Liabilities / Assets
66th percentile
Higher debt load relative to assets than 66% of similar nonprofits.
990 • Fiscal year 2015 • EIN 45-0255914
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
66th percentile
Higher debt load relative to assets than 66% of similar nonprofits.
Liabilities / Revenue
62nd percentile
Higher debt load relative to revenue than 62% of similar nonprofits.
Net Margin
35th percentile
Higher net margin than 35% of similar nonprofits.
Top Officer Pay
32nd percentile
Higher top officer pay than 32% of similar nonprofits.
Top officer pay equals 2.0% of source-year revenue.
Asset Growth
45th percentile
Faster asset growth than 45% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$3,645,760
Up $13,199 (+0.4%) from 2014
Net Assets
Down$1,476,808
Down $4,874 (-0.3%) from 2014
Liabilities
Up$2,168,952
Up $18,073 (+0.8%) from 2014
Revenue
Up$7,258,973
Up $352,227 (+5.1%) from 2014
Expenses
Up$7,264,565
Up $221,932 (+3.2%) from 2014
Net Income
Up-$5,592
Up $130,295 (+96%) from 2014
Ashley Medical Center is a community organization which provides preventative, curative, supportive and educational health care that meets the physical, emotional, and spiritual needs of the people we serve.
To construct, maintain, and operate health care facilities in the community of Ashley, ND.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,587,000 | $1,362,798 | ▼ $224,202 |
| Accounts Receivable | $983,535 | $1,030,421 | ▲ $46,886 |
| Savings and Temporary Cash Investments | $669,575 | $836,258 | ▲ $166,683 |
| Investments in Publicly Traded Securities | $202,018 | $216,587 | ▲ $14,569 |
| Inventories for Sale or Use | $114,927 | $114,337 | ▼ $590 |
| Prepaid Expenses and Deferred Charges | $54,484 | $73,647 | ▲ $19,163 |
| Investments Program Related | $13,671 | - | - |
| Pledges and Grants Receivable | $7,126 | $11,488 | ▲ $4,362 |
| Cash and Non-Interest-Bearing Accounts | $225 | $224 | ▼ $1 |
| Total Assets | $3,632,561 | $3,645,760 | ▲ $13,199 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $1,381,232 | $1,224,319 | ▼ $156,913 |
| Accounts Payable and Accrued Expenses | $731,580 | $803,998 | ▲ $72,418 |
| Other Liabilities | $0 | $130,000 | ▲ $130,000 |
| Deferred Revenue | $29,806 | - | - |
| Escrow Account Liability | $8,261 | $10,635 | ▲ $2,374 |
| Total Liabilities | $2,150,879 | $2,168,952 | ▲ $18,073 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $1,447,794 | $1,441,560 | ▼ $6,234 |
| Temporarily Rstr Net Assets | $33,888 | $35,248 | ▲ $1,360 |
| Total Net Assets Fund Balance | $1,481,682 | $1,476,808 | ▼ $4,874 |
| Total Liabilities and Net Assets / Fund Balance | $3,632,561 | $3,645,760 | ▲ $13,199 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,048,801 | $3,916,706 | $4,933,117 |
| Equipment | $288,996 | $2,075,886 | $2,364,882 |
| Land | $25,001 | - | $25,001 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dan Mettler | Crna | FT | $137,857 | $7,843 | $145,700 |
| Jerry Lepp | Administrator/CEO | FT | $85,993 | $12,692 | $98,685 |
| Name | Title |
|---|---|
| Don Kosel | Board President |
| Frank Weisser | Board Vice President |
| Bruce Speidel | Board Member |
| David Bollinger | Board Member |
| Jean Schnabel | Board Member |
| Jenny Rohrich | Board Member |
| Terry Rueb | Board Member |
| William Klein | Board Member |
| Paul Nies | Board Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| St Alexius Medical Center | Contracted Physicians | PO Box 5510, Bismarck, ND 58502 | $373,075 |
| Dakota Travel Nurse Inc | Temp Nursing | 3015 Memorial Hwy, Mandan, ND 58554 | $161,633 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $4,920,550 |
| Other Expenses | $2,344,015 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,530,770 | $123,057 | - | $3,653,827 |
| Other Employee Benefits | $623,556 | $11,246 | - | $634,802 |
| Fees for Services Other | $460,032 | $23,950 | - | $483,982 |
| Depreciation Depletion | $381,610 | - | - | $381,610 |
| Payroll Taxes | $266,361 | $15,440 | - | $281,801 |
| Occupancy | $212,382 | $5,736 | - | $218,118 |
| Comp Disqual Persons | $162,646 | - | - | $162,646 |
| Office Expenses | $93,690 | $47,002 | - | $140,692 |
| Current Officers, Directors, Trustees, and Key Employees | - | $102,696 | - | $102,696 |
