WISHEK HOSPITAL CLINIC ASSOCIATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- WISHEK HOSPITAL CLINIC ASSOCIATION (EIN 45-0358986)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-10-06
- IRS object ID
- 202542799349301329
- Schema version
- 2024v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-10-06T09:54:15-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4585 Coleman St Ste 200 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450358986 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wishek Hospital Clinic Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WISH | BusinessNameControlTxt |
| Phone | 7014522326 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 647 | AddressLine1Txt |
| City | Wishek | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 584950647 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lukas Fischer | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7014522326 | PhoneNum |
| Signature | 2025-10-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2025-10-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Central Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lukas Fischer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1007 4th Ave S | AddressLine1Txt |
| City | Wishek | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58495 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,565,732 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://schealthnd.com/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | Providing the highest possible standard of healthcare in a compassionate and professional manner. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $390,081 | PYContributionsGrantsAmt |
| CY Contributions Grants | $597,711 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,557,290 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,880,344 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,879 | PYInvestmentIncomeAmt |
| CY Investment Income | $54,183 | CYInvestmentIncomeAmt |
| PY Other Revenue | $77,564 | PYOtherRevenueAmt |
| CY Other Revenue | $20,247 | CYOtherRevenueAmt |
| PY Total Revenue | $10,028,814 | PYTotalRevenueAmt |
| CY Total Revenue | $11,552,485 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,904,552 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,782,833 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $200 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,297,400 | PYOtherExpensesAmt |
| CY Other Expenses | $5,047,084 | CYOtherExpensesAmt |
| PY Total Expenses | $10,201,952 | PYTotalExpensesAmt |
| CY Total Expenses | $10,829,917 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$173,138 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $722,568 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,022,344 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,773,462 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,197,939 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,035,350 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,824,405 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,738,112 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Wishek Hospital Clinic Association is a progressive and innovative healthcare leader providing personalized services promoting the creation of healthier communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $6,500,899 | ExpenseAmt |
| Revenue | $9,168,673 | RevenueAmt |
| Desc | Wishek Hospital-Clinic Association d/b/a South Central Health is a 24-bed acute care hospital located in Wishek North Dakota providing acute healthcare, outpatient, emergency, and skilled swingbed services. The Association provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Association does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $33,000 for the year ended December 31, 2024, calculated by multiplying the ratio of cost to gross charges for the Association by the gross uncompensated charges associated with providing charity care to its patients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,871,348 | ExpenseAmt |
| Revenue | $1,711,671 | RevenueAmt |
| Desc | Healthcare services provided to four communities within our service area of rural ND. Four rural health clinics. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,372,247 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 99 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Megan Rath | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7014522326 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 647 | AddressLine1Txt |
| City | Wishek | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 584950647 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Lila Raile | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Nathan Wolf | |||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Rebecca Schnabel | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sheila Brosy | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Marla Berntson | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Weigel | |||||||
| Board Member (Until May 24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Laurie Vetter | |||||||
| Board Member (As of May 24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Tanya Schnabel | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lee Aipperspach | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Donald Hochhalter | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Megan Rath | |||||||
| CFO | 40.00 | Yes (X) | $137,590 | $0 | $48,075 | ||
| Lukas Fischer | |||||||
| CEO | 20.00 | Yes (X) | $25,000 | $0 | $0 | ||
| Shawna Bradley | |||||||
