Civic Intelligence

Madelia Community Hospital Incorporated

EIN 41-0758512 • 501(c)3 • Madelia, MN

View Organization Page

121 Drew Avenue SoutheastMadelia, MN 56062
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

61st percentile

0.33x

Higher debt load relative to assets than 61% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

36th percentile

0.16x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

31st percentile

-1.1%

Higher net margin than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

50th percentile

$263,162

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

13th percentile

-6.0%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

70th percentile

19%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets61st percentile

Using 2023 Form 990 data because the latest 2024 filing does not report standard financial totals.

Assets

Down

$17,268,036

Down $1,587,612 (-8.4%) from 2022

Liabilities

Up

$6,547,292

Up $1,069,624 (+20%) from 2022

Net Assets

Down

$10,720,744

Down $2,657,236 (-20%) from 2022

Operations
Liabilities / Revenue36th percentileNet Margin31st percentile

Revenue

Down

$18,159,647

Down $371,906 (-2.0%) from 2022

Expenses

Up

$20,584,097

Up $1,427,131 (+7.4%) from 2022

Net Income

Down

-$2,424,450

Down $1,799,037 (-288%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth13th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2011: $21,081,057Liabilities 2011: $6,916,714Net Assets 2011: $14,164,3432011Assets 2012: $19,542,302Liabilities 2012: $6,732,342Net Assets 2012: $12,809,9602012Assets 2013: $19,090,128Liabilities 2013: $7,061,184Net Assets 2013: $12,028,9442013Assets 2014: $18,580,126Liabilities 2014: $6,465,524Net Assets 2014: $12,114,6022014Assets 2015: $18,954,153Liabilities 2015: $6,936,719Net Assets 2015: $12,017,4342015Assets 2016: $18,406,716Liabilities 2016: $6,321,406Net Assets 2016: $12,085,3102016Assets 2017: $18,653,797Liabilities 2017: $6,561,846Net Assets 2017: $12,091,9512017Assets 2018: $17,445,824Liabilities 2018: $6,171,605Net Assets 2018: $11,274,2192018Assets 2019: $16,110,240Liabilities 2019: $6,077,361Net Assets 2019: $10,032,8792019Assets 2020: $20,506,821Liabilities 2020: $10,711,092Net Assets 2020: $9,795,7292020Assets 2021: $20,549,984Liabilities 2021: $5,802,689Net Assets 2021: $14,747,2952021Assets 2022: $18,855,648Liabilities 2022: $5,477,668Net Assets 2022: $13,377,9802022Assets 2023: $17,268,036Liabilities 2023: $6,547,292Net Assets 2023: $10,720,7442023

Latest loaded filing

2023

Assets$17,268,036
Liabilities$6,547,292
Net Assets$10,720,744
Open 2023 Filing

Operations Trend

Revenue Growth70th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2011: $8,885,6062011Expenses 2012: $10,364,5872012Revenue 2013: $9,698,360Expenses 2013: $10,664,571Net Income 2013: -$966,2112013Revenue 2014: $10,360,517Expenses 2014: $10,477,038Net Income 2014: -$116,5212014Revenue 2015: $11,069,611Expenses 2015: $11,175,235Net Income 2015: -$105,6242015Revenue 2016: $11,680,435Expenses 2016: $11,612,660Net Income 2016: $67,7752016Revenue 2017: $11,245,402Expenses 2017: $11,562,472Net Income 2017: -$317,0702017Revenue 2018: $11,109,872Expenses 2018: $11,812,587Net Income 2018: -$702,7152018Revenue 2019: $11,735,990Expenses 2019: $12,825,683Net Income 2019: -$1,089,6932019Revenue 2020: $13,590,505Expenses 2020: $13,802,713Net Income 2020: -$212,2082020Revenue 2021: $20,330,094Expenses 2021: $16,099,970Net Income 2021: $4,230,1242021Revenue 2022: $18,531,553Expenses 2022: $19,156,966Net Income 2022: -$625,4132022Revenue 2023: $18,159,647Expenses 2023: $20,584,097Net Income 2023: -$2,424,4502023

Latest loaded filing

2023

Revenue$18,159,647
Expenses$20,584,097
Net Income-$2,424,450
Open 2023 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
-
Liabilities
-
Net assets
-
Revenue
-
Expenses
-
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.3$6.55$10.7$18.2$20.6$2.42
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.9$5.48$13.4$18.5$19.2$0.63
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.5$5.80$14.7$20.3$16.1$4.23
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.5$10.7$9.80$13.6$13.8$0.21
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.1$6.08$10.0$11.7$12.8$1.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.4$6.17$11.3$11.1$11.8$0.70
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.7$6.56$12.1$11.2$11.6$0.32
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.4$6.32$12.1$11.7$11.6$0.07
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.0$6.94$12.0$11.1$11.2$0.11
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.6$6.47$12.1$10.4$10.5$0.12
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$19.1$7.06$12.0$9.70$10.7$0.97
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.5$6.73$12.8$10.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.1$6.92$14.2$8.89
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2012 below.

