2013-11-01T10:33:33-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-01-01 410726171 INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION INTE 2182835401 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 MELISSA MARCOTTE 2182835401 2013-10-22 1 DARRYN MCGARVEY P00958683 6123764500 2012 2016-03-07 17:11:31Z RAINY LAKE MEDICAL CENTER BOB HALEY 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 26004055 0 X WWW.RAINYLAKEMEDICAL.COM X 1945 MN TO PROMOTE AND PROVIDE HEALTH CARE AND WELLNESS SERVICES IN OUR REGION THAT EXCEED EXPECTATIONS. 14 8 216 25 14129 0 76573 88186 24425477 25195442 149080 102178 611203 583760 25262333 25969566 0 0 0 0 10073101 9595663 0 0 9314 15724278 16007657 25797379 25603320 -535046 366246 22089557 21869475 3195497 2977792 18894060 18891683 X TO SERVE PATIENTS AND PROMOTE WELLNESS, AND TO BE THE COMMUNITY'S TRUSTED CHOICE FOR HEALTHCARE BY PLACING PATIENTS FIRST, PROMOTING WELLNESS, EMBRACING CHANGE, AND FACILITATING A SEAMLESS CONTINUUM OF CARE. 0 0 19992610 0 25195442 PROVIDED HEALTH SERVICES TO THE COMMUNITY OF INTERNATIONAL FALLS. IN ADDITION TO PROVIDING DIRECT PATIENT CARE AND IN FURTHERANCE OF ITS CHARITABLE PURPOSE, RAINY LAKE MEDICAL CENTER (RLMC) PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY INCLUDING OFFERING VARIOUS COMMUNITY BASED SERVICE PROGRAMS, CASH CONTRIBUTIONS TO NON PROFIT AGENCIES, THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS, AND STAFF TIME FOR MENTORING/JOB SHADOWING. ADDITIONALLY, A NUMBER OF HEALTH RELATED EDUCATION PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. RLMC ALSO ACTIVELY PROMOTES ITS COMMUNITY CARE PROGRAM, WHICH PROVIDES FREE OR REDUCED-COST HEALTHCARE TO PATIENTS WHO ARE UNABLE TO PAY FULLY FOR SERVICES RECEIVED. DURING 2012,THERE WERE 8,169 EMERGENCY/URGENT CARE VISITS, 57 BIRTHS, 480 ACUTE CARE ADMISSIONS, AND 1,898 TOTAL PATIENT DAYS. 19992610 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 216 1 1 1 0 0 0 0 0 0 0 0 0 X 14 8 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MELISSA MARCOTTE 2182835431 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 CHARLES HELLELOID MD 4.00 X X 0 0 0 SUSAN CONGRAVE 4.00 X X 0 0 0 BILL DOUGHERTY 4.00 2.00 X X 0 0 0 DON BILLIG 4.00 X X 0 0 0 ROBERT ANDERSON 4.00 X X 0 0 0 JOSEPH BIANCO MD 4.00 X 0 0 0 BONNIE ERICKSON 4.00 X 0 0 0 JEFF HARDWIG MD 4.00 X 0 0 0 NORMAN LARSEN 4.00 X X 0 0 0 MIKE MOTLEY 4.00 X X 0 0 0 BRAD REINERS 4.00 X 0 0 0 GAIL ROGNERUD 4.00 2.00 X 0 0 0 ANTHONY STONE MD 4.00 X 0 0 0 JON TALSNESS MD 4.00 X 0 0 0 GARY BIGLER 4.00 X 0 0 0 STEVE ERIXON 40.00 1.00 X 0 0 0 BOB HALEY 40.00 1.00 X 0 0 0 VERA SCHUMANN 40.00 1.00 X 0 0 0 MELISSA MARCOTTE 40.00 1.00 X 72987 0 0 KATIE CHEZICK 40.00 X 118149 0 8970 DONITA ETTESTAD 40.00 X 102737 0 4295 LORI CONSTANTINE 40.00 X 101309 0 9469 395182 0 22734 3 0 0 0 ESSENTIA HEALTHDULUTH CLINIC 400 EAST 3RD STREET DULUTH MN 55805 PROFESSIONAL & MANAGEMENT SERVICES FOR C 3933269 WAPITI MEDICAL GROUP PO BOX 92 NEWELL SD 57760 ER PHYSICIAN FEES 1209649 QUORUM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES; CONTRACT CEO & CFO 648639 CMDI 150 10TH ST NW MILACA MN 56353 CT, ULTRASOUND AND MAMMOGRAPHY LEASE 561086 CPSI PO BOX 850309 MOBILE AL 36685 HOSPITAL-WIDE COMPUTER INFO. SYSTEM 469029 16 3759 8355 76072 88186 PATIENT