Liabilities / Assets
35th percentile
Higher debt load relative to assets than 35% of similar nonprofits.
EIN 45-0425948 • 501(c)3 • Cando, ND
Profile
Total quality comprehensive healthcare. Caring and compassionate health services for patients, residents, families and healthcare workers. Medical care for all life stages delivered by a professional and expert healthcare team. Commitment to our communities to maintain and ensure the ongoing provision of quality health services. The vision of Towner County Medical Center is to be the healthcare resource of choice for those who seek comprehensive quality health services.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
35th percentile
Higher debt load relative to assets than 35% of similar nonprofits.
Liabilities / Revenue
24th percentile
Higher debt load relative to revenue than 24% of similar nonprofits.
Net Margin
58th percentile
Higher net margin than 58% of similar nonprofits.
Top Officer Pay
46th percentile
Higher top officer pay than 46% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
17th percentile
Faster asset growth than 17% of similar nonprofits.
Revenue Growth
18th percentile
Faster revenue growth than 18% of similar nonprofits.
Assets
Down$9,348,415
Down $1,101,700 (-11%) from 2023
Liabilities
Down$1,402,686
Down $2,075,842 (-60%) from 2023
Net Assets
Up$7,945,729
Up $974,142 (+14%) from 2023
Revenue
Down$14,640,743
Down $1,635,637 (-10%) from 2023
Expenses
Down$14,413,123
Down $1,072,399 (-6.9%) from 2023
Net Income
Down$227,620
Down $563,238 (-71%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Total quality comprehensive healthcare.Caring and compassionate health services for patients, residents, families and healthcare workers.Medical care for all life stages delivered by a professional and expert healthcare team.Commitment to our communities to maintain and ensure the ongoing provision of quality health services.The vision of Towner County Medical Center is to be the healthcare resource of choice for those who seek comprehensive quality health services.
To acquire, maintain and further develop hospital, clinical, long term care, and other services in Cando and the surrounding area.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $3,323,915 | $3,431,798 | ▲ $107,883 |
| Accounts Receivable | $1,490,981 | $1,684,344 | ▲ $193,363 |
| Land, Buildings, and Equipment, Net | $2,254,710 | $523,326 | ▼ $1,731,384 |
| Inventories for Sale or Use | $291,534 | $279,997 | ▼ $11,537 |
| Investments in Publicly Traded Securities | - | $187,354 | - |
| Prepaid Expenses and Deferred Charges | $129,818 | $175,761 | ▲ $45,943 |
| Other Notes and Loans Receivable, Net | $148,800 | $148,800 | → $0 |
| Total Assets | $10,450,115 | $9,348,415 | ▼ $1,101,700 |
| Other Assets Total | $2,810,357 | $2,917,035 | ▲ $106,678 |
| Liabilities | |||
| Other Liabilities | $2,043,495 | $0 | ▼ $2,043,495 |
| Accounts Payable and Accrued Expenses | $1,429,347 | $1,318,004 | ▼ $111,343 |
| Mortgage Notes Payable Secured by Investment Property | - | $80,083 | - |
| Escrow Account Liability | $5,686 | $4,599 | ▼ $1,087 |
| Total Liabilities | $3,478,528 | $1,402,686 | ▼ $2,075,842 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $6,971,587 | $7,945,729 | ▲ $974,142 |
| Total Net Assets Fund Balance | $6,971,587 | $7,945,729 | ▲ $974,142 |
| Total Liabilities and Net Assets / Fund Balance | $10,450,115 | $9,348,415 | ▼ $1,101,700 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $510,759 | $4,240,534 | $4,751,293 |
| Buildings | $0 | $591,046 | $591,046 |
| Other Land Buildings | $12,567 | - | $12,567 |
| Other Assets Org | $165,425 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Ben Bucher | CEO | FT | $245,202 | $67,186 | $312,388 |
| Grant Lannoye | Physician Assistant | FT | $123,663 | $150,098 | $273,761 |
| Tammy Larson | CFO | FT | $169,063 | $53,624 | $222,687 |
| Sam Held | Family Nurse Practitioner | FT | $112,244 | $107,859 | $220,103 |
| Jessica Larson | Family Nurse Practitioner | FT | $104,620 | $105,396 | $210,016 |
| Cassandra Ullyott | Family Nurse Practitioner | FT | $86,908 | $73,296 | $160,204 |
| Name | Title |
|---|---|
| David Wolsky | President |
| Tom Belzer | Vice President |
| John Peters | Director |
| Michelle Gibbens | Director |
| Mike Farbo | Director |
| Randina Bjornstad | Director |
| Greg Westlind | Secretary/Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Resolution RCM | Revenue Cyle Management | PO Box 749124, Atlanta, GA 30374 | $548,303 |
| Prime Time Health Care LLC | Contract Nursing Services | c/o American National Bank PO Box, Omaha, NE 68103 | $397,626 |
| DMS Technology Group | Imaging Services | PO Box 670747, Dallas, TX 75267 | $194,810 |
