Civic Intelligence

Tioga Medical Center

EIN 45-0308484 • 501(c)3 • Tioga, ND

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Profile

The mission of Tioga Medical Center is to address the health care needs of the community through providing quality health care and promoting education and wellness.

PO Box 159Tioga, ND 58852

www.tiogahealth.org

Siviq Scores

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

Liabilities / Assets

38th percentile

0.26x

Higher debt load relative to assets than 38% of similar nonprofits.

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

Liabilities / Revenue

53rd percentile

0.37x

Higher debt load relative to revenue than 53% of similar nonprofits.

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

Net Margin

62nd percentile

5.9%

Higher net margin than 62% of similar nonprofits.

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

Top Officer Pay

48th percentile

$484,204

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

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

Asset Growth

50th percentile

3.5%

Faster asset growth than 50% of similar nonprofits.

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

Revenue Growth

14th percentile

-9.0%

Faster revenue growth than 14% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets38th percentile

Assets

Up

$26,613,457

Up $890,217 (+3.5%) from 2023

Liabilities

Down

$6,890,153

Down $302,282 (-4.2%) from 2023

Net Assets

Up

$19,723,304

Up $1,192,499 (+6.4%) from 2023

Operations
Liabilities / Revenue53rd percentileNet Margin62nd percentile

Revenue

Down

$18,717,923

Down $1,855,852 (-9.0%) from 2023

Expenses

Up

$17,607,913

Up $643,995 (+3.8%) from 2023

Net Income

Down

$1,110,010

Down $2,499,847 (-69%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth50th percentile

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

$30M$20M$10M$0Assets 2010: $7,743,128Liabilities 2010: $1,402,434Net Assets 2010: $6,340,6942010Assets 2011: $7,973,783Liabilities 2011: $1,909,012Net Assets 2011: $6,064,7712011Assets 2012: $8,088,790Liabilities 2012: $1,779,728Net Assets 2012: $6,309,0622012Assets 2013: $9,049,229Liabilities 2013: $2,719,806Net Assets 2013: $6,329,4232013Assets 2014: $10,425,066Liabilities 2014: $3,369,089Net Assets 2014: $7,055,9772014Assets 2015: $18,075,230Liabilities 2015: $9,015,047Net Assets 2015: $9,060,1832015Assets 2016: $18,832,522Liabilities 2016: $9,487,392Net Assets 2016: $9,345,1302016Assets 2017: $18,809,085Liabilities 2017: $8,846,987Net Assets 2017: $9,962,0982017Assets 2018: $18,332,324Liabilities 2018: $8,387,108Net Assets 2018: $9,945,2162018Assets 2019: $18,169,788Liabilities 2019: $8,167,100Net Assets 2019: $10,002,6882019Assets 2020: $24,421,078Liabilities 2020: $14,001,088Net Assets 2020: $10,419,9902020Assets 2021: $25,149,534Liabilities 2021: $11,955,591Net Assets 2021: $13,193,9432021Assets 2022: $22,606,994Liabilities 2022: $7,723,060Net Assets 2022: $14,883,9342022Assets 2023: $25,723,240Liabilities 2023: $7,192,435Net Assets 2023: $18,530,8052023Assets 2024: $26,613,457Liabilities 2024: $6,890,153Net Assets 2024: $19,723,3042024

Highlighted filing

2024

Assets$26,613,457
Liabilities$6,890,153
Net Assets$19,723,304
Open 2024 Filing

Operations Trend

Revenue Growth14th percentile

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

$30M$20M$10M$0Expenses 2010: $7,637,3712010Expenses 2011: $8,471,5252011Expenses 2012: $9,565,8342012Expenses 2013: $10,059,9532013Revenue 2014: $11,541,525Expenses 2014: $10,941,757Net Income 2014: $599,7682014Revenue 2015: $12,918,166Expenses 2015: $10,837,044Net Income 2015: $2,081,1222015Revenue 2016: $12,071,126Expenses 2016: $11,681,211Net Income 2016: $389,9152016Revenue 2017: $12,178,344Expenses 2017: $11,653,430Net Income 2017: $524,9142017Revenue 2018: $13,081,430Expenses 2018: $12,993,239Net Income 2018: $88,1912018Revenue 2019: $13,069,983Expenses 2019: $13,015,611Net Income 2019: $54,3722019Revenue 2020: $13,720,846Expenses 2020: $13,303,544Net Income 2020: $417,3022020Revenue 2021: $16,543,807Expenses 2021: $13,769,854Net Income 2021: $2,773,9532021Revenue 2022: $17,674,432Expenses 2022: $15,916,883Net Income 2022: $1,757,5492022Revenue 2023: $20,573,775Expenses 2023: $16,963,918Net Income 2023: $3,609,8572023Revenue 2024: $18,717,923Expenses 2024: $17,607,913Net Income 2024: $1,110,0102024