SERVICE REVENUE 621990 25195442 25181313 14129 25195442 96227 96227 29723 0 29723 29723 29723 40440 34489 5951 5951 5951 MEANINGFUL USE REVENUE 900099 272919 272919 CT SERVICES 900099 207200 207200 OTHER REVENUE 900099 73918 73918 554037 25969566 25181313 14129 685938 X 72987 72987 7676965 5977059 1690592 9314 296867 252307 44560 960286 813673 146613 588558 498699 89859 861371 861371 98839 98839 17434 17434 7219858 6595346 624512 24509 24509 520434 343248 177186 497849 87567 410282 278188 273948 4240 20677 10154 10523 734952 734952 86957 86957 CLINIC PATIENT SERVICES 2978544 2978544 BAD DEBT EXPENSE 1102467 1102467 TAXES AND SURCHARGES 420835 420835 MEDICAL SUPPLIES 324646 324646 820097 820097 25603320 19992610 5601396 9314 11539547 11862717 2820275 2922800 357501 355219 143574 122632 14147206 8444332 6511783 5702874 716877 684233 0 219000 22089557 21869475 2444558 2659274 750939 318518 3195497 2977792 X 18872281 18891683 21779 0 18894060 18891683 22089557 21869475 X 366246 -368623 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 161319 161319 7471007 3199613 4271394 156684 118960 37724 6219405 5125759 1093646 138791 138791 5702874 DUE TO RELATED PARTY 318518 318518 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THAT IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. THE CENTER HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE CENTER FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT OF THE CENTER'S CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. 1 1 X 1 X 1 X 1 1 0 1 1 127436 127436 0.00500 4549171 3225541 1323630 0.05170 4676607 3225541 1451066 0.05670 8059 8059 0.00030 22046 22046 0.00090 3102 3102 0.00010 33207 33207 0.00130 4709814 3225541 1484273 0.05800 10885 10885 0.00040 25334 25334 0.00100 36219 36219 0.00140 1 1102467 90362 8344724 8144428 200296 X 1 0 1 1 RAINY LAKE MEDICAL CENTER

1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649

X X X X PROVIDER-BASED CLINIC RAINY LAKE MEDICAL CENTER 1 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X X 1 0 X X X X X 1 X 0 0 PART I, LINE 6A: RLMC MAKES ITS COMMUNITY BENEFIT REPORT AVAILABLE TO THE PUBLIC BY INCLUDING IT IN THEIR FINANCIAL STATEMENTS AND THROUGH THE MINNESOTA HOSPITAL ASSOCIATION ANNUAL REPORT. PART I, LINE 7: COSTING METHODOLOGY USED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 FOR LINES A, B, AND G. ACTUAL COSTS WERE USED TO DERIVE AMOUNTS ON LINES E, F, AND I. PART I, L7 COL(F): BAD DEBT EXPENSE OF $1,102,467 WAS SUBTRACTED WHEN CALCULATING THE COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSE. PART II: RLMC INVESTS RESOURCES TOWARDS EMERGENCY PREPAREDNESS, PARTICULARLY A "DECONTAMINATION TEAM" THAT CONDUCTS DRILLS THROUGHOUT THE YEAR. THE TEAM IS SKILLED IN SETTING UP A PORTABLE DECONTAMINATION TENT, DRESSING IN AN APPROPRIATE LEVEL OF PPE AND PRACTICING DECONTAMINATING PATIENTS. PART III, LINE 4: THE RATIO OF COSTS TO CHARGES CALCULATED ON WORKSHEET 2 WAS USED TO DETERMINE THE AMOUNTS ON LINES 2 AND 3. ACCOUNTS THAT WENT TO BAD DEBT WERE REVIEWED AND COMPARED TO THE COMMUNITY CARE LOG TO IDENTIFY THOSE THAT WERE NOT PROCESSED AS COMMUNITY CARE DUE TO NON-RETURN OF THE APPLICATION.TAKEN FROM FOOTNOTE 1 "PATIENTS ACCOUNTS RECEIVABLE, NET" ON PAGE 8: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THERE