Civic Intelligence

Towner County Medical Center Inc

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.

PO Box 688Cando, ND 58324

www.tcmedcenter.org

Siviq Scores

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

Liabilities / Assets

35th percentile

0.15x

Higher debt load relative to assets than 35% of similar nonprofits.

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

Liabilities / Revenue

24th percentile

0.10x

Higher debt load relative to revenue than 24% of similar nonprofits.

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

Net Margin

58th percentile

1.6%

Higher net margin than 58% of similar nonprofits.

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

Top Officer Pay

46th percentile

$311,645

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

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

Asset Growth

17th percentile

-11%

Faster asset growth than 17% of similar nonprofits.

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

Revenue Growth

18th percentile

-10%

Faster revenue growth than 18% of similar nonprofits.

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

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

Trend Graphs

Balance Sheet Trend

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

$15M$10M$5.0M$0-$5.0MAssets 2010: $3,758,680Liabilities 2010: $4,137,116Net Assets 2010: -$378,4362010Assets 2011: $4,361,060Liabilities 2011: $4,615,419Net Assets 2011: -$254,3592011Assets 2012: $4,486,371Liabilities 2012: $4,363,894Net Assets 2012: $122,4772012Assets 2013: $3,240,336Liabilities 2013: $4,683,611Net Assets 2013: -$1,443,2752013Assets 2014: $7,057,309Liabilities 2014: $8,541,127Net Assets 2014: -$1,483,8182014Assets 2015: $5,477,683Liabilities 2015: $6,572,510Net Assets 2015: -$1,094,8272015Assets 2016: $5,600,496Liabilities 2016: $5,890,527Net Assets 2016: -$290,0312016Assets 2017: $5,917,758Liabilities 2017: $5,239,702Net Assets 2017: $678,0562017Assets 2018: $5,735,096Liabilities 2018: $4,631,129Net Assets 2018: $1,103,9672018Assets 2019: $6,311,413Liabilities 2019: $4,583,408Net Assets 2019: $1,728,0052019Assets 2020: $12,051,222Liabilities 2020: $9,112,626Net Assets 2020: $2,938,5962020Assets 2021: $12,949,088Liabilities 2021: $7,100,067Net Assets 2021: $5,849,0212021Assets 2022: $11,055,433Liabilities 2022: $4,874,704Net Assets 2022: $6,180,7292022Assets 2023: $10,450,115Liabilities 2023: $3,478,528Net Assets 2023: $6,971,5872023Assets 2024: $9,348,415Liabilities 2024: $1,402,686Net Assets 2024: $7,945,7292024

Highlighted filing

2024

Assets$9,348,415
Liabilities$1,402,686
Net Assets$7,945,729

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,108,6322010Expenses 2011: $9,190,6352011Expenses 2012: $9,869,0882012Expenses 2013: $9,964,6132013Revenue 2014: $9,901,344Expenses 2014: $9,941,887Net Income 2014: -$40,5432014Revenue 2015: $11,099,377Expenses 2015: $10,710,386Net Income 2015: $388,9912015Revenue 2016: $10,659,291Expenses 2016: $9,854,495Net Income 2016: $804,7962016Revenue 2017: $11,303,641Expenses 2017: $10,335,554Net Income 2017: $968,0872017Revenue 2018: $10,995,410Expenses 2018: $10,569,499Net Income 2018: $425,9112018Revenue 2019: $11,490,949Expenses 2019: $10,866,911Net Income 2019: $624,0382019Revenue 2020: $12,124,478Expenses 2020: $10,913,887Net Income 2020: $1,210,5912020Revenue 2021: $14,447,927Expenses 2021: $11,537,502Net Income 2021: $2,910,4252021Revenue 2022: $15,618,098Expenses 2022: $15,286,390Net Income 2022: $331,7082022Revenue 2023: $16,276,380Expenses 2023: $15,485,522Net Income 2023: $790,8582023Revenue 2024: $14,640,743Expenses 2024: $14,413,123Net Income 2024: $227,6202024