| Northstar Technology Group | IT Consultants | 3523 45th St S 100, Fargo, ND 58104 | $120,501 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $7,799,976 |
| Other Expenses | $6,613,147 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,352,969 | $465,933 | - | $5,818,902 |
| Fees for Services Other | $1,548,798 | $831,851 | - | $2,380,649 |
| Other Employee Benefits | $643,993 | $186,890 | - | $830,883 |
| Depreciation Depletion | $682,709 | $108,997 | - | $791,706 |
| Occupancy | $734,534 | $5,116 | - | $739,650 |
| Current Officers, Directors, Trustees, and Key Employees | $28,429 | $540,144 | - | $568,573 |
| Payroll Taxes | $317,674 | $110,675 | - | $428,349 |
| Information Technology | $112,684 | $136,971 | - | $249,655 |
| Pension Plan Contributions | $126,038 | $27,231 | - | $153,269 |
| Office Expenses | $80,159 | $60,845 | - | $141,004 |
| Insurance | - | $125,492 | - | $125,492 |
| Other Expenses | $38,136 | $35,107 | - | $73,243 |
| Fees for Services Accounting | - | $61,065 | - | $61,065 |
| Interest | $34,238 | $8,607 | - | $42,845 |
| Conferences and Meetings | $13,698 | $27,215 | - | $40,913 |
| Fees for Services Legal | - | $12,111 | - | $12,111 |
| Travel | $11,636 | - | - | $11,636 |
| All Other Expenses | $739 | $7,544 | - | $8,283 |
| Advertising | - | $5,759 | - | $5,759 |
| Total Functional Expenses | $11,655,570 | $2,757,553 | $0 | $14,413,123 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $14,426,616 |
| Total Expenses per Form 990 | $14,413,123 |
| Expenses per Audited Statements | $14,411,847 |
| Expenses Not Reported on Form 990 | $14,769 |
| Expenses Not Reported on Financial Statements | $1,276 |
| Other Expense Adjustments | $1,276 |
| Line Item | Amount |
|---|---|
| Gaming Gross Income | $41,400 |
| Gaming Direct Expenses | $7,696 |
| Professional Fundraising Fees | $0 |
“The hospital is a membership corporation. The membership is made up of Class A members of the Towner County Hospital Authority.”
“The Board of Directors is elected by the membership at its annual meeting.”
“Amendments to the bylaws by a majority of the Board of Directors must be ratified by the Class A membership at the next succeeding annual meeting.”
“There were no committees with authority to act on behalf of the full board.”
“The CEO will review a draft of the 990. The 990 will be presented to the Board of Directors for their approval prior to filing with the Internal Revenue Service.”
“The CEO, CFO and board members annually disclose any interests that could give rise to conflicts. The CEO reviews the responses. Any member of the Board of Directors having a conflict of interest on any matter should not vote or use his/her personal influence on the matter. The CEO and the CFO do not vote. If they have a conflict of interest they would be asked to leave the room when discussions were held related to the conflict. Any conflict of interest is disclosed and made a matter of record through an annual procedure approved by the Board of Directors.”
“A review and evaluation are performed annually by the Board of Directors and an outside consultant for the CEO. Comparable compensation data are used for compensation and benefits. The CFO's compensation is approved annually by the CEO.”
“The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“Contracted Services: Program service expenses 95,092. Management and general expenses 756,900. Fundraising expenses 0. Total expenses 851,992. Other Fees: Program service expenses 9,950. Management and general expenses 74,951. Fundraising expenses 0. Total expenses 84,901. Professional Fees: Program service expenses 1,443,756. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,443,756.”
“TCMC Gain on DFL Extinguishmnet 746,522.”
“The organization's audited financial statements are reporting a gain on the extinguishment of a direct financing lease during FY24. The direct finance lease was held with the related organization, Towner County Living Center. The organization is reporting the gain on the extinguishment of a direct financing lease in the amount of $746,522 in part XI, line 9 and on schedule D, part XI, line 2d.”
“The Organization holds funds under an agency relationship for the residents of the long-term nursing care facility. These funds are included in cash with a corresponding liability in accounts payable. Funds held totaled $4,599 and $5,686 as of June 30, 2024 and 2023.”
“The Medical Center believes they have appropriate support for any tax positions taken affecting the annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated 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.”
“Interest Expense in Revenue on Financial Statements -1,276. TCMC Gain on DFL Extinguishmnet 746,522.”
“Rental Expenses Reported in Expenses on Financial Statements -7,073. Gaming Expenses -7,696.”