WAS NO SHORTFALL CALCULATED IN 2012. THE AMOUNTS INCLUDED IN PART III, LINES 6-8 WERE DERIVED USING THE 2012 FILED MEDICARE COST REPORT. PART III, LINE 9B: RLMC'S POLICY STATES THAT A PATIENT'S ACCOUNT WILL NOT BE REFERRED TO COLLECTION UNLESS THE PATIENT HAS BEEN GIVEN REASONABLE OPPORTUNITY TO SUBMIT AN APPLICATION FOR THE COMMUNITY CARE PROGRAM IF THE FACTS AND CIRCUMSTANCES SUGGEST THE PATIENT MAY BE ELIGIBLE FOR COMMUNITY CARE. RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 14G: ON BILLING STATEMENTS IT IS STATED TO CONTACT PATIENT FINANCIAL COUNCELOR FOR COMMUNITY CARE OR OTHER FINANCIAL ASSISTANCE. INCLUDES CONTACT PHONE NUMBER. RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 18E: RLMC WORKS WITH PATIENTS TO SET UP PAYMENT PLANS AND/OR IDENTIFY OTHER FINANCIAL ASSISTANCE SUCH AS MEDICAID. RLMC IS A MNCAA FACILITY THAT EMPLOYS 3 CERTIFIED STAFF MEMBERS. RAINY LAKE MEDICAL CENTER PART V, SECTION B, LINE 20D: RLMC CALCULATES AMOUNTS GENERALLY BILLED BASED ON THEIR MOST FAVORED PROVIDER. RLMC DIVIDES ALL PAYMENTS BY ALL CHARGES OVER THE PRIOR 13 MONTHS TO DETERMINE THE AVERAGE DISCOUNT PROVIDED. THIS PROCEDURE IS REPEATED EVERY THREE MONTHS. THE CURRENT DISCOUNT IS 22%. THE LOWEST DISCOUNT GIVEN TO PATIENTS THAT QUALIFY UNDER RLMC'S FINANCIAL ASSISTANCE POLICY IS 25%. PART VI, LINE 2: A GOAL OF THE FIVE YEAR STRATEGIC PLAN IS TO "COMMIT TIME AND RESOURCES TO RESPONDING TO COMMUNITY NEEDS WHERE THEY FEEL THERE ARE GAPS IN SERVICE". THIS IS DONE WITH TACTICS INCLUDING CONDUCTING A MARKET ASSESSMENT OF SERVICE GAPS EVERY THREE YEARS, AS WELL AS ASSESSING THE NEED FOR A DIALYSIS UNIT, ALZHEIMER'S UNIT, AND VARIOUS OUTREACH SPECIALTIES. PART VI, LINE 3: RLMC HAS STAFF THAT ARE MINNESOTA COMMUNITY APPLICATION AGENT (MNCAA) CERTIFIED, WHICH ENABLES US TO ASSIST OUR PATIENTS WITH THE MINNESOTA CARE APPLICATION PROCESS. RLMC COMMUNICATES TO PATIENTS OUR COMMUNITY CARE PROGRAM (CHARITY CARE) IN THE FOLLOWING MANNER:1. PATIENTS ARE GIVEN A COMMUNITY CARE BROCHURE WITH A MINNESOTA CARE INSERT AT TIME OF SERVICE.2. STATEMENTS AND LETTERS SENT TO PATIENTS OFFERING COMMUNITY CARE.3. PHONE CALLS ARE MADE TO PATIENTS TO DISCUSS AND OFFER COMMUNITY CARE AND ASSISTANCE WITH THE MINNESOTA CARE APPLICATION PROCESS.4. ALL EMPLOYEES ARE EDUCATED ANNUALLY ABOUT OUR COMMUNITY CARE PROGRAM AND THREE EMPLOYEES ARE EDUCATED TO COMPLETE AND SUBMIT MINNESOTA CARE APPLICATIONS TO THE STATE FOR PROCESSING.5. UPON REQUEST, COMMUNITY CARE PACKETS WITH APPLICATIONS FOR BOTH OUR COMMUNITY CARE PROGRAM AND THE MINNESOTA CARE INSURANCE ARE SENT OR GIVEN TO PATIENTS.6. THE RLMC WEBSITE DISPLAYS PAYMENT OPTIONS WHERE OUR COMMUNITY CARE PROGRAM IS DISCUSSED.7. ONE OF THE REQUIREMENTS FOR RLMC COMMUNITY CARE IS A DENIAL FROM THE COUNTY IN REGARDS TO FINANCIAL ASSISTANCE UNLESS THEY ARE ENROLLED IN THE MN SENIOR PROGRAM. WE OFFER TO ASSIST THEM WITH THEIR MEDICAL ASSISTANCE APPLICATION. PART VI, LINE 4: RLMC PRIMARILY SERVES THE POPULATION OF KOOCHINCHING COUNTY, MINNESOTA. THE COUNTY IS LARGE AND SPARSELY POPULATED WITH INTERNATIONAL FALLS AS THE MAIN POPULATION CENTER. OTHER NEARBY SMALLER COMMUNITIES INCLUDE LITTLEFORK, BIG FALLS, RANIER, BIRCHDALE AND LOMAN. COLLECTIVELY THESE COMMUNITIES MAKE UP THE PRIMARY SERVICE AREA (PSA). THE PSA HAS