ASTERA HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ASTERA HEALTH (EIN 41-0713913)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-10-30
IRS object ID: 201933039349300918
Schema version: 2018v3.1
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	2019-10-30T08:43:29-05:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	2019-10-29	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	2019-10-29	IPDt
IP Tm	07:49:15	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	37F149D8265E4E19AE85689D43BA006C0C485BA5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E9B0F9A18C8000C04B4B0CC56389FCB9464530FE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$68,339,672	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	7	VotingMembersIndependentCnt
Total Employee	522	TotalEmployeeCnt
Total Volunteers	132	TotalVolunteersCnt
Total Gross UBI	$153,105	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$360,518	PYContributionsGrantsAmt
CY Contributions Grants	$467,531	CYContributionsGrantsAmt
PY Program Service Revenue	$63,037,550	PYProgramServiceRevenueAmt
CY Program Service Revenue	$65,951,234	CYProgramServiceRevenueAmt
PY Investment Income	$138,443	PYInvestmentIncomeAmt
CY Investment Income	$307,827	CYInvestmentIncomeAmt
PY Other Revenue	$1,062,225	PYOtherRevenueAmt
CY Other Revenue	$1,082,231	CYOtherRevenueAmt
PY Total Revenue	$64,598,736	PYTotalRevenueAmt
CY Total Revenue	$67,808,823	CYTotalRevenueAmt
PY Grants And Similar Paid	$114,583	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$43,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$30,826,930	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,559,093	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$204,077	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,923,083	PYOtherExpensesAmt
CY Other Expenses	$30,940,625	CYOtherExpensesAmt
PY Total Expenses	$60,864,596	PYTotalExpensesAmt
CY Total Expenses	$64,543,218	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,734,140	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,265,605	CYRevenuesLessExpensesAmt
Total Assets BOY	$41,782,247	TotalAssetsBOYAmt
Total Assets EOY	$41,517,643	TotalAssetsEOYAmt
Total Liabilities BOY	$23,199,352	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$20,095,651	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$18,582,895	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$21,421,992	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	$49,943,281	ExpenseAmt
Grant	$43,500	GrantAmt
Revenue	$65,951,234	RevenueAmt
Desc	TRI COUNTY HOSPITAL (TCH) LEADS DELIVERY OF HEALTHCARE TO ITS SERVICEAREA THROUGH THE EFFORTS OF 522 EMPLOYEES WHO COORDINATE THESE EFFORTSTO DELIVER QUALITY PATIENT CARE. ALL OF THE TCH FACILITIES OPERATE INFEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS. OUR SERVICEAREAS GENERALLY RANK AMONGST THE MOST ECONOMICALLY AND SOCIALLYCHALLENGED IN THE STATE OF MINNESOTA. THE ACCOMPLISHMENTS WHICH FOLLOWHIGHLIGHT THE COMMITMENT OF TCH TO ITS COMMUNITIES.REQUIREMENTS OF THE IRS COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPTORGANIZATIONS ARE INTEGRAL TO TCH'S LARGER CHARITABLE MISSION OF"IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE." TCH IS GOVERNED BYAN INDEPENDENT BOARD INCLUDING COMMUNITY LEADERS, BUSINESS EXPERTS, AND CLINICAL HEALTHCARE EXPERTS AND HAS BEEN PROACTIVELY EVALUATINGOPPORTUNITIES TO VOLUNTARILY ADOPT GOVERNANCE BEST PRACTICES TO ENSURETHE ORGANIZATION CONTINUES TO OPERATE WITH THE HIGHEST INTEGRITY FORTHE BENEFIT OF THE COMMUNITY.TRI-COUNTY HOSPITAL, A CERTIFIED CRITICAL ACCESS HOSPITAL OPERATES 25BEDS AND PROVIDES NEEDED MEDICAL SERVICES AND PATIENT CARE TO ALLPATIENTS REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE INPATIENT,OUTPATIENT, EMERGENCY, SURGICAL, INTENSIVE, OBSTETRICAL, AND PEDIATRICNURSING CARE. ANCILLARY SERVICES INCLUDE LABORATORY, RADIOLOGICAL,THERAPY SERVICES, REHABILITATIVE, AND PHARMACY. TRI-COUNTY HOSPITAL ISTHE LARGEST EMPLOYER IN THE COMMUNITY, EMPLOYING 522 STAFF DURING 2018.TRI-COUNTY HOSPITAL'S UNCOMPENSATED CARE (CHARITY CARE) PROGRAMPROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THERESOURCES 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 2018, $1,444,346 OF REVENUES WAS DESIGNATED AS CHARITABLE SERVICES.TRI-COUNTY HOSPITAL CARED FOR 905 INPATIENTS