| Pension Plan Contributions | $84,497 | $281 | - | $84,778 |
| Insurance | $3,217 | $53,522 | - | $56,739 |
| Other Expenses | $54,664 | $2,101 | - | $54,664 |
| All Other Expenses | $18,454 | $22,118 | - | $40,572 |
| Interest | $40,530 | - | - | $40,530 |
| Fees for Services Accounting | - | $26,280 | - | $26,280 |
| Advertising | $15,402 | $9,603 | - | $25,005 |
| Travel | $12,156 | $4,773 | - | $16,929 |
| Conferences and Meetings | $12,984 | $1,175 | - | $14,159 |
| Total Functional Expenses | $6,731,982 | $532,583 | $0 | $7,264,565 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $7,264,565 |
| Expenses per Audited Statements | $7,209,901 |
| Total Expenses per Audited Statements | $7,209,901 |
| Expenses Not Reported on Financial Statements | $54,664 |
| Other Expense Adjustments | $54,664 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Nina Klein | Family member of board member | employee compensation | No | $68,584 |
| Corinne Lepp | Family member of Administrator/CEO | employee compensation | No | $56,077 |
| Wanda Speidel | Family member of board member | employee compensation | No | $37,985 |
| Liability | Amount |
|---|---|
| Estimated Third Party Payor Settlements | $130,000 |
“The executive committee shall consist of the president, the vice president, the secretary and two additional members of the Board of Directors, elected by the Board of Directors at its organization meeting following the annual meeting of the members. The executive committee shall have the power to transact all regular business of the corporation during the period between the meetings of the Board of Directors, subject to any prior limitation imposed by the Board of Directors and with the understanding that all matters of major importance will be referred to the Board of Directors.”
“Membership or stockholders are given voting rights by making a $100 contribution to the Ashley Medical Center.”
“All members that have made a $100 donation to the Ashley Medical Center are able to elect our Board of Directors.”
“All board members received a copy of the 990 in the monthly board packet, which is reviewed at the board meeting prior to being filed with the IRS.”
“The conflict of interest policy covers the board of directors and officers. The directors and officers are required to annually disclose any potential conflicts. The board of directors reviews for conflicts. If a conflict is identified the person must abstain from voting and remove themselves from discussions.”
“The Board of Directors approves the salary based upon comparability data when the compensation was originally set. Standard inflation increases were given each year along with other staff. The compensation was last reviewed in 2012.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Management is responsible for honoring these requests.”
“Sleep Studies provided by Whitney Sleep Diagnostics & Consulting agreement was signed February 1, 2014. This activity is in furtherance of their exempt status.”
“The hospital did not change its oversight process of the audit during the year. It does not have a committee that assumes responsibility. The total Board of Directors review and approve the audit and compilation of the financial statements on an annual basis.”
“The Medical Center acts as custodian for the funds of the residents and holds security deposits for the apartments. These funds are included in cash and cash equivalents and accounts payable in the accompanying balance sheets. Resident trust funds and apartment deposits totaled $10,635 and $9,046 at June 30, 2015 and 2014.”
“The Medical Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center is required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Medical Center is subject to income tax on any net income that is derived from business activities that are unrelated to its exempt purpose. The Medical Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Medical Center believes it has appropriate support for any tax positions taken affecting the annual filing requirements for the Medical Center, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred.”
“Provision for Bad Debts Reported in Expense on Form 990 -54,664.”
“Contributions Reported in Net Assets on Financial Statements 12,193.”
