ASTERA HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ASTERA HEALTH (EIN 41-0713913)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-10-28
IRS object ID: 202003029349301975
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-10-28T14:56:09-05:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410713913	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRI-COUNTY HOSPITAL INC	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 JEFFERSON STREET NORTH	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	PRESIDENT & CEO	PersonTitleTxt
Phone	2186313510	PhoneNum
Signature	2020-10-27	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DARRYN MCGARVEY	PreparerPersonNm
PTIN	P00958683	PTIN
Phone	6123764500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-27	IPDt
IP Tm	09:58:23	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E92CD7272A25738C44ECCB1DDD847714E5C7A195	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4C92F68DF2ABE90E657267DE1B3A488205F4A9F0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	TRI-COUNTY HEALTH CARE	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 NORTH	AddressLine1Txt
City	WADENA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56482	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$73,859,506	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TCHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	527	TotalEmployeeCnt
Total Volunteers	123	TotalVolunteersCnt
Total Gross UBI	$23,252	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$467,531	PYContributionsGrantsAmt
CY Contributions Grants	$668,972	CYContributionsGrantsAmt
PY Program Service Revenue	$65,951,234	PYProgramServiceRevenueAmt
CY Program Service Revenue	$70,486,300	CYProgramServiceRevenueAmt
PY Investment Income	$307,827	PYInvestmentIncomeAmt
CY Investment Income	$421,466	CYInvestmentIncomeAmt
PY Other Revenue	$1,082,231	PYOtherRevenueAmt
CY Other Revenue	$1,043,280	CYOtherRevenueAmt
PY Total Revenue	$67,808,823	PYTotalRevenueAmt
CY Total Revenue	$72,620,018	CYTotalRevenueAmt
PY Grants And Similar Paid	$43,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,884	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,559,093	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,244,823	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$39,200	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$269,118	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,940,625	PYOtherExpensesAmt
CY Other Expenses	$29,688,595	CYOtherExpensesAmt
PY Total Expenses	$64,543,218	PYTotalExpensesAmt
CY Total Expenses	$67,042,502	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,265,605	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,577,516	CYRevenuesLessExpensesAmt
Total Assets BOY	$41,517,643	TotalAssetsBOYAmt
Total Assets EOY	$46,719,641	TotalAssetsEOYAmt
Total Liabilities BOY	$20,095,651	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,148,563	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,421,992	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$27,571,078	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	$55,757,035	ExpenseAmt
Grant	$69,884	GrantAmt
Revenue	$71,520,889	RevenueAmt
Desc	TRI COUNTY HOSPITAL (TCH) LEADS DELIVERY OF HEALTHCARE TO ITS SERVICE AREA THROUGH THE EFFORTS OF 527 EMPLOYEES WHO COORDINATE THESE EFFORTS TO DELIVER QUALITY PATIENT CARE. ALL OF THE TCH FACILITIES OPERATE IN FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS. OUR SERVICE AREAS GENERALLY RANK AMONGST THE MOST ECONOMICALLY AND SOCIALLY CHALLENGED IN THE STATE OF MINNESOTA. THE ACCOMPLISHMENTS WHICH FOLLOW HIGHLIGHT THE COMMITMENT OF TCH TO ITS COMMUNITIES. REQUIREMENTS OF THE IRS COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT ORGANIZATIONS ARE INTEGRAL TO TCH'S LARGER CHARITABLE MISSION OF "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE." TCH IS GOVERNED BY AN INDEPENDENT BOARD INCLUDING COMMUNITY LEADERS, BUSINESS EXPERTS, AND CLINICAL HEALTHCARE EXPERTS AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO VOLUNTARILY ADOPT GOVERNANCE BEST PRACTICES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE WITH THE HIGHEST INTEGRITY FOR THE BENEFIT OF THE COMMUNITY. TRI COUNTY HOSPITAL, A CERTIFIED CRITICAL ACCESS HOSPITAL, OPERATES 25 BEDS AND PROVIDES NEEDED MEDICAL SERVICES AND PATIENT CARE TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE INPATIENT, OUTPATIENT, EMERGENCY, SURGICAL, INTENSIVE, OBSTETRICAL, AND PEDIATRIC NURSING CARE. ANCILLARY SERVICES INCLUDE LABORATORY, RADIOLOGICAL, THERAPY SERVICES, REHABILITATIVE, AND PHARMACY. TRI-COUNTY HOSPITAL IS THE LARGEST EMPLOYER IN THE COMMUNITY, EMPLOYING 527 STAFF DURING 2019. TRI COUNTY HOSPITAL'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 TCH HAS ACCESS TO NEEDED HEALTHCARE SERVICES. IN 2019, $1,027,000 OF REVENUES WAS DESIGNATED AS CHARITABLE SERVICES. TRI-COUNTY HOSPITAL CARED FOR 933 INPATIENTS FOR A TOTAL 2,324 DAYS OF CARE. ADDITIONALLY, TRI-COUNTY HOSPITAL OPERATES SIX CERTIFIED RURAL HEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES AS HEALTH PROFESSIONAL SHORTAGE AREAS. THESE CLINICS EXAMINED AND/OR TREATED 55,918 PATIENTS IN 2019. TOTAL OUTPATIENT ENCOUNTERS FOR 2019 (INCLUDING THE CLINICS) WERE 141,272. TRI-COUNTY HOSPITAL OPERATES A FULL-TIME EMERGENCY DEPARTMENT AND ACCEPTS ALL PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY SERVICES AT THE FACILITY, SEEING 5,427 PATIENTS IN THE EMERGENCY DEPARTMENT IN 2019. TRI-COUNTY HOSPITAL OPERATES AN AMBULANCE SERVICE WHERE PATIENTS RECEIVE EMERGENT CARE AND TRANSPORTATION BY EMERGENCY MEDICAL TECHNICIANS THAT PROVIDE ADVANCED LIFE SUPPORT SERVICES. TCH ALSO OFFERS EMS EDUCATION COURSES FOR THE PURPOSE OF INCREASING SURVIVAL, IMPROVING COMMUNITY AWARENESS, AND INCREASING INDIVIDUAL CONFIDENCE AS A PART OF ITS CHARITABLE MISSION. COURSES OFFERED INCLUDE EMERGENCY MEDICAL TECHNICIAN BASIC, FIRST RESPONDER, CPR, AND FIRST AID. TRI-COUNTY HOSPITAL PROVIDES A COMMUNITY PARAMEDIC PROGRAM. COMMUNITY PARAMEDIC IS A PROVISION OF OUTREACH TO PATIENTS AT RISK FOR USING THE EMERGENCY MEDICAL OR INPATIENT HEALTHCARE SYSTEM FOR PRIMARY CARE SERVICES, AND HELPING THEM FIND MORE APPROPRIATE RESOURCES FOR THEIR MEDICAL NEEDS. THE COMMUNITY PARAMEDIC PROGRAM HAD 538 VISITS DURING 2018. TCH ALSO PROVIDES OR PARTICIPATES IN OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION. EDUCATIONAL PROGRAMMING IS A PRIORITY INCLUDING BUT NOT LIMITED TO THE HIGH SCHOOL SUMMER INTERNSHIP PROGRAM; PROVIDING A CLINICAL ROTATION SITE FOR NURSING STUDENTS, PHYSICAL THERAPY 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, AND HEALTH FAIRS WITH SCREENING OPPORTUNITIES IN ITS SERVICE AREA. TRI-COUNTY HOSPITAL 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. TCH 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. TCH 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, 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. DURING 2019, 55 VOLUNTEERS PROVIDED 4,200 HOURS OF SERVICE TO TCH.	Desc
