Civic Intelligence

Southwest Healthcare Services

EIN 45-0458242 • 501(c)3 • Bowman, ND

Profile

Guided by faith-based leadership, we are a family of specialists, each performing a unique service. With a spirit of compassion, we provide excellence in healthcare to those we are privileged to serve.

802 2nd St NWBowman, ND 58623

www.swhealthcare.net

Siviq Scores

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

Liabilities / Assets

72nd percentile

0.81x

Higher debt load relative to assets than 72% of similar nonprofits.

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

Liabilities / Revenue

83rd percentile

1.45x

Higher debt load relative to revenue than 83% of similar nonprofits.

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

Net Margin

32nd percentile

-3.7%

Higher net margin than 32% of similar nonprofits.

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

Top Officer Pay

42nd percentile

$424,106

Higher top officer pay than 42% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

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

Asset Growth

32nd percentile

-1.7%

Faster asset growth than 32% of similar nonprofits.

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

Revenue Growth

37th percentile

3.2%

Faster revenue growth than 37% of similar nonprofits.

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

Assets

Down

$32,102,276

Down $560,179 (-1.7%) from 2023

Liabilities

Down

$25,957,689

Down $133,230 (-0.5%) from 2023

Net Assets

Down

$6,144,587

Down $426,949 (-6.5%) from 2023

Revenue

Up

$17,857,522

Up $554,288 (+3.2%) from 2023

Expenses

Up

$18,515,844

Up $1,495,547 (+8.8%) from 2023

Net Income

Down

-$658,322

Down $941,259 (-333%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2010: $10,166,151Liabilities 2010: $4,440,776Net Assets 2010: $5,725,3752010Assets 2011: $9,976,633Liabilities 2011: $4,578,868Net Assets 2011: $5,397,7652011Assets 2012: $10,170,738Liabilities 2012: $4,882,664Net Assets 2012: $5,288,0742012Assets 2013: $12,686,116Liabilities 2013: $4,612,769Net Assets 2013: $8,073,3472013Assets 2014: $14,249,482Liabilities 2014: $5,159,100Net Assets 2014: $9,090,3822014Assets 2015: $42,523,618Liabilities 2015: $31,598,793Net Assets 2015: $10,924,8252015Assets 2016: $46,770,135Liabilities 2016: $37,145,368Net Assets 2016: $9,624,7672016Assets 2017: $40,397,814Liabilities 2017: $31,862,973Net Assets 2017: $8,534,8412017Assets 2018: $38,582,188Liabilities 2018: $31,236,238Net Assets 2018: $7,345,9502018Assets 2019: $36,714,299Liabilities 2019: $30,551,979Net Assets 2019: $6,162,3202019Assets 2020: $39,058,820Liabilities 2020: $33,184,732Net Assets 2020: $5,874,0882020Assets 2021: $36,154,492Liabilities 2021: $28,536,555Net Assets 2021: $7,617,9372021Assets 2022: $33,427,348Liabilities 2022: $27,432,478Net Assets 2022: $5,994,8702022Assets 2023: $32,662,455Liabilities 2023: $26,090,919Net Assets 2023: $6,571,5362023Assets 2024: $32,102,276Liabilities 2024: $25,957,689Net Assets 2024: $6,144,5872024

Highlighted filing

2024

Assets$32,102,276
Liabilities$25,957,689
Net Assets$6,144,587

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $11,244,4252010Revenue 2011: $11,783,289Expenses 2011: $12,055,284Net Income 2011: -$271,9952011Expenses 2012: $12,751,2582012Revenue 2013: $14,839,229Expenses 2013: $12,123,500Net Income 2013: $2,715,7292013Revenue 2014: $13,913,885Expenses 2014: $12,874,031Net Income 2014: $1,039,8542014Revenue 2015: $15,194,693Expenses 2015: $13,317,611Net Income 2015: $1,877,0822015Revenue 2016: $12,292,066Expenses 2016: $13,614,023Net Income 2016: -$1,321,9572016Revenue 2017: $13,585,142Expenses 2017: $14,741,123Net Income 2017: -$1,155,9812017Revenue 2018: $13,808,268Expenses 2018: $14,917,485Net Income 2018: -$1,109,2172018Revenue 2019: $14,211,576Expenses 2019: $15,489,132Net Income 2019: -$1,277,5562019Revenue 2020: $15,222,771Expenses 2020: $15,614,977Net Income 2020: -$392,2062020Revenue 2021: $17,128,979Expenses 2021: $15,419,251Net Income 2021: $1,709,7282021Revenue 2022: $14,891,472Expenses 2022: $16,091,746Net Income 2022: -$1,200,2742022Revenue 2023: $17,303,234Expenses 2023: $17,020,297Net Income 2023: $282,9372023Revenue 2024: $17,857,522Expenses 2024: $18,515,844Net Income 2024: -$658,3222024

