MADELIA HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MADELIA HEALTH (EIN 41-0758512)
- Tax period
- 2009-06-01 to 2010-05-31
- Filed
- 2011-01-10
- IRS object ID
- 201110129349300331
- Schema version
- 2009v1.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-01-10T09:20:29-06:00 | Timestamp |
| Tax Period End Date | 2010-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410758512 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELIA COMMUNITY HOSPITAL INCORPORATED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MADE | NameControl |
| Phone | 5076423255 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 DREW AVENUE SOUTHEAST | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Candace Fenske | Name |
| Title | CEO | Title |
| Phone | 5076423255 | Phone |
| Date Signed | 2010-12-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Candace Fenske | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 DREW AVENUE SOUTHEAST | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9197550 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mchospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE QUALITY HEALTHCARE SERVICES TO THE LOCAL COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 108 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 79360 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 36804 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8547763 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8691531 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 157490 | InvestmentIncomePriorYear |
| Investment Income Current Year | 120264 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 134256 | OtherRevenuePriorYear |
| Other Revenue Current Year | 181175 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8918869 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9029774 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3966247 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3859066 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1367 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4436477 | OtherExpensePriorYear |
| Other Expenses Current Year | 4530206 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8402724 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8389272 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 516145 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 640502 | RevenuesLessExpensesCY |
| Total Assets BOY | 19853526 | TotalAssetsBOY |
| Total Assets EOY | 19885430 | TotalAssetsEOY |
| Total Liabilities BOY | 7766066 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7125760 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12087460 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12759670 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF MADELIA COMMUNITY HOSPITAL TO PROVIDE SAFE AND QUALITY HEALTHCARE SERVICES TO THOSE WE SERVE IN AN ENVIRONMENT BASED ON RESPECT, DIGNITY, AND EXCELLENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5698518 | Expense |
| Grants | 0 | Grants |
| Revenue | 8691531 | Revenue |
| Description | RURAL HEALTH CARE FACILITY PROVIDING GENERAL MEDICAL/SURGICAL SERVICES ON AN INPATIENT, OUTPATIENT AND HOME CARE BASIS. FOR FISCAL YEAR 2010: 422 ACUTE CARE ADMISSIONS, 8,903 HOME CARE VISITS, AND 4,783 OUTPATIENT VISITS. THE HOSPITAL ALSO PROVIDED $47,761 OF CHARITY CARE. MADELIA COMMUNITY HOSPITAL IS ALSO HEAVILY INVOLVED IN THEIR COMMUNITY. THEY OFFER A VARIETY OF COMMUNITY BENEFIT SERVICES BEYOND THE CORE HOSPITAL SERVICES. SOME OF THE BENEFIT SERVICES THAT THEY OFFER ARE: WATONWAN COUNTY SENIOR DRIVER PROGRAM, MEALS ON WHEELS, CULTURE OF WELLNESS PROGRAM, "STRIVE" (A MENTOR PROGRAM WITH THE HIGH SCHOOL), MN DEPT OF HEALTH SUMMER INTERNSHIP PROGRAM, SPANISH TRANSLATOR SERVICES, COLLABORATIVE HISPANIC OUTREACH SERVICES, DELIVERY OF PHARMACEUTICALS FOR HOME CARE PATIENTS, HOSPICE ADVISORY COMMITTEE, ELDERLY PATIENT EDUCATIONAL SERIES SUCH AS LIVING WELL WITH CHRONIC CONDITIONS CLASS FOR SIX WEEKS, CLINICALS FOR STUDENTS OF SURROUNDING COLLEGES AND UNIVERSITIES, SKIN CHECKS AT WRESTLING TOURNAMENTS, BLOOD PRESSURE CLINIC AT OTHER FUNDRAISING EVENTS AND ACTIVITIES, SENIOR HEALTH EXPO, NIMS (NATIONAL INCIDENT MANAGEMENT SYSTEM), DISASTER/BIOTERRIORISM PREPAREDNESS, SPRING AND FALL PRENATAL CLASSES FOR EXPECTING PARENTS, A.C.E. (ATHLETIC CARE AND EVALUATION) STUDENT ATHLETIC ASSESSMENTS, HOME CARE FLU SHOT CLINICS, AND VARIOUS OTHER COMMUNITY HEALTH FAIR BOOTHS. | Description |
