LINTON HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LINTON HOSPITAL (EIN 45-0253272)
- Tax period
- 2013-04-01 to 2014-03-31
- Filed
- 2014-11-07
- IRS object ID
- 201413119349300016
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-07T08:40:01-06:00 | ReturnTs |
| Tax Period End | 2014-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450310328 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADY MARTZ & ASSOCIATES PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1297 | AddressLine1 |
| City | BISMARCK | City |
| State | ND | State |
| ZIP Code | 585021297 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450253272 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LINT | BusinessNameControlTxt |
| Phone | 7012544511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 518 N BROADWAY STREET | AddressLine1 |
| City | LINTON | City |
| State | ND | State |
| ZIP Code | 585520850 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SPENCER LARSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7012544511 | PhoneNum |
| Signature | 2014-10-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK J BROWN | PreparerPersonNm |
| PTIN | P00149579 | PTIN |
| Phone | 7012231717 | PhoneNum |
| Preparation | 2014-10-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SPENCER LARSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 518 N BROADWAY | AddressLine1 |
| City | LINTON | City |
| State | ND | State |
| ZIP Code | 58552 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,338,949 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | LINTONHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT OPERATES A 24-HOUR ACUTE AND EMERGENCY FACILITY IN THE TOWN OF LINTON, EMMONS COUNTY, NORTH DAKOTA. LINTON HOSPITAL ALSO OWNS AND OPERATES 3 CLINICS (2 RURAL HEALTH) IN THE COMMUNITIES OF LINTON AND HAZELTON, NORTH DAKOTA AND HERREID, SOUTH DAKOTA. LINTON HOSPITAL ENTERED INTO A MANAGEMENT SERVICES AGREEMENT ON 6/1/2012 WITH ST. ALEXIUS HOSPITAL OF BISMARCK TO IMPROVE THE QUALITY AND PRODUCTIVITY OF RURAL HEALTH CARE, PROMOTE COST-EFFICIENT OPERATIONS AND ENHANCE THE COMPETETIVE ASPECTS OF THE DELIVERY OF RURAL HEALTH CARE SERVICES TO THE COMMUNITY OF LINTON AND THE GEOGRAPHIC REGIONS SERVED BY LINTON. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 121 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $173,196 | PYContributionsGrantsAmt |
| CY Contributions Grants | $310,456 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,032,094 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,019,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,326 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,398 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,970 | PYOtherRevenueAmt |
| CY Other Revenue | $7,920 | CYOtherRevenueAmt |
| PY Total Revenue | $6,220,586 | PYTotalRevenueAmt |
| CY Total Revenue | $6,338,949 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,529,892 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,313,641 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $30,210 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,377,934 | PYOtherExpensesAmt |
| CY Other Expenses | $2,776,228 | CYOtherExpensesAmt |
| PY Total Expenses | $5,907,826 | PYTotalExpensesAmt |
| CY Total Expenses | $6,089,869 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $312,760 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $249,080 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,597,492 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,755,258 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,525,803 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,434,489 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,071,689 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,320,769 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF LINTON HOSPITAL AND CLINICS IS TO ENHANCE THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF THE PEOPLE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,641,816 | ExpenseAmt |
