Civic Intelligence

Linton Hospital

EIN 45-0253272 • 501(c)3 • Linton, ND

Profile

The mission of linton hospital and clinics is to enhance the health, well-being, and quality of life of the people we serve.

111 Elm Ave WLinton, ND 58552-0850

lintonregionalmedicalcenter.org

Siviq Scores

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

Liabilities / Assets

44th percentile

0.13x

Higher debt load relative to assets than 44% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.10x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

29th percentile

-2.3%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

16th percentile

-5.1%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

32nd percentile

-0.4%

Faster revenue growth than 32% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$9,063,204

Down $484,334 (-5.1%) from 2023

Liabilities

Down

$1,157,631

Down $318,025 (-22%) from 2023

Net Assets

Down

$7,905,573

Down $166,309 (-2.1%) from 2023

Revenue

Down

$11,591,401

Down $44,033 (-0.4%) from 2023

Expenses

Up

$11,852,747

Up $781,472 (+7.1%) from 2023

Net Income

Down

-$261,346

Down $825,505 (-146%) from 2023

Trend Graphs

Balance Sheet Trend

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

$15M$10M$5.0M$0Assets 2011: $3,151,165Liabilities 2011: $1,699,258Net Assets 2011: $1,451,9072011Assets 2012: $3,412,720Liabilities 2012: $1,653,791Net Assets 2012: $1,758,9292012Assets 2013: $3,597,492Liabilities 2013: $1,525,803Net Assets 2013: $2,071,6892013Assets 2014: $3,755,258Liabilities 2014: $1,434,489Net Assets 2014: $2,320,7692014Assets 2015: $5,045,160Liabilities 2015: $2,007,807Net Assets 2015: $3,037,3532015Assets 2016: $5,885,299Liabilities 2016: $2,074,471Net Assets 2016: $3,810,8282016Assets 2017: $5,341,966Liabilities 2017: $1,524,559Net Assets 2017: $3,817,4072017Assets 2018: $5,668,073Liabilities 2018: $1,684,139Net Assets 2018: $3,983,9342018Assets 2019: $5,403,111Liabilities 2019: $1,191,842Net Assets 2019: $4,211,2692019Assets 2020: $5,676,257Liabilities 2020: $1,066,381Net Assets 2020: $4,609,8762020Assets 2021: $10,738,723Liabilities 2021: $3,992,286Net Assets 2021: $6,746,4372021Assets 2022: $9,240,496Liabilities 2022: $1,732,773Net Assets 2022: $7,507,7232022Assets 2023: $9,547,538Liabilities 2023: $1,475,656Net Assets 2023: $8,071,8822023Assets 2024: $9,063,204Liabilities 2024: $1,157,631Net Assets 2024: $7,905,5732024

Highlighted filing

2024

Assets$9,063,204
Liabilities$1,157,631
Net Assets$7,905,573

Operations Trend

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

$15M$10M$5.0M$0-$5.0MRevenue 2011: $5,665,889Expenses 2011: $5,348,701Net Income 2011: $317,1882011Revenue 2012: $6,077,866Expenses 2012: $5,770,845Net Income 2012: $307,0212012Expenses 2013: $5,907,8262013Revenue 2014: $6,338,949Expenses 2014: $6,089,869Net Income 2014: $249,0802014Revenue 2015: $7,734,387Expenses 2015: $7,017,803Net Income 2015: $716,5842015Revenue 2016: $9,131,763Expenses 2016: $8,358,288Net Income 2016: $773,4752016Revenue 2017: $8,440,732Expenses 2017: $8,434,153Net Income 2017: $6,5792017Revenue 2018: $8,388,194Expenses 2018: $8,221,667Net Income 2018: $166,5272018Revenue 2019: $8,597,557Expenses 2019: $8,370,222Net Income 2019: $227,3352019Revenue 2020: $9,614,978Expenses 2020: $9,216,371Net Income 2020: $398,6072020Revenue 2021: $11,375,292Expenses 2021: $9,238,731Net Income 2021: $2,136,5612021Revenue 2022: $11,513,950Expenses 2022: $10,752,664Net Income 2022: $761,2862022Revenue 2023: $11,635,434Expenses 2023: $11,071,275Net Income 2023: $564,1592023Revenue 2024: $11,591,401Expenses 2024: $11,852,747Net Income 2024: -$261,3462024