| FNP | 40.00 | $180,572 | $0 | $20,275 | Yes (X) | ||
| Jayme Martell | |||||||
| FNP | 40.00 | $177,860 | $0 | $46,933 | Yes (X) | ||
| Trina Schilling | |||||||
| FNP | 40.00 | $174,630 | $0 | $48,272 | Yes (X) | ||
| Dan Beach | |||||||
| FNP | 40.00 | $143,437 | $0 | $52,087 | Yes (X) | ||
| Carly Sanders | |||||||
| Chief Nursing Officer | 40.00 | $129,795 | $0 | $49,292 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $968,884 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $264,934 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Linton Regional Medical Center | |||||
| 111 Elm Ave W | Linton | ND | 58552 | CEO & CMO Services | $279,556 |
| Nuray Staffing | |||||
| 3003 32 St S Ste 240 | Fargo | ND | 58103 | Contracted Radiology Technician | $234,835 |
| Wishek Drug | |||||
| PO Box 267 | Wishek | ND | 58495 | Contract Pharmacy Services | $203,960 |
| NXC Imaging | |||||
| PO Box L-4360 | Columbus | OH | 43260 | Radiology Service Contracts | $126,332 |
| Northern Plains Laboratory | |||||
| 3502 Franklin Ave | Bismarck | ND | 58502 | Reference Laborator | $121,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $4,750 | FundraisingAmt |
| Government Grants | $444,691 | GovernmentGrantsAmt |
| All Other Contributions | $148,270 | AllOtherContributionsAmt |
| Total Contributions | $597,711 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 624100 | $9,813,883 | $9,813,883 |
| Pharmacy Revenue | 456110 | $968,053 | $968,053 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,408 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,880,344 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,183 | TotalRevenueColumnAmt |
| Exclusion | $54,183 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,444 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,444 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,444 | TotalRevenueColumnAmt |
| Exclusion | $4,444 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $29,050 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,750 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $13,247 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,803 | TotalRevenueColumnAmt |
| Exclusion | $15,803 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,552,485 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,880,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $74,430 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,666 | TotalAmt |
| Management And General | $210,666 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,223,274 | TotalAmt |
| Program Services | $3,583,417 | ProgramServicesAmt |
| Management And General | $639,857 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,625 | TotalAmt |
| Program Services | $102,376 | ProgramServicesAmt |
| Management And General | $17,249 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,206 | TotalAmt |
| Program Services | $771,568 | ProgramServicesAmt |
| Management And General | $149,638 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,062 | TotalAmt |
| Program Services | $250,813 | ProgramServicesAmt |
| Management And General | $57,249 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,476 | TotalAmt |
| Management And General | $302,476 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,159 | TotalAmt |
| Management And General | $7,159 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,907 | TotalAmt |
| Management And General | $81,907 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,890,984 | TotalAmt |
| Program Services | $1,818,466 | ProgramServicesAmt |
| Management And General | $72,518 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,443 | TotalAmt |
| Program Services | $964 | ProgramServicesAmt |
| Management And General | $22,479 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,621 | TotalAmt |
| Program Services | $137,419 | ProgramServicesAmt |
| Management And General | $156,002 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,726 | TotalAmt |
| Management And General | $489,726 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,713 | TotalAmt |
| Program Services | $213,440 | ProgramServicesAmt |
| Management And General | $10,273 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,261 | TotalAmt |
| Program Services | $31,552 | ProgramServicesAmt |
| Management And General | $3,709 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,859 | TotalAmt |
| Program Services | $23,604 | ProgramServicesAmt |
| Management And General | $10,255 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,552 | TotalAmt |
| Management And General | $32,552 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,069 | TotalAmt |
| Program Services | $389,064 | ProgramServicesAmt |
| Management And General | $58,005 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,070 | TotalAmt |
| Management And General | $98,070 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $1,016,090 | $1,016,090 | |
| Repairs and Maintenance | $67,425 | $33,334 | $34,091 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,729 | TotalAmt |
| Program Services | $140 | ProgramServicesAmt |
| Management And General | $3,589 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,829,917 | TotalAmt |
| Program Services | $8,372,247 | ProgramServicesAmt |
| Management And General | $2,457,470 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,232 | BOYAmt |
| EOY | $891,956 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,854,172 | BOYAmt |
| EOY | $3,018,739 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,673,875 | BOYAmt |
| EOY | $1,138,773 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,789 | BOYAmt |