| Revenue | $3,601,635 | RevenueAmt |
| Desc | LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT HAS AVAILABLE 24-HOUR LICENSED HEALTHCARE PRACTITIONERS AND NURSING SERVICES. SWINGBED SERVICES ARE AVAILABLE FOR PATIENTS REQUIRING SKILLED CARE. EMERGENCY ROOM CARE IS PROVIDED TO OVER 1,100 EMERGENCY ROOM VISITS PER YEAR. LINTON HOSPITAL ALSO PROVIDES THE FOLLOWING SERVICES: OPERATING ROOM, ANESTHESIA SERVICES, DIETARY SERVICES, MEDICAL RECORDS SERVICES, PHARMACEUTICAL SERVICES, LABORATORY SERVICES, HOUSEKEEPING, ELECTROCARDIOGRAMS, SLEEP STUDIES, CARDIAC REHAB, PHYSICAL THERAPY, ULTRASOUND SERVICES, RADIOLOGY, DIGITAL MAMMOGRAM SERVICES, CARDIAC STRESS TESTS, MRI SERVICES, CT SCAN AND DIABETIC EDUCATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN THE GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARING PROGRAM (CHARITY CARE) POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT THE COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,452,565 | ExpenseAmt |
| Revenue | $1,884,642 | RevenueAmt |
| Desc | LINTON HOSPITAL OWNS AND OPERATES 3 CLINICS IN THE CITIES OF LINTON AND HAZELTON, ND AND HERREID , SD. TWO OF THESE CLINICS ARE DESIGNATED RURAL HEALTH CLINICS AND THE HAZELTON CLINIC IS A FREE-STANDING CLINIC. LINTON HOSPITAL EMPLOYS ONE FAMILY PRACTICE PHYSICIAN, THREE NURSE PRACTITIONERS, AND ONE PHYSICIAN ASSISTANT TO PROVIDE SERVICES TO THE HOSPITAL AND CLINICS. TOTAL CLINIC VISITS WERE 10,548 THIS YEAR. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARE PROGRAM POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $140,149 | ExpenseAmt |
| Revenue | $490,874 | RevenueAmt |
| Desc | LINTON HOSPITAL OPERATES THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE (INCLUDING FOOT CARE) WHICH COVERS A SERVICE AREA OF 1,555 SQUARE MILES. EMMONS COUNTY IS SURROUNDED BY KIDDER, LOGAN, AND MCINTOSH COUNTIES IN NORTH DAKOTA AND CAMPBELL COUNTY IN SOUTH DAKOTA. THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE PROVIDES 24 HOUR, 7 DAYS A WEEK ADVANCED LIFE SUPPORT SERVICE TO A POPULATION OF APPROXIMATELY 3,500 RESIDENTS. LINTON HOSPITAL PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. THE ORGANIZATION'S COMMUNITY CARE POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $49,944 | RevenueAmt |
| Desc | OTHER REVENUE INCLUDES INCOME GENERATED FROM CONTRACTED PHYSICIANS, CAFETERIA SALES, SALE OF SUPPLIES AND RENTAL OF HOSPITAL SPACE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $49,944 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $5,234,530 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | 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 | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | 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 | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 121 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEVERLY VILHAUER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7012544511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 518 N BROADWAY | AddressLine1 |
| City | LINTON | City |
| State | ND | State |
| ZIP Code | 58552 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SPENCER LARSON | |||||||
| BOARD PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENNIS KRESS | |||||||
| BOARD VICE-PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRIAN SCHUMACHER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALICE SCHATZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD QUASCHNIK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA WIEST | |||||||
