Civic Intelligence

Mckenzie County Healthcare Systems Inc

EIN 77-0637498 • 501(c)3 • Watford City, ND

Profile

NONE

709 4th Avenue NEWatford City, ND 58854

www.mckenziehealth.com

Siviq Scores

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

Liabilities / Assets

76th percentile

0.62x

Higher debt load relative to assets than 76% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

74th percentile

1.07x

Higher debt load relative to revenue than 74% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

65th percentile

11%

Higher net margin than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

84th percentile

$1,204,781

Higher top officer pay than 84% of similar nonprofits.

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

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

51st percentile

6.1%

Faster asset growth than 51% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

72nd percentile

19%

Faster revenue growth than 72% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$112,198,103

Up $6,496,287 (+6.1%) from 2023

Liabilities

Down

$69,889,231

Down $1,017,177 (-1.4%) from 2023

Net Assets

Up

$42,308,872

Up $7,513,464 (+22%) from 2023

Revenue

Up

$65,053,793

Up $10,182,845 (+19%) from 2023

Expenses

Up

$58,033,166

Up $7,397,553 (+15%) from 2023

Net Income

Up

$7,020,627

Up $2,785,292 (+66%) from 2023

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $7,005,759Liabilities 2010: $1,241,591Net Assets 2010: $5,764,1682010Assets 2011: $8,624,328Liabilities 2011: $1,855,518Net Assets 2011: $6,768,8102011Assets 2012: $10,837,751Liabilities 2012: $1,818,859Net Assets 2012: $9,018,8922012Assets 2013: $15,199,856Liabilities 2013: $2,156,980Net Assets 2013: $13,042,8762013Assets 2014: $16,927,907Liabilities 2014: $3,270,216Net Assets 2014: $13,657,6912014Assets 2015: $33,569,129Liabilities 2015: $7,613,719Net Assets 2015: $25,955,4102015Assets 2016: $37,740,642Liabilities 2016: $7,466,591Net Assets 2016: $30,274,0512016Assets 2017: $67,521,366Liabilities 2017: $34,828,133Net Assets 2017: $32,693,2332017Assets 2018: $112,115,780Liabilities 2018: $71,789,271Net Assets 2018: $40,326,5092018Assets 2019: $115,957,319Liabilities 2019: $78,862,752Net Assets 2019: $37,094,5672019Assets 2020: $117,929,707Liabilities 2020: $82,718,803Net Assets 2020: $35,210,9042020Assets 2021: $109,663,436Liabilities 2021: $75,439,565Net Assets 2021: $34,223,8712021Assets 2022: $103,424,427Liabilities 2022: $72,370,875Net Assets 2022: $31,053,5522022Assets 2023: $105,701,816Liabilities 2023: $70,906,408Net Assets 2023: $34,795,4082023Assets 2024: $112,198,103Liabilities 2024: $69,889,231Net Assets 2024: $42,308,8722024

Highlighted filing

2024

Assets$112,198,103
Liabilities$69,889,231
Net Assets$42,308,872

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $9,309,0222010Expenses 2011: $10,440,2332011Expenses 2012: $12,879,2162012Expenses 2013: $15,349,2382013Revenue 2014: $15,809,430Expenses 2014: $16,852,215Net Income 2014: -$1,042,7852014Revenue 2015: $31,152,915Expenses 2015: $18,855,195Net Income 2015: $12,297,7202015Revenue 2016: $23,512,955Expenses 2016: $19,194,314Net Income 2016: $4,318,6412016Revenue 2017: $20,289,304Expenses 2017: $17,870,122Net Income 2017: $2,419,1822017Revenue 2018: $27,005,590Expenses 2018: $19,372,314Net Income 2018: $7,633,2762018Revenue 2019: $27,583,584Expenses 2019: $30,815,526Net Income 2019: -$3,231,9422019Revenue 2020: $37,892,098Expenses 2020: $39,775,761Net Income 2020: -$1,883,6632020Revenue 2021: $42,844,188Expenses 2021: $43,496,051Net Income 2021: -$651,8632021Revenue 2022: $41,814,742Expenses 2022: $44,985,061Net Income 2022: -$3,170,3192022Revenue 2023: $54,870,948Expenses 2023: $50,635,613Net Income 2023: $4,235,3352023Revenue 2024: $65,053,793Expenses 2024: $58,033,166Net Income 2024: $7,020,6272024