AN ESTIMATED POPULATION OF AROUND 12,000 AND IS PROJECTED TO CONTINUALLY DECLINE. THE AVERAGE DISPOSABLE HOUSEHOLD INCOME IS AROUND $49,000 WHICH IS 6% LOWER THAN THE U.S. AVERAGE. APPROXIMATELY 19% OF THE POPULATION IS OVER THE AGE OF 65. PART VI, LINE 5: REPRESENTATION ON THE BOARD IS PREDOMINANTLY LOCAL AS THE BYLAWS STATE THAT NO MORE THAN 4 TRUSTEES MAY RESIDE OUTSIDE OF THE SERVICE AREA. RLMC HAS IN PLACE AN OPEN MEDICAL STAFF MODEL. X 1 1 X X 0 0 0 0 0 0 0 0 0 PART I, LINE 1A BOB HALEY, INTERIM CEO, RECEIVED A HOUSING ALLOWANCE OF $7,200 TO COVER HIS MONTHLY RENT. THIS WAS NOT INCLUDED IN HIS TAXABLE COMPENSATION SINCE RLMC PAYS THIS DIRECTLY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE WILL CONSIST OF THE BOARD CHAIR AS CHAIRPERSON, THE BOARD VICE CHAIR, THE BOARD SECRETARY, THE BOARD TREASURER, AND TWO OTHER MEMBERS OF THE BOARD OF TRUSTEES (ONE AN ESSENTIA HEALTH TRUSTEE AND ONE A FALLS TRUSTEE) DETERMINED BY THE BOARD OF TRUSTEES AT ITS FIRST MEETING AFTER ELECTION. THE EXECUTIVE COMMITTEE WILL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF TRUSTEES, PROVIDED ANY ACTION TAKEN WILL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF TRUSTEES, AND THAT IT WILL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS CHARLES HELLELOID, MIKE MOTLEY, JOSEPH BIANCO, JEFF HARDWIG, BRAD REINERS, AND ANTHONY STONE ARE EMPLOYEES OF ESSENTIA HEALTH. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL'S CEO AND CFO (UNTIL NOVEMBER '12) ARE EMPLOYEES OF QUORUM HEALTH RESOURCES. THE HOSPITAL HAS AN AGREEMENT WITH QUORUM AND PAYS THEM MANAGEMENT FEES. FORM 990, PART VI, SECTION A, LINE 7A ONE HALF OF THE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE APPOINTED BY ESSENTIA HEALTH. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO, CEO, AND FINANCE COMMITTEE. IN ADDITION, A COPY OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REMINDED OF THE CONFLICT OF INTEREST POLICY AND MUST SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. DISCLOSURES OF CONFLICTS FOR THE BOARD OF TRUSTEE MEMBERS IS DISTRIBUTED AT EVERY BOARD MEETING. WHEN A CONFLICT OF INTEREST EXISTS, THE INTERESTED TRUSTEE MAY BE PRESENT FOR DISCUSSION TO ANSWER QUESTIONS, BUT MAY NOT ADVOCATE FOR THE ACTION TO BE TAKEN AND MAY BE ASKED TO LEAVE THE ROOM WHILE A VOTE IS TAKEN. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G LICENSES AND DUES: PROGRAM SERVICE EXPENSES 130,766. MANAGEMENT AND GENERAL EXPENSES 63,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,176. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,038,146. MANAGEMENT AND GENERAL EXPENSES 222,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,260,215. CONTRACTED/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,426,434. MANAGEMENT AND GENERAL EXPENSES 312,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,738,932. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,351. SERVICE CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,184. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN RECOGNIZED PENSION COSTS -321,078. CHANGE IN INTEREST IN FOUNDATION -47,545. FALLS MEMORIAL HOSPITAL FOUNDATION INC 1400 HIGHWAY 71 INTERNATIONAL FALLS MN 56649 204585807 SUPPORT MN 501(C)(3) LINE 11A, I N/A 1 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0