| BOARD SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GENA KENNER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRI LANG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY VILHAUER | |||||||
| CFO | 40.00 | Yes (X) | $56,563 | $0 | $4,110 | ||
| ROBERT BLACK | |||||||
| CEO - CONTRACTED | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| JACQUELINE GRUNEFELDER | |||||||
| PROVIDER | 40.00 | $189,358 | $0 | $408 | Yes (X) | ||
| RON KAISER | |||||||
| PHYSICAL THERAPIST | 40.00 | $106,566 | $0 | $7,367 | Yes (X) | ||
| ALICE MANN | |||||||
| PROVIDER | 40.00 | $152,909 | $0 | $9,173 | Yes (X) | ||
| EDGAR OLIVEIRA | |||||||
| PROVIDER | 40.00 | $136,112 | $0 | $6,173 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $641,508 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $27,231 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD | |||||
| 4510 13TH AVE S | FARGO | ND | 58121 | HEALTH INSURANCE | $468,214 |
| ST ALEXIUS MEDICAL CENTER | |||||
| 900 E BROADWAY AVE | BISMARCK | ND | 58501 | ADMINISTRATIVE | $291,072 |
| IMAGING SOLUTIONS INC | |||||
| 2829 S UNIVERSITY DR 1 | FARGO | ND | 58103 | HEALTHCARE EQUIPMENT | $169,215 |
| DAKOTA DRUG INC | |||||
| 4121 12TH AVE NW | FARGO | ND | 58102 | HEATHCARE SUPPLIES | $150,784 |
| JOHN F KNECHT MD | |||||
| 4911 COPPERHILL CT | RAPID CITY | SD | 57702 | INDEPENDENT PHYSICIAN | $149,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $147,606 | GovernmentGrantsAmt |
| All Other Contributions | $162,850 | AllOtherContributionsAmt |
| Total Contributions | $310,456 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 624100 | $5,901,932 | $5,901,932 |
| CONTRACTED PHYSICIANS | 624100 | $16,771 | $16,771 |
| CAFETERIA | 624100 | $14,732 | $14,732 |
| SUPPLIES | 624100 | $10,019 | $10,019 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,721 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,721 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,019,175 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,398 | TotalRevenueColumnAmt |
| Exclusion | $1,398 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,920 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,920 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,920 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,920 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,338,949 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,027,095 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,398 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,508 | TotalAmt |
| Program Services | $584,945 | ProgramServicesAmt |
| Management And General | $56,563 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,134,404 | TotalAmt |
| Program Services | $1,888,556 | ProgramServicesAmt |
| Management And General | $221,263 | ManagementAndGeneralAmt |
| Fundraising | $24,585 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,069 | TotalAmt |
| Program Services | $312,823 | ProgramServicesAmt |
| Management And General | $34,721 | ManagementAndGeneralAmt |
| Fundraising | $3,525 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,660 | TotalAmt |
| Program Services | $165,652 | ProgramServicesAmt |
| Management And General | $18,908 | ManagementAndGeneralAmt |
| Fundraising | $2,100 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,418 | TotalAmt |
| Management And General | $17,418 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,206 | TotalAmt |
| Program Services | $3,616 | ProgramServicesAmt |
| Management And General | $18,590 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,719 | TotalAmt |
| Program Services | $908 | ProgramServicesAmt |
