Civic Intelligence

Pr Health Corporation

EIN 45-0232743 • 501(c)3 • Park River, ND

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Profile

To continue the healing mission of Jesus in a rural setting. We are committed to: A respect for each person; A caring, Christian environment; Professional excellence; Promoting healthy communities; Personal service; and an Innovative spirit.

115 Vivian StPark River, ND 58270-0708

www.firstcarehc.com

Siviq Scores

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

Liabilities / Assets

28th percentile

0.18x

Higher debt load relative to assets than 28% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

36th percentile

0.24x

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

NTEE E • $25M-$50M nonprofits • Source year 2024

Net Margin

47th percentile

0.7%

Higher net margin than 47% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

46th percentile

$456,921

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

NTEE E • $25M-$50M nonprofits • Source year 2024

Asset Growth

39th percentile

0.6%

Faster asset growth than 39% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

47th percentile

6.7%

Faster revenue growth than 47% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets28th percentile

Assets

Up

$29,959,687

Up $192,251 (+0.6%) from 2023

Liabilities

Up

$5,445,350

Up $45,927 (+0.9%) from 2023

Net Assets

Up

$24,514,337

Up $146,324 (+0.6%) from 2023

Operations
Liabilities / Revenue36th percentileNet Margin47th percentile

Revenue

Up

$22,433,056

Up $1,407,851 (+6.7%) from 2023

Expenses

Up

$22,275,694

Up $3,231,927 (+17%) from 2023

Net Income

Down

$157,362

Down $1,824,076 (-92%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth39th percentile

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

$30M$20M$10M$0Assets 2010: $12,569,202Liabilities 2010: $7,728,685Net Assets 2010: $4,840,5172010Assets 2011: $12,062,063Liabilities 2011: $7,371,664Net Assets 2011: $4,690,3992011Assets 2012: $12,410,519Liabilities 2012: $7,602,736Net Assets 2012: $4,807,7832012Assets 2013: $12,238,304Liabilities 2013: $7,357,258Net Assets 2013: $4,881,0462013Assets 2014: $12,584,951Liabilities 2014: $6,769,121Net Assets 2014: $5,815,8302014Assets 2015: $12,893,087Liabilities 2015: $5,904,186Net Assets 2015: $6,988,9012015Assets 2016: $13,642,423Liabilities 2016: $5,667,877Net Assets 2016: $7,974,5462016Assets 2017: $14,710,685Liabilities 2017: $5,927,352Net Assets 2017: $8,783,3332017Assets 2018: $16,577,397Liabilities 2018: $6,435,106Net Assets 2018: $10,142,2912018Assets 2019: $17,334,512Liabilities 2019: $5,320,782Net Assets 2019: $12,013,7302019Assets 2020: $23,260,722Liabilities 2020: $9,818,247Net Assets 2020: $13,442,4752020Assets 2021: $28,455,136Liabilities 2021: $6,911,416Net Assets 2021: $21,543,7202021Assets 2022: $27,816,917Liabilities 2022: $5,446,194Net Assets 2022: $22,370,7232022Assets 2023: $29,767,436Liabilities 2023: $5,399,423Net Assets 2023: $24,368,0132023Assets 2024: $29,959,687Liabilities 2024: $5,445,350Net Assets 2024: $24,514,3372024

Highlighted filing

2024

Assets$29,959,687
Liabilities$5,445,350
Net Assets$24,514,337
Open 2024 Filing

Operations Trend

Revenue Growth47th percentile

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

$30M$20M$10M$0Expenses 2010: $8,386,7722010Expenses 2011: $9,092,2542011Revenue 2012: $9,387,544Expenses 2012: $9,270,787Net Income 2012: $116,7572012Revenue 2013: $8,979,719Expenses 2013: $8,905,627Net Income 2013: $74,0922013Revenue 2014: $10,826,279Expenses 2014: $9,890,514Net Income 2014: $935,7652014Revenue 2015: $11,637,461Expenses 2015: $10,467,840Net Income 2015: $1,169,6212015Revenue 2016: $12,003,696Expenses 2016: $11,013,612Net Income 2016: $990,0842016Revenue 2017: $12,579,804Expenses 2017: $11,769,152Net Income 2017: $810,6522017Revenue 2018: $13,433,939Expenses 2018: $12,075,719Net Income 2018: $1,358,2202018Revenue 2019: $14,764,462Expenses 2019: $12,891,385Net Income 2019: $1,873,0772019Revenue 2020: $17,030,121Expenses 2020: $15,607,548Net Income 2020: $1,422,5732020Revenue 2021: $24,744,336Expenses 2021: $16,641,721Net Income 2021: $8,102,6152021Revenue 2022: $19,412,049Expenses 2022: $18,033,916Net Income 2022: $1,378,1332022Revenue 2023: $21,025,205Expenses 2023: $19,043,767Net Income 2023: $1,981,4382023Revenue 2024: $22,433,056Expenses 2024: $22,275,694Net Income 2024: $157,3622024