Highlighted filing

2024

Revenue$65,053,793
Expenses$58,033,166
Net Income$7,020,627

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$112$69.9$42.3$65.1$58.0$7.02
2023Summary only. Only limited summary data is available for this year.$106$70.9$34.8$54.9$50.6$4.24
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$103$72.4$31.1$41.8$45.0$3.17
2021Summary only. Only limited summary data is available for this year.$110$75.4$34.2$42.8$43.5$0.65
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$118$82.7$35.2$37.9$39.8$1.88
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$116$78.9$37.1$27.6$30.8$3.23
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$112$71.8$40.3$27.0$19.4$7.63
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$67.5$34.8$32.7$20.3$17.9$2.42
2016Detailed filing. Detailed filing data is available for this year.$37.7$7.47$30.3$23.5$19.2$4.32
2015Summary only. Only limited summary data is available for this year.$33.6$7.61$26.0$31.2$18.9$12.3
2014Detailed filing. Detailed filing data is available for this year.$16.9$3.27$13.7$15.8$16.9$1.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.2$2.16$13.0$15.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$1.82$9.02$12.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.62$1.86$6.77$10.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.01$1.24$5.76$9.31
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$65,913,377
Mission and Program Overview

Mission

Mckenzie county healthcare systems is a faith-based organization dedicated to professional, compassionate and quality healthcare.

Health care service provider.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$71,205,401$69,554,931▼ $1,650,470
Investments in Publicly Traded Securities$14,693,173$23,532,439▲ $8,839,266
Accounts Receivable$7,655,818$9,237,755▲ $1,581,937
Pledges and Grants Receivable$5,324,223$3,992,323▼ $1,331,900
Cash and Non-Interest-Bearing Accounts$4,807,834$3,024,500▼ $1,783,334
Inventories for Sale or Use$1,037,389$1,584,540▲ $547,151
Prepaid Expenses and Deferred Charges$618,785$485,653▼ $133,132
Total Assets$105,701,816$112,198,103▲ $6,496,287
Other Assets Total$359,193$785,962▲ $426,769
Liabilities
Mortgage Notes Payable Secured by Investment Property$67,190,540$62,805,316▼ $4,385,224
Accounts Payable and Accrued Expenses$3,621,798$6,577,103▲ $2,955,305
Other Liabilities$20,000$433,534▲ $413,534
Escrow Account Liability$74,070$72,478▼ $1,592
Deferred Revenue-$800-
Total Liabilities$70,906,408$69,889,231▼ $1,017,177
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$34,795,408$42,308,872▲ $7,513,464
Total Net Assets Fund Balance$34,795,408$42,308,872▲ $7,513,464
Total Liabilities and Net Assets / Fund Balance$105,701,816$112,198,103▲ $6,496,287

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$37,958,935$19,577,349$57,536,284
Equipment$25,054,409$24,392,994$49,447,403
Other Land Buildings$5,477,861$2,385,784$7,863,645
Land$1,063,726-$1,063,726
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Ravindra JoshiOrthopedic SurgeonFT$995,140$209,641$1,204,781
Dr Yolanda NewtonMedical DoctorFT$524,535$24,892$549,427
Dr Gary RamageMedical Director, PhysicianPT$376,136$39,943$416,079
Dr Trevor ThorpeInterim Anesthesia ChiefFT$353,064$46,409$399,473
Dr Kathryn KovarCrnaFT$321,817$28,083$349,900
Peter EdisCEOFT$250,492$92,015$342,507
Dr Paul DearingMedical DoctorFT$297,000$13,148$310,148
Daniel KellyFormer President-$158,651$44,821$203,472
Cheryl FaulknerCNOFT$134,300$31,711$166,011
Theo StollerCOOFT$116,318$39,049$155,367
William MerkleCFO (As of Sept)FT$50,654$39,949$90,603