Highlighted filing

2024

Revenue$11,591,401
Expenses$11,852,747
Net Income-$261,346

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.06$1.16$7.91$11.6$11.9$0.26
2023Detailed filing. Detailed filing data is available for this year.$9.55$1.48$8.07$11.6$11.1$0.56
2022Detailed filing. Detailed filing data is available for this year.$9.24$1.73$7.51$11.5$10.8$0.76
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$3.99$6.75$11.4$9.24$2.14
2020Detailed filing. Detailed filing data is available for this year.$5.68$1.07$4.61$9.61$9.22$0.40
2019Detailed filing. Detailed filing data is available for this year.$5.40$1.19$4.21$8.60$8.37$0.23
2018Detailed filing. Detailed filing data is available for this year.$5.67$1.68$3.98$8.39$8.22$0.17
2017Detailed filing. Detailed filing data is available for this year.$5.34$1.52$3.82$8.44$8.43$0.01
2016Detailed filing. Detailed filing data is available for this year.$5.89$2.07$3.81$9.13$8.36$0.77
2015Detailed filing. Detailed filing data is available for this year.$5.05$2.01$3.04$7.73$7.02$0.72
2014Detailed filing. Detailed filing data is available for this year.$3.76$1.43$2.32$6.34$6.09$0.25
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.60$1.53$2.07$5.91
2012Summary only. Only limited summary data is available for this year.$3.41$1.65$1.76$6.08$5.77$0.31
2011Summary only. Only limited summary data is available for this year.$3.15$1.70$1.45$5.67$5.35$0.32
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$11,591,401
Mission and Program Overview

Mission

The mission of linton hospital and clinics is to enhance the health, well-being, and quality of life of the people we serve.

Critical access hospital with a 24-hour acute and emergency facility and clinics providing care

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,668,231$3,668,907▲ $676
Savings and Temporary Cash Investments$2,450,566$2,405,153▼ $45,413
Accounts Receivable$2,475,476$2,178,657▼ $296,819
Cash and Non-Interest-Bearing Accounts$512,133$411,005▼ $101,128
Inventories for Sale or Use$185,708$165,557▼ $20,151
Prepaid Expenses and Deferred Charges$68,228$121,771▲ $53,543
Total Assets$9,528,496$9,063,204▼ $465,292
Other Assets Total$168,154$112,154▼ $56,000
Liabilities
Accounts Payable and Accrued Expenses$1,068,666$878,467▼ $190,199
Other Liabilities$168,154$222,155▲ $54,001
Mortgage Notes Payable Secured by Investment Property$124,758$57,009▼ $67,749
Total Liabilities$1,361,578$1,157,631▼ $203,947
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,166,918$7,905,573▼ $261,345
Total Net Assets Fund Balance$8,166,918$7,905,573▼ $261,345
Total Liabilities and Net Assets / Fund Balance$9,528,496$9,063,204▼ $465,292

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,467,697$3,947,975$5,407,512
Buildings$1,830,477$2,933,881$4,591,508
Other Land Buildings$233,657-$233,657
Leasehold Improvements$77,040$78,787$155,827
Land$60,036-$51,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lukas FischerCEOPT$265,044$68,454$333,498
Jacqueline Grunefelder FNPNP, Family MedicineFT$203,127$60,484$263,611
Derek SchaffCFOFT$152,111$47,935$200,046
Rebecca Schatz FNP-CFamily MedicineFT$149,096$50,298$199,394
Savanna Kramer PA-CFamily MedicineFT$176,613$18,337$194,950
Tony Loggins MD - FamilyMedicine-Chief Medical OfficerPT$169,494$24,416$193,910
Susan Berreth FNP-CFamily MedicineFT$122,755$62,062$184,817
Janette VolkLaboratory ManagerFT$143,633$27,859$171,492

Board Members and Trustees

NameTitle
Sandra MeidingerPresident
Temree AppertVice President
Brian SchumacherDirector
Christopher TurmanDirector
Laura JochimDirector
Tim VolkDirector
Peter SilbernagelSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Avel eCareeCare Services4500 N Lewis Ave, Sioux Falls, SD 57104$221,236
Shaun Kessler Construction IncConstruction Services1429 Burlington Dr 5, Bismarck, ND 58504$152,604
Northern Plains LaboratoryLab Services401 N 9th St, Bismarck, ND 58501$120,498
Essentia HealthSoftware Support502 E Second Street, Duluth, MN 55805$120,238
Revenue and Support

