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Nonprofiteer
← INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSN

Form 990 for tax year 2022

Filed by INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSN.

Totals

Total revenue
$35,022,338
Total expenses
$33,544,063
Contributions and grants received
$688,959
Grants paid
$0
Program service revenue
$34,022,783
Investment income
$82,278
Other revenue
$228,318
Total assets, end of year
$35,634,235
Total liabilities, end of year
$10,727,616
Net assets or fund balances, end of year
$24,906,619
Program services expenses (Part IX)
$27,016,387
Management and general expenses
$6,527,676
Fundraising expenses
$0
Program service expenses (Part III)
$27,016,387

Program services were 80.5% 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.

  • 1d · Related organizations

    $66,973

  • 1e · Government grants (contributions)

    $225,468

  • 1f · All other contributions, gifts and grants

    $396,518

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $28,714,334 · related or exempt $28,714,334

  • 2b · Program service revenue: CLINIC REVENUE

    total $2,612,626 · related or exempt $2,612,626

  • 2c · Program service revenue: PHARMACY REVENUE

    total $2,161,722 · related or exempt $2,161,722

  • 2f · All other program service revenue

    total $534,101 · related or exempt $533,090 · unrelated business $1,011

  • 3 · Investment income

    total $208,339 · excluded $208,339

  • 6a · Gross rents

    real property $73,118

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $73,118

  • 6d · Net rental income or loss

    total $73,118 · excluded $73,118

  • 7a · Gross sales of assets other than inventory

    securities $2,493,711

  • 7b · Less cost or other basis and sales expenses

    securities $2,619,772

  • 7c · Gain or loss

    securities -$126,061

  • 7d · Net gain or loss

    total -$126,061 · excluded -$126,061

  • 11a · Other revenue: CMDI EARNINGS

    total $155,200 · related or exempt $155,200

  • 11e · Other revenue, total

    $155,200

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $512,914 · management and general $512,914

  • 7 · Other salaries and wages

    total $12,939,410 · program services $10,562,045 · management and general $2,377,365

  • 8 · Pension plan contributions

    total $240,476 · program services $194,322 · management and general $46,154

  • 9 · Other employee benefits

    total $1,637,616 · program services $1,250,189 · management and general $387,427

  • 10 · Payroll taxes

    total $909,835 · program services $677,937 · management and general $231,898

  • 11b · Fees: legal

    total $18,566 · management and general $18,566

  • 11c · Fees: accounting

    total $139,254 · management and general $139,254

  • 11d · Fees: lobbying

    total $447 · management and general $447

  • 11g · Fees: other

    total $4,987,844 · program services $4,501,206 · management and general $486,638

  • 12 · Advertising and promotion

    total $94,213 · program services $82,408 · management and general $11,805

  • 13 · Office expenses

    total $63,856 · program services $56,446 · management and general $7,410

  • 14 · Information technology

    total $349,466 · program services $305,678 · management and general $43,788

  • 16 · Occupancy

    total $466,251 · program services $302,037 · management and general $164,214

  • 17 · Travel

    total $41,074 · program services $27,087 · management and general $13,987

  • 19 · Conferences, conventions and meetings

    total $23,129 · program services $20,231 · management and general $2,898

  • 20 · Interest

    total $208,877 · program services $135,319 · management and general $73,558

  • 22 · Depreciation, depletion and amortization

    total $1,480,372 · program services $959,044 · management and general $521,328

  • 23 · Insurance

    total $174,550 · program services $113,080 · management and general $61,470

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $6,020,173 · program services $5,265,708 · management and general $754,465

  • 24b · Other expenses: EQUIPMENT RENTAL

    total $769,058 · program services $498,226 · management and general $270,832

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $687,704 · program services $445,495 · management and general $242,209

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $618,605 · program services $618,605

  • 24e · All other expenses

    total $1,160,373 · program services $1,001,324 · management and general $159,049

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,487,187 · end of year $1,275,289

  • 2 · Savings and temporary cash investments

    beginning of year $13,125,476 · end of year $8,726,437

  • 4 · Accounts receivable

    beginning of year $4,843,347 · end of year $4,032,713

  • 8 · Inventories for sale or use

    beginning of year $644,788 · end of year $741,913

  • 9 · Prepaid expenses and deferred charges

    beginning of year $519,908 · end of year $542,797

  • 10a · Land, buildings and equipment: cost or other basis

    $28,878,522

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,936,808

  • 10c · Land, buildings and equipment, net

    beginning of year $13,221,141 · end of year $12,941,714

  • 11 · Investments: publicly traded securities

    beginning of year $6,914,808 · end of year $5,891,672

  • 12 · Investments: other securities

    beginning of year $677,878 · end of year $643,613

  • 15 · Other assets

    beginning of year $73,109 · end of year $838,087

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,468,382 · end of year $2,705,505

  • 19 · Deferred revenue

    beginning of year $1,036,907 · end of year $601,326

  • 22 · Loans and payables to officers and key people

    beginning of year $20,000 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $6,266,680 · end of year $5,852,718

  • 25 · Other liabilities

    beginning of year $6,339,269 · end of year $1,568,067

  • 27 · Net assets without donor restrictions

    beginning of year $24,223,794 · end of year $24,594,393

  • 28 · Net assets with donor restrictions

    beginning of year $152,610 · end of year $312,226

Mission and programs · 2022

Mission

PROVIDE ACCESSIBLE QUALITY HEALTHCARE TO OUR COMMUNITIES USING VALUES OF INTEGRITY AND RESPECT, COMPASSION AND EXCELLENCE THROUGH TEAMWORK (ICE) IN SUPPORT OF THE VISION COMPRISED OF THE FOLLOWING ELEMENTS: PROVIDER OF CHOICE OF OUR COMMUNITIES, PATIENT AND FAMILY-CENTERED CARE, EXPANDING SERVICES, REGIONAL SPECIALTY RELATIONSHIPS AND PREFERRED HEALTHCARE EMPLOYER.

Activities or mission (Part I)

PROVIDE ACCESSIBLE, HIGH-QUALITY HEALTHCARE TO OUR COMMUNITIES.

  • RAINY LAKE MEDICAL CENTER (RLMC) PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES. IN 2022, RLMC HAD 1,999 INPATIENT DAYS AND HAD 5,885 EMERGENCY ROOM VISITS. IN ADDITION, RLMC PROVIDES GENERAL, ORTHOPEDIC, AND OPHTHALMOLOGY SURGERY, VARIOUS IMAGING MODALITIES, LABORATORY SERVICES, THERAPY SERVICES, AND OTHER HOSPITAL ANCILLARY SERVICES.

    Expenses $24,951,145 · Revenue $31,564,346

  • RLMC PROVIDES CLINIC BASED SERVICES AT TWO LOCATIONS, INTERNATIONAL FALLS, MN AND LITTLE FORK, MN. IN ADDITION TO PRIMARY CARE VISITS, A NUMBER OF SPECIALTY SERVICES ARE OFFERED SUCH AS RHEUMATOLOGY, ORTHOPEDIC, OB/GYN, DERMATOLOGY, OPTHALMOLOGY, AND ONCOLOGY. IN TOTAL, 12,692 CLINIC VISITS OCCURRED IN 2022.

    Expenses $2,065,242 · Revenue $2,612,626

  • IN ADDITION TO PROVIDING DIRECT PATIENT CARE AND IN FURTHERANCE OF ITS CHARITABLE PURPOSE, 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 TO 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.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Richard Peterson

    CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Jon Talsness

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Steven Lindberg

    TREASURER

    Total calculated
    $0
    Hours/week
    4

  • Brian Briggs

    SECRETARY

    Total calculated
    $0
    Hours/week
    4

  • Susan Congrave

    MEMBER

    Total calculated
    $0
    Hours/week
    4

  • Sherri Mannausau

    MEMBER

    Total calculated
    $0
    Hours/week
    4

  • Don Billig

    MEMBER

    Total calculated
    $0
    Hours/week
    4

  • Robert Pastor II

    CEO

    Total calculated
    $358,168
    From this org
    $305,731
    From related orgs
    $0
    Other
    $52,437
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $286,579
    Bonus
    $13,000
    Other
    $6,152
    Deferred
    $17,912
    Nontaxable benefits
    $34,525
    Filer's total
    $358,168

  • Mike Katigbak

    CFO (THRU OCT)

    Total calculated
    $93,952
    From this org
    $87,112
    From related orgs
    $0
    Other
    $6,840
    Hours/week
    40 + 1 related

  • Melissa Marcotte

    CFO (THRU FEB)

    Total calculated
    $108,409
    From this org
    $107,153
    From related orgs
    $0
    Other
    $1,256
    Hours/week
    40 + 1 related

  • David Moyer

    PHYSICIAN

    Total calculated
    $377,041
    From this org
    $356,798
    From related orgs
    $0
    Other
    $20,243
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $355,084
    Bonus
    $1,000
    Other
    $714
    Deferred
    $6,746
    Nontaxable benefits
    $13,497
    Filer's total
    $377,041

  • Daniel Margo

    GENERAL SURGEON

    Total calculated
    $351,157
    From this org
    $313,866
    From related orgs
    $0
    Other
    $37,291
    Hours/week
    20

    Schedule J breakdown matched by us

    Base
    $313,366
    Bonus
    $500
    Other
    $0
    Deferred
    $8,158
    Nontaxable benefits
    $29,133
    Filer's total
    $351,157

  • Jay Knaak

    PHYSICIAN

    Total calculated
    $297,719
    From this org
    $254,464
    From related orgs
    $0
    Other
    $43,255
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $247,949
    Bonus
    $5,800
    Other
    $715
    Deferred
    $6,715
    Nontaxable benefits
    $36,540
    Filer's total
    $297,719

  • Scott Johnson

    PHYSICIAN

    Total calculated
    $185,323
    From this org
    $162,036
    From related orgs
    $0
    Other
    $23,287
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,536
    Bonus
    $500
    Other
    $0
    Deferred
    $23,287
    Nontaxable benefits
    $0
    Filer's total
    $185,323

  • Amber Biondich

    NURSE PRACTITIONER

    Total calculated
    $166,723
    From this org
    $161,707
    From related orgs
    $0
    Other
    $5,016
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $109,267
    Bonus
    $39,752
    Other
    $12,688
    Deferred
    $3,705
    Nontaxable benefits
    $1,311
    Filer's total
    $166,723

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 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.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202343119349302654

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