,708	TotalRevenueColumnAmt
Related Or Exempt Func Income	$80,837,919	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$22,750	UnrelatedBusinessRevenueAmt
Exclusion	$1,781,312	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$44,382	TotalAmt
Program Services	$44,382	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$26,900	TotalAmt
Program Services	$26,900	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,069,221	TotalAmt
Program Services	$579,490	ProgramServicesAmt
Management And General	$1,489,731	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,710,435	TotalAmt
Program Services	$25,297,140	ProgramServicesAmt
Management And General	$4,310,785	ManagementAndGeneralAmt
Fundraising	$102,510	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,071,951	TotalAmt
Program Services	$905,966	ProgramServicesAmt
Management And General	$165,985	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,363,257	TotalAmt
Program Services	$5,287,999	ProgramServicesAmt
Management And General	$1,075,258	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,978,112	TotalAmt
Program Services	$1,615,893	ProgramServicesAmt
Management And General	$362,219	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$113,723	TotalAmt
Management And General	$113,723	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,805	TotalAmt
Management And General	$6,805	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,023,673	TotalAmt
Program Services	$12,745,532	ProgramServicesAmt
Management And General	$1,278,141	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$332,270	TotalAmt
Management And General	$332,270	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,016,465	TotalAmt
Program Services	$212,826	ProgramServicesAmt
Management And General	$617,418	ManagementAndGeneralAmt
Fundraising	$186,221	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$71,310	TotalAmt
Management And General	$71,310	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,115,371	TotalAmt
Program Services	$831,415	ProgramServicesAmt
Management And General	$283,956	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$183,441	TotalAmt
Program Services	$132,282	ProgramServicesAmt
Management And General	$49,100	ManagementAndGeneralAmt
Fundraising	$2,059	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$53,640	TotalAmt
Program Services	$53,640	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,101,789	TotalAmt
Program Services	$1,043,389	ProgramServicesAmt
Management And General	$1,058,400	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$381,957	TotalAmt
Management And General	$381,957	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,662,698	$11,662,698
RENTAL & MAINTENANCE	$3,236,144	$2,594,020	$642,124
TAXES	$762,296		$762,296
MEDICARE SURCHARGE	$402,280		$402,280

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$528,046	TotalAmt
Program Services	$168,374	ProgramServicesAmt
Management And General	$353,214	ManagementAndGeneralAmt
Fundraising	$6,458	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,256,166	TotalAmt
Program Services	$63,201,946	ProgramServicesAmt
Management And General	$13,756,972	ManagementAndGeneralAmt
Fundraising	$297,248	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$73,100	BOYAmt
EOY	$197,184	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,829,659	BOYAmt
EOY	$8,613,861	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,111,982	BOYAmt
EOY	$564,067	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,989,307	BOYAmt
EOY	$11,997,191	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$12,121	BOYAmt
EOY	$3,148	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$655,236	BOYAmt
EOY	$1,645,044	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$843,687	BOYAmt
EOY	$791,892	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$562,477	BOYAmt
EOY	$502,875	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$121,102,420	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$45,023,433	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$32,518,829	BOYAmt
EOY	$76,078,987	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$14,572,859	BOYAmt
EOY	$22,808,343	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,574,722	BOYAmt
EOY	$2,393,794	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,743,979	BOYAmt
EOY	$125,596,386	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,320,295	BOYAmt
EOY	$16,383,339	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,267,213	BOYAmt
EOY	$53,171,113	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,760,057	BOYAmt
EOY	$2,361,418	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,347,565	BOYAmt
EOY	$71,915,870	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	$47,331,000	BOYAmt
EOY	$53,584,373	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,414	BOYAmt
EOY	$96,143	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,396,414	BOYAmt
EOY	$53,680,516	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$80,743,979	BOYAmt
EOY	$125,596,386	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,792,542	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,684,133	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,175,693	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule 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	$6,805	OtherActivitiesAmt
Total Lobbying Expenditures	$6,805	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	A PORTION OF MEMBERSHIP DUES PAID TO AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$1,776	BeginningBalanceAmt
Additions During Year	$35	AdditionsDuringYearAmt
Ending Balance	$1,811	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$498,225	OtherCostOrOtherBasisAmt
Book Value	$498,225	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,445,701	OtherCostOrOtherBasisAmt
Depreciation	$27,564,998	DepreciationAmt
Book Value	$6,880,703	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,120,330	OtherCostOrOtherBasisAmt
Depreciation	$1,734,257	DepreciationAmt
Book Value	$386,073	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,638,311	OtherCostOrOtherBasisAmt
Depreciation	$15,724,178	DepreciationAmt
Book Value	$3,914,133	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,399,853	OtherCostOrOtherBasisAmt
Book Value	$64,399,853	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$76,078,987	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$705,514
ESTIMATED THIRD PARTY SETTLEMENTS	$1,655,904

Field	Value	IRS element (for citing)
Total Liability	$2,361,418	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$83,401,508	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$99,343	OtherRevenueAmt
Revenue Not Reported	$99,343	RevenueNotReportedAmt
Revenue Subtotal	$83,302,165	RevenueSubtotalAmt
Other Revenues Not Included	$746,544	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$746,544	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$84,048,709	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$77,347,785	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$99,293	OtherExpensesIncludedAmt
Expenses Not Reported	$99,293	ExpensesNotReportedAmt
Expenses Subtotal	$77,248,492	ExpensesSubtotalAmt
Other Expenses Not Included	$7,674	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$7,674	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$77,256,166	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 1B:	DONATIONS FROM VENDING MACHINE AND POP CAN SALVAGE IS USED FOR SCHOLARSHIPS FOR CHILDREN OF EMPLOYEES.