| EOY | $99,616 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,948 | BOYAmt |
| EOY | $121,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,645,156 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,570,238 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,198,667 | BOYAmt |
| EOY | $2,074,918 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,661 | BOYAmt |
| EOY | $427,705 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,022,344 | BOYAmt |
| EOY | $7,773,462 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,204,873 | BOYAmt |
| EOY | $880,055 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,510 | BOYAmt |
| EOY | $53,510 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,237 | BOYAmt |
| EOY | $619,557 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,319 | BOYAmt |
| EOY | $482,228 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,197,939 | BOYAmt |
| EOY | $2,035,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,702,404 | BOYAmt |
| EOY | $5,563,184 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,001 | BOYAmt |
| EOY | $174,928 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,824,405 | BOYAmt |
| EOY | $5,738,112 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,022,344 | BOYAmt |
| EOY | $7,773,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $722,568 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $191,139 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,708 | OtherCostOrOtherBasisAmt |
| Book Value | $12,708 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $128,459 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,006,964 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,544,107 | DepreciationAmt |
| Book Value | $1,591,316 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,429,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,963,302 | DepreciationAmt |
| Book Value | $466,441 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,829 | DepreciationAmt |
| Book Value | $4,453 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,074,918 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Finance Lease Asset | Desc |
| Book Value | $427,705 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $427,705 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Lease Liabilities | $436,846 |
| Estimated Third-Party Payor Settlements | $45,382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $482,228 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,587,350 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $21,618 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $21,618 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,565,732 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$13,247 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$13,247 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,552,485 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,864,782 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $21,618 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $13,247 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $34,865 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,829,917 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,829,917 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Association believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Association would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 4b - Other Adjustments: | Special Event Expenses reclassed to Revenue on Form 990 -13,247. |
| Part XII, Line 2d - Other Adjustments: | Special Event Expenses reclassed to Revenue on Form 990 13,247. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Fall Foundation Fundraiser | Event1Nm |
| Gross Receipts Event1 | $25,189 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $4,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,189 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $5,008 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,367 | OtherDirectExpensesEvent1Amt |
| Event2 | Bike-a-thon | Event2Nm |
| Gross Receipts Event2 | $5,079 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $750 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,329 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $592 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $245 | FoodAndBeverageEvent2Amt |
| Gross Receipts Total | $30,268 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $4,750 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,518 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $592 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $5,253 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,367 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,212 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $13,306 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $354,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01540 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $387,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $387,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $132,446 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $16,635 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,547,067 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,714,589 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$167,522 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wishek Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1007 4th Ave S | AddressLine1Txt |
| City | Wishek | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58495 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://schealthnd.com/ | WebsiteAddressTxt |