Board Members and Trustees

NameTitle
Gary BrownChair
Justin VollVice-chair
Chase WisnessDirector
Monty BulzomiDirector
Virginia CeynarDirector
Yolanda RojasDirector
Kristen HeenDirector (As of Jan)
Tammy JamesDirector (Until Dec)
Cheryl BatchelorInterim CFO (Until Sept)
Jan DodgeSecretary
Randy QualeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Compassionate Hospitalist CarePhysician102 Polo Ln, Sanford, FL 32771$548,635
Mastrapa Medical Services LLCPhysician1541 Palm Ave, Winter Park, FL 32789$528,126
Construction Engineers IncConstructionPO Box 13378, Grand Forks, ND 58208$509,955
WelkerPR IncMarketing6226 Red Canyon Dr Apt A, Highlands Ranch, CO 80130$249,710
-Physician1515 N Astor St Apt 22A, Chicago, IL 60610$228,376
Revenue and Support

Revenue Composition

Contributions and Grants
$13,164,480
Program Service Revenue
$51,824,222
Investment Income
$389,988
Other Revenue
$-324,897
All Other Contributions
$425,408
Change in Net Assets
$7,020,627

Audited Revenue Reconciliation

Revenue per Audited Statements
$65,913,377
Revenue Not Reported on Financial Statements
$-859,584
Revenue Not Reported on Form 990
$492,837
Other Revenue Adjustments
$-859,584
Total Revenue per Audited Statements
$66,406,214
Total Revenue per Form 990
$65,053,793
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$32,257,295
Salaries, Compensation, and Employee Benefits$25,775,871
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,901,876$2,093,472-$19,995,348
Fees for Services Other$14,009,041$3,272,034-$17,281,075
Depreciation Depletion$4,793,395$907,426-$5,700,821
Other Employee Benefits$1,546,183$550,162-$2,096,345
Interest$1,192,098$214,342-$1,406,440
Payroll Taxes$1,155,018$233,823-$1,388,841
Current Officers, Directors, Trustees, and Key Employees$114,701$1,188,310-$1,303,011
Pension Plan Contributions$646,647$45,158-$691,805
Office Expenses$449,482$219,135-$668,617
Occupancy$554,679$74,902-$629,581
Travel$470,355$61,175-$531,530
All Other Expenses$205,001$325,859-$530,860
Other Expenses$484,592$26,095-$510,687
Information Technology-$503,199-$503,199
Insurance$139,918$274,588-$414,506
Comp Disqual Persons-$300,521-$300,521
Advertising$38,408$196,328-$234,736
Conferences and Meetings$125,449$46,048-$171,497
Fees for Services Accounting-$94,849-$94,849
Fees for Services Legal-$78,766-$78,766
Total Functional Expenses$47,324,986$10,708,180$0$58,033,166

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$58,892,750
Expenses per Audited Statements$58,033,166
Total Expenses per Form 990$58,033,166
Expenses Not Reported on Form 990$859,584
Expenses Not Reported on Financial Statements$0
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
-Spouse of Former OfficerEmployee salaryNo$50,586
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$423,534
Postretirement Benefit Obligation$10,000
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

The Interim CFO, Cheryl Batchellor, is paid by an unrelated management company, American Consultants, for her services to both the Benefit Fund of McKenzie County Healthcare Systems and McKenzie County Healthcare Systems (MCHS). In calendar year 2023, MCHS paid $322,000 for her services.

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

The MCHS CEO and CFO review and approve the Form 990. The Board of Directors recieve a copy of the final Form 990 before it is filed with the IRS.