PART X, LINE 2:	THE SYSTEM FOLLOWS THE PROVISION OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS -7,674. NET ASSETS RELEASED FROM RESTRICTION 107,017.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REALIZED LOSS ON INVESTMENTS 72,099. INTEREST INCOME 467,194. RENTAL EXPENSE -99,293. TEMPORARILY RESTRICTED CONTRIBUTIONS 137,746. CAPITAL CONTRIBUTIONS 168,798.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 99,293.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS 7,674.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOUTS VENTURES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 99	AddressLine1Txt
City	DIAMONDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48821	ZIPCd

Field	Value	IRS element (for citing)
Activity	COMMUNITY RELATIONS COUNSELING SERVICE	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$45,600	RetainedByContractorAmt
Net To Organization	-$45,600	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$45,600	TotalRetainedByContractorsAmt
Total Net To Organization	-$45,600	TotalNetToOrganizationAmt
Licensed States	MN	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$93,088	GrossReceiptsEvent1Amt
Charitable Contri Event1	$66,065	CharitableContriEvent1Amt
Gross Revenue Event1	$27,023	GrossRevenueEvent1Amt
Cash Prizes Event1	$295	CashPrizesEvent1Amt
Non Cash Prizes Event1	$7,326	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$13,744	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$26,253	FoodAndBeverageEvent1Amt
Entertainment Event1	$4,649	EntertainmentEvent1Amt
Other Direct Expenses Event1	$13,798	OtherDirectExpensesEvent1Amt
Event2	GOLF CLASSIC	Event2Nm
Gross Receipts Event2	$61,045	GrossReceiptsEvent2Amt
Charitable Contri Event2	$61,019	CharitableContriEvent2Amt
Gross Revenue Event2	$26	GrossRevenueEvent2Amt
Cash Prizes Event2	$313	CashPrizesEvent2Amt
Non Cash Prizes Event2	$283	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$20,440	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$4,959	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$8,546	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$154,133	GrossReceiptsTotalAmt
Charitable Contributions Tot	$127,084	CharitableContributionsTotAmt
Gross Revenue Total Events	$27,049	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$608	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$7,609	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$34,184	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$31,212	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$4,649	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$22,344	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$100,606	DirectExpenseSummaryEventsAmt
Net Income Summary	-$73,557	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$18,584	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$3,908	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$18,584	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$3,908	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$3,908	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$14,676	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MN	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	1.00000	GamingOwnFacilityPct
Individual With Books	RYAN DAMLO	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET N	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$735,132	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$735,132	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,794,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$837,917	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,459	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,807,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,137,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,669,689	NetCommunityBenefitExpnsAmt
Total Expense	0.07340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,336,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,975,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,361,280	NetCommunityBenefitExpnsAmt
Total Expense	0.09530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$229,701	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,984	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,984	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,813,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,966,848	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,846,588	NetCommunityBenefitExpnsAmt
Total Expense	0.10160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$137,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,273,364	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,966,848	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,306,516	NetCommunityBenefitExpnsAmt
Total Expense	0.10760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,609,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,942,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,667,796	NetCommunityBenefitExpnsAmt
Total Expense	0.20290	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,198	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,198	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,833	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$238,833	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,722	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$248,722	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$973,801	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,531,543	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,682,919	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$151,376	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	ASTERA HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET N	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://ASTERAHEALTH.ORG/	WebsiteAddressTxt
State License	365897	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	ASTERA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE URL BELOW	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE URL BELOW	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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://ASTERAHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-FINANCIAL-INFORMATIO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://ASTERAHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-FINANCIAL-INFORMATIO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://ASTERAHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-FINANCIAL-INFORMATIO	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
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASTERA HEALTH	PART V, SECTION B, LINE 5: ASTERA HEALTH CONDUCTED THE FOLLOWING COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THE COLLABORATION OF TODD, WADENA AND MORRISON COUNTY PUBLIC HEALTH AGENCIES; CENTRACARE HEALTH SYSTEM; CHI ST. GABRIEL'S HOSPITAL; AND LAKEWOOD HEALTH SYSTEM TO ENSURE THE MOST COMPREHENSIVE ASSESSMENT OF THE SERVICE AREA COMMUNITY. THE MAPP PROCESS (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) WAS USED AS A "COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH AND PROVIDED THE FRAMEWORK FOR DATA COLLECTION AND PRIORITIZING PUBLIC HEALTH NEEDS. DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING INFORMATION FROM QUESTIONNAIRES FOR KEY STAKEHOLDERS, A COMMUNITY HEALTH SURVEY, AND QUANTITATIVE STATISTICS FROM LOCAL, COUNTY, AND STATE PUBLIC HEALTH SOURCES. THE DATA GATHERED WAS THEN USED TO IDENTIFY SPECIFIC ISSUES AND PRIORITIZE THEM ACCORDING TO NEED. THESE PRIORITIZED ISSUES WERE USED TO DEVELOP STRATEGIES FOR THE IMPLEMENTATION OF INTERVENTIONS.
