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Nonprofiteer
← COAL COUNTRY COMMUNITY HEALTH CENTER

Form 990 for tax year 2022

Filed by COAL COUNTRY COMMUNITY HEALTH CENTER.

Totals

Total revenue
$16,373,356
Total expenses
$16,095,048
Contributions and grants received
$4,741,649
Grants paid
$0
Program service revenue
$11,567,539
Investment income
$0
Other revenue
$64,168
Total assets, end of year
$17,189,852
Total liabilities, end of year
$4,661,229
Net assets or fund balances, end of year
$12,528,623
Program services expenses (Part IX)
$13,323,039
Management and general expenses
$2,772,009
Fundraising expenses
$0
Program service expenses (Part III)
$13,323,039

Program services were 82.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $4,728,609

  • 1f · All other contributions, gifts and grants

    $13,040

  • 2a · Program service revenue: Patient Service Revenue

    total $7,717,594 · related or exempt $7,717,594

  • 2b · Program service revenue: 340B Program Revenue

    total $3,094,905 · related or exempt $3,094,905

  • 2c · Program service revenue: Other Program Revenue

    total $755,040 · related or exempt $755,040

  • 6a · Gross rents

    real property $64,168

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $64,168

  • 6d · Net rental income or loss

    total $64,168 · excluded $64,168

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $359,845 · management and general $359,845

  • 6 · Compensation of disqualified persons

    total $21,860 · program services $21,860

  • 7 · Other salaries and wages

    total $7,812,414 · program services $7,238,918 · management and general $573,496

  • 8 · Pension plan contributions

    total $286,460 · program services $209,672 · management and general $76,788

  • 9 · Other employee benefits

    total $1,006,749 · program services $772,776 · management and general $233,973

  • 10 · Payroll taxes

    total $557,705 · program services $392,562 · management and general $165,143

  • 11b · Fees: legal

    total $17,403 · management and general $17,403

  • 11c · Fees: accounting

    total $103,678 · management and general $103,678

  • 11g · Fees: other

    total $1,994,914 · program services $1,784,564 · management and general $210,350

  • 12 · Advertising and promotion

    total $61,864 · management and general $61,864

  • 13 · Office expenses

    total $626,637 · program services $446,288 · management and general $180,349

  • 16 · Occupancy

    total $696,075 · program services $521,811 · management and general $174,264

  • 17 · Travel

    total $136,356 · program services $70,732 · management and general $65,624

  • 19 · Conferences, conventions and meetings

    total $64,623 · program services $16,827 · management and general $47,796

  • 20 · Interest

    total $31,764 · program services $31,764

  • 22 · Depreciation, depletion and amortization

    total $864,274 · program services $810,047 · management and general $54,227

  • 23 · Insurance

    total $68,463 · program services $4,000 · management and general $64,463

  • 24a · Other expenses: Medical Supplies

    total $897,034 · program services $897,034

  • 24b · Other expenses: Dues & Subscriptions

    total $60,173 · program services $13,670 · management and general $46,503

  • 24c · Other expenses: Licenses

    total $30,539 · program services $30,208 · management and general $331

  • 24e · All other expenses

    total $396,218 · program services $60,306 · management and general $335,912

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $7,560,753 · end of year $6,726,159

  • 4 · Accounts receivable

    beginning of year $1,425,532 · end of year $1,663,867

  • 7 · Other notes and loans receivable

    end of year $12,963

  • 8 · Inventories for sale or use

    beginning of year $57,035 · end of year $83,307

  • 9 · Prepaid expenses and deferred charges

    beginning of year $112,034 · end of year $240,426

  • 10a · Land, buildings and equipment: cost or other basis

    $12,308,257

  • 10b · Land, buildings and equipment: accumulated depreciation

    $4,314,476

  • 10c · Land, buildings and equipment, net

    beginning of year $7,340,381 · end of year $7,993,781

  • 15 · Other assets

    beginning of year $121,281 · end of year $469,349

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,114,425 · end of year $1,232,718

  • 23 · Secured mortgages and notes payable

    beginning of year $3,252,276 · end of year $3,428,511

  • 27 · Net assets without donor restrictions

    beginning of year $12,250,315 · end of year $12,528,623

Mission and programs · 2022

Mission

Working together as partners to enhance the lives of area residents by providing a neighborhood of patient centered healthcare services that promote wellness, prevention and care coordination.

Activities or mission (Part I)

CCCHC provides and promotes quality health care to the medically underserved population in the North Dakota counties of Mercer, Dunn, and Oliver.