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

An interested person is defined as any director, principal officer, and anyone who has a direct or indirect financial interest with respect to all entities in the healthcare system. An interested person must disclose the existence of the financial interest and will be given the opportunity to disclose all material facts to the Directors. The conflict will be reviewed by the remaining Board and will determine if a conflict exists. If a conflict exists, the interested person must abstain from voting on the issue and the remaining Board members will determine if the transaction is in the hospital's best interest, for its own benefit, and if it is fair and reasonable. This is accomplished through annual review and a signed statement stating that the interested person has obtained a copy of the policy and has read and understands the policy, and has agreed to comply with the policy.

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

Members of the Board of Trustees review state-wide salary survey information and other Form 990s when determining any wage changes. The CEO has an annual evaluation completed. The CEO has the opportunity to give a proposal to the Board at their evaluation. Any change or revision is recorded in the Board minutes. An addendum to the terms of employment is signed by the Board President and CEO for the personnel file. The CEO approves other officer compensation based upon survey data on an annual basis. The results are documented in the officer's annual evaluation paperwork.

Form 990, Part VI, Section C, line 19

The governing documents, conflict policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
McKenzie County Healthcare Systems Inc
EIN
77-0637498
Phone
7018423000
Address
709 4th Avenue NE, Watford City, ND 58854

Signing Officer

Name
Peter Edis
Title
CEO
Phone
7018423000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Peter Edis
Formed
2004
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
10

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

Service Contracts: Program service expenses 918,402. Management and general expenses 179,494. Fundraising expenses 0. Total expenses 1,097,896. Staffing Purchased Services: Program service expenses 6,380,768. Management and general expenses 503,406. Fundraising expenses 0. Total expenses 6,884,174. Contracted Physician and Medical: Program service expenses 5,397,215. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,397,215. Other Purchased Services: Program service expenses 1,236,184. Management and general expenses 1,972,793. Fundraising expenses 0. Total expenses 3,208,977. Collection Agency: Program service expenses 0. Management and general expenses 344,862. Fundraising expenses 0. Total expenses 344,862. Credit Card Fees: Program service expenses 7,307. Management and general expenses 196,347. Fundraising expenses 0. Total expenses 203,654. Software Maintenance Fees: Program service expenses 47,115. Management and general expenses 70,696. Fundraising expenses 0. Total expenses 117,811. Consulting Services: Program service expenses 22,050. Management and general expenses 4,436. Fundraising expenses 0. Total expenses 26,486.

Financial Statement Notes

Part IV, Line 2B:

The Organizations holds security deposits, as well as resident trust funds.

Part X, Line 2:

The Health System believes it has 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 Health System would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 4B - Other Adjustments:

Rental Expenses Included in Expenses on Financials -859,584.

Part XII, Line 2D - Other Adjustments:

Rental Expenses Included in Revenue on Form 990 859,584.

Raw XML AppendixShowing 400 of 1,065 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/BooksInCareOfDetail/USAddress/AddressLine1Txt0709 4th Avenue NE
IRS990/BooksInCareOfDetail/USAddress/CityNm0Watford City
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3WelkerPR Inc
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0Robert Bates MD
IRS990/ContractorCompensationGrp/ServicesDesc0Physician
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IRS990/ContractorCompensationGrp/ServicesDesc2Construction
IRS990/ContractorCompensationGrp/ServicesDesc3Marketing
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IRS990/CreditCounselingInd01
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IRS990/Desc0McKenzie County Healthcare Systems provides 24 hour x 7 days a week services. MCHS provided in-patient, observation, and swing bed services and obstetrics - hospital - total inpatient/observation days -1,213. Total swing bed days -1,046. MCHS offers various other services. They offer Ortho, Gen Surgery, Urol and ENT. Total Surgeries - 1015.The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,673. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Total lab procedures - 64,202; Total births 99; Total clinic visits -19,775.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
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IRS990/Form990PartVIISectionAGrp/PersonNm13William Merkle
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IRS990/Form990PartVIISectionAGrp/PersonNm16Dr Ravindra Joshi
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IRS990/Form990PartVIISectionAGrp/PersonNm19Dr Kathryn Kovar
IRS990/Form990PartVIISectionAGrp/PersonNm20Dr Paul Dearing
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