ASTERA HEALTH	PART V, SECTION B, LINE 6A: ASTERA HEALTH CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE COLLABORATION OF CENTRACARE HEALTH SYSTEM, CHI ST. GABRIEL'S HOSPITAL, AND LAKEWOOD HEALTH SYSTEM.
ASTERA HEALTH	PART V, SECTION B, LINE 6B: ASTERA HEALTH CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE COLLABORATION OF TODD, WADENA, AND MORRISON COUNTY PUBLIC HEALTH AGENCIES.
ASTERA HEALTH	PART V, SECTION B, LINE 7D: SEE CHNA AT THIS URL: HTTPS://ASTERAHEALTH.ORG/EDUCATION-AND-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
ASTERA HEALTH	PART V, SECTION B, LINE 11: IN 2022, ASTERA HEALTH CONDUCTED A CHNA THAT PRIORITIZED SOCIAL DETERMINANTS OF HEALTH, HEALTHY BEHAVIORS, MENTAL HEALTH/DRUG ADDICTION PAIN/PRESCRIPTION MANAGEMENT. ASTERA HEALTH HAS ADDRESSED THESE ISSUES AS FOLLOWS:1. HEALTHY BEHAVIORS AND CHRONIC DISEASE MANAGEMENT:STRATEGY 1: COMMUNITY EDUCATION AND PARTNERSHIPS - TACTIC: IHP AND ACO/CIN WORK STRATEGY 2: INCREASE PREVENTATIVE MEDICAL VISITS STRATEGY 3: EMPLOYEE WELLNESS INITIATIVES STRATEGY 4: EXPAND OCCUPATIONAL HEALTH THROUGH HEALTH FAIRS/ BIOMETRIC SCREENINGS FOR LOCAL EMPLOYERS STRATEGY 5: CONTINUE CHRONIC DISEASE MANAGEMENT EFFORTS TO IMPROVE OPTIMAL CARE OUTCOMES - TACTIC: I CAN PREVENT DIABETES CLASSES - TACTIC: ENSURE HEALTHY BEHAVIORS TO BETTER LIVE WITH DIAGNOSED CHRONIC DISEASES 1. EXPLANATION OF THE ACTIONS YOU PLAN TO TAKE: FOCUSED ATTENTION ON QUALITY IMPROVEMENTS ASSOCIATED WITH ACO, CIN, AND IHP PARTNERSHIPS, REVIEW OF PATIENTS FREQUENTLY USING THE EMERGENCY DEPARTMENT FOR CARE AND DETERMINE ALTERNATIVE CARE OPTIONS FOR THESE PATIENTS, PROVIDE EVIDENCE-BASED HEALTH EDUCATION CLASSES TO PATIENTS (I CAN PREVENT DIABETES, LIVING WELL WITH CHRONIC CONDITIONS), PROVIDE EDUCATIONAL OPPORTUNITIES TO THE SERVICE AREA 2. RESOURCES PLAN TO COMMIT: WAGES OF STAFF DEVELOPING, PLANNING, AND IMPLEMENTING EDUCATION CLASSES AND EVENTS, EDUCATION CLASSES AND EVENTS ARE PROVIDED TO PATIENTS AND SERVICE AREA AT NO COST, WAGES OF STAFF FOCUSING EFFORTS ON IMPROVEMENT OF QUALITY METRICS OF ACO, CIN AND IHP CONTRACTS 3. ANTICIPATED IMPACT OF THE ACTION: IMPROVEMENT IN PATIENT HEALTH OUTCOMES, INCREASED PATIENT ENGAGEMENT, INCREASED QUALITY METRICS 4. ANY PLANNED COLLABORATIONS: JUNIPER, CENTRAL MINNESOTA COUNCIL ON AGING, WADENA COUNTY PUBLIC HEALTH, LOCAL BUSINESSES 2. MENTAL HEALTH / OPIOID-USE DISORDER AND PRESCRIPTION MANAGEMENT: STRATEGY 1: IDENTIFICATION OF PATIENT POPULATION STRATEGY 2: MENTAL HEALTH SERVICE LINE ASSESSMENT AND STRATEGIC PLAN DEVELOPED STRATEGY 3: OPIOID PLAN EXECUTION (CARE PLAN, MORE VISITS, REHAB, MEDICATION-ASSISTED TREATMENT)1. EXPLANATION OF THE ACTIONS YOU PLAN TO TAKE: IDENTIFY PATIENTS USING OPIOIDS AND CONTROLLED SUBSTANCES ON A CONSISTENT BASIS, INCREASE CONTROLLED SUBSTANCE CARE PLANS FOR PATIENTS, DECREASE THE NUMBER OF PATIENTS CHRONICALLY USING OPIOIDS AND CONTROLLED SUBSTANCES, IDENTIFY GAPS IN MENTAL HEALTH CARE PROVIDED TO PATIENTS, PROVIDE MEDICATION-ASSISTED TREATMENT FOR PATIENTS ADDICTED TO OPIOIDS. 