Jump To
Filing Snapshot
Filing Period
Jun 1, 2011 to May 31, 2012
Signed
Feb 11, 2013
Return Version
2011v1.5
Gross Receipts
$9,092,390
Mission and Program Overview

Mission

The mission of madelia health is to provide safe and quality healthcare services to those we serve in an environment based on respect, dignity, and excellence.

Filing and Contact Details

Filer

EIN
41-0758512
Raw XML AppendixShowing 400 of 681 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccruedExpenses/EOY0956869
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IRS990/AccountsReceivable/EOY02627633
IRS990/ActivitiesConductedPartnership00
IRS990/ActivityOrMissionDescription0PROVIDE QUALITY HEALTHCARE SERVICES TO THE LOCAL COMMUNITY.
IRS990/AddressPrincipalOfficerUS/AddressLine10121 DREW AVENUE SOUTHEAST
IRS990/AddressPrincipalOfficerUS/City0MADELIA
IRS990/AddressPrincipalOfficerUS/State0MN
IRS990/AddressPrincipalOfficerUS/ZIPCode056062
IRS990/AllOtherContributions0508840
IRS990/AllOtherExpenses/ManagementAndGeneral063500
IRS990/AllOtherExpenses/ProgramServices0341395
IRS990/AllOtherExpenses/Total0404895
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IRS990/AuditCommittee01
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IRS990/CompCurrentOfficersDirectors/Total0241535
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IRS990/ConflictOfInterestPolicy01
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IRS990/ConsolidatedAuditFinancialStmt01
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IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine11115 DREW AVE SE
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IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City0BUFFALO
IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City1MADELIA
IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City2BLOOMINGTON
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IRS990/ContractorCompensation/Compensation2111629
IRS990/ContractorCompensation/DescriptionOfServices0ER & CLINIC PHYSICIAN COVERAGE
IRS990/ContractorCompensation/DescriptionOfServices1EMERGENCY ROOM PHYSICIAN COVERAGE
IRS990/ContractorCompensation/DescriptionOfServices2CLINIC MGMT STAFFING AGENCY
IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine10WHITESELL MEDICAL STAFFING
IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine11MADELIA PHYSICIANS
IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine12EXPERIENCED RESOURCES
IRS990/ContributionsGrantsCurrentYear0563865
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IRS990/CreditCounseling00
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IRS990/DeductibleNonCashContributions00
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IRS990/DepreciationDepletion/ProgramServices01006001
IRS990/DepreciationDepletion/Total01006001
IRS990/DescribedIn501C301
IRS990/Description0RURAL HEALTH CARE FACILITY PROVIDING GENERAL MEDICAL/SURGICAL SERVICES ON AN INPATIENT, OUTPATIENT, AND HOME CARE BASIS. FOR FISCAL YEAR 2012:192 ACUTE CARE ADMISSIONS, 12,690 HOME CARE VISITS, AND 4,529 OUTPATIENT VISITS. THE HOSPITAL ALSO PROVIDED $82,634 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 SR. DRIVER PROGRAM, MEALS ON WHEELS, CULTURE OF WELLNESS PROGRAM, SPANISH INTERPRETIVE SERVICES, COLLABORATIVE HISPANIC OUTREACH SERVICES, DELIVERY OF PHARMACEUTICALS FOR HOME CARE PATIENTS, HOSPICE ADVISORY COMMITTEE, COMMUNITY EDUCATIONAL SERIES ON PALLIATIVE CARE AND HEALTHY LIFESTYLE WITH DIABETES, ELDERLY PATIENT EDUCATION SERIES SUCH AS LIVING WELL WITH CHRONIC CONDITIONS CLASS FOR 6 WEEKS, MATTER OF BALANCE CLASSES, FREE HEEL SCANS FOR THE PUBLIC, CLINICALS FOR STUDENTS OF SURROUNDING COLLEGES AND UNIVERSITIES, SKIN CHECKS AT WRESTLING TOURNAMENTS, BLOOD PRESSURE CLINIC AT COMMUNITY FUNDRAISING EVENTS AND ACTIVITIES, SENIOR HEALTH EXPO, NIMS (NATIONAL INCIDENT MANAGEMENT SYSTEM DISASTER/BIOTERRORISM PREPAREDNESS, A.C.E.(ATHLETE CARE & IMPACT EVALUATION) STUDENT ATHLETIC ASSESSMENTS, HOME CARE FLU SHOT CLINICS, AND OTHER COMMUNITY AND SCHOOL HEALTH FAIRS THROUGH OUT THE YEAR.