Highlighted filing

2024

Revenue$22,433,056
Expenses$22,275,694
Net Income$157,362
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$29,959,687
Liabilities
$5,445,350
Net assets
$24,514,337
Revenue
$22,433,056
Expenses
$22,275,694
Net income
$157,362
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$30.0$5.45$24.5$22.4$22.3$0.16
2023Detailed filing. Detailed filing data is available for this year.$29.8$5.40$24.4$21.0$19.0$1.98
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.8$5.45$22.4$19.4$18.0$1.38
2021Detailed filing. Detailed filing data is available for this year.$28.5$6.91$21.5$24.7$16.6$8.10
2020Detailed filing. Detailed filing data is available for this year.$23.3$9.82$13.4$17.0$15.6$1.42
2019Detailed filing. Detailed filing data is available for this year.$17.3$5.32$12.0$14.8$12.9$1.87
2018Detailed filing. Detailed filing data is available for this year.$16.6$6.44$10.1$13.4$12.1$1.36
2017Detailed filing. Detailed filing data is available for this year.$14.7$5.93$8.78$12.6$11.8$0.81
2016Detailed filing. Detailed filing data is available for this year.$13.6$5.67$7.97$12.0$11.0$0.99
2015Detailed filing. Detailed filing data is available for this year.$12.9$5.90$6.99$11.6$10.5$1.17
2014Detailed filing. Detailed filing data is available for this year.$12.6$6.77$5.82$10.8$9.89$0.94
2013Detailed filing. Detailed filing data is available for this year.$12.2$7.36$4.88$8.98$8.91$0.07
2012Summary only. Only limited summary data is available for this year.$12.4$7.60$4.81$9.39$9.27$0.12
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$7.37$4.69$9.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.6$7.73$4.84$8.39
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 23, 2025
Return Version
2024v5.2
Gross Receipts
$22,480,469
Mission and Program Overview

Mission

To continue the healing mission of Jesus in a rural setting. We are committed to: A respect for each person; A caring, Christian environment; Professional excellence; Promoting healthy communities; Personal service; and an Innovative spirit.

Acute care hospital serving the healthcare needs of individuals residing in the Park River, ND area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$7,361,786$13,004,283▲ $5,642,497
Land, Buildings, and Equipment, Net$7,678,749$7,643,637▼ $35,112
Savings and Temporary Cash Investments$10,642,096$4,741,774▼ $5,900,322
Accounts Receivable$2,390,023$3,059,933▲ $669,910
Inventories for Sale or Use$473,190$535,302▲ $62,112
Receivables From Officers Etc$0$522,709▲ $522,709
Prepaid Expenses and Deferred Charges$210,880$314,599▲ $103,719
Other Notes and Loans Receivable, Net$7,090$24,794▲ $17,704
Total Assets$29,767,436$29,959,687▲ $192,251
Other Assets Total$1,003,622$112,656▼ $890,966
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,978,806$2,755,576▼ $223,230
Accounts Payable and Accrued Expenses$2,269,806$1,845,447▼ $424,359
Other Liabilities$150,811$844,327▲ $693,516
Total Liabilities$5,399,423$5,445,350▲ $45,927
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,512,588$22,409,320▼ $103,268
Net Assets With Donor Restrictions$1,855,425$2,105,017▲ $249,592
Total Net Assets Fund Balance$24,368,013$24,514,337▲ $146,324
Total Liabilities and Net Assets / Fund Balance$29,767,436$29,959,687▲ $192,251

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,422,292$8,135,956$11,558,248
Equipment$3,660,331$6,385,498$10,045,829
Other Land Buildings$498,951$331,673$830,624
Land$62,063-$62,063