| Total Program Service Expense | 5698518 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 108 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DONNA KLINKNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5076423255 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 DREW AVENUE SOUTHEAST | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| STEVE COOLING | ||||||
| BOARD PRESIDENT | 1.00 | X | X | 1500 | 0 | 0 |
| TOM MCCABE | ||||||
| BOARD VICE PRES & TREAS | 1.00 | X | X | 1500 | 0 | 0 |
| BARBARA OVERLIE | ||||||
| BOARD SECRETARY | 1.00 | X | X | 1500 | 0 | 0 |
| CHUCK VOSS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DENNIS ARDUSER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MARK CHRISTENSON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| NORMA KRUMWIEDE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| SHEILA SPITZNER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CANDACE FENSKE | ||||||
| CEO | 40.00 | X | 123649 | 0 | 10999 | |
| DONNA KLINKNER | ||||||
| CFO | 40.00 | X | 86843 | 0 | 8139 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 214992 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 19138 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELIA PHYSICIANS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 DREW AVE SE | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | EMERGENCY ROOM PHYSICIAN COVERAGE | DescriptionOfServices |
| Compensation | 371000 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 11250 | GovernmentGrants |
| All Other Contributions | 25554 | AllOtherContributions |
| Total Contributions | 36804 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 624100 | 8662105 | 8662105 |
| PHYSICAL THERAPY | 624310 | 27965 | 27965 |
| SALE OF DRUGS | 446110 | 1061 | 1061 |
| LABORATORY | 621500 | 400 | 400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8691531 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120264 | TotalRevenueColumn |
| Exclusion | $120,264 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 143756 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 167776 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -24020 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -24020 | TotalRevenueColumn |
| Exclusion | -$24,020 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS | 900099 | 160612 | $160,612 |
| employee meals | 900099 | 19267 | $19,267 |
| Pharmacy employee | 446110 | 13205 | $13,205 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12111 | TotalRevenueColumn |
| Exclusion | $12,111 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 205195 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9029774 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8691531 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $301,439 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235672 | Total |
| Program Services | 37761 | ProgramServices |
| Management And General | 196544 | ManagementAndGeneral |
| Fundraising | 1367 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2973818 | Total |
| Program Services | 2173855 | ProgramServices |
| Management And General | 799963 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108793 | Total |
| Program Services | 69292 | ProgramServices |
| Management And General | 39501 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340137 | Total |
| Program Services | 244753 | ProgramServices |
| Management And General | 95384 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200646 | Total |
| Program Services | 147479 | ProgramServices |
| Management And General | 53167 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613038 | Total |
| Program Services | 455724 | ProgramServices |
| Management And General | 157314 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1849136 | Total |
| Program Services | 1383499 | ProgramServices |
| Management And General | 465637 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192631 | Total |
| Management And General | 192631 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72417 | Total |
| Program Services | 43993 | ProgramServices |
| Management And General | 28424 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363475 | Total |
| Management And General | 363475 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 882729 | Total |
| Program Services | 866165 | ProgramServices |
| Management And General | 16564 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35390 | Total |
