Form 990 for tax year 2024
Filed by ELY-BLOOMENSON COMMUNITY HOSPITAL.
Totals
- Total revenue
- $32,370,117
- Total expenses
- $32,984,842
- Contributions and grants received
- $195,745
- Grants paid
- $0
- Program service revenue
- $31,502,669
- Investment income
- $553,940
- Other revenue
- $117,763
- Total assets, end of year
- $27,570,197
- Total liabilities, end of year
- $9,361,047
- Net assets or fund balances, end of year
- $18,209,150
- Program services expenses (Part IX)
- $27,752,091
- Management and general expenses
- $5,232,751
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $27,752,091
Program services were 84.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$195,745
-
2a · Program service revenue: PATIENT SERVICE
total $27,147,507 · related or exempt $27,147,507
-
2b · Program service revenue: RETAIL PHARMACY
total $3,951,998 · unrelated business $3,951,998
-
2c · Program service revenue: EQUITY IN EARNINGS OF AFFILIATES
total $403,164 · related or exempt $403,164
-
3 · Investment income
total $526,848 · excluded $526,848
-
6a · Gross rents
real property $25,245
-
6b · Less rental expenses
real property $2,011
-
6c · Rental income or loss
real property $23,234
-
6d · Net rental income or loss
total $23,234 · excluded $23,234
-
7a · Gross sales of assets other than inventory
securities $91,734
-
7b · Less cost or other basis and sales expenses
securities $64,642
-
7c · Gain or loss
securities $27,092
-
7d · Net gain or loss
total $27,092 · excluded $27,092
-
11a · Other revenue: DAYCARE INCOME
total $52,291 · excluded $52,291
-
11b · Other revenue: OTHER OPERATING
total $42,238 · related or exempt $42,238
-
11e · Other revenue, total
$94,529
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $1,225,298 · program services $725,296 · management and general $500,002
-
7 · Other salaries and wages
total $9,707,775 · program services $8,535,933 · management and general $1,171,842
-
8 · Pension plan contributions
total $340,786 · program services $297,891 · management and general $42,895
-
9 · Other employee benefits
total $1,944,038 · program services $1,947,971 · management and general -$3,933
-
10 · Payroll taxes
total $760,651 · program services $647,406 · management and general $113,245
-
11b · Fees: legal
total $48,173 · management and general $48,173
-
11c · Fees: accounting
total $468,268 · management and general $468,268
-
11d · Fees: lobbying
total $2,224 · management and general $2,224
-
11f · Fees: investment management
total $39,000 · management and general $39,000
-
11g · Fees: other
total $4,859,865 · program services $4,167,434 · management and general $692,431
-
12 · Advertising and promotion
total $191,370 · program services $73,016 · management and general $118,354
-
13 · Office expenses
total $447,195 · program services $292,831 · management and general $154,364
-
14 · Information technology
total $1,070,160 · program services $570,608 · management and general $499,552
-
16 · Occupancy
total $251,732 · program services $242,516 · management and general $9,216
-
17 · Travel
total $91,952 · program services $33,993 · management and general $57,959
-
20 · Interest
total $194,581 · management and general $194,581
-
22 · Depreciation, depletion and amortization
total $934,982 · program services $862,841 · management and general $72,141
-
23 · Insurance
total $156,848 · management and general $156,848
-
24a · Other expenses: DRUGS
total $5,551,396 · program services $5,551,396
-
24b · Other expenses: LEASE EXPENSE
total $1,332,558 · program services $1,332,558
-
24c · Other expenses: MEDICAL SUPPLIES
total $933,404 · program services $926,247 · management and general $7,157
-
24d · Other expenses: IMPLICIT PRICE CONCESSI
total $706,281 · program services $706,281
-
24e · All other expenses
total $1,726,305 · program services $837,873 · management and general $888,432
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,968,818 · end of year $1,677,621
-
2 · Savings and temporary cash investments
end of year $5,933,997
-
4 · Accounts receivable
beginning of year $3,678,683 · end of year $3,912,851
-
7 · Other notes and loans receivable
beginning of year $62,500 · end of year $0
-
8 · Inventories for sale or use
beginning of year $1,000,945 · end of year $897,908
-
9 · Prepaid expenses and deferred charges
beginning of year $362,145 · end of year $383,963
-
10a · Land, buildings and equipment: cost or other basis
$28,132,000
-
10b · Land, buildings and equipment: accumulated depreciation
$22,907,010
-
10c · Land, buildings and equipment, net
beginning of year $5,864,092 · end of year $5,224,990
-
11 · Investments: publicly traded securities
beginning of year $11,246,064 · end of year $5,390,323
-
15 · Other assets
beginning of year $5,440,997 · end of year $4,148,544
-
17 · Accounts payable and accrued expenses
beginning of year $1,979,898 · end of year $2,046,198
-
19 · Deferred revenue
beginning of year $68,221 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $5,486,575 · end of year $4,960,962
-
25 · Other liabilities
beginning of year $3,449,958 · end of year $2,353,887
-
27 · Net assets without donor restrictions
beginning of year $18,639,592 · end of year $18,209,150
Mission and programs · 2024
Mission
ELY-BLOOMENSON COMMUNITY HOSPITAL IS COMMITTED TO CARING FOR AND ENHANCING THE HEALTH AND WELL-BEING OF THE COMMUNITY IT SERVES.
-
HOSPITAL SERVICES PROVIDED FOR THE ELY COMMUNITY AND SURROUNDING AREA. ELY-BLOOMENSON COMMUNITY HOSPITAL (EBCH), RECOGNIZED BY THE FEDERAL & STATE OF MINNESOTA GOVERNMENTS AS A CRITICAL ACCESS HOSPITAL, IS THE ONLY LOCAL HEALTHCARE CENTER SERVING ELY AND SURROUNDING COMMUNITIES BORDERING THE VAST ACREAGE OF BOUNDARY WATERS CANOE AREA WILDERNESS. UNDER ORIGINAL FEDERAL RULES EBCH WOULD HAVE BEEN ONLY ONE OUT OF SEVEN HOSPITALS IN MINNESOTA THAT WOULD HAVE QUALIFIED FOR CRITICAL ACCESS HOSPITAL STATUS. THE HOSPITAL BOASTS: IN AND OUTPATIENT HOSPITAL NURSING SERVICE, IN-HOUSE LABORATORY, AN ON-SITE RETAIL PHARMACY, PHYSICAL AND OCCUPATIONAL THERAPY, CHEMOTHERAPY, A FULLY-STAFFED 24-7 RADIOLOGY DEPARTMENT, A PROFESSIONAL ANESTHESIA TEAM, SWING BED CARE FOR PATIENTS WHO NO LONGER REQUIRE ACUTE CARE HOSPITALIZATION, AND A 24-7 EMERGENCY ROOM. DURING THE FY2025 EBCH PERFORMED 571 SURGICAL PROCEDURES, 19,159 LABORATORY TESTS, 8,864 RADIOLOGICAL EXAMS, AND 3,746 EMERGENCY ROOM VISITS. IN ADDITION, 277 PEOPLE WERE ADMITTED FOR INPATIENT CARE. 467 DAYS OF CARE WERE PROVIDED FOR INPATIENTS AND 476 DAYS OF CARE WERE PROVIDED TO SWING BED PATIENTS, 2,146 OUTPATIENTS WERE SEEN, 22,223 MODALITIES WERE PERFORMED IN OT AND PT, AND 1,773 MODALITIES WERE PERFORMED IN CARDIAC REHAB.
Expenses $27,752,091 · Revenue $31,544,907
As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Mary Ann SmithMARY ANN SMITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Crystal ChoppCRYSTAL CHOPP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Riana HegmanRIANA HEGMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Timothy RileyTIMOTHY RILEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
John SawJOHN SAW
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Devon LuthensDEVON LUTHENS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Robert WilmunenROBERT WILMUNEN
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Barbara SoderbergBARBARA SODERBERG
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Stephen Peterson SrSTEPHEN PETERSON SR
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 0.5 related
-
Todd HeimanTODD HEIMAN
TREASURER (THRU 12/31/2024)
- Total calculated
- $0
- Hours/week
- 0.25 + 2.5 related
-
Patti BanksPATTI BANKS
CEO
- Total calculated
- $325,973
- From this org
- $267,454
- From related orgs
- $0
- Other
- $58,519
- Hours/week
- 39.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $252,336
- Bonus
- $15,000
- Other
- $118
- Deferred
- $10,549
- Nontaxable benefits
- $47,970
- Filer's total
- $325,973
-
Brock Urie MDBROCK URIE MD
CMO
- Total calculated
- $555,142
- From this org
- $536,192
- From related orgs
- $0
- Other
- $18,950
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $536,181
- Bonus
- $0
- Other
- $11
- Deferred
- $0
- Nontaxable benefits
- $18,950
- Filer's total
- $555,142
-
John SchindeleJOHN SCHINDELE
EPIC DIRECTOR
- Total calculated
- $214,367
- From this org
- $165,090
- From related orgs
- $0
- Other
- $49,277
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $164,908
- Bonus
- $0
- Other
- $182
- Deferred
- $6,903
- Nontaxable benefits
- $42,374
- Filer's total
- $214,367
-
Sam RiceSAM RICE
PHYSICIAN (THRU 11/4/2024)
- Total calculated
- $204,485
- From this org
- $161,879
- From related orgs
- $0
- Other
- $42,606
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $161,879
- Bonus
- $0
- Other
- $0
- Deferred
- $7,132
- Nontaxable benefits
- $35,474
- Filer's total
- $204,485
-
Karla GrizzardKARLA GRIZZARD
RN
- Total calculated
- $197,646
- From this org
- $153,203
- From related orgs
- $0
- Other
- $44,443
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $153,021
- Bonus
- $0
- Other
- $182
- Deferred
- $6,247
- Nontaxable benefits
- $38,196
- Filer's total
- $197,646
-
Beth HartshornBETH HARTSHORN
PHARMACIST
- Total calculated
- $178,760
- From this org
- $169,670
- From related orgs
- $0
- Other
- $9,090
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $169,645
- Bonus
- $0
- Other
- $25
- Deferred
- $6,744
- Nontaxable benefits
- $2,346
- Filer's total
- $178,760
-
Abigail SirekABIGAIL SIREK
PHARMACIST
- Total calculated
- $173,981
- From this org
- $152,499
- From related orgs
- $0
- Other
- $21,482
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $152,482
- Bonus
- $0
- Other
- $17
- Deferred
- $6,185
- Nontaxable benefits
- $15,297
- Filer's total
- $173,981
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
ELY HEALTH & HOSPITAL FOUNDATION
501(C)(3) · TO PROVIDE SUPPORT TO ELY-BLOOMENSON COMMUNITY HOSPITAL FOR HEALTHCARE · MN
-
501(C)(3) · TO PROVIDE SUPPORT TO ELY-BLOOMENSON COMMUNITY HOSPITAL FOR HEALTHCARE · MN
Directly controlled by ELY HEALTH & HOSPITAL FOUNDATION
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 13 August 2026
- IRS schema version
- 2024v5.5
- Source object
- 202632269349302713
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