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$154,334-▲ $5,717$5,717$154,334
2023$154,334-▲ $2,370$2,370$154,334
2022$154,334-▲ $345$345$154,334
2021$154,334-▲ $347$347$154,334
2020$154,334-▲ $308$308$154,334
Compensation and Service Providers
Top Officer Pay46th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mirza BaigGastroenterologistPT$424,816$32,105$456,921
Marcus LewisCEOFT$232,611$33,507$266,118
Tamara ClemetsonPA-C/Clinic ManagerFT$221,241$32,231$253,472
Michael BittlesSurgeonPT$188,334$5,650$193,984
Lindsey GillespieRN/Care CoordinatorFT$154,682$20,283$174,965
Lori SeimCNOFT$159,730$11,182$170,912
Amy BurianekRN/Care CoordinatorFT$140,141$25,894$166,035
Nina HollingsworthCFOFT$115,296$15,454$130,750

Board Members and Trustees

NameTitle
Dennis MarkusenBoard Chair (Jan-Mar)
Eugene Bossert - Director(Jan-Mar)/Vice Chair (Apr-Dec)
Patty DahlenVice Chair (Jan-Mar)/Chair (Apr-Dec)
Brenda NilsonDirector
Diana HahnDirector
Gale BenedaDirector
Katherine HallDirector
Nicholas Beneda DDSDirector
Casey WollangkDirector (Apr-Dec)
Dori CarlsonDirector (Apr-Dec)
Mark Helgeson ODDirector (Jan-Mar)
Kirk HamDirector (Jan-Sept)
Ian MyrdalSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Triage LLCStaffing AgencyPO Box 773328, Chicago, IL 60677$1,882,637
Psychiatric Medical CareFamily Physician115 Vivian St, Park River, ND 58270$1,476,964
DMS Health TechnologiesBehavioral HealthPO Box 734606, Dallas, TX 75373$602,788
Independent RadiologyMobile ImagingPO Box 670747, Dallas, TX 75267$381,328
-Imaging ReadsPO Box 2746, Fargo, ND 58108$246,816
Revenue and Support

Revenue Composition

Contributions and Grants
$478,475
Program Service Revenue
$21,310,390
Investment Income
$677,983
Other Revenue
$-33,792
All Other Contributions
$58,307
Change in Net Assets
$157,362

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table32$21,735Fair Market Value (FMV)
Other Non Cash Contri Table70$9,523Fair Market Value (FMV)
Total Noncash Contributions102$31,258-

Audited Revenue Reconciliation

Revenue per Audited Statements
$22,419,463
Revenue Not Reported on Financial Statements
$13,593
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$13,593
Total Revenue per Audited Statements
$22,419,463
Total Revenue per Form 990
$22,433,056
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$12,091,965
Salaries, Compensation, and Employee Benefits$10,170,854
Grants and Similar Amounts Paid$12,875
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,968,102$345,335-$7,313,437
Fees for Services Other$5,817,509$113,365-$5,930,874
Other Employee Benefits$1,313,857$121,848-$1,435,705
Office Expenses$450,661$774,353-$1,225,014
Depreciation Depletion$1,025,665$95,501-$1,121,166
Current Officers, Directors, Trustees, and Key Employees$11,964$557,621-$569,585
Payroll Taxes$483,774$57,811-$541,585
Occupancy$354,842$33,079-$387,921
Pension Plan Contributions$300,542$10,000-$310,542
Advertising$3,108$269,531-$272,639
Travel$125,722$124,933-$250,655
Insurance$148,874$13,862-$162,736
All Other Expenses$39,160$120,899-$160,059
Fees for Services Accounting-$141,689-$141,689
Interest$115,832$10,785-$126,617
Fees for Services Legal-$18,060-$18,060
Grants to Domestic Orgs$12,875--$12,875
Other Expenses$2,555--$2,555
Total Functional Expenses$19,467,022$2,808,672$0$22,275,694

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$22,275,694
Expenses per Audited Statements$22,267,422
Total Expenses per Audited Statements$22,267,422
Expenses Not Reported on Financial Statements$8,272
Other Expense Adjustments$8,272
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$47,413
Fundraising Gross Income$13,621
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Harvest Fest$136,847$6,950-$6,950
Golf Tournament$47,350$6,671$497$6,174
Total Events$184,197$13,621$47,413$-33,792
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$0$522,709▲ $522,709
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Split-dollar life insurance obligations$402,736
Estimated third-party payor settlements$324,558
Finance Lease$117,033
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 8B

“There are no committees that exist that can act on behalf of the governing board. All decisions are made by the governing board.”