| Management And General | $4,811 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,634 | TotalAmt |
| Management And General | $13,634 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,155 | TotalAmt |
| Program Services | $174,155 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,459 | TotalAmt |
| Program Services | $21,459 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,571 | TotalAmt |
| Program Services | $42,571 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,442 | TotalAmt |
| Program Services | $293,442 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,184 | TotalAmt |
| Program Services | $28,426 | ProgramServicesAmt |
| Management And General | $33,758 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $640,196 | $567,577 | $72,619 |
| CONTRACTED SERVICES | $591,005 | $447,977 | $143,028 |
| FEES | $351,816 | $350,024 | $1,792 |
| DRUGS & IV'S | $149,270 | $149,270 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,153 | TotalAmt |
| Program Services | $203,129 | ProgramServicesAmt |
| Management And General | $188,024 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,089,869 | TotalAmt |
| Program Services | $5,234,530 | ProgramServicesAmt |
| Management And General | $825,129 | ManagementAndGeneralAmt |
| Fundraising | $30,210 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,460 | BOYAmt |
| EOY | $947,414 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,085 | BOYAmt |
| EOY | $362,188 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,560,305 | BOYAmt |
| EOY | $1,030,580 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,025 | BOYAmt |
| EOY | $9,959 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,083 | BOYAmt |
| EOY | $166,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,239 | BOYAmt |
| EOY | $92,890 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,940,760 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,811,013 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,192,748 | BOYAmt |
| EOY | $1,129,747 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,547 | BOYAmt |
| EOY | $15,597 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,597,492 | BOYAmt |
| EOY | $3,755,258 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,204 | BOYAmt |
| EOY | $425,593 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,599 | BOYAmt |
| EOY | $1,008,896 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,525,803 | BOYAmt |
| EOY | $1,434,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,060,085 | BOYAmt |
| EOY | $2,314,587 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,604 | BOYAmt |
| EOY | $6,182 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,071,689 | BOYAmt |
| EOY | $2,320,769 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,597,492 | BOYAmt |
| EOY | $3,755,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $249,080 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,332 | OtherCostOrOtherBasisAmt |
| Book Value | $66,332 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,293,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,854,886 | DepreciationAmt |
| Book Value | $438,190 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,581,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,956,127 | DepreciationAmt |
| Book Value | $625,225 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,129,747 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IT IS THE OPINION OF MANAGEMENT THAT THE HOSPITAL HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 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) |
|---|---|---|