Total Program Service Expenses	$55,757,035	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	0	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	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	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	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	217	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	527	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	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	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 PRESIDENT CEO	PersonNm
Phone	2186317489	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MATTHEW VAN BRUGGEN
CHAIR	4.00	0.00	Yes (X)	Yes (X)	$4,000	$0	$0
TERRY DAVIS
VICE CHAIR	4.00	0.00	Yes (X)	Yes (X)	$4,000	$0	$0
RYAN ANDERSON
SECRETARY	4.00	0.00	Yes (X)	Yes (X)	$4,000	$0	$0
DOUG BJORKLUND
BOARD MEMBER	4.00	0.00	Yes (X)		$1,358	$0	$0
PAUL DRANGE
BOARD MEMBER	4.00	0.00	Yes (X)		$4,000	$0	$0
DAVE FJELDHEIM
BOARD MEMBER	4.00	0.00	Yes (X)		$1,415	$0	$0
JOLENE JOHANNES
BOARD MEMBER	4.00	0.00	Yes (X)		$0	$0	$0
GERALD MCCULLOUGH MD
BOARD MEMBER	4.00	0.00	Yes (X)		$4,000	$0	$0
JOHN PATE MD
BOARD MEMBER	4.00	0.00	Yes (X)		$1,568	$0	$0
DAVE QUINCER
BOARD MEMBER	4.00	0.00	Yes (X)		$641	$0	$0
SHANEEN SCHMIDT MD
BOARD MEMBER	4.00	0.00	Yes (X)		$2,661	$0	$0
JOEL BEISWENGER
PRESIDENT & CEO	40.00	0.00		Yes (X)	$325,248	$0	$41,148
BENJAMIN HESS MD
CMO	40.00	0.00		Yes (X)	$1,597	$0	$0
KIM AAGARD
CHIEF FINANCIAL OFFICER	40.00	0.00		Yes (X)	$186,860	$0	$29,018
CHRISTINE HARFF
VP OF PATIENT CARE (THROUGH JUNE 19)	40.00	0.00		Yes (X)	$100,669	$0	$17,273
JUDY WHITE
VP OF NETWORK DEVELOPMENT	40.00	0.00		Yes (X)	$30,860	$0	$3,326
JOSE ALBA
CAO	40.00	0.00		Yes (X)	$123,763	$0	$6,951
THOMAS PINT
CNO	40.00	0.00		Yes (X)	$144,189	$0	$7,312
TERESA JOHNSON
CHRO	40.00	0.00			$168,251	$0	$32,647	Yes (X)
DAVID KLOSS MD
PHYSICIAN	32.00	0.00			$476,960	$0	$55,975		Yes (X)
RACHEL REDIG MD
PHYSICIAN	40.00	0.00			$586,668	$0	$25,536		Yes (X)
BENJAMIN ROBERTSON MD
PHYSICIAN	40.00	0.00			$1,225,831	$0	$43,403		Yes (X)
NATHANIEL RONNING MD
PHYSICIAN	40.00	0.00			$613,004	$0	$55,648		Yes (X)
ROSS ANDERSON MD
PHYSICIAN	40.00	0.00			$474,363	$0	$33,526		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,485,906	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$351,763	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	11	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
WADENA MEDICAL CENTER LTD
4 DEERWOOD NW	WADENA	MN	56482	PHYSICIAN SERVICES	$3,842,849
RURAL RADIOLOGY
29697 510TH AVE	HENNING	MN	56551	RADIOLOGY SERVICES	$1,049,263
HAMMEL GREEN AND ABRAHAMSON INC
420 N 5TH ST STE 100	MINNEAPOLIS	MN	55401	ARCHITECT	$817,146
CENTRACARE HEALTH SYSTEM
1406 6TH AVENUE N	ST CLOUD	MN	56303	MEDICAL SERVICES/EPIC LICENSING	$803,652
JENNIFER ARNHOLD
26881 NORTHSTAR LANE	PEQUOT LAKES	MN	56472	PHYSICIAN SERVICES	$350,258

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Fundraising	$29,852	FundraisingAmt
Government Grants	$191,649	GovernmentGrantsAmt
All Other Contributions	$447,471	AllOtherContributionsAmt
Total Contributions	$668,972	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SERVICE REVENUE	621400	$64,962,403	$64,962,403
PHARMACY	446110	$5,006,289	$5,006,289
CENTRAL MN DIAGNOSTIC	900099	$499,034	$499,034
INDUSTRIAL BILLING	900099	$18,574		$18,574

Field	Value	IRS element (for citing)
Total Program Service Revenue	$70,486,300	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$294,215	TotalRevenueColumnAmt
Exclusion	$294,215	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$676,231	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$192,326	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$483,905	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$483,905	TotalRevenueColumnAmt
Exclusion	$483,905	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,000,637	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$870,776	SecuritiesAmt
Other	$2,610	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$129,861	SecuritiesAmt
Other	-$2,610	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,251	TotalRevenueColumnAmt
Exclusion	$127,251	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$107,421	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$29,852	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$64,439	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,982	TotalRevenueColumnAmt
Exclusion	$42,982	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$14,995	GamingGrossIncomeAmt
Gaming Direct Expenses	$5,668	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,327	TotalRevenueColumnAmt
Exclusion	$9,327	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$150,445	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$103,669	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,776	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,678	UnrelatedBusinessRevenueAmt
Exclusion	$42,098	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE/GUEST MEALS	722210	$142,498	$142,498
CLINIC REVENUE	900099	$137,601	$137,601
MEANINGFUL USE	900099	$110,500	$110,500

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,691	TotalRevenueColumnAmt
Exclusion	$69,691	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$460,290	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,620,018	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,467,726	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$23,252	UnrelatedBusinessRevenueAmt
Exclusion	$1,460,068	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	$5,890	TotalAmt
Program Services	$5,890	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$63,994	TotalAmt
Program Services	$63,994	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,223,846	TotalAmt
Management And General	$1,223,846	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,286,160	TotalAmt
Program Services	$23,570,732	ProgramServicesAmt
Management And General	$3,655,563	ManagementAndGeneralAmt
Fundraising	$59,865	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,228,066	TotalAmt
Program Services	$1,017,444	ProgramServicesAmt
