Astera Health, operating under the name Tri-County Health Care, is located in Wadena, MN. The organization was established in 1937. According to its NTEE Classification (E22) the organization is classified as: General Hospitals, under the broad grouping of Health Care and related organizations. As of 12/2021, Tri-County Health Care employed 541 individuals. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Tri-County Health Care is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 12/2020, Tri-County Health Care generated $76.6m in total revenue. This represents relatively stable growth, over the past 6 years the organization has increased revenue by an average of 5.0% each year. All expenses for the organization totaled $69.1m during the year ending 12/2020. While expenses have increased by 3.3% per year over the past 6 years. They've been increasing with an increasing level of total revenue. You can explore the organizations financials more deeply in the financial statements section below.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2020
Describe the Organization's Mission:
Part 3 - Line 1
TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.
Describe the Organization's Program Activity:
Part 3 - Line 4a
TRI COUNTY HOSPITAL (TCH) LEADS DELIVERY OF HEALTHCARE TO ITS SERVICE AREA THROUGH THE EFFORTS OF 541 EMPLOYEES WHO COORDINATE THESE EFFORTS TO DELIVER QUALITY PATIENT CARE. ALL OF THE TCH FACILITIES OPERATE IN FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS. OUR SERVICE AREAS GENERALLY RANK AMONGST THE MOST ECONOMICALLY AND SOCIALLY CHALLENGED IN THE STATE OF MINNESOTA. THE ACCOMPLISHMENTS WHICH FOLLOW HIGHLIGHT THE COMMITMENT OF TCH TO ITS COMMUNITIES. REQUIREMENTS OF THE IRS COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT ORGANIZATIONS ARE INTEGRAL TO TCH'S LARGER CHARITABLE MISSION OF "IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE." TCH IS GOVERNED BY AN INDEPENDENT BOARD INCLUDING COMMUNITY LEADERS, BUSINESS EXPERTS, AND CLINICAL HEALTHCARE EXPERTS AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO VOLUNTARILY ADOPT GOVERNANCE BEST PRACTICES TO ENSURE THE ORGANIZATION CONTINUES TO OPERATE WITH THE HIGHEST INTEGRITY FOR THE BENEFIT OF THE COMMUNITY. TRI COUNTY HOSPITAL, A CERTIFIED CRITICAL ACCESS HOSPITAL, OPERATES 25 BEDS AND PROVIDES NEEDED MEDICAL SERVICES AND PATIENT CARE TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE INPATIENT, OUTPATIENT, EMERGENCY, SURGICAL, INTENSIVE, OBSTETRICAL, AND PEDIATRIC NURSING CARE. ANCILLARY SERVICES INCLUDE LABORATORY, RADIOLOGICAL, THERAPY SERVICES, CHIROPRACTIC, REHABILITATIVE, AND PHARMACY. TRI-COUNTY HOSPITAL IS THE LARGEST EMPLOYER IN THE COMMUNITY, EMPLOYING 541 STAFF DURING 2021. TRI COUNTY HOSPITAL'S UNCOMPENSATED CARE (CHARITY CARE) PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTH CARE THEY RECEIVE. THE UNCOMPENSATED CARE PROGRAM IS DESIGNED TO ENSURE THE ENTIRE COMMUNITY SERVED BY TCH HAS ACCESS TO NEEDED HEALTHCARE SERVICES. IN 2021, $1,143,644 OF REVENUES WAS DESIGNATED AS CHARITABLE SERVICES. TRI-COUNTY HOSPITAL CARED FOR 923 INPATIENTS FOR A TOTAL 2,539 DAYS OF CARE. ADDITIONALLY, TRI-COUNTY HOSPITAL OPERATES SIX CERTIFIED RURAL HEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES AS HEALTH PROFESSIONAL SHORTAGE AREAS. THESE CLINICS EXAMINED AND/OR TREATED 55,918 PATIENTS IN 2021. TOTAL OUTPATIENT ENCOUNTERS FOR 2021 (INCLUDING THE CLINICS) WERE 158,149. TRI-COUNTY HOSPITAL OPERATES A FULL TIME EMERGENCY DEPARTMENT AND ACCEPTS ALL PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY SERVICES AT THE FACILITY, SEEING 5,342 PATIENTS IN THE EMERGENCY DEPARTMENT IN 2021. TRI-COUNTY HOSPITAL OPERATES AN AMBULANCE SERVICE WHERE PATIENTS RECEIVE EMERGENT CARE AND TRANSPORTATION BY EMERGENCY MEDICAL TECHNICIANS THAT PROVIDE ADVANCED LIFE SUPPORT SERVICES. TCH