Revenue Composition

Contributions and Grants
$814,205
Program Service Revenue
$10,703,654
Investment Income
$62,122
Other Revenue
$11,420
All Other Contributions
$4,666
Change in Net Assets
$-261,346

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,591,401
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$11,591,401
Total Revenue per Form 990
$11,591,401
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,745,893
Other Expenses$5,106,854
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,630,707$200,931-$4,831,638
Fees for Services Other$1,122,222$180,574-$1,302,796
Current Officers, Directors, Trustees, and Key Employees$193,910$533,544-$727,454
Other Employee Benefits$579,708$41,126-$620,834
Depreciation Depletion$503,419$88,059-$591,478
Payroll Taxes$337,538$45,333-$382,871
Occupancy$222,128$20,147-$242,275
All Other Expenses$167,634$29,864-$197,498
Pension Plan Contributions$182,214$882-$183,096
Office Expenses$37,259$52,103-$89,362
Insurance$18,316$63,008-$81,324
Conferences and Meetings$29,743$16,726-$46,469
Fees for Services Accounting-$40,030-$40,030
Other Expenses$29,629$9,739-$39,368
Travel$27,645$3,869-$31,514
Advertising$7,409$10,412-$17,821
Information Technology-$16,956-$16,956
Fees for Services Legal-$10,486-$10,486
Interest-$887-$887
Total Functional Expenses$10,287,675$1,565,072$0$11,852,747

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,852,747
Total Expenses per Audited Statements$11,852,747
Total Expenses per Form 990$11,852,747
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Right of Use Liability$112,155
Estimated Third Party Payor Settlements$110,000
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
Yes
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 1A

The Executive Committee consists of the President, ex officio, as Chairman, Vice-President, Secretary/Treasurer, and one (1) member, at large, of the Board of Directors elected by the Board of Directors at the same time as the election of officers. The Executive Committee has the power to transact all regular business of the Corporation during the interim between the meeting of the Board of Directors, provided any action taken does not conflict with the policies and expressed wishes of the Board of Directors.

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

The Form 990 is distributed to all board members. It is reviewed by the CFO and Board before it is filed with the IRS.

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

Officers and directors review the conflict of interest policy on an annual basis. Management is responsible for honoring and enforcing the conflict of interest policy. Individuals with a conflict do not participate in any discussion regarding a known conflict and Directors do not vote on the matter.

Form 990, Part VI, Section B, line 15

The Board of Directors determines and approves the compensation for the CEO. In determining the CEO's 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 board minutes 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. Documentation is provided in the personnel file.

Form 990, Part VI, Section C, line 19

The organization makes it governing documents, conflict of interest policy, and financial statements available to the public upon request. Management is responsible for honoring these requests.

Form 990, Part VII, Explanation of Compensation:

Lukas Fischer, CEO, is employed by and received W-2 compensation from Linton Hospital for providing CEO services to both Linton Hospital and Wishek Hospital Clinic Association. Wishek Hospital Clinic Association had a management services agreement with Linton Hospital. Wishek Hospital Clinic Association reimbursed Linton Hospital a portion of his compensation for his services of supervising the management, administration, and operation of Wishek Hospital Clinic Association.

Filing and Contact Details

Filer

Filer Name
Linton Hospital
EIN
45-0253272
Phone
7012544511
Address
111 Elm Ave W, Linton, ND 58552-0850
Doing Business As
Linton Regional Medical Center

Signing Officer

Name
Alex Bartholomay
Title
CFO
Phone
7012544511
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lukas Fischer
Formed
1953
Legal Domicile
Nd
Voting Board Members
7
Independent Board Members
7
Employees
117
Volunteers
7

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

Contracted Service: Program service expenses 916,079. Management and general expenses 180,574. Fundraising expenses 0. Total expenses 1,096,653. Consulting Fees: Program service expenses 85,996. Management and general expenses 0. Fundraising expenses 0. Total expenses 85,996. Other Fees: Program service expenses 120,147. Management and general expenses 0. Fundraising expenses 0. Total expenses 120,147.