  • Coal Country Community Health Center is part of a family of over 1,400 health centers nationally that provide care to more than 30 million people in the United States. Community health centers are local, non-profit health care providers serving low income and medically underserved communities. Also known as Federally-Qualified Health Centers (FQHCs), they are located in areas where care is needed, and improve access to care for millions of Americans. Their costs of care rank among the lowest, and their focus on prevention reduces the need for more expensive in-patient and specialty care, saving billions of dollars for taxpayers. (Continued on Schedule O)The focus of the care we provide can be summed up in one word - community. Coal Country is governed by a board of members from the communities we serve, and every decision they make has the best interest of the community in mind. Our medical staff and support staff are also your neighbors, helping us truly understand you and the health care issues that are important to you.The team of providers delivers primary care for the entire community. Funded by a federal grant, our sliding fee scale allows patients to pay according to their individual ability. This and other efforts ensure that no one in the community goes without proper health care services. That's what we're all about.Coal Country Community Health Center has clinics in Beulah, Center, Hazen, and Killdeer. Furthermore, Coal Country remains a member of health care networks in the region.At Coal Country Community Health Center, our top priority is to provide complete health care services for the entire community.With a background in every area of medicine, our primary care physicians provide continuing and comprehensive care, from preventative care to diagnosis and treatment of health conditions. A full list of services provided by Coal Country Community Health Center can be obtained at www.coalcountryhealth.comCCCHC opened a seasonal school medical clinic located in Killdeer and Hazen School Districts. Services began in the Spring 2023 and will continue annually September through May indefinitely.

    Expenses $13,323,039 · Revenue $11,567,539

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dr DJ Erickson

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Kathy Kelsch

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Arlene Helling

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Fred Stern

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jody Doe

    Director (May - June 2022)

    Total calculated
    $0
    Hours/week
    1

  • Anna Mae Batke

    Director

    Total calculated
    $0
    Hours/week
    1

  • Myria Perry

    Director

    Total calculated
    $0
    Hours/week
    1

  • Heidi Moore

    Director

    Total calculated
    $0
    Hours/week
    1

  • Wayne Hoffner

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sharon Rud

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sarah Duttenhefner

    Director (Began April 2023)

    Total calculated
    $0
    Hours/week
    1

  • William Suter

    Director (Began April 2023)

    Total calculated
    $0
    Hours/week
    1

  • Carl Blackhurst

    Director

    Total calculated
    $0
    Hours/week
    1

  • Victoria Oberlander

    CFO

    Total calculated
    $159,529
    From this org
    $132,412
    From related orgs
    $0
    Other
    $27,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $111,203
    Bonus
    $21,000
    Other
    $209
    Deferred
    $5,722
    Nontaxable benefits
    $22,023
    Filer's total
    $160,157

  • Darrold Bertsch

    Interim CEO (Began April 2023)

    Total calculated
    $39,109
    From this org
    $28,434
    From related orgs
    $0
    Other
    $10,675
    Hours/week
    40

  • Brian Williams

    CEO

    Total calculated
    $307,727
    From this org
    $258,220
    From related orgs
    $0
    Other
    $49,507
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $256,258
    Bonus
    $0
    Other
    $1,962
    Deferred
    $10,542
    Nontaxable benefits
    $40,281
    Filer's total
    $309,043

  • Aaron Garman MD

    Physician

    Total calculated
    $442,620
    From this org
    $391,894
    From related orgs
    $0
    Other
    $50,726
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,943
    Bonus
    $96,709
    Other
    $1,242
    Deferred
    $12,237
    Nontaxable benefits
    $39,907
    Filer's total
    $444,038

  • Jacinta-Jon Klindworth MD

    Physician

    Total calculated
    $354,125
    From this org
    $305,643
    From related orgs
    $0
    Other
    $48,482
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,019
    Bonus
    $69,382
    Other
    $1,242
    Deferred
    $11,712
    Nontaxable benefits
    $38,189
    Filer's total
    $355,544

  • Michelle Placke

    Physician

    Total calculated
    $352,753
    From this org
    $303,718
    From related orgs
    $0
    Other
    $49,035
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $234,818
    Bonus
    $68,414
    Other
    $486
    Deferred
    $11,608
    Nontaxable benefits
    $38,846
    Filer's total
    $354,172

  • Kelsey Lambrecht

    Physician

    Total calculated
    $374,094
    From this org
    $336,124
    From related orgs
    $0
    Other
    $37,970
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,300
    Bonus
    $53,133
    Other
    $29,691
    Deferred
    $9,253
    Nontaxable benefits
    $30,032
    Filer's total
    $375,409

  • Rodney Zimmerman

    Physician

    Total calculated
    $215,918
    From this org
    $179,602
    From related orgs
    $0
    Other
    $36,316
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,647
    Bonus
    $20,928
    Other
    $6,027
    Deferred
    $6,265
    Nontaxable benefits
    $31,067
    Filer's total
    $216,934

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part II:
Brian Williams is an employee of Coal Country Community Health Center (CCCHC) and also provides services to Sakakawea Medical Center (SMC). The compensation reported in Part VII, and Part II of the Schedule J, reflects total compensation Brian received from CCCHC for services to both SMC and CCCHC. 49% of his compensation is reimbursed by SMC as a shared services agreement.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
15 January 2024
IRS schema version
2022v5.0
Source object
202400179349301800

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