ALSO OFFERS EMS EDUCATION COURSES FOR THE PURPOSE OF INCREASING SURVIVAL, IMPROVING COMMUNITY AWARENESS, AND INCREASING INDIVIDUAL CONFIDENCE AS A PART OF ITS CHARITABLE MISSION. COURSES OFFERED INCLUDE EMERGENCY MEDICAL TECHNICIAN BASIC, FIRST RESPONDER, CPR, AND FIRST AID. TRI-COUNTY HOSPITAL PROVIDES A COMMUNITY PARAMEDIC PROGRAM. COMMUNITY PARAMEDIC IS A PROVISION OF OUTREACH TO PATIENTS AT RISK FOR USING THE EMERGENCY MEDICAL OR INPATIENT HEALTHCARE SYSTEM FOR PRIMARY CARE SERVICES, AND HELPING THEM FIND MORE APPROPRIATE RESOURCES FOR THEIR MEDICAL NEEDS. THE COMMUNITY PARAMEDIC PROGRAM HAD 369 VISITS DURING 2021. TCH ALSO PROVIDES OR PARTICIPATES IN OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION. EDUCATIONAL PROGRAMMING IS A PRIORITY INCLUDING BUT NOT LIMITED TO THE HIGH SCHOOL SUMMER INTERNSHIP PROGRAM; PROVIDING A CLINICAL ROTATION SITE FOR NURSING STUDENTS AND FOR RADIOLOGY AND LABORATORY TECHNICIANS FROM AREA TECHNICAL COLLEGES, PARTICIPATING AS PRECEPTOR SITES FOR MEDICAL SCHOOLS INCLUDING THE RURAL PHYSICIAN ASSOCIATE PROGRAM AND SUMMER INTERNSHIP IN MEDICINE AS WELL AS PROVIDING CAMPUS-BASED PRECEPTOR PHYSICIANS TO THE UNIVERSITY OF MINNESOTA-DULUTH AND ST. CLOUD RESIDENCY PROGRAMS, AND HEALTH FAIRS WITH SCREENING OPPORTUNITIES IN ITS SERVICE AREA. TRI-COUNTY HOSPITAL ALSO OPERATES AN ADJUNCT ORGANIZATION (TRI COUNTY HOSPITAL FOUNDATION) WHICH HAS DEVELOPED A LOCAL SCHOLARSHIP FUND AND GRANT DOLLARS FOR WORTHY CAUSES, AND PROVIDES COMMUNITY HEALTH EDUCATION PROGRAMS, WHICH ARE CONSISTENT WITH IMPROVING THE COMMUNITIES' HEALTH STATUS. TCH ALSO PROVIDES ORGANIZATIONAL AND ADMINISTRATIVE SUPPORT TO VARIOUS COMMUNITY BASED GROUPS OFFERING PEER SUPPORT PROGRAMS. THESE INCLUDE AREAS SUCH AS CANCER, BREAST CANCER, ARTHRITIS, DIABETES, AND OTHERS. TCH PROVIDES SEVERAL AVENUES FOR LOCAL INDIVIDUALS TO CONTRIBUTE TO THE COMMUNITY THROUGH OUR VOLUNTEER PROGRAMS. INCLUDED ARE THE HOSPITAL INPATIENT AND OUTPATIENT VOLUNTEER SUPPORT PROGRAM, AND VARIOUS ADVISORY COMMITTEES. WE ARE CONTINUALLY THANKED BY THESE INDIVIDUALS FOR THE OPPORTUNITY FOR THEM TO FEEL NEEDED AND OFFER A PRODUCTIVE OUTLET FOR THEIR TALENTS.DURING 2021, 78 VOLUNTEERS PROVIDED SERVICE TO TCH.
Name (title) | Role | Hours | Compensation |
---|---|---|---|
Benjamin Robertson MD Physician | 40 | $1,242,418 | |
Nathaniel Ronning MD Physician | 40 | $665,347 | |
Rachel Redig MD Board Member And Physician | Trustee | 40 | $576,343 |
Ross Anderson MD Physician | 40 | $531,930 | |
David Kloss MD Physician | 40 | $504,699 | |
Travis Swartz MD Physician | 40 | $489,249 |
Vendor Name (Service) | Service Year | Compensation |
---|---|---|
Wadena Medical Center Ltd Physician Services | 12/30/21 | $4,409,101 |
Ma Mortenson Company Building Contractor | 12/30/21 | $11,888,566 |
Centracare Health System Medical Services | 12/30/21 | $1,440,454 |
Hammel Green And Abrahamson Inc Architect | 12/30/21 | $1,500,974 |
Rural Radiology Inc Radiology Services | 12/30/21 | $923,893 |
Statement of Revenue | |
---|---|
Total Revenue from Contributions, Gifts, Grants & Similar | $6,442,721 |
Investment income | $233,589 |
Tax Exempt Bond Proceeds | $0 |
Royalties | $0 |
Net Rental Income | $465,616 |
Net Gain/Loss on Asset Sales | $90,094 |
Net Income from Fundraising Events | $0 |
Net Income from Gaming Activities | $0 |
Net Income from Sales of Inventory | -$12,091 |
Miscellaneous Revenue | $0 |
Total Revenue | $76,601,374 |
Statement of Expenses | |
---|---|
Grants and other assistance to domestic individuals. | $42,200 |
Grants and other assistance to Foreign Orgs/Individuals | $0 |
Benefits paid to or for members | $0 |
Compensation of current officers, directors, key employees. | $1,207,322 |
Compensation to disqualified persons | $0 |
Other salaries and wages | $29,113,372 |
Pension plan accruals and contributions | $947,743 |