Highlighted filing

2024

Revenue$18,717,923
Expenses$17,607,913
Net Income$1,110,010
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$26,613,457
Liabilities
$6,890,153
Net assets
$19,723,304
Revenue
$18,717,923
Expenses
$17,607,913
Net income
$1,110,010
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$26.6$6.89$19.7$18.7$17.6$1.11
2023Detailed filing. Detailed filing data is available for this year.$25.7$7.19$18.5$20.6$17.0$3.61
2022Detailed filing. Detailed filing data is available for this year.$22.6$7.72$14.9$17.7$15.9$1.76
2021Detailed filing. Detailed filing data is available for this year.$25.1$12.0$13.2$16.5$13.8$2.77
2020Detailed filing. Detailed filing data is available for this year.$24.4$14.0$10.4$13.7$13.3$0.42
2019Detailed filing. Detailed filing data is available for this year.$18.2$8.17$10.0$13.1$13.0$0.05
2018Detailed filing. Detailed filing data is available for this year.$18.3$8.39$9.95$13.1$13.0$0.09
2017Detailed filing. Detailed filing data is available for this year.$18.8$8.85$9.96$12.2$11.7$0.52
2016Detailed filing. Detailed filing data is available for this year.$18.8$9.49$9.35$12.1$11.7$0.39
2015Detailed filing. Detailed filing data is available for this year.$18.1$9.02$9.06$12.9$10.8$2.08
2014Detailed filing. Detailed filing data is available for this year.$10.4$3.37$7.06$11.5$10.9$0.60
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.05$2.72$6.33$10.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.09$1.78$6.31$9.57
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.97$1.91$6.06$8.47
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.74$1.40$6.34$7.64
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Feb 21, 2025
Return Version
2023v6.0
Gross Receipts
$18,741,614
Mission and Program Overview

Mission

The mission of Tioga Medical Center is to address the health care needs of the community through providing quality health care and promoting education and wellness.

Health care and nursing care services

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,983,216$10,075,708▼ $907,508
Savings and Temporary Cash Investments$4,592,196$7,490,621▲ $2,898,425
Investments in Publicly Traded Securities$3,167,735$4,217,798▲ $1,050,063
Accounts Receivable$2,910,059$3,404,750▲ $494,691
Prepaid Expenses and Deferred Charges$133,955$79,544▼ $54,411
Inventories for Sale or Use$94,179$75,401▼ $18,778
Pledges and Grants Receivable$10,695--
Total Assets$25,723,240$26,613,457▲ $890,217
Other Assets Total$3,831,205$1,269,635▼ $2,561,570
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,889,561$5,582,955▼ $306,606
Accounts Payable and Accrued Expenses$934,659$845,558▼ $89,101
Other Liabilities$358,090$452,160▲ $94,070
Escrow Account Liability$10,125$9,480▼ $645
Total Liabilities$7,192,435$6,890,153▼ $302,282
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,524,305$19,716,804▲ $1,192,499
Net Assets With Donor Restrictions$6,500$6,500→ $0
Total Net Assets Fund Balance$18,530,805$19,723,304▲ $1,192,499
Total Liabilities and Net Assets / Fund Balance$25,723,240$26,613,457▲ $890,217

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,606,810$9,681,924$17,549,667
Equipment$1,341,101$6,613,509$7,954,610
Other Land Buildings$113,744$576,765$690,509
Land$14,053-$14,053
Compensation and Service Providers
Top Officer Pay48th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey Moberg JrPhysician AssistantFT$443,316$40,889$484,205
Dr Robert RoteringMedical Director/PhysicianFT$412,397$35,037$447,434
Jesse MitchellNurse PractitionerFT$202,771$31,089$233,860
Shelby KnoxPhysician AssistantFT$196,208$27,826$224,034
Nancy CarlsonNurse PractitionerFT$176,157$16,999$193,156
Jamie EraasCEOFT$171,964$8,228$180,192
Holly BryantCFOFT$95,034$2,737$97,771

Board Members and Trustees

NameTitle
James BoothChairman
Brodie OdegaardVice Chairman
Jeremy BeckerDirector
Kristopher KuehnDirector
Lee OlsonDirector
Nathan GermundsonDirector
Patrick JoyceDirector
Seth WisthoffDirector
Wendy LenzenSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Homestead RecruitersContract Nursing821 Senior Ave, Dickinson, ND 58601$630,834
Full Circle Staffing LLCContract Nursing3602 7th Street West Apt 310, Williston, ND 58801$189,880
Revenue and Support

