Civic Intelligence

Wishek Hospital Clinic Association

EIN 45-0358986 • 501(c)3 • Wishek, ND

Profile

Wishek hospital clinic association is a progressive and innovative healthcare leader providing personalized services promoting the creation of healthier communities.

PO Box 647Wishek, ND 58495-0647

www.wishekhospital.com

Siviq Scores

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

Liabilities / Assets

46th percentile

0.26x

Higher debt load relative to assets than 46% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

38th percentile

0.18x

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

NTEE E • $10M-$25M nonprofits • Source year 2024

Net Margin

68th percentile

6.3%

Higher net margin than 68% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

32nd percentile

$224,793

Higher top officer pay than 32% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

NTEE E • $10M-$25M nonprofits • Source year 2024

Asset Growth

69th percentile

11%

Faster asset growth than 69% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

70th percentile

15%

Faster revenue growth than 70% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$7,773,462

Up $751,118 (+11%) from 2023

Liabilities

Down

$2,035,350

Down $162,589 (-7.4%) from 2023

Net Assets

Up

$5,738,112

Up $913,707 (+19%) from 2023

Revenue

Up

$11,552,485

Up $1,523,671 (+15%) from 2023

Expenses

Up

$10,829,917

Up $627,965 (+6.2%) from 2023

Net Income

Up

$722,568

Up $895,706 (+517%) from 2023

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0Assets 2010: $2,888,156Liabilities 2010: $1,205,154Net Assets 2010: $1,683,0022010Assets 2011: $3,223,577Liabilities 2011: $1,589,546Net Assets 2011: $1,634,0312011Assets 2012: $3,755,538Liabilities 2012: $1,630,238Net Assets 2012: $2,125,3002012Assets 2013: $3,530,130Liabilities 2013: $1,557,096Net Assets 2013: $1,973,0342013Assets 2014: $3,662,848Liabilities 2014: $1,359,882Net Assets 2014: $2,302,9662014Assets 2015: $4,818,860Liabilities 2015: $2,243,172Net Assets 2015: $2,575,6882015Assets 2016: $4,738,725Liabilities 2016: $2,109,343Net Assets 2016: $2,629,3822016Assets 2017: $5,407,948Liabilities 2017: $2,156,566Net Assets 2017: $3,251,3822017Assets 2018: $5,250,785Liabilities 2018: $1,960,937Net Assets 2018: $3,289,8482018Assets 2019: $5,103,659Liabilities 2019: $1,693,915Net Assets 2019: $3,409,7442019Assets 2020: $9,860,273Liabilities 2020: $6,144,167Net Assets 2020: $3,716,1062020Assets 2021: $7,896,321Liabilities 2021: $3,313,190Net Assets 2021: $4,583,1312021Assets 2022: $6,908,239Liabilities 2022: $1,923,275Net Assets 2022: $4,984,9642022Assets 2023: $7,022,344Liabilities 2023: $2,197,939Net Assets 2023: $4,824,4052023Assets 2024: $7,773,462Liabilities 2024: $2,035,350Net Assets 2024: $5,738,1122024

Highlighted filing

2024

Assets$7,773,462
Liabilities$2,035,350
Net Assets$5,738,112

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $5,681,9972010Expenses 2011: $6,197,5262011Expenses 2012: $6,054,0432012Revenue 2013: $6,594,078Expenses 2013: $6,739,033Net Income 2013: -$144,9552013Revenue 2014: $7,089,723Expenses 2014: $6,759,792Net Income 2014: $329,9312014Revenue 2015: $7,233,223Expenses 2015: $7,021,151Net Income 2015: $212,0722015Revenue 2016: $7,400,385Expenses 2016: $7,346,691Net Income 2016: $53,6942016Revenue 2017: $8,330,965Expenses 2017: $7,708,965Net Income 2017: $622,0002017Revenue 2018: $8,109,260Expenses 2018: $8,071,613Net Income 2018: $37,6472018Revenue 2019: $8,028,106Expenses 2019: $7,908,210Net Income 2019: $119,8962019Revenue 2020: $8,872,476Expenses 2020: $8,566,114Net Income 2020: $306,3622020Revenue 2021: $9,459,118Expenses 2021: $8,589,048Net Income 2021: $870,0702021Revenue 2022: $9,012,897Expenses 2022: $9,328,785Net Income 2022: -$315,8882022Revenue 2023: $10,028,814Expenses 2023: $10,201,952Net Income 2023: -$173,1382023Revenue 2024: $11,552,485Expenses 2024: $10,829,917Net Income 2024: $722,5682024