2. RESOURCES PLAN TO COMMIT: WAGES OF STAFF WHO PROVIDE EDUCATION AND ASSISTANCE TO PATIENTS USING OPIOIDS/CONTROLLED SUBSTANCES 3. ANTICIPATED IMPACT OF THE ACTION: DECREASED RISKS TO PATIENTS CHRONICALLY USING OPIOIDS AND CONTROLLED SUBSTANCES AND PROVIDERS WHO PRESCRIBE TO THESE PATIENTS 4. ANY PLANNED COLLABORATIONS: WADENA COUNTY CHAMP (CHEMICAL HEALTH AWARENESS AND MULTI-DRUG PREVENTION), OTTERTAIL COUNTY OPIOID TASKFORCE, LOCAL BUSINESSES, AREA HEALTH CARE AGENCIES OPIOID ECHOS 3. SOCIAL DETERMINANTS OF HEALTH: STRATEGY 1: TRACKING/SYSTEM/IDENTIFICATION STRATEGY 2: INFRASTRUCTURE IDENTIFY COMMUNITY PARTNERS/RESOURCES STRATEGY 3: INCREASE MEDICAL VISITS CAPTURE THE DATA ON OUR PATIENTS1. EXPLANATION OF THE ACTIONS YOU PLAN TO TAKE: DEVELOP AND IMPLEMENT A SYSTEM FOR THE IDENTIFICATION OF SOCIAL DETERMINANTS OF HEALTH OF PATIENTS, DETERMINE AND ESTABLISH RELATIONSHIPS WITH COMMUNITY STAKEHOLDERS AND IDENTIFY RESOURCES FOR SOCIAL NEEDS DETERMINED THROUGH A SCREENING PROCESS, UTILIZE DATA TO DETERMINE PATTERNS AND TRENDS OF SOCIAL CHALLENGES PATIENTS ARE FACING 2. RESOURCES PLAN TO COMMIT: WAGES OF STAFF MEMBERS PLANNING, DEVELOPING, AND ANALYZING SOCIAL DETERMINANTS OF HEALTH OF PATIENTS IN THE SERVICE AREA, COST OF DESIGN AND IMPLEMENTATION TO CAPTURE SOCIAL DETERMINANTS OF HEALTH IN THE ELECTRONIC HEALTH RECORD 3. ANTICIPATED IMPACT OF THE ACTION: IMPROVEMENT IN HEALTH OUTCOMES, INCREASED PATIENT SATISFACTION, INCREASED PATIENT ENGAGEMENT 4. ANY PLANNED COLLABORATIONS: WILL DETERMINE NECESSARY COLLABORATION WITH EXTERNAL STAKEHOLDERS AS PART OF STRATEGIES FOR THIS PRIORITY.
ASTERA HEALTH	PART V, SECTION B, LINE 20E: THE ORGANIZATION WRITES OFF SELF ADMINISTERED DRUGS FOR MEDICARE PATIENTS AS APPROVED BY THE OIG.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASTERA HEALTH WADENA CLINIC
421 11TH STREET NW	WADENA	MN	56482	RURAL HEALTH CLINIC
2 - ASTERA HEALTH BERTHA CLINIC
214 1ST STREET NW	BERTHA	MN	56437	RURAL HEALTH CLINIC
3 - ASTERA HEALTH HENNING CLINIC
4010 DOUGLAS AVENUE	HENNING	MN	56551	RURAL HEALTH CLINIC
4 - ASTERA HEALTH OTTERTAIL CLINIC
232 MINNESOTA HIGHWAY 78 N	OTTERTAIL	MN	56571	RURAL HEALTH CLINIC
5 - ASTERA HEALTH SEBEKA CLINIC
106 MINNESOTA AVENUE	SEBEKA	MN	56477	RURAL HEALTH CLINIC
6 - ASTERA HEALTH VERNDALE CLINIC
102 FARWELL STREET SOUTH	VERNDALE	MN	56481	RURAL HEALTH CLINIC
7 - ASTERA HENNING PHYSICAL THERAPY CLINIC
801 INMAN STREET	HENNING	MN	56551	PHYSICAL THERAPY CLINIC
8 - ASTERA HEALTH BAXTER CLINIC
7073 FORTHUN ROAD S	BAXTER	MN	56425	FREESTANDING CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ASTERA HEALTH DETERMINES ELIGIBILITY BASED ON AN INDIVIDUAL'S INCOME, NET ASSETS, INSURANCE COVERAGE, AND APPLICATION FOR FEDERAL AND/OR STATE-PROVIDED ASSISTANCE. SEE OUR WEBSITE, HTTPS://ASTERAHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-FINANCIAL-INFORMATION/, FOR DETAILED INFORMATION ABOUT ELIGIBILITY CRITERIA.
PART I, LINE 7:	IN ORDER TO DETERMINE THE AMOUNTS INCLUDED IN PART I, LINE 7, ASTERA HEALTH GENERALLY USES THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS FORM 990 INSTRUCTIONS. TO CALCULATE THE COSTS OF COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFITS OPERATIONS, HEALTH PROFESSIONS EDUCATION, AND SUBSIDIZED HEALTH SERVICES, TCH USES THE COST-TO-CHARGE RATIO SPECIFIC TO THOSE SERVICES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE REVENUES AND COSTS ASSOCIATED WITH ER AND THE FOLLOWING SIX PROVIDER-BASED CLINICS:- ASTERA HEALTH WADENDA CLINIC- ASTERA HEALTH BERTHA CLINIC- ASTERA HEALTH HENNING CLINIC- ASTERA HEALTH OTTERTAIL CLINIC- ASTERA HEALTH SEBEKA CLINIC- ASTERA HEALTH VERNDALE CLINICCOMMUNITY BENEFIT EXPENSES RELATED TO THESE CLINICS IS $17,481,615.