| State License | 5053 | StateLicenseNum |
Subordinate Hospital Name SubordinateHospitalName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DBA South Central Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 4 provider based RHCs | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wishek Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.schealthnd.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.schealthnd.com | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://schealthnd.com/patient-resources/patient-portal-2/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://schealthnd.com/patient-resources/patient-portal-2/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://schealthnd.com/patient-resources/patient-portal-2/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Wishek Community Hospital | Part V, Section B, Line 5: Through a joint effort, professionals from Wishek Hospital and Clinics, with the assistance of the Center for Rural Health at the University of ND School of Medicine and Health Sciences conducted a Community Health Needs Assessment in 2023. A community group along with a forementioned professionals serves as a focus group that identified the general health needs of the communities of the three counties they serve. A survey was distributed to residents in Lamoure, Logan, and McIntosh county and the results of this survey were shared with the focus group and priority health needs were determined. |
| Wishek Community Hospital | Part V, Section B, Line 6b: The other facilities included in Wishek's 2023 CHNA were Central Valley Health District and McIntosh District Health Unit. |
| Wishek Community Hospital | Part V, Section B, Line 11: In response to the Community Health Needs Assessment (CHNA), conducted in 2023, South Central Health (SCH), has identified the following needs.- Availability of mental health services- Attracting and retaining young families- Availability of home health- Cost of healthcare insuranceIn addressing the significant needs identified by our 2023 CHNA, Wishek Hospital Clinic Association will continue to partner with Rural Psychiatry Associates to provide telehealth psychiatry services. Also, WHCA will work with Avel to try to get telehealth services in the local schools.The Hospital staff continues to work with the local JDA committee to recruit and retain young families to our community. The board of directors is also looking into housing options for staff to rent to attract individuals to the area. Wishek Hospital Clinic Association provides visiting nurse services in patient's homes to patients that qualify as there is a lack of a formal home health program.The organization will not address the identified need "cost of healthcare insurance" due to budget constraints. |
| Wishek Community Hospital | Part V, Section B, Line 16j: The financial assistance documents are translated to Spanish and available upon request but are not on the Hospital's website. The Hospital does not meet the requirement to translate but has done so as a convenience for a few of its Spanish speaking patients. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on the percentage of individuals living below the poverty level in 2024. The CNHA states the Organization's service area is Logan, McIntosh, and Lamoure counties in ND. Based on the average poverty level for these counties from the Census Bureau data, the average poverty level is 12.56%. With this data an estimate of the amount of implicit price concessions which is attributable to patients eligible under the organization's financial assistance policy would be $16,635. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on page 12 and 13 of the attached audited financial statements. |
| Part III, Line 8: | Wishek Hospital Clinic Association is a critical access hospital with a Medicare shortfall. This is considered a community benefit because providing services to Medicare patients is essential to the patients and the community and increases their access to healthcare services.The amounts were determined based upon the cost-to-charge ratio from the cost report that was filed for the year. |
| Part III, Line 9b: | All patients are notified on their monthly statement that the organization offers an uncompensated care program for anyone unable to meet their private pay policy and that they are to contact the accounts receivable department. For patients who qualify for charity and who are cooperating with the organization in good faith to resolve their bills, the organization will offer extended payment plans to eligible patients, reduce the bill by the appropriate amounts, will not impose wage garnishments or liens, will not send unpaid bills to outside collection agencies and will cease all collection efforts.Wishek Hospital Clinic Association will accept the Uncompensated Care Financial Assistance application on accounts up to 240 days following the first billing statement. After the initial 120 days, SCH may undertake collection actions, but must still accept and process the Uncompensated Care Financial Assistance application up to the 240 days. the Hospital will suspend all collection activities while it processes the application. |