Highlighted filing

2024

Revenue$17,857,522
Expenses$18,515,844
Net Income-$658,322

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.1$26.0$6.14$17.9$18.5$0.66
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$32.7$26.1$6.57$17.3$17.0$0.28
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.4$27.4$5.99$14.9$16.1$1.20
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.2$28.5$7.62$17.1$15.4$1.71
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.1$33.2$5.87$15.2$15.6$0.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.7$30.6$6.16$14.2$15.5$1.28
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.6$31.2$7.35$13.8$14.9$1.11
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$40.4$31.9$8.53$13.6$14.7$1.16
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$46.8$37.1$9.62$12.3$13.6$1.32
2015Detailed filing. Detailed filing data is available for this year.$42.5$31.6$10.9$15.2$13.3$1.88
2014Detailed filing. Detailed filing data is available for this year.$14.2$5.16$9.09$13.9$12.9$1.04
2013Detailed filing. Detailed filing data is available for this year.$12.7$4.61$8.07$14.8$12.1$2.72
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$4.88$5.29$12.8
2011Summary only. Only limited summary data is available for this year.$9.98$4.58$5.40$11.8$12.1$0.27
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$4.44$5.73$11.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$18,101,666
Mission and Program Overview

Mission

Guided by faith-based leadership, we are a family of specialists, each performing a unique service. With a spirit of compassion, we provide excellence in healthcare to those we are privileged to serve.

Southwest Healthcare Services is organized to provide quality health care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$23,467,915$22,013,757▼ $1,454,158
Investments in Publicly Traded Securities$2,637,108$3,008,860▲ $371,752
Accounts Receivable$2,428,630$2,562,893▲ $134,263
Savings and Temporary Cash Investments$2,416,857$1,498,878▼ $917,979
Inventories for Sale or Use$373,998$491,422▲ $117,424
Prepaid Expenses and Deferred Charges$126,785$131,064▲ $4,279
Total Assets$32,662,455$32,102,276▼ $560,179
Other Assets Total$1,211,162$2,395,402▲ $1,184,240
Liabilities
Mortgage Notes Payable Secured by Investment Property$24,787,214$23,796,469▼ $990,745
Accounts Payable and Accrued Expenses$1,082,024$1,958,792▲ $876,768
Other Liabilities$197,796$178,159▼ $19,637
Escrow Account Liability$23,885$24,269▲ $384
Total Liabilities$26,090,919$25,957,689▼ $133,230
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,492,513$4,860,251▼ $632,262
Net Assets With Donor Restrictions$1,079,023$1,284,336▲ $205,313
Total Net Assets Fund Balance$6,571,536$6,144,587▼ $426,949
Total Liabilities and Net Assets / Fund Balance$32,662,455$32,102,276▼ $560,179

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$20,439,380$21,112,789$41,552,169
Equipment$1,192,906$6,989,797$8,182,703
Other Land Buildings$305,983-$305,983
Land$75,488-$75,488
Other Assets Org$169,944--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$118,258-▲ $14,143-$132,401
2023$102,225-▲ $16,033-$118,258
2022$127,112-▼ $24,887-$102,225
2021$127,112-▲ $14,308$14,308$127,112
2020$127,112-▲ $10,556$10,556$127,112
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tim AdamsPhysicianFT$424,106-$424,106
Roy CordyPhysicianFT$396,586-$396,586
Dennis GoebelCEOFT$252,170$23,768$275,938
Christine Peterson NP fullyear)/Trustee (Jan-Jun)FT$185,062$9,420$194,482
Amanda LoughmanCFOFT$129,931$23,768$153,699
Patricia GilbertPhysicians AssistantFT$140,264$2,513$142,777
Kurt DatzPhysicianPT$130,001-$130,001
Jennifer JahnerRehab SuperviserFT$119,974-$119,974

Board Members and Trustees

NameTitle
Jordan Anderson - VP(Jan-Jun)/President (Jul-Dec)
Andrew WeissPresident (Jan-Jun)
Anne GruberTrustee
Breanne BeylundTrustee
Chanell WalbyTrustee
Connie GaebeTrustee
Jim ErkTrustee (Jul-Dec)
Matt BurkeTrustee (Jul-Dec)
Wendy Stuber - Trustee(Jan-Jun)/ VP (Jul-Dec)
Laurie BraatenSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Micil LLCNursing Coverage2908 Dortmund Drive, Bismarck, ND 58504$589,676
Psychiatric Medical Care LLCBehavioral Health CoveragePO Box 734606, Dallas, TX 75373$491,615
E R Gard CorpPhysician CoveragePO Box A, Bowman, ND 58623$424,106
Roy Cordy MDPhysician Coverage2100 S Ocean Dr 14G, Fort Lauderdale, FL 33316$396,586
LRS HealthcareNursing CoveragePO Box 850349, Minneapolis, MN 55485$356,223
Revenue and Support