PART II, COMMUNITY BUILDING ACTIVITIES:	THROUGH OUR HOSPITAL AND FOUNDATION, COMMUNITY EDUCATION, COMMUNITY SUPPORT AND MANY OTHER EFFORTS, WE ARE ABLE TO SUPPORT SEVERAL HEALTH INITIATIVES THROUGHOUT THE COMMUNITIES WE SERVE SUCH AS CONTINUING HEALTH EDUCATION, HEALTH EQUIPMENT IN THE SCHOOLS, PRENATAL EDUCATION, CONTINUING COMMUNITY HEALTH EDUCATION, CAR SEAT SAFETY EDUCATION, HEALTH CARE SCHOLARSHIPS, ETC.
PART III, LINE 3:	IN 2014, ASTERA HEALTH ADDED THE PRESUMPTIVE UNCOMPENSATED CARE POLICY. IF AN ACCOUNT IS READY TO BE SENT TO BAD DEBT BUT HAS MEDICAID NOW OR THERE IS OTHER PROOF THAT THE PATIENT WOULD QUALIFY, THE AMOUNT IS WRITTEN OFF AS UNCOMPENSATED CARE. THEREFORE, ACCOUNTS ARE NOT BEING SENT TO COLLECTIONS THAT MEET THIS NEW UNCOMPENSATED CARE GUIDELINE.
PART III, LINE 4:	SEE THE 'PATIENT RECEIVABLES, NET' PARAGRAPH ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS FOR INFORMATION ABOUT BAD DEBT EXPENSE.
PART III, LINE 8:	THE TOTAL ALLOWABLE COST REPORTED TO MEDICARE WAS BASED ON THE 2022 FILED MEDICARE COST REPORT. AS A CRITICAL ACCESS HOSPITAL, ASTERA HEALTH IS REIMBUSED AT 101% (LESS SEQUESTRATION WHEN IN EFFECT) OF COST WHEN SERVING MEDICARE BENEFICIARIES. 2022'S COST REPORT RESULTED IN A DEFICIT OF $151,376.
PART III, LINE 9B:	IT IS THE EXPECTATION THAT ALL PATIENTS RECEIVING SERVICES ARE FINANCIALLY RESPONSIBLE FOR THE TIMELY PAYMENT OF ALL CHARGES INCURRED. HOWEVER, NO PATIENT WILL BE REFUSED NECESSARY OR EMERGENCY CARE IF UNABLE TO MEET THE FINANCIAL REQUIREMENTS. INFORMATION GATHERED AT REGISTRATION IS THE KEY TO SUCCESSFUL COLLECTION EFFORTS. ACCURATE NAME, ADDRESS, PHONE NUMBERS, EMPLOYMENT AND CONTACT NAMES ARE REQUIRED. ALL CLIENTS PROVIDE A COPY OF THEIR DRIVER'S LICENSE AS IDENTIFICATION. IF THE PATIENT IS UNABLE TO PAY THE TOTAL AMOUNT, A PAYMENT PLAN WILL BE SET UP ACCORDING TO THE ATTACHED PAYMENT SCHEDULE. OTHER MEANS TO RESOLVE THE DEBT SUCH AS ASSISTANCE WITH MEDICAID FORMS AND UNCOMPENSATED CARE WILL BE DISCUSSED WITH THE PATIENT. ACCOUNT REPRESENTATIVES ARE RESPONSIBLE FOR PATIENT AND INSURANCE CONTACTS NECESSARY TO SECURE PAYMENT FOR SERVICES. IF PAYMENT HAS NOT BEEN RECEIVED AT THE TIME OF SERVICE, THE FOLLOWING INTERNAL COLLECTION GUIDELINE WILL BEGIN. SOME STEPS IN THE POLICY COULD BE ELIMINATED, OR TIMING CHANGED, DUE TO THE STATUS OF PREVIOUS ACCOUNTS FOR GUARANTOR.- 1ST STATEMENT - AFTER ALL INSURANCE AND ADJUSTMENTS ARE PROCESSED ON AN ACCOUNT, AND THE ACCOUNT IS SELF-PAY, THE FIRST STATEMENT WILL BE PRODUCED AND SENT TO THE PATIENT.- 2ND STATEMENT - A 2ND INVOICE IS GENERATED IF THE ACCOUNT HAS NOT BEEN PAID IN FULL. THIS IS APPROXIMATELY 30 DAYS FROM THE 1ST INVOICE DATE, BUT DOES VARY BASED ON THE TIMING OF STATEMENT CYCLES. AT APPROXIMATELY THE TIME OF THE SECOND STATEMENT. PATIENT FINANCIAL REPRESENTATIVES WILL BEGIN FOLLOWING UP WITH PHONE CALLS. CALLS ARE COMPLETED MONTHLY, AT A MINIMUM. POSSIBLY MORE FREQUENTLY IF THEY ARE UNABLE TO REACH THE PATIENT TO DISCUSS PAYMENT.- 3RD STATEMENT - A 3RD INVOICE IS GENERATED IF THE ACCOUNT HAS NOT BEEN PAID IN FULL. THIS IS APPROXIMATELY 30 DAYS FROM THE 2ND INVOICE DATE.- 4TH STATEMENT - A 4TH INVOICE IS GENERATED IF THE ACCOUNT HAS NOT BEEN PAID IN FULL. THIS IS APPROXIMATELY 30 DAYS FROM THE 3RD INVOICE DATE. - 5TH STATEMENT - A 5TH INVOICE IS GENERATED IF THE ACCOUNT HAS NOT BEEN PAID IN FULL. THIS IS APPROXIMATELY 30 DAYS FROM THE 4TH INVOICE DATE. THIS STATEMENT PRESENTS A RED FINAL NOTICE NOTIFICATION WITH VERBIAGE IN THE MESSAGING THAT THE ACCOUNT WILL BE SENT TO 3RD PARTY COLLECTIONS IF ACTION IS NOT TAKEN.- 30 DAYS AFTER FINAL NOTICE HAS BEEN GIVEN, ACCOUNTS ARE REVIEWED FOR SUBMISSION TO THIRD-PARTY COLLECTION AGENCIES.