Highlighted filing

2024

Revenue$11,552,485
Expenses$10,829,917
Net Income$722,568

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.77$2.04$5.74$11.6$10.8$0.72
2023Summary only. Only limited summary data is available for this year.$7.02$2.20$4.82$10.0$10.2$0.17
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.91$1.92$4.98$9.01$9.33$0.32
2021Summary only. Only limited summary data is available for this year.$7.90$3.31$4.58$9.46$8.59$0.87
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.86$6.14$3.72$8.87$8.57$0.31
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.10$1.69$3.41$8.03$7.91$0.12
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.25$1.96$3.29$8.11$8.07$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.41$2.16$3.25$8.33$7.71$0.62
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.74$2.11$2.63$7.40$7.35$0.05
2015Detailed filing. Detailed filing data is available for this year.$4.82$2.24$2.58$7.23$7.02$0.21
2014Detailed filing. Detailed filing data is available for this year.$3.66$1.36$2.30$7.09$6.76$0.33
2013Detailed filing. Detailed filing data is available for this year.$3.53$1.56$1.97$6.59$6.74$0.14
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.76$1.63$2.13$6.05
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.22$1.59$1.63$6.20
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.89$1.21$1.68$5.68
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 2, 2025
Return Version
2024v5.2
Gross Receipts
$11,565,732
Mission and Program Overview

Mission

Wishek hospital clinic association is a progressive and innovative healthcare leader providing personalized services promoting the creation of healthier communities.

Providing the highest possible standard of healthcare in a compassionate and professional manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,854,172$3,018,739▲ $1,164,567
Land, Buildings, and Equipment, Net$2,198,667$2,074,918▼ $123,749
Accounts Receivable$1,673,875$1,138,773▼ $535,102
Cash and Non-Interest-Bearing Accounts$788,232$891,956▲ $103,724
Prepaid Expenses and Deferred Charges$111,948$121,755▲ $9,807
Inventories for Sale or Use$69,789$99,616▲ $29,827
Total Assets$7,022,344$7,773,462▲ $751,118
Other Assets Total$325,661$427,705▲ $102,044
Liabilities
Accounts Payable and Accrued Expenses$1,204,873$880,055▼ $324,818
Mortgage Notes Payable Secured by Investment Property$680,237$619,557▼ $60,680
Other Liabilities$259,319$482,228▲ $222,909
Deferred Revenue$53,510$53,510→ $0
Total Liabilities$2,197,939$2,035,350▼ $162,589
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,702,404$5,563,184▲ $860,780
Net Assets With Donor Restrictions$122,001$174,928▲ $52,927
Total Net Assets Fund Balance$4,824,405$5,738,112▲ $913,707
Total Liabilities and Net Assets / Fund Balance$7,022,344$7,773,462▲ $751,118

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,591,316$3,544,107$5,006,964
Equipment$466,441$2,963,302$3,429,743
Other Land Buildings$4,453$62,829$67,282
Land$12,708-$12,708
Other Assets Org$427,705--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jayme MartellFnpFT$162,860$61,933$224,793
Trina SchillingFnpFT$171,630$51,271$222,901
Shawna BradleyFnpFT$177,572$23,274$200,846
Dan BeachFnpFT$143,437$52,087$195,524
Megan RathCFOFT$112,590$73,075$185,665
Carly SandersChief Nursing OfficerFT$129,795$49,291$179,086
Lukas FischerCEOPT$25,000-$25,000