| Management And General | 35390 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 274873 | 274873 | |
| MISCELLANEOUS EXPENSES | 138058 | 138058 | |
| MINNCARE TAX | 66415 | 66415 | |
| DUES & SUBSCRIPTIONS | 29175 | 29175 | |
| EQUIPMENT RENTAL/REPAIR | 12869 | 1124 | 11745 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8389272 | Total |
| Program Services | 5698518 | ProgramServices |
| Management And General | 2689387 | ManagementAndGeneral |
| Fundraising | 1367 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2100511 | BOY |
| EOY | 1995143 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3440862 | BOY |
| EOY | 3125604 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39761 | BOY |
| EOY | 33759 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1853784 | BOY |
| EOY | 1722921 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184932 | BOY |
| EOY | 195843 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54805 | BOY |
| EOY | 65140 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16097974 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5967919 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10846679 | BOY |
| EOY | 10130055 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 682507 | BOY |
| EOY | 1937992 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 649685 | BOY |
| EOY | 678973 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19853526 | BOY |
| EOY | 19885430 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1221009 | BOY |
| EOY | 1016775 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6395000 | BOY |
| EOY | 5966275 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110057 | BOY |
| EOY | 102710 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40000 | BOY |
| EOY | 40000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7766066 | BOY |
| EOY | 7125760 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12087460 | BOY |
| EOY | 12759670 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12087460 | BOY |
| EOY | 12759670 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19853526 | BOY |
| EOY | 19885430 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 185447 | OtherCostOrOtherBasis |
| Book Value | 185447 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6865279 | OtherCostOrOtherBasis |
| Depreciation | 2203439 | Depreciation |
| Book Value | 4661840 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 178512 | OtherCostOrOtherBasis |
| Depreciation | 138084 | Depreciation |
| Book Value | 40428 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8868736 | OtherCostOrOtherBasis |
| Depreciation | 3626396 | Depreciation |
| Book Value | 5242340 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10130055 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ASSET RETIREMENT OBLIGATION | Description |
| Amount | $40,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 40000 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 100.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 88700 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 88700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 807118 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 607952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 199166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02370 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 895818 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 607952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 287866 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03430 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 182437 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 182437 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12025 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12025 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 194462 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 194462 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1090280 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 607952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 482328 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05740 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5859 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5859 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5859 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5859 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $175,378 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 3210235 