Other employee benefits | $5,344,351 |
Payroll taxes | $1,895,834 |
Fees for services: Management | $0 |
Fees for services: Legal | $0 |
Fees for services: Accounting | $74,982 |
Fees for services: Lobbying | $0 |
Fees for services: Fundraising | $57,000 |
Fees for services: Investment Management | $0 |
Fees for services: Other | $11,293,858 |
Advertising and promotion | $216,638 |
Office expenses | $1,410,953 |
Information technology | $9,517 |
Royalties | $0 |
Occupancy | $991,748 |
Travel | $92,599 |
Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
Conferences, conventions, and meetings | $0 |
Interest | $350,667 |
Payments to affiliates | $0 |
Depreciation, depletion, and amortization | $2,177,540 |
Insurance | $340,240 |
All other expenses | $0 |
Total functional expenses | $69,148,265 |
Balance Sheet | |
---|---|
Cash—non-interest-bearing | $254,839 |
Savings and temporary cash investments | $27,412,541 |
Pledges and grants receivable | $466,390 |
Accounts receivable, net | $9,497,609 |
Loans from Officers, Directors, or Controlling Persons | $0 |
Loans from Disqualified Persons | $0 |
Notes and loans receivable | $569,620 |
Inventories for sale or use | $796,915 |
Prepaid expenses and deferred charges | $514,412 |
Investments—publicly traded securities | $8,596,577 |
Investments—other securities | $1,515,491 |
Investments—program-related | $0 |
Intangible assets | $0 |
Other assets | $0 |
Total assets | $67,419,895 |
Accounts payable and accrued expenses | $8,133,937 |
Grants payable | $0 |
Deferred revenue | $0 |
Tax-exempt bond liabilities | $10,317,947 |
Escrow or custodial account liability | $0 |
Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
Secured mortgages and notes payable | $0 |
Unsecured mortgages and notes payable | $5,692,000 |
Other liabilities | $7,920,089 |
Total liabilities | $32,063,973 |
Net assets without donor restrictions | $0 |
Net assets with donor restrictions | $0 |
Capital stock or trust principal, or current funds | $0 |
Paid-in or capital surplus, or land, building, or equipment fund | $0 |
Total liabilities and net assets/fund balances | $35,355,922 |
Over the last fiscal year, Astera Health has awarded $510,000 in support to 2 organizations.
Grant Recipient | Amount |
---|---|
CITY OF WADENA PURPOSE: MASKLOWSKI WELLNESS & RESEARCH CENTER | $470,000 |
Wadena, MN PURPOSE: GENERAL OPERATING SUPPORT | $40,000 |
Over the last fiscal year, we have identified 3 grants that Astera Health has recieved totaling $127,261.
Awarding Organization | Amount |
---|---|
Saint Paul & Minnesota Foundation Saint Paul, MN PURPOSE: MULTIPLE GRANTS FOR MULTIPLE PURPOSES | $114,528 |
Charities Aid Foundation America Alexandria, VA PURPOSE: CHARITABLE DONATION | $12,500 |
Amazonsmile Foundation Seattle, WA PURPOSE: GENERAL SUPPORT | $233 |
Organization Name | Assets | Revenue |
---|---|---|
Fort Madison Community Hospital West Burlington, IA | $0 | $63,917,889 |
Avera Queen Of Peace Mitchell, SD | $173,794,004 | $133,877,982 |
St Nicholas Hospital Of The Hospita Sisters Of The Third Order Of St F Sheboygan, WI | $160,864,409 | $138,043,178 |
Winona Health Services Winona, MN | $149,374,764 | $114,059,975 |
Beaver Dam Community Hospitals Inc Beaver Dam, WI | $193,989,750 | $109,285,462 |
Jennie Edmundson Memorial Hospital Council Bluffs, IA | $159,830,825 | $120,935,401 |
Prohealth Oconomowoc Memorial Hospital Inc Oconomowoc, WI | $128,184,799 | $110,175,380 |
Door County Memorial Hospital Sturgeon Bay, WI | $145,062,000 | $121,509,372 |
Pella Regional Health Center Pella, IA | $175,318,188 | $109,674,630 |
Aurora Medical Center Bay Area Inc Milwaukee, WI | $215,907,747 | $109,452,768 |
Prairie Lakes Health Care System Inc Watertown, SD | $318,634,035 | $115,979,854 |
Memorial Medical Center Inc Ashland, WI | $199,460,507 | $111,327,895 |