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $28,908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $28,908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $49,896 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,896 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $75,219 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $7,520 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,405,023 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,178,973 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $226,050 | 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 | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Critical Access HospitalCriticalAccessHospitalInd | OtherOtherDesc | Emergency Room OtherEmergencyRoomOtherInd |
|---|---|---|---|---|---|---|---|
| LINTON HOSPITAL | |||||||
| 1 | 518 NORTH BROADWAY | LINTON | ND | 585520850 | Yes (X) | CRITICAL ACCESS HOSPITAL AND SWINGBED | |
| LINTON MEDICAL CENTER | |||||||
| 2 | 511 ELM STREET | LINTON | ND | 58552 | RURAL HEALTH CLINIC | Yes (X) | |
| HAZELTON CLINIC | |||||||
| 3 | 343 MAIN STREET | HAZELTON | ND | 58544 | CLINIC - PROVIDER BASED | Yes (X) | |
| CAMPBELL COUNTY CLINIC - HERREID | |||||||
| 4 | 208 MAIN STREET NORTH | HERREID | SD | 57632 | RURAL HEALTH CLINIC | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | LINTONHOSPITAL.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LINTON HOSPITAL | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 3: CENTER FOR RURAL HEALTH OF NORTH DAKOTA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR LINTON HOSPITAL AND CLINICS. WE DEVELOPED A COMMITTEE TO ADDRESS THE PRIORITY CONCERNS ADDRESSED IN THE REPORT AND INCLUDED THE EMMONS COUNTY PUBLIC HEALTH DEPT. OUR NURSE PRACTITIONER HAS PROVIDED HEALTHCARE IN-SERVICE TO THE LOCAL SENIOR CITIZENS CENTER ON THE TOPICS OF DIABETES, OBESITY, AND HEART DISEASE. WE HAVE PROVIDED FREE BLOOD PRESSURE AND DIABETIC SCREENINGS AT OUR CUSTOMER APPRECIATION DAY IN MAY. WE HAVE INCREASED ADVERTISING TO ALERT OUR CUSTOMERS TO THE SERVICES THAT WE PROVIDE. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE AMOUNTS WERE DETERMINED USING THE IRS RECOMMENDED WORKSHEET 1 - CHARITY CARE AT COST.LINE 7A: LINTON HOSPITAL HAD 14 CUSTOMERS APPLY FOR UNCOMPENSATED CARE THROUGH THEIR COMMUNITY CARING PROGRAM WHICH DISCOUNTS OR WRITES OFF CHARGES BASED UPON THEIR INABILITY TO PAY. THE ACTUAL AMOUNT WRITTEN OFF WAS $48,179, AND BASED UPON OUR COST TO CHARGE RATIO DETERMINED FROM THE INTERIM COST REPORT FROM CMS, 55% WAS USED TO DETERMINE THE ACUTAL COST WRITTEN OFF.LINE 7E: LINTON HOSPITAL HAS PROGRAMS IN PLACE TO ASSIST CUSTOMERS WITH HEALTHCARE ISSUES ASSOCIATED WITH DIABETES TO EDUCATE AND TEACH THEM HOW TO MANAGE THIS DISEASE AS WELL AS ASSISTS PATIENTS TO OBTAIN MEDICATIONS AT A DISCOUNTED RATE DIRECTLY FROM THE DRUG COMPANY. LINTON HOSPITAL'S AMBULANCE DEPARTMENT PROVIDES STANDBY SERVICES TO VARIOUS EVENTS SUCH AS FOOTBALL GAMES, RODEOS AND DEMOLITION DERBIES AT NO COST TO THE COMMUNITY. THEY ALSO RESPOND TO ALL AMBULANCE PAGES, SOME OF WHICH ARE NOT REIMBURSED AS THE PATIENT REFUSES TRANSPORT. THIS YEAR THE AMBULANCE RESPONDED TO 73 RUNS, A TOTAL OF 125.22 HOURS WHICH WERE NOT REIMBURSABLE. THE HOSPITAL ALSO ALLOWS EMPLOYEES TO ASSIST WITH COMMUNITY EVENTS AND SERVE ON VOLUNTARY BOARDS. LINTON HOSPITAL PROVIDES A COMPLIMENTARY MEAL TO THE COMMUNITY AS A CUSTOMER APPRECIATION EFFORT DURING THE ANNUAL HOSPITAL WEEK CELEBRATION. |
| PART I, LINE 7G: | NOT APPLICABLE |
| PART I, LN 7 COL(F): | BAD DEBT DIFFERENCE IS $67,699. |