“Rental Expenses Reported in Expenses on Financial Statements 7,073. Gaming Expenses 7,696.”
“Interest Expense in Revenue on Financial Statements 1,276.”
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/ActivityOrMissionDesc | 0 | To acquire, maintain and further develop hospital, clinical, long term care, and other services in Cando and the surrounding area. |
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| IRS990/Desc | 0 | I. IntroductionTowner County Medical Center was acquired from the Sisters of St. Francis, a Catholic religious order, in 1992. The community of Cando wanted to ensure itself that there would continue to be health care services available to not only the residents of Cando, but to the areas surrounding the community as well.Service to the community and the surrounding area is a hallmark of how we are here. The Medical Center provides diagnostic and therapeutic treatment to all, regardless of race, sex, religion, financial ability to pay, or any other area that could be deemed to be discriminatory. In addition to the core medical services, we are continually reaching out to surrounding communities assisting them in promoting a healthier community as well.The Medical Center provides preventative services to all patients and promotes awareness of these throughout the year. During breast cancer awareness month they have drawings for gift baskets throughout the month. During the month of November they provide lung cancer screening to patients at no charge. This past year these preventive promotions totaled $20,500 in expense for the facility. II. Uncompensated CareTowner County Medical Center provides uncompensated care to those in need of services, who either have limited resources or who may have fallen on hard times and are in need of relief in order to get back on their feet. The amount of traditional uncompensated care for the year ended June 30, 2024 was $182,600, which includes charity care and implicit price concessions. In many cases, we believe that the bad debt is in fact charity care, but individuals are too proud to come in and request charity. New policies and procedures have been developed in an effort to allow us to better identify these individuals, and to be able to classify them as they should be. In addition to uncompensated care, Towner County Medical Center also provides discounts to the Medicare and Medicaid programs. For the year ended June 30, 2024 those discounts totaled $3,422,000. |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Ben Bucher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Tammy Larson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Grant Lannoye |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Sam Held |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jessica Larson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Cassandra Ullyott |
| 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 | 284802 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 192823 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 242482 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 190815 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 181962 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 133470 |
| 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/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Physician Assistant |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Family Nurse Practitioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Family Nurse Practitioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Family Nurse Practitioner |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1992 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 24687 |
| IRS990/GamingActivitiesInd | 0 | 1 |
| IRS990/GamingDirectExpensesAmt | 0 | 7696 |
| IRS990/GamingGrossIncomeAmt | 0 | 41400 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 269637 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 24687 |
| IRS990/GrossReceiptsAmt | 0 | 14655512 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 5850 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 136971 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 112684 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 249655 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 125492 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 125492 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 8607 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 34238 |
| IRS990/InterestGrp/TotalAmt | 0 | 42845 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 291534 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 279997 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 478 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 478 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 187354 |
| IRS990/IRPDocumentCnt | 0 | 38 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4831580 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2254710 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 523326 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 5354906 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 7073 |
| 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 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Total quality comprehensive healthcare. Caring and compassionate health services for patients, residents, families and healthcare workers. Medical care for all life stages delivered by a professional and expert healthcare team. Commitment to our communities to maintain and ensure the ongoing provision of quality health services. The vision of Towner County Medical Center is to be the healthcare resource of choice for those who seek comprehensive quality health services. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 80083 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6971587 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 7945729 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 24687 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 24687 |
| IRS990/NetIncomeFromGamingGrp/ExclusionAmt | 0 | 33704 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 33704 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -1223 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -1223 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6971587 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 7945729 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 5116 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 734534 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 739650 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 60845 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 80159 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 141004 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2810357 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2917035 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 746522 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 186890 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 643993 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 830883 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Food |
| IRS990/OtherExpensesGrp/Desc | 2 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/Desc | 3 | Subscriptions and Dues |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 35107 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1639644 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 168168 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 121324 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 38136 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1639644 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 168168 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 121324 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 73243 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2043495 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 465933 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5352969 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5818902 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 148800 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 148800 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 110675 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 317674 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 428349 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 27231 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 126038 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 153269 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 129818 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 175761 |
| IRS990/PrincipalOfficerNm | 0 | Ben Bucher |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 456110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Net Patient Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Nursing Home Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Contracted Serv.-R/P |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | Pharmacy Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10178694 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3725182 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 51600 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 17292 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10178694 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3725182 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 51600 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 17292 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 2955275 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 1411583 |
| IRS990/PYInvestmentIncomeAmt | 0 | 224 |
| IRS990/PYOtherExpensesAmt | 0 | 7182021 |
| IRS990/PYOtherRevenueAmt | 0 | 212314 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 13108567 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 790858 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 6891918 |
| IRS990/PYTotalExpensesAmt | 0 | 15485522 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 16276380 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 227620 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | -1223 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 14267527 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 3323915 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 3431798 |
| 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 |
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