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy01
IRS990/DoingBusinessAs/BusinessNameLine10MADELIA COMMUNITY HOSPITAL & CLINIC
IRS990/DonorAdvisedFunds00
IRS990/ElectionOfBoardMembers01
IRS990/EmploymentTaxReturnsFiled01
IRS990/EscrowAccount00
IRS990/ExcessBenefitTransaction00
IRS990/Expense08463357
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IRS990/FederalGrantAuditRequired00
IRS990/FeesForServicesOther/ManagementAndGeneral0108332
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IRS990/FeesForServicesOther/Total0179109
IRS990/FinancialStatementConsolidated0X
IRS990/FinancialStmtAttached01
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IRS990/Form990PartVIISectionA/AverageHoursPerWeek31.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek41.00
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IRS990/Form990PartVIISectionA/AverageHoursPerWeek61.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek71.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek840.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek940.00
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IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector3X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector4X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector5X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector6X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector7X
IRS990/Form990PartVIISectionA/NamePerson0STEVEN COOLING
IRS990/Form990PartVIISectionA/NamePerson1TOM MCCABE
IRS990/Form990PartVIISectionA/NamePerson2BARBARA OVERLIE
IRS990/Form990PartVIISectionA/NamePerson3CHUCK VOSS
IRS990/Form990PartVIISectionA/NamePerson4DENNIS ARDUSER
IRS990/Form990PartVIISectionA/NamePerson5MARK CHRISTENSON
IRS990/Form990PartVIISectionA/NamePerson6NORMA KRUMWIEDE
IRS990/Form990PartVIISectionA/NamePerson7SHEILA SPITZNER
IRS990/Form990PartVIISectionA/NamePerson8CANDACE FENSKE
IRS990/Form990PartVIISectionA/NamePerson9DONNA KLINKNER
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IRS990/Form990PartVIISectionA/OtherCompensation20
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IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/OtherCompensation60
IRS990/Form990PartVIISectionA/OtherCompensation70
IRS990/Form990PartVIISectionA/OtherCompensation812278
IRS990/Form990PartVIISectionA/OtherCompensation912067
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IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs60
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IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs80
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs90
IRS990/Form990PartVIISectionA/Title0BOARD PRESIDENT
IRS990/Form990PartVIISectionA/Title1BOARD VICE PRESIDENT & TREASURER
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IRS990/Form990PartVIISectionA/Title4BOARD MEMBER
IRS990/Form990PartVIISectionA/Title5BOARD MEMBER
IRS990/Form990PartVIISectionA/Title6BOARD MEMBER
IRS990/Form990PartVIISectionA/Title7BOARD MEMBER
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IRS990/OtherRevenueMisc/Description2MEDICAL RECORDS
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IRS990/ProgramServiceRevenue/Description0NET PATIENT REVENUE
IRS990/ProgramServiceRevenue/Description1PHYSICAL THERAPY
IRS990/ProgramServiceRevenue/Description2LABORATORY
IRS990/ProgramServiceRevenue/Description3SALE OF DRUGS
IRS990/ProgramServiceRevenuePriorYear09692234
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome08146138
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome129073
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome24374
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome3359
IRS990/ProgramServiceRevenue/TotalRevenueColumn08146138
IRS990/ProgramServiceRevenue/TotalRevenueColumn129073
IRS990/ProgramServiceRevenue/TotalRevenueColumn24374
IRS990/ProgramServiceRevenue/TotalRevenueColumn3359
IRS990/ProhibitedTaxShelterTrans00
IRS990/QuidProQuoContributions00
IRS990/ReconcilationOtherChanges04195