Board Members and Trustees

NameTitle
Lila RailePresident
Nathan WolfVice President
Donald HochhalterBoard Member
Lee AipperspachBoard Member
Marla BerntsonBoard Member
Sheila BrosyBoard Member
Tanya SchnabelBoard Member
Laurie VetterBoard Member (As of May 24)
Lisa WeigelBoard Member (Until May 24)
Rebecca SchnabelSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Linton Regional Medical CenterCEO & CMO Services111 Elm Ave W, Linton, ND 58552$279,556
Nuray StaffingContracted Radiology Technician3003 32 St S Ste 240, Fargo, ND 58103$234,835
Wishek DrugContract Pharmacy ServicesPO Box 267, Wishek, ND 58495$203,960
NXC ImagingRadiology Service ContractsPO Box L-4360, Columbus, OH 43260$126,332
Northern Plains LaboratoryReference Laborator3502 Franklin Ave, Bismarck, ND 58502$121,551
Revenue and Support

Revenue Composition

Contributions and Grants
$597,711
Program Service Revenue
$10,880,344
Investment Income
$54,183
Other Revenue
$20,247
All Other Contributions
$148,270
Change in Net Assets
$722,568

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,565,732
Revenue Not Reported on Financial Statements
$-13,247
Revenue Not Reported on Form 990
$21,618
Other Revenue Adjustments
$-13,247
Total Revenue per Audited Statements
$11,587,350
Total Revenue per Form 990
$11,552,485
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,782,833
Other Expenses$5,047,084
Total Fundraising Expense$200
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,583,417$639,857-$4,223,274
Fees for Services Other$1,818,466$72,518-$1,890,984
Other Employee Benefits$771,568$149,638-$921,206
Information Technology-$489,726-$489,726
Depreciation Depletion$389,064$58,005-$447,069
Payroll Taxes$250,813$57,249-$308,062
Fees for Services Management-$302,476-$302,476
Office Expenses$137,419$156,002$200$293,621
Occupancy$213,440$10,273-$223,713
Current Officers, Directors, Trustees, and Key Employees-$210,666-$210,666
Pension Plan Contributions$102,376$17,249-$119,625
Insurance-$98,070-$98,070
Fees for Services Accounting-$81,907-$81,907
Other Expenses$33,334$34,091-$67,425
Travel$31,552$3,709-$35,261
Conferences and Meetings$23,604$10,255-$33,859
Interest-$32,552-$32,552
Advertising$964$22,479-$23,443
Fees for Services Legal-$7,159-$7,159
All Other Expenses$140$3,589-$3,729
Total Functional Expenses$8,372,247$2,457,470$200$10,829,917

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$10,864,782
Expenses per Audited Statements$10,829,917
Total Expenses per Form 990$10,829,917
Expenses Not Reported on Form 990$34,865
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$29,050
Fundraising Direct Expenses$13,247
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fall Foundation Fundraiser$25,189$21,189$2,367$18,822
Bike-a-thon$5,079$4,329-$4,329
Total Events$30,268$25,518$12,212$13,306
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Carla AipperspachWife of Board Member - Lee AipperspachPayment to drug store for pharmacy services, Wishek DrugNo$203,960
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$436,846
Estimated Third-Party Payor Settlements$45,382
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
Yes
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
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee consists of the President, Vice President, Secretary/Treasurer, and the Association's CEO. The Executive Committee transacts business, performs duties, and exercises powers as may be directed or delegated by the Board of Directors from time to time. Items of major importance will be referred to the Board of Directors. Minutes of the Executive Committee are submitted to the Board and its action is subject to the approval or disapproval at the next regular Board meeting.

Form 990, Part VI, Section A, line 3

Lukas Fischer, CEO, is employed by and received W-2 compensation from Linton Regional Medical Center (LRMC), an unrelated organization, for providing CEO services to both LRMC and Wishek Hospital Clinic Association. Wishek Hospital Clinic Association had a management services agreement with LRMC. Wishek Hospital Clinic Association reimbursed LRMC $194,268 in 2024 for his services of supervising the management, administration, and operation of Wishek. In addition, Lukas received Form 1099 compensation in the amount of $25,000 directly from Wishek. The compensation is reported on Part VII.