FOR A TOTAL 2,400 DAYS OFCARE. ADDITIONALLY, TRI-COUNTY HOSPITAL OPERATES SIX CERTIFIED RURALHEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES ASHEALTH PROFESSIONAL SHORTAGE AREAS. THESE CLINICS EXAMINED AND/ORTREATED 52,868 PATIENTS IN 2018. TOTAL OUTPATIENT ENCOUNTERS FOR 2018(INCLUDING THE CLINICS) WERE 131,963.TRI-COUNTY HOSPITAL OPERATES A FULL TIME EMERGENCY DEPARTMENT AND ACCEPTS ALL PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY SERVICES AT THE FACILITY, SEEING 6,219 PATIENTS IN THE EMERGENCY DEPARTMENT IN 2018.TRI-COUNTY HOSPITAL OPERATES AN AMBULANCE SERVICE WHERE PATIENTSRECEIVE EMERGENT CARE AND TRANSPORTATION BY EMERGENCY MEDICALTECHNICIANS THAT PROVIDE ADVANCED LIFE SUPPORT SERVICES. TCH ALSOOFFERS EMS EDUCATION COURSES FOR THE PURPOSE OF INCREASING SURVIVAL,IMPROVING COMMUNITY AWARENESS, AND INCREASING INDIVIDUAL CONFIDENCE ASA PART OF ITS CHARITABLE MISSION. COURSES OFFERED INCLUDE EMERGENCYMEDICAL 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 IN-PATIENT 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 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 THECOMMUNITY 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 2018, 68 VOLUNTEERS PROVIDED 5,793 HOURS OF SERVICE TO TCH.TCH IS ALSO TAKING ON A LEAD ROLE TO LEAD A COMMUNITY-BASED HEALTH STATUS AND WELLNESS RESEARCH STUDY IN CONJUNCTION WITH THE DEVELOPMENT OF THE MASLOWSKI WELLNESS CENTER.	Desc
Total Program Service Expenses	$49,943,281	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
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	215	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	522	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	7	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 (22 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)	$3,675	$0	$0
TERRY DAVIS
VICE CHAIR	4.00	0.00	Yes (X)	Yes (X)	$2,505	$0	$0
RYAN ANDERSON
SECRETARY	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JEANETTE COLEMAN
BOARD MEMBER	4.00	0.00	Yes (X)		$0	$0	$0
PAUL DRANGE
BOARD MEMBER	4.00	0.00	Yes (X)		$3,745	$0	$0
DAVE FJELDHEIM
BOARD MEMBER	4.00	0.00	Yes (X)		$1,671	$0	$0
JOLENE JOHANNES
BOARD MEMBER	4.00	0.00	Yes (X)		$3,790	$0	$0
GERALD MCCULLOUGH MD
BOARD MEMBER	4.00	0.00	Yes (X)		$2,263	$0	$0
JOHN PATE
BOARD MEMBER	4.00	0.00	Yes (X)		$0	$0	$0
DAVE QUINCER
BOARD MEMBER	4.00	0.00	Yes (X)		$2,465	$0	$0
SHANEEN SCHMIDT MD
BOARD MEMBER	4.00	0.00	Yes (X)		$4,000	$0	$0
JOEL BEISWENGER
PRESIDENT & CEO	40.00	0.00		Yes (X)	$311,483	$0	$40,981
BENJAMIN HESS MD
CMO	4.00	0.00		Yes (X)	$0	$0	$0
KIM AAGARD
CHIEF FINANCIAL OFFICER	40.00	0.00		Yes (X)	$164,234	$0	$29,268
CHRISTINE HARFF
VP OF PATIENT CARE	40.00	0.00			$182,286	$0	$21,058	Yes (X)
JUDY WHITE
VP OF NETWORK DEVELOPMENT	40.00	0.00			$177,862	$0	$26,955	Yes (X)
TERESA JOHNSON
VICE PRESIDENT - HR	40.00	0.00			$157,862	$0	$32,485	Yes (X)
DAVID KLOSS MD
PHYSICIAN	32.00	0.00			$459,989	$0	$56,265		Yes (X)
RACHEL REDIG MD
PHYSICIAN	40.00	0.00			$414,172	$0	$2,771		Yes (X)
BENJAMIN ROBERTSON MD
PHYSICIAN	40.00	0.00			$363,816	$0	$14,122		Yes (X)
AMADIN OSAYOMORE MD
PHYSICIAN	24.00	0.00			$344,330	$0	$29,667		Yes (X)
BETH HELGERSON MD
PHYSICIAN	32.00	0.00			$325,466	$0	$27,184		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,925,614	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$280,756	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	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	$3,909,610
CENTRAL MN DIAGNOSTIC INC
PO BOX 158	MILACA	MN	56353	NUC MED/MRI/CT/US SERVICES	$1,780,462
RURAL RADIOLOGY
29697 510TH AVE	HENNING	MN	56551	RADIOLOGY SERVICES	$984,160
TRI-COUNTY SURGERY
4 DEERWOOD NW	WADENA	MN	56482	SURGICAL SERVICES	$812,250
LAKE REGION HEALTHCARE
PO BOX 728	FERGUS FALLS	MN	56538	PATHOLOGY & RADIOLOGY SERVICES	$724,244

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Fundraising	$10,152	FundraisingAmt
Government Grants	$199,889	GovernmentGrantsAmt
All Other Contributions	$257,490	AllOtherContributionsAmt
Total Contributions	$467,531	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SERVICE REVENUE	621400	$61,253,811	$61,253,811
PHARMACY	446110	$4,054,308	$4,054,308
CENTRAL MN DIAGNOSTIC	900099	$498,467	$498,467
INDUSTRIAL BILLING	900099	$144,648		$144,648

Field	Value	IRS element (for citing)
Total Program Service Revenue	$65,951,234	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$246,886	TotalRevenueColumnAmt
Exclusion	$246,886	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$686,285	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$184,794	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$501,491	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$501,491	TotalRevenueColumnAmt
Exclusion	$501,491	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$300,175	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$239,234	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$60,941	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,941	TotalRevenueColumnAmt
Exclusion	$60,941	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$35,333	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$10,152	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$24,350	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,983	TotalRevenueColumnAmt
Exclusion	$10,983	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$166,844	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$82,471	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,373	TotalRevenueColumnAmt
Unrelated Business Revenue	$8,457	UnrelatedBusinessRevenueAmt
Exclusion	$75,916	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MEANINGFUL USE	900099	$139,920	$139,920
CLINIC REVENUE	900099	$139,897	$139,897
EMPLOYEE/GUEST MEALS	722210	$135,821	$135,821

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,746	TotalRevenueColumnAmt
Exclusion	$69,746	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$485,384	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,808,823	TotalRevenueColumnAmt
Related Or Exempt Func Income	$65,806,586	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$153,105	UnrelatedBusinessRevenueAmt
Exclusion	$1,381,601	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	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$33,500	TotalAmt
Program Services	$33,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,168,588	TotalAmt
Program Services	$1,168,588	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,109,740	TotalAmt
Program Services	$17,956,591	ProgramServicesAmt
Management And General	$7,090,593	ManagementAndGeneralAmt
Fundraising	$62,556	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$634,214	TotalAmt
Program Services	$634,214	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,913,808	TotalAmt
Program Services	$4,913,808	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,732,743	TotalAmt
Program Services	$1,732,743	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,451	TotalAmt
Management And General	$120,451	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,739,055	TotalAmt
Program Services	$10,467,607	ProgramServicesAmt
Management And General	$1,271,448	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$360,301	TotalAmt
Management And General	$357,609	ManagementAndGeneralAmt
Fundraising	$2,692	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$847,347	TotalAmt
Program Services	$118,971	ProgramServicesAmt
Management And General	$606,416	ManagementAndGeneralAmt
Fundraising	$121,960	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,088	TotalAmt
Management And General	$4,088	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$975,298	TotalAmt
Program Services	$166,517	ProgramServicesAmt
Management And General	$808,781	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$244,763	TotalAmt
Program Services	$154,607	ProgramServicesAmt
Management And General	$85,710	ManagementAndGeneralAmt
Fundraising	$4,446	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$390,537	TotalAmt
Program Services	$390,537	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,473,165	TotalAmt
Program Services	$1,055,328	ProgramServicesAmt
Management And General	$1,417,837	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$380,978	TotalAmt
Management And General	$380,978	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,094,157	$7,031,501	$62,656
RENTAL & MAINTENANCE	$3,597,888	$2,632,680	$965,208
BAD DEBT	$905,109	$905,109
TAXES	$705,364		$705,364

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,102,124	TotalAmt
Program Services	$570,980	ProgramServicesAmt
Management And General	$518,721	ManagementAndGeneralAmt
Fundraising	$12,423	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,543,218	TotalAmt
Program Services	$49,943,281	ProgramServicesAmt
Management And General	$14,395,860	ManagementAndGeneralAmt
Fundraising	$204,077	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$175,121	BOYAmt
EOY	$237,428	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,238,176	BOYAmt
EOY	$3,364,189	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,225,228	BOYAmt
EOY	$9,638,075	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$275,260	BOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$1,352	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$471,954	BOYAmt
EOY	$1,070,793	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$591,959	BOYAmt
EOY	$805,250	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$339,385	BOYAmt
EOY	$572,912	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$54,837,154	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$39,414,539	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,900,906	BOYAmt
EOY	$15,422,615	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$9,257,696	BOYAmt
EOY	$8,898,366	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,305,210	BOYAmt
EOY	$1,508,015	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,782,247	BOYAmt
EOY	$41,517,643	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,162,921	BOYAmt
EOY	$5,672,738	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,175,968	BOYAmt
EOY	$12,518,374	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,969,267	BOYAmt
EOY	$88,152	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,891,196	BOYAmt
EOY	$1,816,387	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,199,352	BOYAmt
EOY	$20,095,651	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,436,111	BOYAmt
EOY	$21,205,919	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$146,784	BOYAmt
EOY	$216,073	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$18,582,895	BOYAmt
EOY	$21,421,992	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,782,247	BOYAmt
EOY	$41,517,643	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,265,605	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$426,508	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

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	$5,623	OtherActivitiesAmt
Total Lobbying Expenditures	$5,623	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	$9,601	BeginningBalanceAmt
Additions During Year	$207	AdditionsDuringYearAmt
Distributions During Year	$3,500	DistributionsDuringYearAmt
Ending Balance	$6,308	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	$34,254,667	OtherCostOrOtherBasisAmt
Depreciation	$23,604,514	DepreciationAmt
Book Value	$10,650,153	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,844,890	OtherCostOrOtherBasisAmt
Depreciation	$1,422,084	DepreciationAmt
Book Value	$422,806	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,075,130	OtherCostOrOtherBasisAmt
Depreciation	$14,387,941	DepreciationAmt
Book Value	$3,687,189	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$229,242	OtherCostOrOtherBasisAmt
Book Value	$229,242	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,422,615	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$665,687
ESTIMATED THIRD-PARTY SETTLEMENTS	$1,150,700

Field	Value	IRS element (for citing)
Total Liability	$1,816,387	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$66,703,582	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$425,972	OtherRevenueAmt
Revenue Not Reported	$425,972	RevenueNotReportedAmt
Revenue Subtotal	$66,277,610	RevenueSubtotalAmt
Other Revenues Not Included	$1,531,213	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,531,213	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$67,808,823	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$63,815,093	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$184,794	OtherExpensesIncludedAmt
Expenses Not Reported	$184,794	ExpensesNotReportedAmt
Expenses Subtotal	$63,630,299	ExpensesSubtotalAmt
Other Expenses Not Included	$912,918	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$912,918	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$64,543,217	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 184,794. NET ASSETS RELEASED FROM RESTRICTION 241,178.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 905,109. REALIZED GAIN ON INVESTMENTS 60,941. INTEREST INCOME 246,886. EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS 7,809. TEMPORARILY RESTRICTED CONTRIBUTIONS 310,468.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 184,794.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 905,109. EXPENSES INCLUDED IN REVENUES IN THE FINANCIAL STATEMENTS 7,809.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF CLASSIC	Event1Nm
Gross Receipts Event1	$45,485	GrossReceiptsEvent1Amt
Charitable Contri Event1	$10,152	CharitableContriEvent1Amt
Gross Revenue Event1	$35,333	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,480	CashPrizesEvent1Amt
Non Cash Prizes Event1	$9,234	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$9,058	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,667	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$911	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$45,485	GrossReceiptsTotalAmt
Charitable Contributions Tot	$10,152	CharitableContributionsTotAmt
Gross Revenue Total Events	$35,333	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,480	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$9,234	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$9,058	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$3,667	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$911	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$24,350	DirectExpenseSummaryEventsAmt
Net Income Summary	$10,983	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	$1,081,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,081,717	NetCommunityBenefitExpnsAmt
Total Expense	0.01700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,736,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,780,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$955,628	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,344,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,473,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,870,892	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,162,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,254,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,908,237	NetCommunityBenefitExpnsAmt
Total Expense	0.06140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$454,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$443,287	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,888,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,972,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,915,199	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,541,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,988,076	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,553,156	NetCommunityBenefitExpnsAmt
Total Expense	0.07160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,703,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,242,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,461,393	NetCommunityBenefitExpnsAmt
Total Expense	0.13300	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,037	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,930	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288,990	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$288,990	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$346,412	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$346,412	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$905,109	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,538,598	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,294,722	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$243,876	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	16	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	16	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 Translated	Yes (X)	FAPTranslatedInd
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 (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. 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. THIS PRIORITIZED ISSUES LIST WAS USED TO DEVELOP STRATEGIES FOR IMPLEMENTATION OF INTERVENTIONS. 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 FEBRUARY 2016 TO A RANDOM SAMPLE VIA MAIL. THIS QUALITATIVE AND QUANTITATIVE DATA IS BEING USED TO GUIDE THE WORK OF TRI-COUNTY HEALTH CARE AND LOCAL PUBLIC HEALTH DEPARTMENTS.
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 6A: LAKEWOOD HEALTH SYSTEM AND CENTRACARE
TRI-COUNTY HOSPITAL, INC.	PART V, SECTION B, LINE 6B: TODD COUNTY HEALTH & HUMAN SERVICES / WADENA COUNTY PUBLIC HEALTH
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 TOPIC INCLUDES PROMOTING HEATHY HABITS SUCH AS A HEALTHY DIET, EXERCISE, WELLNESS VISITS, ETC. TCHC PARTICIPATED IN THE MASLOWSKI RESEARCH STUDY WHICH BEGAN WITH THE TCHC EMPLOYEE POPULATION WHICH WAS THEN EXPANDED TO LOCAL EMPLOYER GROUPS TO EVALUATE WELLNESS PROGRAMS AND THE EFFECT ON INDIVIDUAL HEALTH. THE RESULTS OF THIS STUDY HAVE SHOWN IMPROVEMENT AS REFLECTED IN OUR COMMUNITY CULTURE SCORES IN OUR CHNA REPORT. TCHC MADE SOME NICE SHIFTS IN OVERALL CULTURE AS WELL AS MAINTAINED HEALTH STATUS OF ITS EMPLOYEES. EMPLOYEES WHO FEEL SUPPORTED AND RECEIVE SUPPORT IN MAKING HEALTHY LIFESTYLE CHOICES ARE MORE LIKELY TO PARTICIPATE AND ENCOURAGE SUCH BEHAVIORS IN OTHER ASPECTS OF THEIR LIVES INCLUDING FAMILY AND FRIENDS. TCHC ALSO OFFERS MANY EDUCATIONAL OPPORTUNITIES TO THE ENTIRE COMMUNITY AT NO COST. THESE INCLUDE MEN'S NIGHT OUT, WOMEN'S NIGHT OUT, FEBRUARY FESTIVAL OF HEALTH, ETC. TCHC PROVIDERS OFFER SMOKING/TOBACCO CESSATION OPPORTUNITIES, TO PATIENTS WHO WISH ELIMINATE THE USE OF THESE PRODUCTS.OBESITY - THIS CONTINUES TO BE A PROBLEM BUT CAN BE IMPACTED BY THE INITIATIVES UNDERTAKEN TO ADDRESS UNHEALTHY BEHAVIORS. HOWEVER, INITIALLY BMI STATISTICS DO NOT REFLECT FAVORABLE RESULTS. CHRONIC DISEASE MANAGEMENT - TCHC'S WADENA CLINIC ACHIEVED HEALTH CARE HOME CERTIFICATION. TCHC BEGAN INCREASING ITS EFFORTS IN CARE COORDINATION AND CHRONIC DISEASE MANAGEMENT WITH THE FOLLOWING OUTCOMES AS EVIDENCE BY MN COMMUNITY MEASURES:1. HYPERTENSION - PATIENTS MAINTAINING BLOOD PRESSURE COMPLIANCE INCREASED FROM 61% IN 2013 TO 71% IN 2016.2. OPTIMAL CORONARY ARTERY DISEASE - TCHC INCREASED FROM 27% IN 2013 TO 47% IN 2016.3. OPTIMAL DIABETES CARE - TCH INCREASED FROM 20% IN 2013 TO 33% IN 2016.TCHC UTILIZES COMMUNITY PARAMEDICS IN PARTNERSHIP WITH CARE COORDINATION TO AID PATIENTS IN MANAGING THEIR CHRONIC CONDITION. THIS HAS ALSO HAD POSITIVE EFFECTS ON READMISSIONS AND UNNECESSARY ER VISITS.MENTAL HEALTH - IN NOVEMBER 2012, TCHC HIRED DR. AARON LARSON,PSYCHIATRIST TO PROVIDE FULL TIME PSYCHIATRY SERVICES IN THE WADENA CLINIC. WE HAVE SEEN SIGNIFICANT GROWTH IN OUR PSYCHIATRY VISITS SINCE 2013. PATIENT OUTCOMES HAVE IMPROVED AS EVIDENCED BY OUR PHQ9 SCORE WHICH HAS INCREASED FROM 11% IN 2013 TO 65% IN 2016.TCHC CONTINUES TO WORK ON THESE INITIATIVES IN ADDITION TO ANY INITIATIVESIDENTIFIED IN THE 2016 CHNA REPORT.
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	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 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
401 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
9 - TCHC - EMBRACE WOMEN'S HEALTH
13495 ELDER DRIVE SUITE 140	BAXTER	MN	56425	WOMEN'S HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 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 $11,982,631.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 905,109.
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 2:	BAD DEBT EXPENSE IS CALCULATED AS FOLLOWS: PAYMENT ARRANGEMENT INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS.
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' PARAGRAPHS ON PAGES 8-9 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 2018 FILED MEDICARE COST REPORT.
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:	TRI-COUNTY HOSPITAL SERVES A THREE-COUNTY AREA WHICH INCLUDES MANY SMALL COMMUNITIES THAT ARE IN A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE TRI-COUNTY HEALTH CARE COMMUNITY IS LOCATED IN WEST, CENTRAL MINNESOTA AND INCLUDES EASTERN/CENTRAL OTTER TAIL, TODD, AND NORTHERN WADENA COUNTIES. THE TOTAL POPULATION OF ALL THREE COUNTIES IS ESTIMATED AT 96,225; THE PRIMARY SERVICE AREA POPULATION OF TCHC IS ESTIMATED AT 26,278 BECAUSE IT MORE SPECIFICALLY FOCUSES ON THE CITIES OF WADENA, SEBEKA, NEW YORK MILLS, BERTHA, DEER CREEK, HEWITT, ALDRICH, VERNDALE, BLUFTON, HENNING, MENAHGA, AND OTTERTAIL. THE COMMUNITY IS PRIMARILY OF CAUCASIAN DESCENT (93.9%) FOLLOWED BY HISPANIC (3.2 PERCENT), BLACK (0.8 PERCENT), AND AMERICAN INDIAN/ALASKAN NATIVE (0.5 PERCENT). OUR SERVICE AREAS GENERALLY RANK AMONGST THE MOST ECONOMICALLY AND SOCIALLY CHALLENGED IN THE STATE OF MINNESOTA.
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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LUTHERAN ISLAND CAMP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45011 230TH ST	AddressLine1Txt
City	HENNING	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56551	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	411000565	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	MOEN BROTHERS GRANT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS/GRANTS	GrantTypeTxt
Recipient	19	RecipientCnt
Cash Grant	$33,500	CashGrantAmt

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	Yes (1)	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 (10 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	$259,649	$0	$21,321	$0	$30,513	$0	$15,579	$0	$25,402	$0	$352,464	$0	$0	$0
KIM AAGARD
CHIEF FINANCIAL OFFICER	$115,942	$0	$12,118	$0	$36,174	$0	$8,408	$0	$20,860	$0	$193,502	$0	$0	$0
CHRISTINE HARFF
VP OF PATIENT CARE	$136,005	$0	$0	$0	$46,281	$0	$0	$0	$21,058	$0	$203,344	$0	$0	$0
JUDY WHITE
VP OF NETWORK DEVELOPMENT	$139,799	$0	$12,138	$0	$25,925	$0	$8,525	$0	$18,430	$0	$204,817	$0	$0	$0
TERESA JOHNSON
VICE PRESIDENT - HR	$122,766	$0	$11,906	$0	$23,190	$0	$7,536	$0	$24,949	$0	$190,347	$0	$0	$0
DAVID KLOSS MD
PHYSICIAN	$415,811	$0	$11,864	$0	$32,314	$0	$21,998	$0	$34,267	$0	$516,254	$0	$0	$0
RACHEL REDIG MD
PHYSICIAN	$336,124	$0	$6,498	$0	$71,550	$0	$2,771	$0	$0	$0	$416,943	$0	$0	$0
BENJAMIN ROBERTSON MD
PHYSICIAN	$329,914	$0	$0	$0	$33,902	$0	$0	$0	$14,122	$0	$377,938	$0	$0	$0
AMADIN OSAYOMORE MD
PHYSICIAN	$290,417	$0	$4,981	$0	$48,932	$0	$2,550	$0	$27,117	$0	$373,997	$0	$0	$0
BETH HELGERSON MD
PHYSICIAN	$88,062	$0	$3,562	$0	$233,842	$0	$888	$0	$26,296	$0	$352,650	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6	BETH HELGERSON, MD, RECEIVED A SEVERANCE PAYMENT OF $219,079 DURING 2018.
PART I, LINE 7	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.

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	$263,687	$7,200,000	$144,000	$1,708,765	$5,347,235	2018	Yes (1)	0	0	Yes (1)
B	$263,687	$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. ADAMS, AND DR. SCHMIDT ARE PARTNERS OF WMC LTD.	$3,909,610	PHYSICIAN SERVICES	0
RURAL RADIOLOGY INC
DR. GERALD MCCULLOUGH, BOARD MEMBER, OWNS RURAL RADIOLOGY INC.	$984,160	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 2018.
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 10,467,607. MANAGEMENT AND GENERAL EXPENSES 1,271,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,739,055.

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