PART VI, LINE 2:	ASTERA HEALTH ANTICIPATES THE NEEDS OF THE COMMUNITY BY USING BOTH INTERNAL AND EXTERNAL DATA. FOR INTERNAL MEANS, ASTERA HEALTH CAN GAUGE THE NEEDS OF THE COMMUNITY BASED ON WHAT IS PRESENTING IN OUR E/R, EMS CALLS, AND IDENTIFIED HEALTH PROBLEMS FOR OUR CLINIC PATIENTS. FOR EXTERNAL SOURCES OF DATA, ASTERA HEALTH ALSO WORKS CLOSELY WITH LOCAL LAW ENFORCEMENT, SOCIAL SERVICES, AND OTHER PUBLIC AGENCIES TO ASSESS THE NEEDS OF THE COMMUNITY. ASTERA HEALTH IS INVOLVED WITH THE CHILD PROTECTION TEAM, ASTERA HEALTH LEADERSHIP IS INVOLVED WITH OTHER CIVIC GROUPS TO HELP IDENTIFY NEEDS, AND ASTERA HEALTH CLINIC ADVISORY GROUPS INCLUDE COMMUNITY LEADERS AND SCHOOL OFFICIALS TO PROVIDE INPUT TO IDENTIFY HEALTH NEEDS IN ALL SIX OF THE COMMUNITIES WHERE ASTERA HEALTH HAS A CLINIC. THE ORGANIZATION ALSO PROVIDES FREE EDUCATIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS THROUGH COMMUNITY EVENTS WHICH INCLUDE FREE LAB SCREENINGS FOR ALL WHO WISH TO ATTEND. THESE EVENTS ARE NOT LIMITED TO ASTERA HEALTH PATIENTS AND LAB RESULTS ARE FORWARDED TO THE PATIENT'S DESIGNATED PROVIDER.
PART VI, LINE 3:	WE MAKE INFORMATION AVAILABLE REGARDING OUR UNCOMPENSATED CARE PROGRAM ON OUR WEBSITE, IN BROCHURES, AND DURING COLLECTION CONTACTS WITH PATIENTS.
PART VI, LINE 4:	THE ASTERA HEALTH COMMUNITY IS LOCATED IN WEST CENTRAL MINNESOTA AND INCLUDES EASTERN/CENTRAL OTTER TAIL, TODD, AND WADENA COUNTIES. THE TOTAL POPULATION OF ALL THREE COUNTIES IS ESTIMATED AT 95,839; THE PRIMARY SERVICE AREA POPULATION OF ASTERA HEALTH IS ESTIMATED AT 38,184 BECAUSE IT MORE SPECIFICALLY FOCUSES ON THE CITIES OF WADENDA, SEBEKA, NEW YORK MILLS, BERTHA, DEER CREEK, HEWITT, ALDRICH, VERNDALE, BLUFFTON, HENNING, MENAHGA AND OTTERTAIL. THE ASTERA HEALTH SERVICE AREA CONSISTS OF PRIMARILY WHITE/CAUCASIANS AT 95.7 PERCENT WITH 4.3 PERCENT MINORITY. THE STATE OF MINNESOTA IS ALSO PRIMARILY WHITE/CAUCASIANS AT 83.7 PERCENT BUT HAS A GREATER MINORITY POPULATION OF 16.3 PERCENT.