Management And General	$210,622	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,706,382	TotalAmt
Program Services	$4,727,695	ProgramServicesAmt
Management And General	$978,687	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,800,369	TotalAmt
Program Services	$1,491,592	ProgramServicesAmt
Management And General	$308,777	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$101,337	TotalAmt
Management And General	$101,337	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$39,200	TotalAmt
Fundraising	$39,200	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,574,096	TotalAmt
Program Services	$9,558,384	ProgramServicesAmt
Management And General	$1,014,846	ManagementAndGeneralAmt
Fundraising	$866	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$268,379	TotalAmt
Management And General	$268,379	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$815,864	TotalAmt
Program Services	$209,819	ProgramServicesAmt
Management And General	$452,506	ManagementAndGeneralAmt
Fundraising	$153,539	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,000	TotalAmt
Management And General	$3,000	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,012,020	TotalAmt
Program Services	$815,308	ProgramServicesAmt
Management And General	$196,712	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$236,270	TotalAmt
Program Services	$146,005	ProgramServicesAmt
Management And General	$83,037	ManagementAndGeneralAmt
Fundraising	$7,228	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$341,323	TotalAmt
Program Services	$341,323	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,301,539	TotalAmt
Program Services	$2,125,360	ProgramServicesAmt
Management And General	$176,179	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$344,765	TotalAmt
Management And General	$344,765	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAXES	$46	$46
MEDICAL SUPPLIES	$8,711,033		$8,711,033
RENTAL & MAINTENANCE	$3,193,697	$503,329	$2,690,368
TAXES	$737,142	$737,142

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,048,084	TotalAmt
Program Services	$282,088	ProgramServicesAmt
Management And General	$757,576	ManagementAndGeneralAmt
Fundraising	$8,420	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,042,502	TotalAmt
Program Services	$55,757,035	ProgramServicesAmt
Management And General	$11,016,349	ManagementAndGeneralAmt
Fundraising	$269,118	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$237,428	BOYAmt
EOY	$726,767	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,364,189	BOYAmt
EOY	$7,174,841	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,638,075	BOYAmt
EOY	$9,899,158	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,070,793	BOYAmt
EOY	$970,223	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$805,250	BOYAmt
EOY	$792,110	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$572,912	BOYAmt
EOY	$405,747	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$56,580,958	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,664,234	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,422,615	BOYAmt
EOY	$14,916,724	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,898,366	BOYAmt
EOY	$8,947,050	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,508,015	BOYAmt
EOY	$1,630,946	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,256,075	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,517,643	BOYAmt
EOY	$46,719,641	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,672,738	BOYAmt
EOY	$6,494,984	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,518,374	BOYAmt
EOY	$11,976,521	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$88,152	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,816,387	BOYAmt
EOY	$677,058	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,095,651	BOYAmt
EOY	$19,148,563	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	$21,205,919	BOYAmt
EOY	$27,369,593	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$216,073	BOYAmt
EOY	$201,485	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,421,992	BOYAmt
EOY	$27,571,078	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,517,643	BOYAmt
EOY	$46,719,641	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,577,516	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$571,570	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule 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	$5,894	OtherActivitiesAmt
Total Lobbying Expenditures	$5,894	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	$6,308	BeginningBalanceAmt
Additions During Year	$454	AdditionsDuringYearAmt
Distributions During Year	$3,000	DistributionsDuringYearAmt
Ending Balance	$3,762	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$433,225	OtherCostOrOtherBasisAmt
Book Value	$433,225	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,335,530	OtherCostOrOtherBasisAmt
Depreciation	$24,818,984	DepreciationAmt
Book Value	$9,516,546	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,844,890	OtherCostOrOtherBasisAmt
Depreciation	$1,498,674	DepreciationAmt
Book Value	$346,216	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,118,811	OtherCostOrOtherBasisAmt
Depreciation	$15,346,576	DepreciationAmt
Book Value	$2,772,235	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,848,502	OtherCostOrOtherBasisAmt
Book Value	$1,848,502	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$14,916,724	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ASSET RETIREMENT OBLIGATION	Desc
Amt	$677,058	Amt

Field	Value	IRS element (for citing)
Total Liability	$677,058	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$72,167,465	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$421,827	OtherRevenueAmt
Revenue Not Reported	$421,827	RevenueNotReportedAmt
Revenue Subtotal	$71,745,638	RevenueSubtotalAmt
Other Revenues Not Included	$874,380	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$874,380	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$72,620,018	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$67,228,938	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$192,326	OtherExpensesIncludedAmt
Expenses Not Reported	$192,326	ExpensesNotReportedAmt
Expenses Subtotal	$67,036,612	ExpensesSubtotalAmt