Form 990, Part VI, Section A, line 6

Membership is open to any individual in the service area who contributes $10.00 to the association and requests membership.

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

All eligible members may vote at the annual meeting for the election of the board of directors.

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

At the annual meeting, the members may discuss the business of the association and make and approve motions concerning that business or the actions of the board of directors.

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

A copy of the Form 990 is provided to each board member of the governing body prior to filing. The CFO reviews the Form 990.

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

Annually the board members and officers must disclose any potential conflicts of interest to the board and management and must not participate in any vote that involves a conflict.

Form 990, Part VI, Section B, line 15

In 2023, Wishek Hospital Clinic Association and Linton Regional Medical Center signed an agreement to share the services of the CEO employed by Linton Regional Medical Center. In determining CEO 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 management agreements 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. Documentaton is provided in the peronnel file.

Form 990, Part VI, Section C, line 19

The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Wishek Hospital Clinic Association
EIN
45-0358986
Phone
7014522326
Address
PO Box 647, Wishek, ND 58495-0647
Doing Business As
South Central Health

Signing Officer

Name
Lukas Fischer
Title
CEO
Phone
7014522326
Signed
2025-10-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lukas Fischer
Formed
1949
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
8
Employees
99
Volunteers
9

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 III, line 3

The Gackle Rural Health Clinic was closed on March 31, 2024.

Form 990, Part IX, line 11G

Contracted Services: Program service expenses 1,567,592. Management and general expenses 72,518. Fundraising expenses 0. Total expenses 1,640,110. Physician Fees: Program service expenses 250,874. Management and general expenses 0. Fundraising expenses 0. Total expenses 250,874.

Form 990, Part XI, Line 8:

During 2024, it was discovered that balances pertaining to contribution revenue and receivable balances as of and for the year end December 31, 2023 were recorded incorrectly. Accordingly, these errors were corrected and adjustments were made.

Financial Statement Notes

Part X, Line 2:

The Association 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 Association 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:

Special Event Expenses reclassed to Revenue on Form 990 -13,247.

Part XII, Line 2D - Other Adjustments:

Special Event Expenses reclassed to Revenue on Form 990 13,247.

Raw XML AppendixShowing 400 of 849 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/Desc0Wishek Hospital-Clinic Association d/b/a South Central Health is a 24-bed acute care hospital located in Wishek North Dakota providing acute healthcare, outpatient, emergency, and skilled swingbed services. The Association provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Association does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $33,000 for the year ended December 31, 2024, calculated by multiplying the ratio of cost to gross charges for the Association by the gross uncompensated charges associated with providing charity care to its patients.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Lila Raile
IRS990/Form990PartVIISectionAGrp/PersonNm1Nathan Wolf
IRS990/Form990PartVIISectionAGrp/PersonNm2Rebecca Schnabel
IRS990/Form990PartVIISectionAGrp/PersonNm3Sheila Brosy
IRS990/Form990PartVIISectionAGrp/PersonNm4Marla Berntson
IRS990/Form990PartVIISectionAGrp/PersonNm5Lisa Weigel
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IRS990/Form990PartVIISectionAGrp/PersonNm9Donald Hochhalter
IRS990/Form990PartVIISectionAGrp/PersonNm10Megan Rath
IRS990/Form990PartVIISectionAGrp/PersonNm11Lukas Fischer
IRS990/Form990PartVIISectionAGrp/PersonNm12Shawna Bradley
IRS990/Form990PartVIISectionAGrp/PersonNm13Jayme Martell
IRS990/Form990PartVIISectionAGrp/PersonNm14Trina Schilling
IRS990/Form990PartVIISectionAGrp/PersonNm15Dan Beach
IRS990/Form990PartVIISectionAGrp/PersonNm16Carly Sanders
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member (Until May 24)
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member (As of May 24)
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
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IRS990/MissionDesc0Wishek Hospital Clinic Association is a progressive and innovative healthcare leader providing personalized services promoting the creation of healthier communities.
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IRS990/ProgSrvcAccomActy2Grp/Desc0Healthcare services provided to four communities within our service area of rural ND. Four rural health clinics.
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