| Part VI, Line 2: | The medical staff team meets monthly to discuss current or most recent cases that they have encountered. Unique cases, as well as the routine cases are discussed. Every other month, support staff, which include the directors of nursing, health information management, laboratory/radiology, pharmacy, discharge planning and administration, are invited to these meetings for similar discussions, in addition to unifying the approach in various matters such as standards of care, quality assurance study review, Medicare/Medicaid or 3rd party guidelines on standards of care and/or reimbursement.The organization has also established a "call-back" system. All patients discharged from the hospital are followed up with a call and/questionnaires asking about how they are doing, if there are any questions, additional areas of need or services that we may need to get in place for them. We have a system in our organization that also allows for our staff to review the patient's chart prior to a clinic visit to identify any needs such as mammograms, bone density, PSA, cholesterol, pap, colonoscope or any other identified follow-up screening or test. A sheet is placed on the front of the chart to assist the medical staff in cueing into these needs. Once the visit is complete the chart is then re-routed back into the call-back office for placing into the system the next date of screening services or to schedule follow-up or referral appointments for that patient needs. Messages are also sent to patients in relation to the routine follow-ups for medication refills or monitoring of chronic medical conditions such as diabetes, heart disease, kidney or liver disease process, osteoporosis or any other identified disease process/abnormality. The management team and the board of directors also meets monthly to bring to the table the current operations and discussion of current happenings and feedback. Due to the fact we represent different areas that come together as a team to ensure access to healthcare at a low-cost high-quality manner is in place - this opportunity allows variable discussion to community needs and how we can address them in an interdisciplinary team approach. Utilization is monitored in relation to the current programs in place. Such programs include the cardiac rehab program, women's way program, charity care or uncompensated care program, home health and extended care programs. To expand a bit on how far our community reaches and its representation - we have established four rural health clinics in surrounding communities which reach as far out as 45 miles for the clinic location, however community citizen expansion reaches beyond the 45-mile radius. Representation on the medical staff and board of directors reaches into these areas, as we have both designated professionals from those areas on our teams for ensuring access to healthcare and addressing those needs of the population in the area. |
| Part VI, Line 3: | The uncompensated care notice is on the back of every statement and posted around the facilities. The policy and application are posted on the website. Also when patients are called or sent letters about their past due accounts, the option of uncompensated care is suggested. |
| Part VI, Line 4: | Wishek Hospital Clinic Association (WHCA) is a 24-bed non-profit Critical Access Hospital (CAH) located in South Central North Dakota. Our organization provides such services as 24-hour emergency care, clinic, ambulance, outpatient hospital and ancillary services, inpatient and swingbed, and outpatient surgery. WHCA has four rural health clinics located in Wishek, Kulm, Napoleon, and Gackle and of the four; three are located more than 30 miles away. We closed the Gackle Clinic on March 31, 2024. We still serve the community of Gackle. We provide care to the residents of the Gackle Care Center monthly. WHCA serves the counties of McIntosh, Logan, and Western Lamoure, which includes a geographic area of over 2,000 square miles and approximately 8,400 residents according to the U.S. Census Bureau, Census 2020 report. Statistics in relation to this population include a majority of the population of age 65 or older with McIntosh at 29.7%, Logan 27%, and Lamoure 27.4%. The case mix for the hospital and clinics is 69% Medicare, 20% BCBs, 2% Medicaid and 9% other. The median age of residents of McIntosh County is 54 years of age. With this statistic, the main area which WHCA serves indicates McIntosh County is the second oldest county of the 53 counties in North Dakota. The state median age is 35.2 years and the national median age is 38.2. Figures are according to the 2020 census. The percent of North Dakota residents living in poverty was estimated in 2020 to be 10.5%. McIntosh County was estimated to be 10.2%, Logan County 7.1%, and Lamoure County 13.5%. The community of Wishek possesses a 60-bed nursing home (Wishek Living Center), which is independent of the hospital. The community of Napoleon, which is located in Logan County, has a 44-bed nursing home (Napoleon Care Center) and we provide the majority of health care in these two skilled facilities. We also provide health care services to the residents of the Gackle Care Center's basic care residents in Gackle, ND. WHCA is located in a designated medically underserved area and in a health professional shortage area in North Dakota. |
| Part VI, Line 5: | The WHCA governing board is composed primarily of members from the communities it serves and are not employees, contractors, nor family members. The surplus of funds is used to update the aging facility as well as updated technologically medical equipment and computer systems to meet the electronic medical records requirements to service our patient population. Having updated medical equipment not only keeps the services in to our rural area, but also allows us to provide for our patients.Our ambulance provides CPR training to those interested and is on standby call at local football games as a courtesy to the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jayme Martell | ||||||||||||||
| FNP | $162,860 | $0 | $15,000 | $0 | $0 | $0 | $7,377 | $0 | $39,556 | $0 | $224,793 | $0 | $0 | $0 |
| Trina Schilling | ||||||||||||||
| FNP | $171,630 | $0 | $3,000 | $0 | $0 | $0 | $5,517 | $0 | $42,754 | $0 | $222,901 | $0 | $0 | $0 |
| Shawna Bradley | ||||||||||||||
| FNP | $177,572 | $0 | $3,000 | $0 | $0 | $0 | $3,689 | $0 | $16,585 | $0 | $200,846 | $0 | $0 | $0 |
| Dan Beach | ||||||||||||||
| FNP | $143,437 | $0 | $0 | $0 | $0 | $0 | $6,495 | $0 | $45,592 | $0 | $195,524 | $0 | $0 | $0 |
| Megan Rath | ||||||||||||||
| CFO | $112,590 | $0 | $25,000 | $0 | $0 | $0 | $6,119 | $0 | $41,956 | $0 | $185,665 | $0 | $0 | $0 |
| Carly Sanders | ||||||||||||||
| Chief Nursing Officer | $129,795 | $0 | $0 | $0 | $0 | $0 | $5,866 | $0 | $43,425 | $0 | $179,086 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Wishek Hospital Clinic Association does not pay compensation to the CEO directly. The CEO is compensated by Linton Regional Medical Center, an unrelated organization, through a management services agreement with Wishek and Linton. The Linton Regional Medical Center's Board of Directors uses some of the processes described in Part I, Question 3 to determine appropriate compensation for the CEO. The Wishek Hospital Clinic Association Board of Directors approves the Organization's management agreement. |
| Part I, Line 7 | Megan Rath, CFO, received a bonus that was at the board's discretion. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Carla Aipperspach | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Wife of Board Member - Lee Aipperspach | RelationshipDescriptionTxt |
| Transaction | $203,960 | TransactionAmt |
| Transaction | Payment to drug store for pharmacy services, Wishek Drug | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | The Gackle Rural Health Clinic was closed on March 31, 2024. |
| Form 990, Part VI, Section A, line 1a | The Executive Committee consists of the President, Vice President, Secretary/Treasurer, and the Association's CEO. The Executive Committee transacts business, performs duties, and exercises powers as may be directed or delegated by the Board of Directors from time to time. Items of major importance will be referred to the Board of Directors. Minutes of the Executive Committee are submitted to the Board and its action is subject to the approval or disapproval at the next regular Board meeting. |
| Form 990, Part VI, Section A, line 3 | Lukas Fischer, CEO, is employed by and received W-2 compensation from Linton Regional Medical Center (LRMC), an unrelated organization, for providing CEO services to both LRMC and Wishek Hospital Clinic Association. Wishek Hospital Clinic Association had a management services agreement with LRMC. Wishek Hospital Clinic Association reimbursed LRMC $194,268 in 2024 for his services of supervising the management, administration, and operation of Wishek. In addition, Lukas received Form 1099 compensation in the amount of $25,000 directly from Wishek. The compensation is reported on Part VII. |
| Form 990, Part VI, Section A, line 6 | Membership is open to any individual in the service area who contributes $10.00 to the association and requests membership. |
| Form 990, Part VI, Section A, line 7a | All eligible members may vote at the annual meeting for the election of the board of directors. |
| Form 990, Part VI, Section A, line 7b | At the annual meeting, the members may discuss the business of the association and make and approve motions concerning that business or the actions of the board of directors. |
| Form 990, Part VI, Section B, line 11b | A copy of the Form 990 is provided to each board member of the governing body prior to filing. The CFO reviews the Form 990. |
| Form 990, Part VI, Section B, line 12c | Annually the board members and officers must disclose any potential conflicts of interest to the board and management and must not participate in any vote that involves a conflict. |
| Form 990, Part VI, Section B, line 15 | In 2023, Wishek Hospital Clinic Association and Linton Regional Medical Center signed an agreement to share the services of the CEO employed by Linton Regional Medical Center. In determining CEO compensation, current compensation and added responsibilities and duties are taken into account along with the percentage of his compensation each facility would have to pay. The results of the North Dakota Hospital Association annual survey is used to determine compensation for the CEO. Documentation is provided in the management agreements and personnel file. Compensation review and adjustments are done annually. The CFO's compensation is reviewed and adjusted on an annual basis. The North Dakota Hospital Association's annual survey is used for comparability data. The CEO submits the compensation adjustment into the budget which goes to the board to approve. Documentaton is provided in the peronnel file. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. |
| Form 990, Part IX, line 11g | Contracted Services: Program service expenses 1,567,592. Management and general expenses 72,518. Fundraising expenses 0. Total expenses 1,640,110. Physician Fees: Program service expenses 250,874. Management and general expenses 0. Fundraising expenses 0. Total expenses 250,874. |
| Form 990, Part XI, Line 8: | During 2024, it was discovered that balances pertaining to contribution revenue and receivable balances as of and for the year end December 31, 2023 were recorded incorrectly. Accordingly, these errors were corrected and adjustments were made. |