“Provision for Bad Debts Reported in Revenue on Financial Statements 54,664.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 731580 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 803998 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 983535 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1030421 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To construct, maintain, and operate health care facilities in the community of Ashley, ND. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 9603 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 15402 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 25005 |
| IRS990/AllOtherContributionsAmt | 0 | 138877 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 22118 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 18454 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 40572 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 0 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Jerry Lepp CEO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7012883433 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 612 Center Ave N |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Ashley |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 584130450 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 225 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 224 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 102696 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 102696 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 162646 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 162646 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 1175 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 12984 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 14159 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 373075 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 161633 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 5510 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3015 Memorial Hwy |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Bismarck |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Mandan |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 58502 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 58554 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | St Alexius Medical Center |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Dakota Travel Nurse Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Contracted Physicians |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Temp Nursing |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 149710 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 9876 |
| IRS990/CYOtherExpensesAmt | 0 | 2344015 |
| IRS990/CYOtherRevenueAmt | 0 | 74208 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 7025179 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -5592 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4920550 |
| IRS990/CYTotalExpensesAmt | 0 | 7264565 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 7258973 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 29806 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 381610 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 381610 |
| IRS990/Desc | 0 | Acute health care consisting of Inpatient days of 208, Outpatient hours of 2139, and Swingbed days of 941. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 143 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 8261 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 10635 |
| IRS990/ExpenseAmt | 0 | 4506533 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 26280 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 26280 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 23950 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 460032 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 483982 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 12692 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 7843 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Don Kosel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Frank Weisser |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Paul Nies |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | William Klein |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Terry Rueb |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Bruce Speidel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | David Bollinger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Jenny Rohrich |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jean Schnabel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Jerry Lepp |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Dan Mettler |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 85993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 137857 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Administrator/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CRNA |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1952 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 4124 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -4209 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 10833 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 4124 |
| IRS990/GrossReceiptsAmt | 0 | 7263182 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 5550 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 53522 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 3217 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 56739 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 40530 |
| IRS990/InterestGrp/TotalAmt | 0 | 40530 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 114927 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 114337 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 9961 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 9961 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 13671 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 202018 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 216587 |
| IRS990/IRPDocumentCnt | 0 | 26 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 5992592 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1587000 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1362798 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 7355390 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 4209 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Ashley Medical Center is a community organization which provides preventative, curative, supportive and educational health care that meets the physical, emotional, and spiritual needs of the people we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1381232 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1224319 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 1481682 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1476808 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -85 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -85 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 5550 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 5550 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 718 |
| IRS990/NoncashContributionsAmt | 0 | 8014 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 5736 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 212382 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 218118 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 47002 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 93690 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 140692 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 11246 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 623556 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 634802 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Maintenance and Repairs |
| IRS990/OtherExpensesGrp/Desc | 2 | Rentals |
| IRS990/OtherExpensesGrp/Desc | 3 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 83603 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2101 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 528068 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 108584 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 122379 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 54664 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 528068 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 192187 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 124480 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 54664 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 130000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Sale of Bed License |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Insurance Proceeds |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Accounts Receivable Re |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 50000 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 18655 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 3 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 50000 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 18655 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 3 |
| IRS990/OtherRevenueTotalAmt | 0 | 68658 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 123057 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3530770 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 3653827 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 15440 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 266361 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 281801 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 281 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 84497 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 84778 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 7126 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 11488 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 54484 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 73647 |
| IRS990/PrincipalOfficerNm | 0 | Jerry Lepp |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Net Patient Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 6993285 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 6993285 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Long term skilled care for the frail and elderly total resident days of 13,254. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 1535198 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 3197139 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | Rural Health Clinic Services with 3,718 clinic visits. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 639965 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 657881 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | Other program services include apartment space to the elderly and low income under business code 721310. |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 50286 |
| IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt | 0 | 146687 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 195755 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 75269 |
| IRS990/PYOtherExpensesAmt | 0 | 2180230 |
| IRS990/PYOtherRevenueAmt | 0 | 34946 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 6600776 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -135887 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4862403 |
| IRS990/PYTotalExpensesAmt | 0 | 7042633 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 6906746 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -5592 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 5550 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 3092130 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 669575 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 836258 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1048801 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 3916706 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 32390 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4933117 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 288996 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2075886 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2364882 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 54664 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 7209901 |
| IRS990ScheduleD/ExplanationProvidedInd | 0 | X |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/InclEscrowCustodialAcctLiabInd | 0 | 1 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 25001 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 25001 |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 54664 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 130000 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Estimated Third Party Payor Settlements |
| IRS990ScheduleD/OtherRevenueAmt | 0 | -54664 |
| IRS990ScheduleD/OtherRevenuesNotIncludedAmt | 0 | 12193 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | -54664 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 12193 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 7246780 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | The Medical Center acts as custodian for the funds of the residents and holds security deposits for the apartments. These funds are included in cash and cash equivalents and accounts payable in the accompanying balance sheets. Resident trust funds and apartment deposits totaled $10,635 and $9,046 at June 30, 2015 and 2014. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | The Medical Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center is required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Medical Center is subject to income tax on any net income that is derived from business activities that are unrelated to its exempt purpose. The Medical Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Medical Center believes it has appropriate support for any tax positions taken affecting the annual filing requirements for the Medical Center, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | Provision for Bad Debts Reported in Expense on Form 990 -54,664. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 3 | Contributions Reported in Net Assets on Financial Statements 12,193. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 4 | Provision for Bad Debts Reported in Revenue on Financial Statements 54,664. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part IV, Line 2b: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part X, Line 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Part XI, Line 2d - Other Adjustments: |
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Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.