| PART I, LINE 6A: | LINTON HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN APRIL OF 2011. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | LINTON HOSPITAL SPONSORED A MINI-HEALTH FAIR DURING HOSPITAL WEEK AND INVITED EMMONS COUNTY SOCIAL SERVICE, EMMONS COUNTY PUBLIC HEALTH, AND PRAIRIE ROSE ASSISTED LIVING TO PROVIDE INFORMATION TO ATTENDANTS. THE HOSPITAL PROVIDED FREE DIABETIC AND BLOOD PRESSURE SCREENINGS AND WELLNESS SERVICES. LINTON HOSPITAL ALSO HAD A PHYSICIAN AND A NURSE PRACTITIONER SPEAK AT THE LOCAL SENIOR CITIZENS CLUB TO PROVIDE HEALTHCARE INFORMATION ON DIABETES, OBESITY AND HEART DISEASE. LINTON HOSPITAL ALSO PROVIDES A COMPLIMENTARY MEAL TO THE COMMUNITY AS A CUSTOMER APPRECIATION EFFORT DURING THE ANNUAL HOSPITAL WEEK CELEBRATION. |
| PART III, LINE 4: | BAD DEBT EXPENSE IS CALCULATED USING THE ACCOUNTS RECEIVABLE AGING REPORT BASED UPON DISCHARGE DATES. THEREFORE, WE RECOGNIZE BALANCES LESS THAN 30 DAYS TO BE 5% UNCOLLECTIBLE AND THIS FORMULA GRADUALLY INCREASES IN 30 DAY INCREMENTS, REACHING A BALANCE EXCEEDING 180 DAYS TO BE 75% UNCOLLECTIBLE. THESE BALANCES ARE CALCULATED ON A MONTHLY BASIS. WE ESTIMATE APPROXIMATELY 10% OF THIS BALANCE TO BE ELIGIBLE TO CALCULATE LINE 3, PART III. |
| PART III, LINE 8: | THE AMOUNTS WERE DETERMINED USING AN ANALYSIS OF THE ACCOUNTS RECEIVABLE AGING REPORT. |
| PART III, LINE 9B: | THE FINANCIAL ASSISTANCE POLICY, ALSO KNOWN AS THE COMMUNITY CARING PROGRAM WAS UPDATED AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS IN MARCH 2014. THIS POLICY OUTLINES THE DEFINITIONS OF THE MEDICAL ELIGIBLE INDIGENCE AND PROVIDES THE CRITERIA AND PROCEDURES INVOLVED IN DETERMINING FINANCIAL ASSISTANCE. NOTICE OF THE COMMUNITY CARING PROGRAM IS PROVIDED ON ALL MONTHLY STATEMENTS TO ALL PATIENTS. THE ENTIRE POLICY IS POSTED ON THE HOSPITAL WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. |
| PART VI, LINE 2: | TO HELP FILL THE NEEDS, THE HOSPITAL HAS ESTALISHED CLINCS IN FOUR RURAL COMMUNITIES TO BETTER PROVIDE SERVICES TO THE PUBLIC. |
| PART VI, LINE 3: | LINTON HOSPITAL AND CLINICS HAVE AN ASSISTANCE PROGRAM CALLED "COMMUNITY CARING," WHICH IS A CHARITY PROGRAM FOR PEOPLE WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. A COMMITTEE COMPRISED OF THE CHIEF FINANCIAL OFFICER, HOSPITAL BUSINESS OFFICE MANAGER AND THE CLINIC BUSINESS MANAGERS REVIEW THE APPLICATIONS TO DETERMINE ELIGIBILITY. THE FINAL DETERMINATION IS FORWARDED TO THE CHIEF EXECUTIVE OFFICER FOR APPROVAL. THE GUARANTOR OR RESPONSIBLE PARTY IS NOTIFIED BY MAIL AND THE BALANCES ASSOCIATED WITH THIS PROGRAM ARE REPORTED TO THE GOVERNING BOARD OF DIRECTORS.THE LINTON HOSPITAL EMPLOYS A PART TIME COMMUNITY RESOURCE PERSON WHO IDENTIFIES INDIGENT CUSTOMERS AND ASSISTS THEM WITH APPLYING TO DRUG COMPANIES FOR FREE PRESCRIPTION DRUGS. THE ORGANIZATION ALSO EMPLOYS A REGISTERED NURSE WHO MANAGES A "DIABETIC MANAGEMENT" PROGRAM BY COUNSELING DIABETIC PATIENTS, PROVIDING FOOT CARE, AND MONITORING PATIENTS' PROGRESS WITH THEIR MEDICAL PROVIDER. |
| PART VI, LINE 4: | LINTON HOSPITAL IS A 14 BED CRITICAL CARE ACCESS HOSPITAL LOCATED IN EMMONS COUNTY IN SOUTH CENTRAL NORTH DAKOTA. LINTON HOSPITAL OWNS ONE RURAL HEALTH CLINIC AND OPERATES THREE CLINICS WITH AGREEMENTS OF THE COMMUNITIES WHERE THESE CLINICS ARE LOCATED. THESE HEALTHCARE FACILITIES ARE THE PRIMARY SOURCE OF HEALTHCARE FOR RESIDENTS IN THE COMMUNITIES OF LINTON, STRASBURG, AND HAGUE IN EMMONS COUNTY, ZEELAND IN MCINTOSH COUNTY, AND BRADDOCK, KINTYRE, AND NAPOLEON IN LOGAN COUNTY IN NORTH DAKOTA. THE COMMUNITY OF LINTON IS LOCATED APPROXIMATELY 25 MILES FROM THE SOUTH DAKOTA BORDER, SO WE PROVIDE HEALTHCARE TO RESIDENTS OF HERREID AND POLLOCK, CAMPBELL COUNTY, SOUTH DAKOTA AS WELL.LINTON HOSPITAL AND CLINICS HAVE BEEN PROVIDING HEALTHCARE TO THE RESIDENTS OF THE SERVICE AREA SINCE 1953. ACCORDING TO THE 2000 CENSUS, THE TOTAL POPULATION OF EMMONS COUNTY WAS 4,331. 26% OF THIS POPULATION WAS OVER THE AGE OF 65. CAMPBELL COUNTY, SD REPORTED A TOTAL POPULATION OF 1,782 WITH 25.3% OF THE AGE OF 65.LINTON HOSPITAL IS LOCATED IN A DESIGNATED MEDICALLY UNDERSERVED AREA AND IN A HEALTH PROFESSIONAL SHORTAGE AREA IN NORTH DAKOTA. |