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3199739 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 10496 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELIA COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 DREW AVE SE | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: THE FOLLOWING IS FROM THE "PATIENT RECEIVABLES" PARAGRAPH IN NOTE 1 TO THE HOSPITAL'S FINANCIAL STATEMENTS:"PAYMENT FOR SERVICES IS REQUIRED UPON RECEIPT OF A BILL, AFTER PAYMENT BY INSURANCE, IF ANY. SELF-PAY ACCOUNTS ARE ANALYZED FOR COLLECTIBILITY BASED ON THE MONTHS PAST DUE AND PAYMENT HISTORY. AN ALLOWANCE IS ESTIMATED FOR THESE ACCOUNTS BASED ON THE HISTORICAL EXPERIENCE OF THE HOSPITAL. ACCOUNTS THAT ARE DETERMINED TO BE UNCOLLECTIBLE ARE SENT TO A COLLECTION AGENCY AND WRITTEN OFF AT THAT TIME."THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED IN PART III, LINE 2 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 PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THERE WAS NO SHORTFALL REPORTED IN PART III, LINE 7. FROM PART III, LINE 6, THE TOTAL ALLOWABLE COST REPORTED TO MEDICARE WAS BASED ON THE 2010 FILED MEDICARE COST REPORT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Each week, the statements for accounts are sent out through our EDI process for statements. These are sent from a clearinghouse who are now doing our statements.Patients are billed after their Medicare, BCBS and insurance has been filed and a payment received within a six-week period. The patient will be billed each month with the current balance. Statements are also sent with ins pending, WC pending and BCBS pending. This gives patient an idea on where there account is with insurance.A 1.5%/18% yearly/$.50 minimum interest charges is placed on all accounts after 90 days.Insurance billers verify statements before notice letters are printed.If no payment is received within 2 months of billings, the statement is sent with a notice letter requesting payment through the EDI process also. The billers will verify who should get a notice. Notices are also sent after 3 months and 4 months of no payments.If no response from the last letter within 5 days, a telephone call is issued to follow up on the account. When talking to the patient regarding their account, we can ask them if they would like to make payments to us, or if they can pay their account in full in 30 days, there would be a 5% discount given, or if they would qualify for our Healthcare Financial Aid Program, we can send them an application to fill out and return to us with the 2 denials we request.If no response to the telephone call, then the account will be submitted to the insurance billing clerks to verify the account status; then to the Business Manager and Administrator for collection approval. These accounts are then turned into a Professional Collection Agency.When the need arises for Charity Care considerations, consulting is done with the Business Office Manger and Administrator to determine if this is the best ethical decision. There are situations where the patient's lack of finances may warrant this. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS, AND A DIVERSE MEMBERSHIP OF COMMUNITY ELECTED GOVERNING BOARD THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS, RECCOMMENDATIONS FOR HEALTH CARE SERVICES. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: PATIENTS ARE INFORMED OF FINANCIAL ASSISTANCE UPON ADMISSION TO THE HOSPITAL, THROUGH BILLING CLERKS ASSISTANCE WITH PATIENT ACCOUNTS, STATEMENTS ON THE BILLS, AND PERSONAL LETTERS SENT TO ACCOUNTS IDENTIFIED AS UNINSURED AND UNDERINSURED. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: MADELIA COMMUNITY HOSPITAL SERVES A 25 MILE RADIUS OF RURAL COMMUNITIES CONSISTING MAJORLY OF A CULTURALLY DIVERSE AND SENIOR POLULATION. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Staff participate in community organizations to provide healthcare representation and information to enhance those organizations events, etc. The Culture of Wellness is a community based project that MADELIA COMMUNITY HOSPITAL participated in to support healthy life styles. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Madelia Community Hospital staff, healthcare providers and emergency response organizations have been working collaboratively since 2002 to prepare for disasters in our region. Disaster preparedness plans have been created in the event of pandemics, floods, tornadoes, etc. The drills became a reality this year with the H1N1 flu pandemic. As a team we swung into action and implemented strategies developed by the Minnesota Department of Health to slow the spread of the disease as well as to protect the health of all Minnesotans. Madelia Community Hospital was quick to respond with educational opportunities in many different settings of the community, including the school system, daycare center, public forums and senior expos. Every patient who presented in the Emergency Room was given a small complimentary Flu Kit including bottled water, chicken noodle soup, Kleenex, hand sanitizer and printed educational material. A number of H1N1 clinics were also held throughout the flu season. Since March, The Madelia Community Hospital Home Care Department census grew by approximately 35% with the closing of several area home care agencies. This resulted in the addition of several new RNs and HHAs to the home care staff. Sharon Dexheimer, a Certified Caregiver Educator has also been added to the staff with the implementation of the Family Memory Care Program. Sharon Dexheimer provides area caregivers with education on Alzheimer's disease, assistance in locating community resources, development and implementation of a family care plan and short term or ongoing caregiver support. The program is provided at no cost by the Madelia Community Hospital through a grant from the Administration on Aging, Department of Health and Human Service and the Minnesota Board on Aging.In April, a weekly Ultrasound service became available by using a state-of-the-art ultrasound machine that uses sound waves to visualize organs and structures inside the body to determine if there are any abnormalities present. General ultrasound services now include: Renal, OB, Abdomen, Pelvic, Thyroid, Scrotum, Breast, Venous/Arterial, Aortas, and ABI Limited. Carotid Doppler ultrasounds are also provided. The staff at Madelia Community Hospital is committed to keeping patients safe as they seek care in our facility. Even though our infection control rates are very low, we strive for zero. In April, we launched a new hand washing campaign "Hand Hygiene Saves Lives." Hand washing is the number one prevention for hospital acquired infections. Through our program we are educating staff, patients, and visitors on the importance of hand hygiene. The data collected through our efforts is displayed in the reception area of the hospital and also at the back entry. In May, a team was developed to create processes that would make sure that Madelia Community Hospital patients who were discharged before test or procedure results were available would have proper follow up with a physician. It was also important that the patient be notified by the nurse if further follow up was needed. Staff at Madelia Community Hospital became aware of occurrences with family, friends, and in some cases it happened to them, where follow up on test results was not completed; it was happening in healthcare facilities all over. As this discussion continued, staff felt we needed to make sure this was not happening to patients in our facility. We will continue to monitor its success and continue to make improvements in this process. This program has been very successful.Living Well With Chronic Conditions, a free workshop helping to "Put Life Back in Your Life" was held twice this year by the Physical Therapy Department due to support from the Minnesota Department of Health. The workshops consisted of six weekly sessions designed to help participants with ongoing health conditions such as arthritis, diabetes, high blood pressure, anxiety, heart disease, anxiety and others. Taught by specially trained volunteer leaders, some who have health conditions themselves, the program covers a new topic each week and provides opportunities for interaction and group problem solving. This program will continue twice a year. Madelia Community Hospital kicked off Hospital Week with an Open House featuring blood pressure screenings, healthy snacks and beverages and health education materials. This was the perfect time to roll out an Eight-Week Physical Activity Pledge. During the Open House, community members were encouraged to join our Madelia Community Hospital team and sign up for an online activity tracker to promote better health. Hospital members then hosted events during the following 8-week period to support community members reach their goals. Events included: Pilates, total body conditioning, 30-minute cardio, kick boxing, and line dancing. Free live patient education