IRS990/ReconcilationRevenueExpenses0-1358578
IRS990/RegularMonitoringEnforcement01
IRS990/RelatedEntity01
IRS990/RelatedOrgControlledEntity01
IRS990/RentalIncomeOrLoss/Real0-7053
IRS990/ReportFin48Footnote01
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip01
IRS990/ReportOtherAssets00
IRS990/ReportOtherLiabilities01
IRS990/ReportProgRelInvest00
IRS990/Revenue08179944
IRS990/RevenuesLessExpensesCY0-1358578
IRS990/RevenuesLessExpensesPriorYear01387704
IRS990/RoyaltiesRevenue/ExclusionAmount037409
IRS990/RoyaltiesRevenue/TotalRevenueColumn037409
IRS990/SalariesEtcCurrentYear05531948
IRS990/SalariesEtcPriorYear04043079
IRS990/SavingsAndTempCashInvestments/BOY05077189
IRS990/SavingsAndTempCashInvestments/EOY05210180
IRS990ScheduleA/Hospital170b1Aiii0X
IRS990ScheduleB/ContributorInfo/AggregateContributions0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNumber0RESTRICTED
IRS990/ScheduleBRequired01
IRS990ScheduleD/Buildings/BookValue04165159
IRS990ScheduleD/Buildings/Depreciation02750207
IRS990ScheduleD/Buildings/OtherCostOrOtherBasis06915366
IRS990ScheduleD/Equipment/BookValue01503563
IRS990ScheduleD/Equipment/Depreciation03441021
IRS990ScheduleD/Equipment/OtherCostOrOtherBasis04944584
IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0THE HOSPITAL IS CLASSIFIED BY THE INTERNAL REVENUE SERVICES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS SUBJECTED TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME. THE HOSPITAL HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE HOSPITAL FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.
IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier0DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference0PART X:
IRS990ScheduleD/Land/BookValue0185447
IRS990ScheduleD/Land/OtherCostOrOtherBasis0185447
IRS990ScheduleD/LeaseholdImprovements/BookValue03093094
IRS990ScheduleD/LeaseholdImprovements/Depreciation01516635
IRS990ScheduleD/LeaseholdImprovements/OtherCostOrOtherBasis04609729
IRS990ScheduleD/OtherLiabilities/Amount040000
IRS990ScheduleD/OtherLiabilities/Description0ASSET RETIREMENT OBLIGATION
IRS990ScheduleD/TotalOfAmounts040000
IRS990ScheduleD/TotalOfBookValueLandBuildings08947263
IRS990ScheduleH/AmountAttributableTo07802
IRS990ScheduleH/AmountReimbursedByMedicare04056326
IRS990ScheduleH/AmountsBudgetedForCharityCare01
IRS990ScheduleH/AnnualCommunityBenefitReport01
IRS990ScheduleH/BadDebtExpenseAmount0390093
IRS990ScheduleH/BadDebtExpenseReported01
IRS990ScheduleH/CharityCareAtCost/NetCommunityBenefitExpense0141403
IRS990ScheduleH/CharityCareAtCost/PercentOfTotalExpense00.01360
IRS990ScheduleH/CharityCareAtCost/TotalCommunityBenefitExpense0141403
IRS990ScheduleH/CharityCarePolicy01
IRS990ScheduleH/CoalitionBuilding/NetCommunityBuildingExpense04749
IRS990ScheduleH/CoalitionBuilding/PercentOfTotalExpense00.00050
IRS990ScheduleH/CoalitionBuilding/TotalCommunityBuildingExpense04749
IRS990ScheduleH/CommunityHealthServices/NetCommunityBenefitExpense0175216
IRS990ScheduleH/CommunityHealthServices/PercentOfTotalExpense00.01690
IRS990ScheduleH/CommunityHealthServices/TotalCommunityBenefitExpense0175216
IRS990ScheduleH/CommunitySupport/NetCommunityBuildingExpense0523
IRS990ScheduleH/CommunitySupport/PercentOfTotalExpense00.00010
IRS990ScheduleH/CommunitySupport/TotalCommunityBuildingExpense0523
IRS990ScheduleH/CostingMethodologyUsed/CostToChargeRatio0X
IRS990ScheduleH/CostOfCareReimbursedByMedicare04032240
IRS990ScheduleH/DiscountedOther/DiscountedOtherPercentage0100.000000000000
IRS990ScheduleH/DiscountedOther/Other0X
IRS990ScheduleH/ExpensesExceededBudget00
IRS990ScheduleH/Form990ScheduleHPartIV/NameOfEntity/BusinessNameLine101 NA