Revenue Composition

Contributions and Grants
$674,562
Program Service Revenue
$16,921,876
Investment Income
$261,822
Other Revenue
$859,663
All Other Contributions
$34,901
Change in Net Assets
$1,110,010

Audited Revenue Reconciliation

Revenue per Audited Statements
$18,726,819
Revenue Not Reported on Financial Statements
$-8,896
Revenue Not Reported on Form 990
$82,489
Other Revenue Adjustments
$-15,416
Total Revenue per Audited Statements
$18,809,308
Total Revenue per Form 990
$18,717,923
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,517,183
Other Expenses$8,090,230
Grants and Similar Amounts Paid$500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,797,685$1,728,691-$7,526,376
Fees for Services Other$2,402,173$15,467-$2,417,640
Depreciation Depletion$1,134,784$53,336-$1,188,120
Other Employee Benefits$606,586$211,388-$817,974
Payroll Taxes$422,407$143,215-$565,622
Information Technology$484,054$25,374-$509,428
Office Expenses$332,827$121,374-$454,201
Occupancy$409,741$2,797-$412,538
Current Officers, Directors, Trustees, and Key Employees-$325,301-$325,301
Comp Disqual Persons$256,406--$256,406
Fees for Services Accounting-$167,437-$167,437
Insurance$123,475--$123,475
All Other Expenses$10,313$111,904-$122,217
Interest$115,100--$115,100
Conferences and Meetings$61,100$13,000-$74,100
Other Expenses$210,573$65,187-$65,187
Travel$20,592$19,060-$39,652
Advertising-$27,373-$27,373
Pension Plan Contributions$24,356$1,148-$25,504
Fees for Services Legal-$18,162-$18,162
Fees for Service Investment Mgmnt Fees-$6,520-$6,520
Grants to Domestic Individuals$500--$500
Total Functional Expenses$14,515,746$3,092,167$0$17,607,913

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$17,616,809
Total Expenses per Form 990$17,607,913
Expenses per Audited Statements$17,601,393
Expenses Not Reported on Form 990$15,416
Expenses Not Reported on Financial Statements$6,520
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Hannah OdegaardFamily of board member Brodie OdegaardEmployee compensationNo$86,907
Marissa MickelsenFamily of Board Member Lee OlsonEmployee compensationNo$60,128
Lori OlsonFamily of Board Member Lee OlsonEmployee compensationNo$58,428
Anna NordloefFamily of board member Seth WisthoffEmployee compensationNo$50,943
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated third-party payor settlements$297,000
Operating Lease Liability$155,160
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
Yes
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

“Board Chair only votes in the case of a tie.”

Form 990, Part VI, Section A, line 2

“Brodie Odegaard and Holly Bryant - Family Relationship”

Form 990, Part VI, Section A, line 6

“An individual interested in becoming a member must complete an application and submit to the Board of Directors for approval. There is only one class.”

Form 990, Part VI, Section A, line 7A

“An annual meeting is held in March of each year in which the members may elect board members if applicable. The members also vote on approval of the audited financial statements.”

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

“There are no committee with the authority to act on behalf of the full board.”

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

“A copy of the return is given to each board member and discussed at a regular monthly meeting. The board must approve the form before it is signed by the facility's representative.”

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

“The policy covers all board members and officers. The Administration will determine if a conflict exists. In the event of a conflict, said board members abstain from related motions/votes but may still participate in discussions.”

Form 990, Part VI, Section B, line 15

“Annual salary survey results from the North Dakota Hospital Association are reviewed. Similar organization's 990 compensation information is also reviewed. The compensation of the President/CEO and Vice President/CFO and relevant employees is examined by the Board of Directors and adjusted annually if deemed necessary. This process is documented in the board minutes.”

Form 990, Part VI, Section C, line 19

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

Filing and Contact Details

Filer

Filer Name
Tioga Medical Center
EIN
45-0308484
Phone
7016643305
Address
PO Box 159, Tioga, ND 58852

Signing Officer

Name
Jamie Eraas
Title
President & CEO
Phone
7016643305
Signed
2025-02-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jamie Eraas
Formed
1960
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
6
Employees
180
Volunteers
150

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

“Contract Labor: Program service expenses 1,370,145. Management and general expenses 11,498. Fundraising expenses 0. Total expenses 1,381,643. Purchased Services: Program service expenses 395,528. Management and general expenses 0. Fundraising expenses 0. Total expenses 395,528. Physician Fees: Program service expenses 60,824. Management and general expenses 0. Fundraising expenses 0. Total expenses 60,824. Other Fees: Program service expenses 575,676. Management and general expenses 3,969. Fundraising expenses 0. Total expenses 579,645.”

Financial Statement Notes

Part IV, Line 2B:

“The Organization holds funds under an agency relationship for the residents of the nursing facility.”

Part X, Line 2:

“The Medical 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 Medical 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:

“Rental Expenses -15,416.”

Part XII, Line 2D - Other Adjustments:

“Rental Expenses 15,416.”

Raw XML AppendixShowing 400 of 869 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/Desc0The Tioga Medical Center, located at Tioga, North Dakota, is a provider of integrated healthcare delivery services consisting of a 25 bed Medicare designated Critical Access Hospital (CAH). The Tioga Medical Center CAH is a Level V designated trauma center. Within the CAH, acute care services are provided, along with swing bed services.Tioga Medical Center provides delivery of healthcare services over eastern Williams county, Burke County and western Mountrail county of the state of North Dakota.(continued on Schedule O)Tioga Medical Center also makes medical care accessible to the entire community it serves. Tioga Medical Center operates a 24 hour emergency room and provides emergency care regardless of ability to pay. Tioga Medical Center had 1,940 emergency room visits during the past fiscal year. Tioga Medical Center provides clinical services needed to operate the emergency room.In addition, Tioga Medical Center provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare and Medicaid and by offering assistance through the Tioga Medical Center's uncompensated care program.Tioga Medical Center's uncompensated care (charity care) program provides free services to patients who lack the resources to be fully responsible for the health care they receive. The uncompensated care program is designed to ensure the entire community served by Tioga Medical Center has access to needed healthcare services. The Tioga Medical Center administration oversees services delivered under the uncompensated care program, including assessing community needs, approving eligibility criteria and monitoring the effectiveness of the program in providing community access to medical care.Tioga Medical Center maintains records to identify and monitor the level of care provided under the uncompensated care program. These records include the amount of charges foregone for services and supplies furnished under its charity care program. Tioga Medical Center had costs for charity care for the year ended June 30, 2024 of approximately $36,000.Tioga Medical Center takes its mission to improve the health and quality of life of the people it serves a step further by reaching out to meet the broad needs of the community. It strives to identify the community needs beyond basic healthcare, and then respond to them, aiming to make a positive, life-enhancing difference in the community. For example, many employees and Board members of Tioga Medical Center are actively involved in volunteer organizations that serve to protect the community, such as the Tioga Fire & Ambulance Department. As a small community, it is vital for people to come to the aid, as volunteers, when people are in need of assistance. Tioga Medical Center allows its employees to leave the workplace to tend to the emergency needs of the community we serve.
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IRS990/Form990PartVIISectionAGrp/PersonNm0James Booth
IRS990/Form990PartVIISectionAGrp/PersonNm1Brodie Odegaard
IRS990/Form990PartVIISectionAGrp/PersonNm2Wendy Lenzen
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IRS990/Form990PartVIISectionAGrp/PersonNm7Kristopher Kuehn
IRS990/Form990PartVIISectionAGrp/PersonNm8Patrick Joyce
IRS990/Form990PartVIISectionAGrp/PersonNm9Jamie Eraas
IRS990/Form990PartVIISectionAGrp/PersonNm10Holly Bryant
IRS990/Form990PartVIISectionAGrp/PersonNm11Dr Robert Rotering
IRS990/Form990PartVIISectionAGrp/PersonNm12Jeffrey Moberg Jr
IRS990/Form990PartVIISectionAGrp/PersonNm13Jesse Mitchell
IRS990/Form990PartVIISectionAGrp/PersonNm14Shelby Knox
IRS990/Form990PartVIISectionAGrp/PersonNm15Nancy Carlson
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IRS990/MissionDesc0The mission of Tioga Medical Center is to address the health care needs of the community through providing quality health care and promoting education and wellness.
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IRS990/ProgSrvcAccomActy2Grp/Desc0Attached to the CAH is a 30 bed skilled nursing facility (SNF). This facility provides skilled and long term care services to its residents.
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IRS990/ProgSrvcAccomActy3Grp/Desc0The Medical Center also operates three clinics located in Tioga, Ray, and Powers Lake. These clinics are Medicare and Medicaid designated provider-based rural health clinics. Within the clinics, they employ one Family Medicine Physician, two Physician Assistants and two Family Nurse Practitioners. These practitioners provide physician related services at these clinics, as well as to the CAH and SNF.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0Finally, attached to the Nursing home is a 22 unit independent living unit. The organization also has a Foundation that distributes scholarships.
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