webinars were held to recognize National Osteoporosis Awareness and Prevention Month. The first webinar, "How Strong are your Bones" offered a great opportunity for those interested in osteoporosis to be provided with an overview of osteoporosis and many of the risk factors for the disease, including medicines and medical conditions that can cause bone loss. The second webinar, "Nutrition for Your Bone Health" offered a great opportunity for those interested in learning more about food choices you can make to meet the nutritional needs for optimal bone health. The webinar also provided information about foods and nutrients you should consume in moderation and when to consider taking supplements to benefit your bones. In this new era of preventing, detecting and treating this disease, The Madelia Community Hospital continues to offer bone density tests, painless diagnostic tests, Monday through Friday. Madelia Community Hospital Foundation presented Mickayla Jones and Jasmine Eggestein with the 2010 Madelia Community Hospital Healthcare Scholarships for $500. Mickayla plans to attend South Central College in Mankato and intends to go into Psychology or Social Services. Jasmine will be attending the University of Tampa in the Pre-Med program. Jasmine is pursuing a career in medicine with a goal of becoming a pediatric oncologist physician. These scholarships are intended to inspire and encourage students to dedicate their lives to helping others.Hospital Staff members wanted to further promote a healthy lifestyle and are proud to sponsor the Madelia Farmer's Market! The Farmer's Market has been open every Wednesday from 4:30 to 6:30 p.m. across from the hospital on Drew Avenue. Over the summer the Farmer's Market has grown, both with customers and vendors offering a wide variety of products.Our Dietary Department is in it's 5th year of letting the patients choose their own meal; a choice of two or three entrees along with a variety of side itmes allow them to have a meal that fits their own taste and dietary needs. On average, 60 nutriouts meals are served per day, seven days a week including the holidays. Meals are served to patients, Amberfield Place residents, Meals on Wheels clients and staff members.Madelia Community Hospital Physical Therapy Athlete Care and Evaluation (A.C.E.) Clinic continues strong. The free program provides prevention, evaluation and treatment of area athletes, with the focus on getting the athletes back in the game. The Athlete's Injury Assessment evaluates the athlete's condition to determine their source of pain or limitation. The 30 minute session includes: general first aid care, rehabilitation suggestions, stretching & strengthening, guidelines for returning to the sport, taping and/or brace selection and if necessary, referral recommendations to an appropriate doctor. The program is under the direction of Certified Physical Therapists /Athletic Trainers Jamie Hitchcock and Jim Hitchcock. The A.C.E. Clinic has assessed 38 athletes through this year and hopes to be of assistance to the community again especially as a new school year begins! The Minnesota Department of Health recently designated Madelia Community Hospital as a Level 4 Trauma hospital. The staff at Madelia Community Hospital voluntarily participated in the intense designation process which shows their commitment to the community and region to help provide life-saving emergency measures to a severely injured person. Madelia Community Hospital met standards of commitment, clinical equipment resources and staff training. Madelia Community Hospital's Emergency Department is trained and equipped to treat many minor to moderate injuries, and to stabilize and triage severe injuries. Jen McLaughlin, RN, Emergency Department Manager has been working for more than a year to achieve this designation showing the Hospital's commitment to the community and region to help provide life-saving emergency measures to a severely injured person. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: N/A | AffiliatedHealthCareSystem |
| Reports Filed With States | MN | ReportsFiledWithStates |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MADELIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 416005334 | IssuerEIN |
| CUSIP Number | 556401AR8 | CUSIPNumber |
| Date Issued | 2006-10-01 | DateIssued |
| Issue Price | 6495000 | IssuePrice |
| Description Of Purpose | CONSTRUCT HOSPITAL ADDITION | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 6701820 | TotalProceeds |