Other Expenses Not Included	$5,890	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,890	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$67,042,502	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 1B:	THE HOSPITAL MAINTAINS THE EMPLOYEE SCHOLARSHIP FUND. DONATIONS ARE TAKEN FROM VENDING/PHONE COMMISSION AND POP CAN SALVAGE WHICH ARE THEN 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 FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 192,326. NET ASSETS RELEASED FROM RESTRICTION 229,501.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REALIZED GAIN ON INVESTMENTS 129,862. INTEREST INCOME 294,215. EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS 5,890. TEMPORARILY RESTRICTED CONTRIBUTIONS 444,413.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 192,326.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS 5,890.

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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
BOUTS VENTURES LLC
PO BOX 99	DIAMONDALE	MI	48821	COMMUNITY RELATIONS COUNSELING SERVICE	0	$229,500	$15,200	$214,300
KATRINA LYNN LLC
132 E SUPERIOR ST 3B	DULUTH	MN	55802	MARKETING AND FEASBILITY STUDY	0	$0	$24,000	-$24,000

Field	Value	IRS element (for citing)
Total Gross Receipts	$229,500	TotalGrossReceiptsAmt
Total Retained By Contractors	$39,200	TotalRetainedByContractorsAmt
Total Net To Organization	$190,300	TotalNetToOrganizationAmt
Licensed States	MN	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF CLASSIC	Event1Nm
Gross Receipts Event1	$56,502	GrossReceiptsEvent1Amt
Charitable Contri Event1	$9,852	CharitableContriEvent1Amt
Gross Revenue Event1	$46,650	GrossRevenueEvent1Amt
Cash Prizes Event1	$730	CashPrizesEvent1Amt
Non Cash Prizes Event1	$9,666	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$9,937	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$5,245	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$4,221	OtherDirectExpensesEvent1Amt
Event2	ALL HEART GALA	Event2Nm
Gross Receipts Event2	$80,771	GrossReceiptsEvent2Amt
Charitable Contri Event2	$20,000	CharitableContriEvent2Amt
Gross Revenue Event2	$60,771	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$2,723	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$100	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$8,315	FoodAndBeverageEvent2Amt
Entertainment Event2	$3,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$20,002	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$137,273	GrossReceiptsTotalAmt
Charitable Contributions Tot	$29,852	CharitableContributionsTotAmt
Gross Revenue Total Events	$107,421	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$730	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$12,389	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$10,037	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$13,560	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$24,223	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$64,439	DirectExpenseSummaryEventsAmt
Net Income Summary	$42,982	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
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	$532,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$532,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,116,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,041,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,074,581	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,297,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,636,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,661,250	NetCommunityBenefitExpnsAmt
Total Expense	0.05460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,945,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,678,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,267,846	NetCommunityBenefitExpnsAmt
Total Expense	0.07850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$376,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,430	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$372,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,773,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,438,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,335,119	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,104	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,104	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,314,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,442,448	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,871,988	NetCommunityBenefitExpnsAmt
Total Expense	0.07270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,260,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,120,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,139,834	NetCommunityBenefitExpnsAmt
Total Expense	0.15120	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,540	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,540	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$301,277	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$301,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$305,817	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$305,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,874,156	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,621,373	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$252,783	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	TRI-COUNTY HOSPITAL	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	WWW.TCHC.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	TRI-COUNTY HOSPITAL INC	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	19	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	WWW.TCHC.ORG/QUALITY-OF-CARE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.TCHC.ORG/QUALITY-OF-CARE	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	WWW.TCHC.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.TCHC.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.TCHC.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 5: TRI-COUNTY HEALTH CARE CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT 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 COMMUNITY HEALTH SURVEY WAS DISSEMINATED AND ANALYZED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN THE TRI-COUNTY HEALTH CARE SERVICE AREA. SURVEYS WERE SENT OUT IN JANUARY 2019 TO A RANDOM SAMPLE OF 6,400 HOUSEHOLDS. COMPLETED SURVEYS WERE RECEIVED FROM 1,553 ADULT RESIDENTS OF THE THREE COUNTIES.
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 6A: TRI-COUNTY HEALTH CARE CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE COLLABORATION OF CENTRACARE HEALTH SYSTEM, CHI ST. GABRIEL'S HOSPITAL AND LAKEWOOD HEALTH SYSTEM
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 6B: TRI-COUNTY HEALTH CARE CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE COLLABORATION OF TODD, WADENA AND MORRISON COUNTY PUBLIC HEALTH AGENCIES.
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 11: IN 2016, TCHC CONDUCTED A CHNA THAT PRIORITIZED UNHEALTHY BEHAVIORS, OBESITY, CHRONIC DISEASE, AND MENTAL HEALTH. TCHC HAS ADDRESSED THESE ISSUES AS FOLLOWS:UNHEALTHY BEHAVIORS - THIS ITEM WAS IDENTIFIED AS A FIRST PRIORITY AS SUCCESSFUL RESULTS IN THIS AREA MAY ALSO HAVE POSITIVE IMPACTS ON OTHER SIGNIFICANT HEALTH ISSUES INCLUDING OBESITY, HEART DISEASE, STROKE, DIABETES, HIGH CHOLESTEROL, HIGH BLOOD PRESSURE, CANCER, ETC. HEALTHY BEHAVIOR PROMOTION ADDRESSES EXERCISE, DIET, SMOKING, ALCOHOL USE, DRUG USE AND HEALTH CARE COMPLIANCE. AS PART OF THE MASLOWSKI RESEARCH STUDY, TCHC IS PARTNERING WITH WADENA REGIONAL WELLNESS CENTER, CITY OF WADENA, JOLENE JOHANNES STATE FARM AGENCY, TODD WADENA ELECTRIC ASSOCIATION, WADENA DEER CREEK SCHOOLS, WADENA STATE BANK AND WEST CENTRAL TELEPHONE WITH PLANS TO EXPAND SEVERAL OTHER KEY COMMUNITY EMPLOYER GROUPS TO CREATE A RESULTS-ORIENTED WELLNESS INITIATIVE FOR THE WADENA COMMUNITY AND SURROUNDING AREA. WITH THE AID OF THE FRANK AND ELEANOR MASLOWSKI CHARITABLE TRUST AND THE WADENA REGIONAL WELLNESS CENTER, TCHC IS CONDUCTING A RESEARCH STUDY TO IDENTIFY FACTORS THAT MAY BE PREDICTIVE OR EXPLANATORY OF HEALTH RISK STATUS IN THE TCHC SERVICE AREA POPULATION. THE FIRST PHASE OF THE RESEARCH STUDY BEGAN IN 2013 WITH TCHC COMPILING BASELINE HEALTH CARE DATA FROM THE TCHC EMPLOYEE GROUP AND HAS EXPANDED THIS TO THE EMPLOYER GROUPS IDENTIFIED IN THE PREVIOUS PARAGRAPH. PLEASE REFER TO EXHIBIT 1 FOR A MORE DETAILED EXPLANATION AND RESULTS OF THIS STUDY. THE NEXT PHASE OF THIS PROJECT IS TO CONDUCT THIS SAME ACTIVITY WITH GROUPS FROM WADENA AND BERTHA COMMUNITIES. HEALTH CARE COMPLIANCE AND PREVENTION WILL BE ADDRESSED THROUGH OUR CARE COORDINATION PROGRAM. OBESITY - THIS CAN BE ADDRESSED WITH THE INITIATIVES BEING UNDERTAKEN FOR UNHEALTHY BEHAVIORS.CHRONIC DISEASE - INCLUDES DIABETES, HEART DISEASE, STROKE, HIGH CHOLESTEROL, HIGH BLOOD PRESSURE, CANCER, ETC. IN ADDITION TO THE WELLNESS INITIATIVES BEING UNDERTAKEN FOR UNHEALTHY BEHAVIORS, TCHC HAS IMPLEMENTED A MEDICAL HOME PROGRAM IN PARTNERSHIP WITH COMMUNITY PARAMEDICS TO AID PERSONS WITH CHRONIC ILLNESSES AND HELP THEM MANAGE THESE CONDITIONS TO REMAIN COMPLIANT WITH THEIR CARE AND ACHIEVE POSITIVE OUTCOMES. TCHC HAS ALSO IMPLEMENTED CARE COORDINATION PROGRAM TO IDENTIFY AND MONITOR PATIENTS DUE FOR PREVENTIVE CARE AND CONTACTING THOSE PATIENTS IN AN EFFORT TO IDENTIFY PATIENTS AT RISK EARLIER IN THE DISEASE PROCESS. TCHC WILL CONTINUE TO OFFER THE DIABETIC EDUCATION AND DIABETIC SUPPORT GROUP.MENTAL HEALTH - IN NOVEMBER OF 2012, TCHC HIRED DR. AARON LARSON, PSYCHIATRIST, AND ANDREA CRAIG, FNP, TO PROVIDE FULL-TIME PSYCHIATRIC SERVICES IN THE WADENA CLINIC. DR. LARSON ALSO CONDUCTS VISITS AT AREA GROUP HOMES IN AN EFFORT TO SEE TO THE NEEDS OF PERSONS UNABLE TO LIVE INDEPENDENTLY. TCHC IS CONTINUING TO RECRUIT PROVIDERS TO MEET INCREASING DEMANDS FOR PSYCHIATRIC SERVICES. TCHC OFFERS GRIEF AND MEMORY LOSS SUPPORT GROUPS. IN 2019, TCHC CONDUCTED A NEW CHNA THAT CONTINUED TO IDENTIFY THOSE SAME NEEDS, BUT ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, COMMUNITY INFRASTRUCTURE, DRUG ADDICTION, CANCER, ACCESS TO HEALTH CARE SERVICES, PHI DATA EXCHANGE AND DECREASED FUNDING. TCHC HAS ADDRESSED THESE ISSUES AS FOLLOWS:SOCIAL DETERMINANTS OF HEALTH - INCLUDES HEALTH EQUITY, HOUSING, EMPLOYMENT, ENVIRONMENT AND TRANSPORTATION. TCHC LACKS RESOURCES TO FULLY ADDRESS THIS ISSUE BUT PLANS TO PARTNER WITH LOCAL GOVERNMENT AND BUSINESS LEADERS TO COLLABORATE ON COMMUNITY BUILDING IN AN EFFORT TO INCREASE POPULATION, IMPROVE SOCIO-ECONOMIC STATUS AND BUILD/ENHANCE THE COMMUNITY REPUTATION. TCHC WILL CONTINUE TO PROVIDE UNCOMPENSATED CARE FOR THOSE WHO LACK THE ABILITY TO PAY FOR HEALTH CARE SERVICES. TCHC ALSO PARTICIPATES IN HELPING PAY FOR CAR SEATS