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0PART I, LINE 7: THE AMOUNTS REPORTED IN PART I, LINE 7 WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1PART I, L7 COL(F): BAD DEBT EXPENSE OF $390,093 WAS SUBTRACTED FROM TOTAL EXPENSES OF $10,364,587 IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F. IN HOUSE UNINSURED/UNDERINSURED THAT QUALIFIED FOR FINANCIAL ASSISTANCE FOR THE YEAR END WAS 2% OF TOTAL BAD DEBTS ACCOUNT AS REFLECTED IN PART III, LINE 3. CHARITY CARE ACCOUNTS ARE NOT INCLUDED IN BAD DEBTS.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2PART II: 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.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3PART 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 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.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4PART 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 2012 FILED MEDICARE COST REPORT.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5PART III, LINE 9B: EACH WEEK, STATEMENTS ARE SENT OUT THROUGH OUR EDI PROCESS WITH STATEMENTS BEING MAILED OUT TO THE PATIENT BY A CLEARINGHOUSE.PATIENTS ARE BILLED AFTER MEDICARE OR COMMERCIAL INSURANCE HAS BEEN FILED AND PAYMENT HAS BEEN RECEIVED WITHIN A SIX-WEEK PERIOD. PATIENTS WILL BE BILLED FOR THE REMAINING BALANCE MONTHLY. ACCOUNTS ARE VERIFIED INTERNALLY PRIOR TO COLLECTION LETTERS BEING SENT.IF NO PAYMENT IS RECEIVED WITHIN 2 MONTHS OF BILLINGS, THE STATEMENT IS SENT WITH A NOTICE LETTER REQUESTING PAYMENT. LETTERS WILL ALSO BE SENT SHOULD NO PAYMENT BE RECEIVED WITHIN 60 AND 90 DAYS.SHOULD NO RESPONSE BE RECEIVED WITHIN FIVE (5) DAYS OF THE LAST LETTER, A TELEPHONE CALL IS ISSUED TO NEGOTIATE A PAYMENT PLAN OR EXTEND A DISCOUNT OF 25% FOR ACCOUNT PAYOFF IN 60 DAYS; IF ACCOUNT HOLDER MAY QUALIFY FOR OUR HEALTHCARE FINANCIAL PROGRAM, AN APPLICATION IS SENT TO BE COMPLETED AND RETURNED TO US ALONG WITH TWO (2) DENIALS OF ALTERNATE COVERAGE OR PAYMENT ASSISTANCE.LACK OF RESPONSE TO THE TELEPHONE CALL WILL RESULT IN VERIFICATION OF THE ACCOUNT(S) BY THE INSURANCE BILLING CLERKS AND THEN REVIEWED BY THE BUSINESS OFFICE MANAGER FOR APPROVAL TO BEGIN FORMAL COLLECTION PROCESS. THESE ACCOUNTS ARE THEN TURNED IN TO A PROFESSIONAL COLLECTION AGENCY.CHARITY CARE CONSIDERATIONS WILL BE MADE BY BUSINESS OFFICE MANAGER WHEN ALL NECESSARY DOCUMENTATION IS PRESENTED AND SHOULD IT BE EVIDENT THAT THE PATIENTS LACK OF FINANCES WARRANT THIS AND CHARITY CARE THE BEST ETHICAL DECISION FOR THE PATIENT.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6PART V, SECTION B, LINE 9: ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RENDERED AT MCH NO MATTER WHAT THE PATIENT'S FINANCIAL STATUS CONSISTS OF.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7PART V, SECTION B, LINE 10: ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RENDERED AT MCH NO MATTER WHAT THE PATIENT'S FINANCIAL STATUS CONSISTS OF.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8PART V, SECTION B, LINE 11H: ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RENDERED AT MCH NO MATTER WHAT THE PATIENT'S FINANCIAL STATUS CONSISTS OF.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9PART V, SECTION B, LINE 15E: ANY TYPE OF COLLECTION ACTIONS FOR PAYMENT ARE HANDLED THROUGH THE CONTRACTED COLLECTION AGENCY.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10PART V, SECTION B, LINE 16E: THE COLLECTION AGENCY USES SEVERAL METHODS IN ATTEMPT TO COLLECT PAYMENT OF PATIENT BILLS. THEY NOTIFY MCH PRIOR TO TAKING ANY LEGAL ACTIONS IN CASE THERE HAS BEEN ANY NEW PATIENT ACCOUNT DEVELOPMENT OR COMMUNICATION OF PAYMENT ARRANGEMENTS.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation11PART V, SECTION B, LINE 17E: PATIENTS ARE INFORMED OF THE STATUS OF THEIR ACCOUNT THROUGH BILLING STATEMENTS, LETTERS INDICATING THE AGING OF THEIR ACCOUNT AND THE AVAILABILITY TO MAKE PAYMENT ARRANGEMENTS WITH SEVERAL OPTIONS OF RECEIVING A DISCOUNT.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation12PART V, SECTION B, LINE 19D: ALL PATIENTS ARE TREATED AND CHARGED THE SAME FOR ANY MCH SERVICES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation13PART 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.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation14PART 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.

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