Revenue Composition

Contributions and Grants
$714,702
Program Service Revenue
$17,009,068
Investment Income
$110,393
Other Revenue
$23,359
All Other Contributions
$498,635
Change in Net Assets
$-658,322
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$11,318,974
Salaries, Compensation, and Employee Benefits$7,196,870
Total Fundraising Expense$14,557
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$5,330,449$820,303-$6,150,752
Other Salaries and Wages$4,513,354$754,942-$5,268,296
Depreciation Depletion$2,102,125$126,512-$2,228,637
Other Employee Benefits$544,947$218,432-$763,379
Current Officers, Directors, Trustees, and Key Employees$190,593$433,528-$624,121
Payroll Taxes$352,118$81,014-$433,132
Interest$423,281--$423,281
Occupancy$325,335$36,639-$361,974
Office Expenses$191,661$82,589-$274,250
Insurance-$118,224-$118,224
Comp Disqual Persons$84,057$23,885-$107,942
Fees for Services Accounting-$96,212-$96,212
Advertising-$75,442-$75,442
Travel$68,087$4,402-$72,489
Other Expenses$24,708$41,351-$66,059
All Other Expenses$1,912$18,212$14,557$34,681
Fees for Services Legal-$5,564-$5,564
Total Functional Expenses$15,564,036$2,937,251$14,557$18,515,844
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$35,927
Fundraising Direct Expenses$13,304
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Celebrity Waiter$71,885$35,927$1,730$34,197
Total Events$71,885$35,927$13,304$22,623
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
Jason AndersonJason is the brother of Board Member Jordan AndersonCompensationNo$56,870
Amber AndersonAmber is the wife of Board Member Jordan AndersonCompensationNo$51,072
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right of Use Liability$178,159
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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

The Board of Trustees may designate an Executive Committee composed of the President, Vice President and at least one other trustee designated by the Board of Trustees. Subject to the limitations prescribed by the North Dakota Century Code, the Executive Committee has the authority of the Board of Trustees in the management of the business of this corporation in the interval between meetings of the Board of Trustees and the Executive Committee is at all times subject to the control and direction of the Board of Trustees.

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

The Organization has an Executive Committee, however no action was taken. Recommendations were taken to the full board of directors.

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

The return is reviewed by the CFO during the process of completing the return. Once a draft is completed, a copy is distributed to the CEO and emailed to the Board of Directors prior to filing.

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

All officers, directors, and key employees are required to complete a conflict of interest form annually. The forms are reviewed initially by the CEO for potential conflicts. Any actual conflicts are reviewed by the Board of Directors. A person with a conflict is restricted from voting on related matters.

Form 990, Part VI, Section B, line 15

The CEO's performance review is completed by the Executive Team of the Board of Directors, comprised of the President, Vice President, and Secretary. In 2023, the CEO brought data from the North Dakota Compensation Salary Survey as well as an independent study completed by Eide Bailly. The CFO also compiled other CEO wages from comparable North Dakota Critical Access Hospitals using publicly reported 990 data. The CEO made a recommendation of where his salary range should be based on years in his role and beforementioned data. In 2024 a 3% increase was given to the CEO similar to other staff. In 2023, the CEO brought a recommendation a one-time market increase for the CFO based on the North Dakota Compensation Salary Survey and her years of comparable service. A 3% increase was given to the CFO in 2024 similar to other staff.

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
Southwest Healthcare Services
EIN
45-0458242
Phone
7015235555
Address
802 2nd St NW, Bowman, ND 58623

Signing Officer

Name
Dennis Goebel
Title
CEO
Phone
7015235555
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dennis Goebel
Formed
2000
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
8
Employees
160
Volunteers
150

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 IV, Line 20B:

The Organization is in the process of completing an audit for the tax year ended December 31, 2024. As a result, the most recent financial statement issued for December 31, 2023 has been attached. An amended Form 990 will be completed when the audit is completed. Any financial statement adjustments will be made on the amended return as well as attachment of the audited financial statements for the year ended December 31, 2024.

Form 990, Part IX, line 11G

Repairs, Maintenance and Service Contracts and Fees: Program service expenses 489,592. Management and general expenses 677,642. Fundraising expenses 0. Total expenses 1,167,234. Purchased services & recruitment: Program service expenses 335,557. Management and general expenses 69,323. Fundraising expenses 0. Total expenses 404,880. Professional Fees & Consulting: Program service expenses 4,505,300. Management and general expenses 73,338. Fundraising expenses 0. Total expenses 4,578,638.

Form 990, Part XI, line 9:

Auxiliary Net Income 5,528. Change in Sunrise Receivable 193,354.

Financial Statement Notes

Part IV, Line 1B:

Southwest Healthcare Services has an auxiliary that operates under the same EIN as Southwest Healthcare Services.

Part IV, Line 2B:

Southwest acts as custodian for the funds of residents. These funds are included in cash and accounts payable in the financial statements. Resident trust funds totaled $1,603 and $1,219 and assisted living security deposits totaled $22,666 at December 31, 2024 and 2023.

Part V, Line 4:

Endowments held and administered by Southwest Healthcare Services: The principal of $127,112 is permanently restricted. The earnings from the principal balance are for hospital operations and to support assisted living, as necessary. From time to time, certain donor-restricted endowment funds may have fair values less than the amounts required to be maintained by donors or law (underwater endowments). Southwest has interpreted UPMIFA to permit spending from underwater endowments in accordance with prudent measures required under law. At December 31, 2023, funds with original gift values of $127,112, fair values of $118,258, and deficiencies of $8,854 were reported in net assets with donor restrictions. These amounts were fully recovered during December 31, 2024 due to favorable market fluctuations.

Raw XML AppendixShowing 400 of 908 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.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
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IRS990/Desc0Southwest Healthcare Services' Mission Statement is "Guided by Faith, we provide excellent care for those we are privileged to serve!". We are in Bowman, North Dakota, and operate a 35-bed critical access hospital, offering a range of outpatient services including lab work, radiology, and various therapies. Additionally, we support the community with a rural health clinic, 12-unit assisted living facility, 12-unit independent living apartment complex, and ambulance services. We provide care to our long-term nursing home residents in our Swingbed unit. Southwest Healthcare Services is a private, nonprofit organization dedicated to providing quality healthcare for over 5,500 residents in seven rural communities in the southwest corner of North Dakota and the northwest corner of South Dakota. Southwest Healthcare Services operates a full-time emergency room and provides emergency care regardless of ability to pay. The facility has achieved Level IV Trauma designation with physician staffed emergency services available 24 hours a day, seven days a week. Our organization is one of the most important economic assets in the region. Services provided in 2024 demonstrated the strong need for Southwest Healthcare Services. Our rural health clinic had over 5,973 patient encounters and the hospital recorded 770 emergency room visits.Southwest Healthcare Services also provides non-emergency services to the community making these services accessible to the community through participation in government programs like Medicare and Medicaid and our own charity care program. Services are provided to all individuals regardless of individual status. Southwest Healthcare Services charity care program provides discounted and free services to patients that are unable to be fully responsible for the cost of the health care they receive. We are committed to responding to the increasing number of patients who are under-insured or without insurance and who need to seek healthcare services at our facility. To fulfill its mission of community service, we provide care to these patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because we do not pursue collection of amounts determined to qualify as charity care, they are not reported as patient and resident service revenue. The estimated cost of providing charity care for the year ended December 31, 2024 was $93,000 calculated by multiplying the ratio of cost to gross charges by the gross uncompensated charges associated with providing charity care to patients.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Andrew Weiss
IRS990/Form990PartVIISectionAGrp/PersonNm1Jordan Anderson - VP
IRS990/Form990PartVIISectionAGrp/PersonNm2Wendy Stuber - Trustee
IRS990/Form990PartVIISectionAGrp/PersonNm3Laurie Braaten
IRS990/Form990PartVIISectionAGrp/PersonNm4Chanell Walby
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IRS990/Form990PartVIISectionAGrp/PersonNm6Connie Gaebe
IRS990/Form990PartVIISectionAGrp/PersonNm7Breanne Beylund
IRS990/Form990PartVIISectionAGrp/PersonNm8Anne Gruber
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IRS990/Form990PartVIISectionAGrp/PersonNm13Tim Adams
IRS990/Form990PartVIISectionAGrp/PersonNm14Roy Cordy
IRS990/Form990PartVIISectionAGrp/PersonNm15Patricia Gilbert
IRS990/Form990PartVIISectionAGrp/PersonNm16Kurt Datz
IRS990/Form990PartVIISectionAGrp/PersonNm17Jennifer Jahner
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IRS990/MissionDesc0Guided by faith-based leadership, we are a family of specialists, each performing a unique service. With a spirit of compassion, we provide excellence in healthcare to those we are privileged to serve.
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