AND BIKE HELMETS FOR SAFE TRANSPORTATION OF INFANTS AND CHILDREN. TCHC WILL CONTINUE SUBSIDIZE FARE FOR INDIVIDUALS UTILIZING FRIENDLY RIDER PUBLIC TRANSPORTATION SERVICES TO GET TO THEIR APPOINTMENTS AT TCHC. CANCER - TCHC'S INITIATIVES TO INCREASE PREVENTIVE VISITS AND DIAGNOSTIC SCREENING EXAMS WILL AID WITH EARLY DETECTION OF CANCER. IN ADDITION, TCHC'S PARTNERSHIP WITH LAKE REGION HEALTH CARE IN FERGUS FALLS, MN, ALLOWS US TO PROVIDE ONCOLOGY SERVICES FOR CANCER PATIENTS IN ADDITION OFFERING OUTPATIENT CHEMOTHERAPY SERVICES. ACCESS TO HEALTH CARE - TCHC OFFERS AN UNCOMPENSATED CARE PLAN FOR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. THIS PLAN IS OFFERED TO PERSONS WITH ANNUAL INCOME AT 150 PERCENT OF FEDERAL POVERTY GUIDELINES. TCHC IS LOCATED IN A HEALTH CARE PROFESSIONAL SHORTAGE AREA WHERE ACCESS TO A PROVIDER MAY BE LIMITED AT TIMES AND RECRUITING PROVIDERS TO RURAL AREAS CONTINUES TO BE A CHALLENGE. IN ADDITION, TCHC HAS DEVELOPED A MODEL THAT UTILIZES NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO PRACTICE ALONGSIDE THE PHYSICIAN TO PROVIDE NECESSARY SERVICES IN A MORE COST-EFFECTIVE MANNER. IN AN EFFORT TO IMPROVE ACCESS TO HEALTH CARE, TCHC HAS IMPLEMENTED A WALK-IN CLINIC EXTENDING HOURS MONDAY THROUGH THURSDAY AND SATURDAY MORNINGS. AS PART OF OUR CARE COORDINATION PLAN, TCHC IS COLLABORATING WITH PAYOR PLANS TO IMPLEMENT NECESSARY HEALTH SCREENINGS FOR SPECIFIC DISEASES IN AN EFFORT TO PREVENT/DETECT SPECIFIC ISSUES SUCH AS DIABETES, CANCER SCREENINGS, ETC. POPULATION HEALTH INFRASTRUCTURE - TCHC HAS BEEN ESTABLISHING RELATIONSHIPS AND PARTNERING WITH OTHER FACILITIES AND PROVIDERS TO ESTABLISH A MODEL FOR MANAGING POPULATION HEALTH. CURRENTLY, TCHC IS PARTNERING WITH CENTRACARE HOSPITALS AND SEVERAL OTHER AFFILIATES INCLUDING DOUGLAS COUNTY HOSPITAL AND RICE MEMORIAL HOSPITAL ON A CLINICALLY INTEGRATED NETWORK. TCHC, ALONG WITH THESE FACILITIES, UTILIZES THE EPIC ELECTRONIC MEDICAL RECORDS SYSTEM WITH A GOAL TO IMPLEMENT THE "HEALTHY PLANET" MODULE AS A TOOL TO AID WITH POPULATION HEALTH MANAGEMENT. DATA EXCHANGE - TCHC'S PARTNERSHIP WITH CENTRACARE HOSPITALS AND OTHER CENTRACARE AFFILIATES AS PART OF THE EPIC ELECTRONIC MEDICAL RECORDS SYSTEM ALLOWS US TO MEET FEDERAL MEANINGFUL USE REQUIREMENTS. THIS SYSTEM ALLOWS COMMUNICATION BETWEEN HOSPITALS BY UTILIZING THE "CARE EVERYWHERE" FEATURE OF THIS SYSTEM. DECREASED FUNDING - THIS IS A CONTINUED CHALLENGE FOR OUR ORGANIZATION AS THE FUNDS FOR HEALTH CARE DECREASE WHILE THE DEMAND CONTINUES TO RISE. TCHC COLLABORATES WITH THE MINNESOTA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION FOR ADVOCACY EFFORTS FOR RURAL HEALTH CARE.
TRI-COUNTY HOSPITAL, INC.	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	Address Line2USAddress/AddressLine2Txt
1 - TCHC - WADENA CLINIC
4 DEERWOOD AVENUE	WADENA	MN	56482	RURAL HEALTH CLINIC
2 - TCHC - BERTHA CLINIC
214 1ST STREET NW	BERTHA	MN	56437	RURAL HEALTH CLINIC
3 - TCHC - HENNING CLINIC
4010 DOUGLAS AVENUE	HENNING	MN	56551	RURAL HEALTH CLINIC
4 - TCHC - OTTERTAIL CLIN
232 MINNESOTA HIGHWAY 78 N PO BOX	OTTERTAIL	MN	56571	RURAL HEALTH CLINIC	129
5 - TCHC - SEBEKA CLINIC
106 MINNESOTA AVENUE	SEBEKA	MN	56477	RURAL HEALTH CLINIC
6 - TCHC - VERNDALE CLINIC
102 FARWELL STREET SOUTH	VERNDALE	MN	56481	RURAL HEALTH CLINIC
7 - TCHC - BERTHA PHYSICAL THERAPY CLINIC
210 1ST STREET NW	BERTHA	MN	56437	PHYSICAL THERAPY CLINIC
8 - TCHC - HENNING PHYSICAL THERAPY CLINIC
801 INMAN STREET	HENNING	MN	56551	PHYSICAL THERAPY CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TRI-COUNTY HOSPITAL DETERMINES ELIGIBILITY BASED ON AN INDIVIDUAL'S INCOME, NET ASSETS, INSURANCE COVERAGE, AND APPLICATION FOR FEDERAL AND/OR STATE-PROVIDED ASSISTANCE. SEE OUR WEBSITE, WWW.TCHC.ORG/PATIENTS-AND- VISITORS/BILLING-AND-FINANCIAL-INFORMATION, FOR DETAILED INFORMATION ABOUT ELIGIBILITY CRITERIA.