Highlighted filing

2024

Revenue$14,640,743
Expenses$14,413,123
Net Income$227,620

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.35$1.40$7.95$14.6$14.4$0.23
2023Detailed filing. Detailed filing data is available for this year.$10.5$3.48$6.97$16.3$15.5$0.79
2022Detailed filing. Detailed filing data is available for this year.$11.1$4.87$6.18$15.6$15.3$0.33
2021Detailed filing. Detailed filing data is available for this year.$12.9$7.10$5.85$14.4$11.5$2.91
2020Detailed filing. Detailed filing data is available for this year.$12.1$9.11$2.94$12.1$10.9$1.21
2019Detailed filing. Detailed filing data is available for this year.$6.31$4.58$1.73$11.5$10.9$0.62
2018Detailed filing. Detailed filing data is available for this year.$5.74$4.63$1.10$11.0$10.6$0.43
2017Detailed filing. Detailed filing data is available for this year.$5.92$5.24$0.68$11.3$10.3$0.97
2016Detailed filing. Detailed filing data is available for this year.$5.60$5.89$0.29$10.7$9.85$0.80
2015Detailed filing. Detailed filing data is available for this year.$5.48$6.57$1.09$11.1$10.7$0.39
2014Detailed filing. Detailed filing data is available for this year.$7.06$8.54$1.48$9.90$9.94$0.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.24$4.68$1.44$9.96
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.49$4.36$0.12$9.87
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.36$4.62$0.25$9.19
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.76$4.14$0.38$9.11
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 5, 2025
Return Version
2023v6.0
Gross Receipts
$14,655,512
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ben BucherCEOFT$245,202$67,186$312,388
Grant LannoyePhysician AssistantFT$123,663$150,098$273,761
Tammy LarsonCFOFT$169,063$53,624$222,687
Sam HeldFamily Nurse PractitionerFT$112,244$107,859$220,103
Jessica LarsonFamily Nurse PractitionerFT$104,620$105,396$210,016
Cassandra UllyottFamily Nurse PractitionerFT$86,908$73,296$160,204

Board Members and Trustees

NameTitle
David WolskyPresident
Tom BelzerVice President
John PetersDirector
Michelle GibbensDirector
Mike FarboDirector
Randina BjornstadDirector
Greg WestlindSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Resolution RCMRevenue Cyle ManagementPO Box 749124, Atlanta, GA 30374$548,303
Prime Time Health Care LLCContract Nursing Servicesc/o American National Bank PO Box, Omaha, NE 68103$397,626
DMS Technology GroupImaging ServicesPO Box 670747, Dallas, TX 75267$194,810
Northstar Technology GroupIT Consultants3523 45th St S 100, Fargo, ND 58104$120,501
Revenue and Support

Revenue Composition

Contributions and Grants
$315,570
Program Service Revenue
$14,267,527
Investment Income
$25,165
Other Revenue
$32,481
All Other Contributions
$45,933
Change in Net Assets
$227,620

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,655,512
Revenue Not Reported on Financial Statements
$-14,769
Revenue Not Reported on Form 990
$745,246
Other Revenue Adjustments
$-14,769
Total Revenue per Audited Statements
$15,400,758
Total Revenue per Form 990
$14,640,743
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Gaming Gross Income$41,400
Gaming Direct Expenses$7,696
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The hospital is a membership corporation. The membership is made up of Class A members of the Towner County Hospital Authority.

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

The Board of Directors is elected by the membership at its annual meeting.

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

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.

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

There were no committees with authority to act on behalf of the full board.

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

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.

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

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.

Form 990, Part VI, Section B, line 15A

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.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Towner County Medical Center Inc
EIN
45-0425948
Phone
7019684411
Address
PO Box 688, Cando, ND 58324

Signing Officer

Name
Tammy Larson
Title
CFO
Phone
7019684411
Signed
2025-05-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ben Bucher
Formed
1992
Legal Domicile
Nd
Voting Board Members
7
Independent Board Members
7
Employees
160
Volunteers
7

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contracted 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.

Form 990, Part XI, line 9:

TCMC Gain on DFL Extinguishmnet 746,522.

Form 990, Part XI, line 9 and Schedule D, Part XI, line 2D:

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.

Financial Statement Notes

Part IV, Line 2B:

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.

Part X, Line 2:

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.

Part XI, Line 2D - Other Adjustments:

Interest Expense in Revenue on Financial Statements -1,276. TCMC Gain on DFL Extinguishmnet 746,522.

Part XI, Line 4B - Other Adjustments:

Rental Expenses Reported in Expenses on Financial Statements -7,073. Gaming Expenses -7,696.

Part XII, Line 2D - Other Adjustments:

Rental Expenses Reported in Expenses on Financial Statements 7,073. Gaming Expenses 7,696.

Part XII, Line 4B - Other Adjustments:

Interest Expense in Revenue on Financial Statements 1,276.

Raw XML AppendixShowing 400 of 906 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/Desc0I. 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/PersonNm2Greg Westlind
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IRS990/Form990PartVIISectionAGrp/PersonNm12Cassandra Ullyott
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IRS990/MissionDesc0Total 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.
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