Form 990, Part VI, Section B, line 11B

“The CFO and Administrator review the Form 990 together. The Form 990 is also provided to the Board of Directors electronically for their review prior to filing the Form 990 with the IRS.”

Form 990, Part VI, Section B, line 12C

“The conflict of interst policy covers the Board of Directors and all employees. Annual disclosures by the board members and officers of the organization are reviewed by the CFO after signature. The Board would review any potential conflicts of the CFO. If a board member has a conflict on a particular issue he/she will identify the conflict and he/she must abstain from voting on that issue.”

Form 990, Part VI, Section B, line 15A

“The independent Board determines and approves the Administrator's compensation. The board compares the salary with similar organizations, all of which is recorded in the board meeting minutes. The CFO's salary is determined by the Administrator, which is typically a small percentage increase from the prior year. The process for determining compensation for both positions is performed on an annual basis.”

Form 990, Part VI, Section C, line 19

“The governing documents, conflict of interest policy, and financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
PR Health Corporation
EIN
45-0232743
Phone
7012847500
Address
115 Vivian St, Park River, ND 58270-0708
Doing Business As
First Care Health Center

Signing Officer

Name
Marcus Lewis
Title
CEO
Phone
7012847500
Signed
2025-10-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marcus Lewis
Formed
1952
Legal Domicile
Nd
Voting Board Members
10
Independent Board Members
10
Employees
160
Volunteers
40

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

“Medical Professional Fees: Program service expenses 5,775,065. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,775,065. Adm Collection Expense: Program service expenses 0. Management and general expenses 72,634. Fundraising expenses 0. Total expenses 72,634. Admin Professional Fees: Program service expenses 0. Management and general expenses 34,076. Fundraising expenses 0. Total expenses 34,076. Maintenance and housekeeping professional fees: Program service expenses 42,444. Management and general expenses 0. Fundraising expenses 0. Total expenses 42,444. Consulting: Program service expenses 0. Management and general expenses 6,655. Fundraising expenses 0. Total expenses 6,655.”

Form 990, Part XI, line 9:

“Net Income From Auxiliary Operations -11,038.”

Financial Statement Notes

Part IV, Line 1B:

“The organization holds assets on behalf of the First Care Health Center Auxiliary.”

Part V, Line 4:

“Investments are to be held in perpetuity, and the income from the investments is expendable to support various health care services.”

Part X, Line 2:

“The Health Center 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 Health Center 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:

“Income from Auxiliary Operations 13,593.”

Part XII, Line 4B - Other Adjustments:

“Expenses from Auxiliary Operations 2,555. Endowment Expenditures Recorded in Net Assets 5,717.”

Raw XML AppendixShowing 400 of 979 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/Desc0First Care Health Center is dedicated to carrying out the healing mission of Jesus. In calendar year 2024, First Care Health Center provided acute care to 262 patients. This constituted 910 days of care. The swing-bed program at the health center provides skilled nursing care for the elderly. This program provided service to 138 patients, accounting for 1,921 days of care.First Care Health Center provides health care to the community in the form of outpatient services. In calendar year 2024, outpatient visits totaling 24,768 were provided to the community. In addition, there were 11,415 visits to First Care Rural Health Clinic. As part of the mission of First Care Health Center, we provide health care to persons who are unable to pay for the services that they receive. First Care Health Center will not deny care to anyone based on their ability to pay. Charity care, based on charges foregone, in the amount of $122,074, was written off for qualified individuals.Gross revenue from Medicare and Medicaid patients for calendar year 2024 was $14,262,101. Due to the limited reimbursement from these programs, the cost of these services to the hospital is not fully reimbursed.
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IRS990/Form990PartVIISectionAGrp/PersonNm4Gale Beneda
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IRS990/MissionDesc0To continue the healing mission of Jesus in a rural setting. We are committed to: A respect for each person; A caring, Christian environment; Professional excellence; Promoting healthy communities; Personal service; and an Innovative spirit.
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