PART VI, LINE 5:	ASTERA HEALTH'S UNCOMPENSATED CARE (CHARITY CARE) PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTH CARE THEY RECEIVE. THE UNCOMPENSATED CARE PROGRAM IS DESIGNED TO ENSURE THE ENTIRE COMMUNITY SERVED BY ASTERA HEALTH HAS ACCESS TO NEEDED HEALTHCARE SERVICES. ASTERA HEALTH OPERATES A FULL-TIME EMERGENCY ROOM AND ACCEPTS ALL PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY SERVICES AT THE FACILITY. ASTERA HEALTH ALSO PROVIDES OR PARTICIPATES IN OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION, INCLUDING THE HIGH SCHOOL SUMMER INTERNSHIP PROGRAM AND PROVIDES A CLINICAL ROTATION SITE FOR LPN/LVN NURSING STUDENTS FROM THE LOCAL TECHNICAL COLLEGE. ASTERA HEALTH ALSO OPERATES AN ADJUNCT ORGANIZATION (TRI COUNTY HOSPITAL FOUNDATION) WHICH HAS DEVELOPED A LOCAL SCHOLARSHIP FUND AND GRANT DOLLARS FOR WORTHY CAUSES, AND PROVIDES COMMUNITY HEALTH EDUCATION PROGRAMS, WHICH ARE CONSISTENT WITH IMPROVING THE COMMUNITIES' HEALTH STATUS. ASTERA HEALTH ALSO PROVIDES ORGANIZATIONAL AND ADMINISTRATIVE SUPPORT TO VARIOUS COMMUNITY BASED GROUPS OFFERING PEER SUPPORT PROGRAMS. THESE INCLUDE AREAS SUCH AS CANCER, BREAST CANCER, ARTHRITIS, DIABETES, AND OTHERS. ASTERA HEALTH PROVIDES SEVERAL AVENUES FOR LOCAL INDIVIDUALS TO CONTRIBUTE TO THE COMMUNITY THROUGH OUR VOLUNTEER PROGRAMS. INCLUDED ARE THE HOSPITAL INPATIENT AND OUTPATIENT VOLUNTEER SUPPORT PROGRAM, VOLUNTEER PROGRAMS. HOSPICE VOLUNTEERS, VOLUNTEERS, AND VARIOUS ADVISORY COMMITTEES. WE ARE CONTINUALLY THANKED BY THESE INDIVIDUALS FOR THE OPPORTUNITY FOR THEM TO FEEL NEEDED AND OFFER A PRODUCTIVE OUTLET FOR THEIR TALENTS.
PART VI, LINE 6:	ASTERA HEALTH IS PART OF AN INTEGRATED HEALTH SYSTEM (TRI-COUNTY HEALTH CARE). THE SYSTEM OPERATES A 25-BED CRITICAL ACCESS HOSPITAL (ASTERA HEALTH) AND ALSO OPERATES SEVERAL CLINICS IN THE SURROUNDING AREA.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF OTTER TAIL AND WADENA COUNTIES
120 E WASHINGTON AVE	FERGUS FALLS	MN	56537	410873718	501(C)(3)	$6,500	$0	GENERAL SUPPORT
WEST CENTRAL ECONOMIC DEVELOPMENT ALLIANCE
308 FRONTAGE RD	SEBEKA	MN	56477	275168472	501(C)(6)	$7,500	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
HS ENDOWMENT SCHOLARSHIP	6	$6,000	N/A	N/A
MOEN BROTHERS GRANT	1	$8,000	N/A	N/A
DAVIS SCHOLARSHIP	5	$12,900	N/A	N/A
			N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL SCHOLARSHIPS HAVE SPECIFIC CRITERIA SET-UP AND ALL APPLICANTS ARE SCREENED TO MEET THAT CRITERIA. WINNERS ARE SELECTED USING A BLIND SELECTION PROCESS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
BENJAMIN ROBERTSON MD
PHYSICIAN	$1,145,329	$0	$50	$0	$151,540	$0	$10,694	$0	$39,937	$0	$1,347,550	$0	$0	$0
NATHANIEL RONNING MD
PHYSICIAN	$645,616	$0	$50	$0	$61,236	$0	$6,820	$0	$0	$0	$713,722	$0	$0	$0
RACHEL REDIG MD
PHYSICIAN	$486,000	$0	$50	$0	$50,301	$0	$6,070	$0	$37,069	$0	$579,490	$0	$0	$0
TRAVIS SWARTZ MD
PHYSICIAN	$472,860	$0	$50	$0	$51,275	$0	$12,107	$0	$33,423	$0	$569,715	$0	$0	$0
RYAN SCOTT MD
PHYSICIAN	$455,170	$0	$50	$0	$48,233	$0	$6,076	$0	$40,503	$0	$550,032	$0	$0	$0
TIMOTHY MONSON MD
PHYSICIAN	$366,590	$0	$0	$0	$80,460	$0	$6,070	$0	$20,815	$0	$473,935	$0	$0	$0
JOEL BEISWENGER
CEO, PRESIDENT	$312,896	$0	$37,763	$0	$46,245	$0	$11,003	$0	$28,286	$0	$436,193	$0	$0	$0
KIM AAGARD
CFO	$165,485	$0	$14,300	$0	$43,734	$0	$7,499	$0	$25,042	$0	$256,060	$0	$0	$0
TERESA JOHNSON
CHRO	$146,505	$0	$13,250	$0	$32,279	$0	$6,575	$0	$28,177	$0	$226,786	$0	$0	$0
THOMAS PINT
CNO	$165,113	$0	$23,025	$0	$20,127	$0	$6,157	$0	$0	$0	$214,422	$0	$0	$0
MEDLEY SHAMP
CAO (SINCE OCTOBER 2022)	$117,964	$0	$14,363	$0	$21,152	$0	$4,812	$0	$36,907	$0	$195,198	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S CHIEF OFFICERS MAY RECEIVE NON-FIXED PAYMENTS DEPENDING ON VARIOUS MEASURES THAT INCLUDE 1) QUALITY AND SERVICE, 2) FINANCIAL MEASURES - EBIDA MARGIN & DEBT SERVICE RATIO W/CAPEX, AND 3) GROWTH AND VOLUME.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF BERTHA HEALTH CARE FACILITIES REVENUE NOTE SERIES 2021A