PART I, LINE 7:	IN ORDER TO DETERMINE THE AMOUNTS INCLUDED IN PART I, LINE 7, TCH GENERALLY USED 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 USED 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:- TRI-COUNTY HEALTH CARE - WADENDA CLINIC- TRI-COUNTY HEALTH CARE - BERTHA CLINIC- TRI-COUNTY HEALTH CARE - HENNING CLINIC- TRI-COUNTY HEALTH CARE - OTTERTAIL CLINIC- TRI-COUNTY HEALTH CARE - SEBEKA CLINIC- TRI-COUNTY HEALTH CARE - VERNDALE CLINICCOMMUNITY BENEFIT EXPENSES RELATED TO THESE CLINICS IS $14,050,386.
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 TRI-COUNTY HOSPITAL 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 9 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 2019 FILED MEDICARE COST REPORT. AS A CRITICAL ACCESS HOSPITAL, TRI-COUNTY HOSPITALIS REIMBUSED AT 101% (LESS SEQUESTRATION) OF COST WHEN SERVING MEDICARE BENEFICIARIES, RESULTING IN A SURPLUS.
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 WILLBEGIN. 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. - A TCHC CREDIT POLICY LETTER IS MAILED TO THE PATIENT AFTER THE 2ND STATEMENT IS GENERATED.- 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. AT THIS TIME A PATIENT RESOURCE REPRESENTATIVE FOLLOWS UP WITH A PHONE CALL AND A PAST DUE LETTER #1 IS MAILED TO THE PATIENT.- 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. AT THIS TIME A PAST DUE LETTER #2 IS MAILED TO THE PATIENT ALONG WITH A PLAIN LANGUAGE SUMMARY OF TCHC'S UNCOMPENSATED CARE POLICY.- 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. AT THIS TIME A PATIENT RESOURCE REPRESENTATIVE FOLLOWS UP WITH A PHONE CALL AND A FINAL DEMAND NOTICE IS MAILED TO THE PATIENT.- 30 DAYS AFTER FINAL NOTICE HAS BEEN GIVEN, ACCOUNTS ARE REVIEWED BY PATIENT RESOURCES STAFF FOR SUBMISSION TO THIRD-PARTY COLLECTION AGENCIES. PATIENTS MAY ALSO RECEIVE A 6TH INVOICE DEPENDING ON THE TIMING OF STATEMENT CYCLES.- MISSED PAYMENT LETTERS ARE SENT WHEN A PAYMENT IS NOT RECEIVED FROM A PATIENT WHO HAS SET UP A PAYMENT PLAN AND HAS MADE PRIOR INSTALLMENTS ON TIME.
PART VI, LINE 2:	TRI-COUNTY HEALTH CARE (TCHC) ANTICIPATES THE NEEDS OF THE COMMUNITY BY USING BOTH INTERNAL AND EXTERNAL DATA. FOR INTERNAL MEANS, TCHC 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, TCHC ALSO WORKS CLOSELY WITH LOCAL LAW ENFORCEMENT, SOCIAL SERVICES, AND OTHER PUBLIC AGENCIES TO ASSESS THE NEEDS OF THE COMMUNITY. TCHC IS INVOLVED WITH THE CHILD PROTECTION TEAM, TCHC LEADERSHIP IS INVOLVED WITH OTHER CIVIC GROUPS TO HELP IDENTIFY NEEDS, AND TCHC CLINIC ADVISORY GROUPS INCLUDE COMMUNITY LEADERS AND SCHOOL OFFICIALS TO PROVIDE INPUT TO IDENTIFY HEALTH NEEDS IN ALL SIX OF THE COMMUNITIES WHERE TCHC 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 TCHC PATIENTS AND LAB RESULTS ARE FORWARDED TO THE PATIENT'S DESIGNATED PROVIDER. TCHC ALSO TOOK ON A LEAD ROLE THAT LED TO A COMMUNITY-BASED HEALTH STATUS AND WELLNESS RESEARCH STUDY IN CONJUNCTION WITH THE DEVELOPMENT OF THE MASLOWSKI WELLNESS AND RESEARCH CENTER. TCHC IS PARTICIPATING IN THIS STUDY AND IS WORKING TO INCLUDE OTHER LOCAL EMPLOYER GROUPS AS PART OF THIS ENDEAVOR.