Financial Statement Notes

Part X, Line 2:

The Hospital 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 Hospital 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 X, Line 2:

Linton Hospital and Linton Hospital Foundation are North Dakota Nonprofit Corporations and have been recognized by the Internal Revenue Services as tax-exempt pursuant to Section 501(c)(3) of the internal revenue code. Therefore, the hospital and foundation are not subject to federal income taxes. The hospital's policy is the evaluate the likelihood that its uncertain tax positions will prevail upon examination based on the extent to which those positions have substantial support within the Internal Revenue Code and regulations, revenue rulings, court decisions, and other evidence. It is the opinion of management that the hospital has no significant uncertain tax positions that would be subject to change upon examination. The income tax returns of the hospital are subject to examination by the IRS and state tax authorities, generally for three years after they were filed, all filings are current.

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IRS990/Desc0Linton Hospital is a 14-bed critical access hospital that has available 24-hour licensed healthcare practitioners and nursing services. Swingbed services are available for patients requiring skilled care. Emergency room care was provided to 1,121 emergency room visits this year. Linton Hospital also provides the following services: operating room, anesthesia services, dietary services, medical records services, pharmaceutical services, laboratory services, housekeeping, electrocardiograms, physical therapy, ultrasound services, radiology, digital mammogram services, MRI services, CT scan and diabetic education services. The organization provides these services through participation in the government programs such as CMS. Statement continued on Schedule O.Linton Hospital's Community Care program policy provides discounted or free services to patients who qualify. This policy is designed to ensure that communities served have access to needed healthcare. The Hospital provides healthcare services to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts they are not reported as patient and resident service revenue. The estimated cost of providing these services was $10,000 for the year ended December 31, 2024, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients and residents.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Sandra Meidinger
IRS990/Form990PartVIISectionAGrp/PersonNm1Temree Appert
IRS990/Form990PartVIISectionAGrp/PersonNm2Peter Silbernagel
IRS990/Form990PartVIISectionAGrp/PersonNm3Laura Jochim
IRS990/Form990PartVIISectionAGrp/PersonNm4Christopher Turman
IRS990/Form990PartVIISectionAGrp/PersonNm5Brian Schumacher
IRS990/Form990PartVIISectionAGrp/PersonNm6Tim Volk
IRS990/Form990PartVIISectionAGrp/PersonNm7Lukas Fischer
IRS990/Form990PartVIISectionAGrp/PersonNm8Derek Schaff
IRS990/Form990PartVIISectionAGrp/PersonNm9Tony Loggins MD - Family
IRS990/Form990PartVIISectionAGrp/PersonNm10Susan Berreth FNP-C
IRS990/Form990PartVIISectionAGrp/PersonNm11Jacqueline Grunefelder FNP
IRS990/Form990PartVIISectionAGrp/PersonNm12Savanna Kramer PA-C
IRS990/Form990PartVIISectionAGrp/PersonNm13Rebecca Schatz FNP-C
IRS990/Form990PartVIISectionAGrp/PersonNm14Janette Volk
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IRS990/MissionDesc0The mission of Linton Hospital and Clinics is to enhance the health, well-being, and quality of life of the people we serve.
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IRS990/ProgSrvcAccomActy2Grp/Desc0Linton Hospital owns and operates 3 clinics in the cities of Linton and Hazelton, ND and Herreid, SD. Linton Hospital employs one family practice physician, four nurse practitioners, and two physician assistants to provide services to the Hospital and clinics. Total clinic visits were 6,627 this year. The organization provides these services through participation in government programs such as CMS. Linton Hospital's Community Care program policy provides discounted or free services to patients who qualify. This policy is designed to ensure that communities served have access to needed healthcare.
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IRS990/ProgSrvcAccomActy3Grp/Desc0Linton Hospital operates the Emmons County Emergency Ambulance Service (including foot care) which covers a service area of 1,555 square miles. Emmons County is surrounded by Kidder, Logan, and McIntosh Counties in North Dakota and Campbell County in South Dakota. The Emmons County Emergency Ambulance Service provides 24-hour, 7 days a week advanced life support service to a population of approximately 3,500 residents. Linton Hospital provides these services through participation in government programs such as CMS. The Organization's Community Care policy provides discounted or free services to patients who qualify. This policy is designed to ensure that communities served have access to needed healthcare.
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