| PART VI, LINE 5: | LINTON HOSPITAL HOSTS A CUSTOMER APPRECIATION DAY, IN WHICH PEOPLE FROM THE ENTIRE SERVICE AREA ARE INVITED TO THE HOSPITAL CAMPUS FOR A COMPLIMENTARY MEAL. PROFESSIONAL STAFF ARE AVAILABLE TO MONITOR BLOOD SUGAR OF ALL PARTICIPANTS AT NO CHARGE. CLINICS IN HAZELTON, POLLOCK, AND HERREID PROVIDE BLOOD PRESSURE CHECKS AND ASSIST WITH ADMINISTRATION OF SELF-ADMINISTERED MEDICATIONS AT NO CHARGE.LINTON HOSPITAL EMPLOYS A RISK MANAGER AND BIOTERRISM COORDINATOR WHO MEET WITH THE LOCAL EMERGENCY PLANNING COMMITTEE AND ALSO PARTICIPATE IN THE EMMONS COUNTY MULTI-HAZARD MITIGATION PLAN FOR PREVENTION AND PLANNING FOR DISASTERS. LINTON HOSPITAL IS A MEMBER AND HAS AN EMPLOYEE WHO IS ACTIVELY INVOLVED WITH THE LINTON INDUSTRIAL DEVELOPMENT COMMITTEE. THE LINTON HOSPITAL ALSO OPERATES THE EMMONS COUNTY AMBULANCE SERVICE. THE DEPARTMENT RESPONDS TO FIRE CALLS, PROVIDES CPR TRAINING TO SCHOOL CHILDREN, IS ON STAND-BY AT LOCAL FOOTBALL GAMES AND COMMUNITY EVENTS AS A COURTESY TO THE COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT BLACK | ||||||||||||||
| CEO - CONTRACTED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| JACQUELINE GRUNEFELDER | ||||||||||||||
| PROVIDER | $189,358 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $408 | $0 | $0 | $0 | $189,766 | $0 |
| ALICE MANN | ||||||||||||||
| PROVIDER | $152,909 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,173 | $0 | $0 | $0 | $162,082 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | ROBERT BLACK, THE CEO / EXECUTIVE DIRECTOR, IS PAID FOR BY ST. ALEXIUS MEDICAL CENTER. THE HOSPITAL HAS A MANAGEMENT SERVICES AGREEMENT WITH ST. ALEXIUS TO PROVIDE THESE CEO SERVICES TO THE HOSPITAL. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHEILA KELSCH | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAUGHTER OF BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $18,822 | TransactionAmt |
| Transaction | WAGES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE FOLLOWING WERE THE MANAGING DUTIES PERFORMED BY A MANAGING AGENT: HIRING EMPLOYEES, FIRING EMPLOYEES, SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS/FINANCIAL OPERATIONS, SUPERVISING EXEMPT OPERATIONS, AND SUPERVISING UNRELATED TRADES OR BUSINESSES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE TAX RETURN IS INCLUDED IN EACH BOARD MEMBER'S PACKET BEFORE IT IS SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MANAGEMENT IS RESPONSIBLE FOR HONORING AND ENFORCING THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES THE SALARY BASED UPON THE STATE AVERAGE FROM SIMILAR-SIZED ORGANIZATIONS. THE CEO IS RESPONSIBLE FOR DETERMINING THE SALARIES OF KEY EMPLOYEES. HE/SHE USED THE NDNA SALARY SURVEY AS A REFERENCE WHICH INCLUDES ALL ND FACILITIES WHO REPORT ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY THE ORGANIZATION'S WEBSITE, ANOTHER'S WEBSITE, AND UPON REQUEST. MANAGEMENT IS RESPONSIBLE FOR HONORING THESE REQUESTS. |
| FORM 990, PART XII, LINE 2C | THE HOSPITAL DID NOT CHANGE ITS OVERSIGHT PROCESS OF THE AUDIT DURING THE YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINTON HOSPITAL FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 518 N BROADWAY | AddressLine1 |
| City | LINTON | City |
| State | ND | State |
| ZIP Code | 58552 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141842061 | EIN |
| Primary Activities | CHARITABLE FOUNDATION | PrimaryActivitiesTxt |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 9 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | 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 | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINTON HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $28,800 | InvolvedAmt |