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 TRI-COUNTY HEALTH CARE COMMUNITY IS LOCATED IN WEST CENTRAL MINNESOTA AND INCLUDES EASTER/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 TCHC 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 TRI-COUNTY HEALTH CARE 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:	TRI COUNTY HOSPITAL'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 TCH HAS ACCESS TO NEEDED HEALTHCARE SERVICES. TRI-COUNTY HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM AND ACCEPTS ALL PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY SERVICES AT THE FACILITY. TCH ALSO PROVIDES OR PARTICIPATES IN OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION, INCLUDING THE HIGH SCHOOL SUMMER INTERNSHIP PROGRAM, PROVIDES A CLINICAL ROTATION SITE FOR LPN/LVN NURSING STUDENTS FROM THE LOCAL TECHNICAL COLLEGE, AND HEALTH FAIRS WITH SCREENING OPPORTUNITIES IN IT'S SERVICE AREA. TRI-COUNTY HOSPITAL 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. TCH 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. TCH 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:	TRI-COUNTY HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM (TRI-COUNTY HEALTH CARE). THE SYSTEM OPERATES A 25-BED CRITICAL ACCESS HOSPITAL (TRI-COUNTY HOSPITAL) 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

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS/GRANTS	30	$47,494
TCHC AUXILARY	1	$1,000
DAVIS FAMILY NURSING	5	$12,500
M STATE	11	$3,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANT REQUESTS WILL BE GENERATED THROUGH MEETINGS OF TRI-COUNTY HOSPITAL'S FOUNDATION BOARD, GOVERNING BOARD, SATELLITE CLINIC ADVISORY BOARDS, EXECUTIVE COMMITTEE, AND DEPARTMENT MANAGERS, OR THROUGH A DIRECT MAIL SOLICITATION TO COMMUNITY ORGANIZATIONS. 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
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 (9 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
JOEL BEISWENGER
PRESIDENT & CEO	$276,061	$0	$17,500	$0	$31,687	$0	$15,944	$0	$25,204	$0	$366,396	$0	$0	$0
KIM AAGARD
CHIEF FINANCIAL OFFICER	$123,822	$0	$24,213	$0	$38,825	$0	$9,442	$0	$19,576	$0	$215,878	$0	$0	$0
THOMAS PINT
CNO	$132,660	$0	$11,529	$0	$0	$0	$7,312	$0	$0	$0	$151,501	$0	$0	$0
TERESA JOHNSON
CHRO	$124,944	$0	$14,166	$0	$29,141	$0	$8,693	$0	$23,954	$0	$200,898	$0	$0	$0
DAVID KLOSS MD
PHYSICIAN	$440,413	$0	$2,500	$0	$34,047	$0	$23,433	$0	$32,542	$0	$532,935	$0	$0	$0
RACHEL REDIG MD
PHYSICIAN	$507,151	$0	$2,500	$0	$77,017	$0	$25,536	$0	$0	$0	$612,204	$0	$0	$0
BENJAMIN ROBERTSON MD
PHYSICIAN	$1,150,948	$0	$2,500	$0	$72,383	$0	$12,123	$0	$31,280	$0	$1,269,234	$0	$0	$0
NATHANIEL RONNING MD
PHYSICIAN	$521,007	$0	$22,500	$0	$69,497	$0	$21,436	$0	$34,212	$0	$668,652	$0	$0	$0
ROSS ANDERSON MD
PHYSICIAN	$417,135	$0	$2,500	$0	$54,728	$0	$6,768	$0	$26,758	$0	$507,889	$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) THE EMPLOYEE ENGAGEMENT SURVEY, 2) QUALITY & SERVICE MEASURES, INPATIENT AND CLINIC SATISFACTION, 3) PRODUCTIVITY MANAGEMENT, AND 4) 360-DEGREE EVALUATION RESULTS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF BERTHA MINNESOTA
A	416004976	2017-04-18	$7,200,000	TO REFINANCE 2005 SERIES DEBT, OTHER DEBT & FINANCE CAPITAL EXPENDITURES	0	0	0
CITY OF VERNDALE MINNESOTA
B	416005591	2017-04-18	$7,200,000	TO REFINANCE 2005 SERIES DEBT, OTHER DEBT & FINANCE CAPITAL EXPENDITURES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,069,274	$7,200,000	$144,000	$1,708,765	$5,347,235	2018	Yes (1)	0	0	Yes (1)
B	$1,069,274	$7,200,000	$144,000	$1,708,765	$5,347,235	2018	Yes (1)	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	0	0	0.01450	0.00460	0.01910	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	0	0	0.01450	0.00460	0.01910	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)
B	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
WADENA MEDICAL CENTER LTD
DR. PATE, DR. HESS AND DR. SCHMIDT ARE PARTNERS OF WMC LTD.	$3,842,849	PHYSICIAN SERVICES	0
RURAL RADIOLOGY INC
DR. GERALD MCCULLOUGH, BOARD MEMBER, OWNS RURAL RADIOLOGY INC.	$1,049,263	RADIOLOGY SERVICES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	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 B, LINE 11B	THE FORM 990 WAS REVIEWED IN DETAIL BY THE OFFICERS OF TRI-COUNTY HOSPITAL (TCH). 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 PERSON WITH A POTENTIAL 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 15A	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. THIS WAS LAST DONE IN 2019.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER SERVICES: PROGRAM SERVICE EXPENSES 9,558,384. MANAGEMENT AND GENERAL EXPENSES 1,014,846. FUNDRAISING EXPENSES 866. TOTAL EXPENSES 10,574,096.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FAIR OAKS LODGE
415 JEFFERSON STREET N	WADENA	MN	56482	200439862	ACTIVITY SUSPENDED AS OF 12-31-13	MN	501(C)(3)	LINE 11	TRI-COUNTY HOSPITAL	Yes (1)
TRI-COUNTY COMMUNITY HEALTH SERVICES
415 JEFFERSON STREET N	WADENA	MN	56482	261504250	ACTIVITY SUSPENDED AS OF 12-31-13	MN	501(C)(3)	LINE 11	TRI-COUNTY HOSPITAL	Yes (1)
TRI-COUNTY HEALTH CARE
415 JEFFERSON STREET N	WADENA	MN	56482	261504304	ACTIVITY SUSPENDED AS OF 12-31-13	MN	501(C)(3)	LINE 12A, I	TRI-COUNTY HOSPITAL	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd