Civic Intelligence

Cavalier County Memorial Hospital Foundation

990 • Fiscal year 2021 • EIN 36-3617578

Jul 01, 2020 to Jun 30, 2021 • Filed on Aug 09, 2021

909 2nd StLangdon, ND 58249

(701) 256-6139

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

14th percentile

0.00x

Higher debt load relative to assets than 14% of similar nonprofits.

2021 filings • NTEE S • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

21st percentile

0.03x

Higher debt load relative to revenue than 21% of similar nonprofits.

2021 filings • NTEE S • $1M-$5M nonprofits • Source year 2021

Net Margin

83rd percentile

43%

Higher net margin than 83% of similar nonprofits.

2021 filings • NTEE S • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

36th percentile

$41,200

Higher top officer pay than 36% of similar nonprofits.

Top officer pay equals 28.9% of source-year revenue.

2021 filings • NTEE S • $1M-$5M nonprofits • Source year 2021

Asset Growth

66th percentile

18%

Faster asset growth than 66% of similar nonprofits.

2021 filings • NTEE S • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

75th percentile

44%

Faster revenue growth than 75% of similar nonprofits.

2021 filings • NTEE S • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Up

$2,782,263

Up $423,083 (+18%) from 2020

Net Assets

Up

$2,777,725

Up $426,449 (+18%) from 2020

Liabilities

Down

$4,538

Down $3,366 (-43%) from 2020

Revenue

Up

$142,350

Up $43,278 (+44%) from 2020

Expenses

Down

$81,794

Down $29,191 (-26%) from 2020

Net Income

Up

$60,556

Up $72,469 (+608%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $1,420,330Liabilities 2010: $2,727Net Assets 2010: $1,417,6032010Assets 2011: $1,626,771Liabilities 2011: $2,702Net Assets 2011: $1,624,0692011Assets 2012: $1,589,783Liabilities 2012: $5,150Net Assets 2012: $1,584,6332012Assets 2013: $1,732,971Liabilities 2013: $2,722Net Assets 2013: $1,730,2492013Assets 2014: $1,860,617Liabilities 2014: $2,468Net Assets 2014: $1,858,1492014Assets 2015: $1,786,583Liabilities 2015: $7,046Net Assets 2015: $1,779,5372015Assets 2016: $1,797,537Liabilities 2016: $11,866Net Assets 2016: $1,785,6712016Assets 2017: $1,882,079Liabilities 2017: $16,441Net Assets 2017: $1,865,6382017Assets 2018: $1,943,100Liabilities 2018: $2,319Net Assets 2018: $1,940,7812018Assets 2019: $2,403,675Liabilities 2019: $12,202Net Assets 2019: $2,391,4732019Assets 2020: $2,359,180Liabilities 2020: $7,904Net Assets 2020: $2,351,2762020Assets 2021: $2,782,263Liabilities 2021: $4,538Net Assets 2021: $2,777,7252021Assets 2022: $2,446,873Liabilities 2022: $2,155Net Assets 2022: $2,444,7182022Assets 2023: $2,497,519Liabilities 2023: $4,658Net Assets 2023: $2,492,8612023Assets 2024: $2,716,711Liabilities 2024: $4,156Net Assets 2024: $2,712,5552024Assets 2025: $2,820,188Liabilities 2025: $542Net Assets 2025: $2,819,6462025

Highlighted filing

2021

Assets$2,782,263
Liabilities$4,538
Net Assets$2,777,725

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0-$200KExpenses 2010: $40,1812010Expenses 2011: $87,8492011Expenses 2012: $86,1752012Expenses 2013: $128,0362013Revenue 2014: $96,571Expenses 2014: $47,941Net Income 2014: $48,6302014Revenue 2015: $130,020Expenses 2015: $120,900Net Income 2015: $9,1202015Revenue 2016: $99,536Expenses 2016: $84,547Net Income 2016: $14,9892016Revenue 2017: $91,419Expenses 2017: $78,374Net Income 2017: $13,0452017Revenue 2018: $122,240Expenses 2018: $58,693Net Income 2018: $63,5472018Revenue 2019: $501,180Expenses 2019: $105,642Net Income 2019: $395,5382019Revenue 2020: $99,072Expenses 2020: $110,985Net Income 2020: -$11,9132020Revenue 2021: $142,350Expenses 2021: $81,794Net Income 2021: $60,5562021Revenue 2022: $189,009Expenses 2022: $100,817Net Income 2022: $88,1922022Revenue 2023: $123,979Expenses 2023: $146,037Net Income 2023: -$22,0582023Revenue 2024: $215,508Expenses 2024: $115,444Net Income 2024: $100,0642024Revenue 2025: $186,685Expenses 2025: $199,880Net Income 2025: -$13,1952025

Highlighted filing

2021

Revenue$142,350
Expenses$81,794
Net Income$60,556
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Aug 9, 2021
Return Version
2020v4.1
Gross Receipts
$175,040
Mission and Program Overview

Mission

Support local hospital by purchasing equipment and improvements. Support two educational scholarships for area youth based on their level of acedemic achievements.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,790,624$2,403,667▲ $613,043
Savings and Temporary Cash Investments$557,707$369,732▼ $187,975
Cash and Non-Interest-Bearing Accounts$8,349$6,364▼ $1,985
Total Assets$2,359,180$2,782,263▲ $423,083
Other Assets Total$2,500$2,500→ $0
Liabilities
Accounts Payable and Accrued Expenses$7,904$4,538▼ $3,366
Total Liabilities$7,904$4,538▼ $3,366
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,575,990$2,002,439▲ $426,449
Net Assets With Donor Restrictions$775,286$775,286→ $0
Total Net Assets Fund Balance$2,351,276$2,777,725▲ $426,449
Total Liabilities and Net Assets / Fund Balance$2,359,180$2,782,263▲ $423,083

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$2,500--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mckinzie SivertsonExec DirectorPT$40,000$1,200$41,200

Board Members and Trustees

NameTitle
Mark BussePresident
Elsie MagnusVice President
Courtney ShortBoard Member
Megan MccabeBoard Member
Patrick HoffarthBoard Member
Sherry BuckweitzBoard Member
Zack SchaeferSecretary Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$37,670
Program Service Revenue
$0
Investment Income
$110,789
Other Revenue
$-6,109
All Other Contributions
$8,055
Change in Net Assets
$60,556
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$43,680
Other Expenses$29,662
Total Fundraising Expense$14,559
Grants and Similar Amounts Paid$8,452
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,334$13,333$13,333$40,000
Fees for Service Investment Mgmnt Fees-$25,535-$25,535
Grants to Domestic Orgs$5,452--$5,452
Grants to Domestic Individuals$3,000--$3,000
Payroll Taxes$827$827$826$2,480
Fees for Services Accounting-$1,771-$1,771
Pension Plan Contributions$400$400$400$1,200
Office Expenses-$1,176-$1,176
All Other Expenses-$855-$855
Advertising-$271-$271
Interest-$54-$54
Total Functional Expenses$23,013$44,222$14,559$81,794
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cavalier Co Memorial HospitalLangdon, ND-Med Equip-
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$6,109
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf$21,295$21,295$864$20,431
Lights Stars$8,320$8,320$1,526$6,794
Total Events$35,170$35,170$6,109$29,061
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

The officers of the governing body review and sign the return.

Governing documents etc available to public Part VI line 19

Documents are available for review upon request

Filing and Contact Details

Filer

Filer Name
Cavalier Co Memorial Hosp Foundation
EIN
36-3617578
Address
909 2ND ST, LANGDON, ND 58249

Signing Officer

Name
Zack Schaefer
Title
Secretary Treas
Phone
7012566139
Signed
2021-08-09
Discuss with paid preparer
Yes

Organization Details

Formed
1986
Legal Domicile
Nd
Voting Board Members
7
Independent Board Members
7
Employees
1

Preparer

Firm
Hurtt Mortenson & Rygh
Address
P O Box 287, Park River, ND 58270
Preparer
Rachel Almen
Phone
7012847616
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

Accrued payroll liabilities were restated on july 1, 2017

Raw XML Appendix398 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt7SECRETARY TREASURER
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt15000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0CAVALIER CTY MEM HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1CAV CNTY EMERG FOOD PANTRY
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt05000
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt02500
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0ND SURETY BOND
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IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt08320
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt021295
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt08320
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt05555
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IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt029061
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IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt0583
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt02973
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IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt01526
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt01
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0MED EQUIP
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0CAVALIER CO MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0363617578
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0909 2ND ST
IRS990ScheduleI/RecipientTable/USAddress/CityNm0LANGDON
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IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE OFFICERS OF THE GOVERNING BODY REVIEW AND SIGN THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ACCRUED PAYROLL LIABILITIES WERE RESTATED ON JULY 1, 2017
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Explanation of other changes in net assets or fund balances Part XI line 9
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IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt02782263
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IRS990/TotalAssetsGrp/EOYAmt02782263
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IRS990/TotalContributionsAmt037670
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt014559
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt044222
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt023013
IRS990/TotalFunctionalExpensesGrp/TotalAmt081794
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt07904
IRS990/TotalLiabilitiesEOYAmt04538
IRS990/TotalLiabilitiesGrp/BOYAmt07904
IRS990/TotalLiabilitiesGrp/EOYAmt04538
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02351276
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02777725
IRS990/TotalOtherCompensationAmt01200
IRS990/TotalProgramServiceExpensesAmt023013
IRS990/TotalReportableCompFromOrgAmt040000
IRS990/TotalRevenueGrp/ExclusionAmt0-6109
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0110789
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0142350
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02359180
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02782263
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd000
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ZACK SCHAEFER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY TREAS
ReturnHeader/BusinessOfficerGrp/PhoneNum07012566139
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-08-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CAVALIER CO MEMORIAL HOSP FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CAVA
ReturnHeader/Filer/EIN0363617578
ReturnHeader/Filer/USAddress/AddressLine1Txt0909 2ND ST
ReturnHeader/Filer/USAddress/CityNm0LANGDON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058249
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0201513919
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Hurtt Mortenson & Rygh
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0P O Box 287
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Park River
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd058270
ReturnHeader/PreparerPersonGrp/PhoneNum07012847616
ReturnHeader/PreparerPersonGrp/PreparationDt02021-09-27
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RACHEL ALMEN
ReturnHeader/ReturnTs02021-09-27T11:25:49-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0ZACK
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0SCHAEFER
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.82$0.00$2.82$0.19$0.20$0.01
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.72$0.00$2.71$0.22$0.12$0.10
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.50$0.00$2.49$0.12$0.15$0.02
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.45$0.00$2.44$0.19$0.10$0.09
2021Detailed filing. Detailed filing data is available for this year.$2.78$0.00$2.78$0.14$0.08$0.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.36$0.01$2.35$0.10$0.11$0.01
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.40$0.01$2.39$0.50$0.11$0.40
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.94$0.00$1.94$0.12$0.06$0.06
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.88$0.02$1.87$0.09$0.08$0.01
2016Detailed filing. Detailed filing data is available for this year.$1.80$0.01$1.79$0.10$0.08$0.01
2015Detailed filing. Detailed filing data is available for this year.$1.79$0.01$1.78$0.13$0.12$0.01
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.86$0.00$1.86$0.10$0.05$0.05
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.73$0.00$1.73$0.13
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.59$0.01$1.58$0.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.63$0.00$1.62$0.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.42$0.00$1.42$0.04