A	416004976	2021-05-19	$42,480,000	FINANCE BUILDING PROJECT AND REFINANCE 2017 SERIES DEBT	0	0	0
CITY OF DEER CREEK SERIES 2021A
B	410952833	2021-05-19	$10,000,000	FINANCE BUILDING PROJECT AND REFINANCE 2017 SERIES DEBT	0	0	0
CITY OF WADENA HEALTH CARE FACILITIES REVENUE NOTE SERIES 2021A
C	416005605	2021-05-19	$1,545,600	FINANCE BUILDING PROJECT AND REFINANCE 2017 SERIES DEBT	0	0	0
CITY OF VERNDALE HEALTH CARE FACILITIES REVENUE NOTE SERIES 2021A
D	416005591	2021-05-19	$9,700,000	FINANCE CAPITAL EXPENDITURE AND BUILDING PROJECT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$32,437,748	$727,601	$32,437,748	Yes (1)	Yes (1)
B	$10,000,000	$294,475	$10,000,000	Yes (1)	Yes (1)
C	$1,545,600	$32,631	$1,545,600	Yes (1)	Yes (1)
D	$9,700,000	$234,832	$9,700,000	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.01450	0.01450	Yes (1)
B	Yes (1)	Yes (1)	0.01450	0.01450	Yes (1)
C	Yes (1)	Yes (1)	0.01450	0.01450	Yes (1)
D	Yes (1)	Yes (1)	0.01450	0.01450	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	RACHEL REDIG	PersonNm
Relationship With Org	PHYSICIAN	RelationshipWithOrgTxt
Loan Purpose	PRIOR EMPLOYMENT BUYOUT LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$52,000	OriginalPrincipalAmt
Balance Due	$3,148	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$3,148	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
WADENA MEDICAL CENTER LTD
DR DAVIS(BOARD MEMBER), DR SCHMIDT(BOARD MEMBER), DR ADAMS(CMO): PARTNERS	$4,320,000	PHYSICIAN SERVICES	0
RURAL RADIOLOGY
DR. MCCULLOUGH IS FORMER BOARD MEMBER AND OWNER	$139,000	PROFESSIONAL RADIOLOGY SERVICES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE RETIREMENT COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD. THE RETIREMENT COMMITTEE CONSISTS OF TWO BOARD MEMBERS AS WELL AS THE ORGANIZATION'S CEO, CFO AND VP OF HR.
FORM 990, PART VI, SECTION A, LINE 2	ASTERA HEALTH WORKS WITH PEMBERTON LAW FIRM, MATTHEW VAN BRUGGEN FOR ATTORNEY SERVICES. DR. DAVIS, BOARD MEMBER, DR. SCHMIDT, BOARD MEMBER, AND DR. ADAMS, CMO, ARE PARTNERS OF WMC LTD.
FORM 990, PART VI, SECTION A, LINE 4	ENTITY CHANGED THEIR NAME FROM TRI-COUNTY HOSPITAL TO ASTERA HEALTH IN FEBRUARY 2023.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS REVIEWED IN DETAIL BY THE OFFICERS OF ASTERA HEALTH. THE FORM 990 WAS THEN PRESENTED AT A REGULAR SCHEDULED BOARD MEETING FOR REVIEW AND APPROVAL BY THE FULL BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS AND MANAGEMENT PERSONNEL ARE THE INDIVIDUALS COVERED UNDER THIS POLICY. IT IS THE CONTINUING RESPONSIBILITY OF THE BOARD AND MANAGEMENT TO SCRUTINIZE TRANSACTIONS AND MAKE IMMEDIATE DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST TO THE CHIEF EXECUTIVE OFFICER OR THE BOARD CHAIR. EACH POTENTIAL CONFLICT IS SCRUTINIZED BY THE BOARD (WITH THE POTENTIAL PERSON WITH A CONFLICT OF INTEREST BEING EXCLUDED) TO DETERMINE IF THE CONTEMPLATED TRANSACTION IS JUST, FAIR AND IN THE BEST INTEREST OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	EACH YEAR DURING THE PREPARATION OF THE ANNUAL BUDGET, HUMAN RESOURCES ACCESSES TWO TO THREE REGIONAL, STATE AND NATIONAL WAGE SURVEYS DEPENDING ON THE POSITION. THIS DATA IS USED BY MANAGEMENT AND THE BOARD TO ESTABLISH FAIR AND EQUITABLE COMPENSATION FOR TOP MANAGEMENT AND OTHER KEY EMPLOYEES WITHIN THE ORGANIZATION. THE BOARD DETERMINES THE CEO'S COMPENSATION AND THE CEO DETERMINES OTHER MANAGEMENT'S COMPENSATION. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER SERVICES: PROGRAM SERVICE EXPENSES 12,745,532. MANAGEMENT AND GENERAL EXPENSES 1,278,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,023,673.
FORM 990, PART XI, LINE 9:	UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMENT 2,175,693.
FORM 990, BOX C	ASTERA HEALTH ALSO DOES BUSINESS AS ASTERA HEALTH BAXTER CLINIC, ASTERA HEALTH BERTHA AREA WELLNESS CENTER, ASTERA HEALTH BERTHA CLINIC, ASTERA HEALTH HENNING CLINIC, ASTERA HEALTH HENNING PHYSICAL THERAPY CLINIC, ASTERA HEALTH OTTERTAIL CLINIC, ASTERA HEALTH SEBEKA CLINIC, ASTERA HEALTH VERNDALE CLINIC, ASTERA HEALTH WADENA CLINIC.