| Amount In Reserve Fund | 227801 | AmountInReserveFund |
| Issuance Costs From Proceeds | 129900 | IssuanceCostsFromProceeds |
| Capital Expenditures | 6411432 | CapitalExpenditures |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 1 | THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, AS CHAIRPERSON, VICE PRESIDENT/TREASUREER, SECRETARY, AND UP TO TWO ADDITIONAL TRUSTEES. THE EXECUTIVE COMMITTEE HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF TRUSTEES, SUBJECT TO ANY POWER LIMITATIONS IMPOSED BY THE BOARD OF TRUSTEES. | |
| Form 990, Part VI, Section A, line 6 | MEMBERSHIP OF THIS CORPORATION SHALL BE OPEN TO ANY NATURAL PERSON WHO MEETS THE FOLLOWING QUALIFICATIONS AT THE TIME OF APPLICATION: 1) IS OF LEGAL VOTING AGE IN MINNESOTA; 2) IS A VOTING RESIDENT WITHIN THE PRIMARY SERVICE AREA OF THE HOSPITAL, BEING DEFINED AS THE COUNTIES OF WATONWAN, BLUE EARTH, BROWN, MARTIN AND NICOLLET, STATE OF MINNESOTA; 3) IS A NATUAL PERSON AND NOT A CORPORATION, PARTNERSHIP OR OTHER ASSOCIATION; 4) SUBMITS A WRITTEN APPLICATION FOR MEMBERSHIP TO THE BOARD OF TRUSTEES ON A FORM APPROVED BY THE BOARD OF TRUSTEES; AND 5) SUBMITS A MEMBERSHIP FEE OF $25 OR MORE, WITH SAID APPLICATION. | |
| Form 990, Part VI, Section A, line 7a | ALL TRUSTEES ARE ELECTED BY THE MEMBERS. | |
| Form 990, Part VI, Section A, line 7b | CORPORATE MEMBERS HAVE THE AUTHORITY TO VOTE ON CHANGES IN OR OF THE ARTICLES OF INCORPORATION FOR MADELIA COMMUNITY HOSPITAL. | |
| Form 990, Part VI, Section B, line 11 | THE FORM 990 IS SENT TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE IT IS FILED. | |
| Form 990, Part VI, Section B, line 12c | THE CONFLICT OF INTEREST POLICY IS REVIEWED AT THE ANNUAL BOARD MEETING AND THROUGH THE BOARD AND DEPARTMENT HEADS. IF ANY CONFLICTS OF INTEREST ARISE, NOTIFICATIONS IS GIVEN TO ADMINISTRATION. A CONTRACT OR OTHER TRANSACTION THAT MAY INVOLVE A CONFLICT OF INTEREST IS NOT VOID OR VOIDABLE IF: 1) THE CONTRACT OR TRANSACTION WAS FAIR AND REASONABLE AS TO THE CORPORATION WHEN IT WAS AUTHORIZED, APPROVED, OR RATIFIED; 2) ALL MATERIAL FACTS ARE FULLY DISCLOSED TO THE MEMBERS AND THE CONTRACT OR TRANSACTION IS APPORVED BY TWO-THIRDS OF THE MEMBERS ENTITLED TO VOTE, OTHER THAN THE INTERESTED DIRECTOR OR TRUSTEE; AND 3) ALL MATERIAL FACTS ARE FULLLY DISCLOSED TO THE BOARD OF TRUSTEES OR A COMMITTEE, AND THE BOARD OR COMMITTEE APPROVES THE CONTRACT OR TRANSACTION BY A MAJORITY VOTE, BUT THE INTERESTED TRUSTEE MAY NOT TAKE PART IN THE DISCUSSION, AND MAY NOT VOTE. | |
| Form 990, Part VI, Section B, line 15 | MADELIA COMMUNITY HOSPITAL ENSURES THAT THE COMPENSATION PAID TO ITS EMPLOYEES AND ADMINISTRATIVE STAFF BE CONSISTENT WITH POLICY AND PROVIDE EQUITABLE STANDARDS FOR WAGE AND BENEFITS BASED ON ANNUAL REGIONAL SURVEY OF COMPARABLE ENTITIES. THE GOVERNING BOARD REVIEWS ANNUALLY THE CEO'S PERFORMANCE (LAST PERFORMED JANUARY 2010) AND THE BASIS IS ANNUAL HOSPITAL ASSOCIATION SURVEY AND RATE INCREASE AS AWARDED TO ALL STAFF. THE BOARD APPROVES BOTH STAFF AND ADMINISTRATIVE INCREASES THROUGH THE ANNUAL BUDGET. | |
| Form 990, Part VI, Section C, line 19 | MADELIA COMMUNITY HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THE ANNUAL CORPORATION MEETING AND UPON REQUEST. | |
| SCHEDULE K, PART III, LINE 7 | MADELIA COMMUNITY HOSPITAL HAS INVOLVED BOND COUNSEL AS NECESSARY TO COMPLY WITH THE POST-ISSUANCE RULES UNDER FEDERAL TAX LAW FOR ITS TAX-EXEMPT HOSPITAL REVENUE BONDS, SERIES 2006 (THE BONDS). TO THIS END IT ENGAGED BOND COUNSEL AND ITS ACCOUNTANT TO COMPLY WITH THE NEW FORM 990, SCHEDULE K TAX-EXEMPT BOND REPORTING REQUIREMENTS. THE HOSPITAL WILL MAKE ARBITRAGE REBATE PAYMENTS, IF NECESSARY, AND IN CONNECTION THEREWITH FILE FORM 8038-T, WITHIN 60 DAYS AFTER THE END OF EVERY FIFTH BOND YEAR OF THE BONDS. POST-ISSUANCE COMPLIANCE GOING FORWARD IS EXPECTED TO BE MINIMAL AS THE HOSPITAL DOES NOT LEASE SPACE TO OUTSIDE ENTITIES AND HAS NOT ENTERED INTO ANY RESEARCH AGREEMENTS. | POST ISSUANCE COMPLIANCE OF TAX-EXEMPT BOND LIABILITIES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELIA COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 DREW AVENUE SE | AddressLine1 |
| City | MADELIA | City |
| State | MN | State |
| ZIP Code | 56062 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731719218 | EIN |
| Primary Activities | Solicit contributions on behalf of the Madelia Community Hospital. | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 - TYPE 1 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |