Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $9,472

• 1f · All other contributions, gifts and grants

  $63,207

• 2a · Program service revenue: NET PATIENT REVENUE

  total $12,960,185 · related or exempt $12,960,185

• 2b · Program service revenue: 340B PHARMACY REVENUE

  total $727,824 · related or exempt $727,824

• 2c · Program service revenue: LANGDON COUNTY AMBULANCE

  total $160,078 · related or exempt $160,078

• 3 · Investment income

  total $115,003 · excluded $115,003

• 6a · Gross rents

  real property $27,162

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $27,162

• 6d · Net rental income or loss

  total $27,162 · excluded $27,162

• 7a · Gross sales of assets other than inventory

  securities $1,304,973 · other assets $31,553

• 7b · Less cost or other basis and sales expenses

  securities $1,465,041 · other assets $0

• 7c · Gain or loss

  securities -$160,068 · other assets $31,553

• 7d · Net gain or loss

  total -$128,515 · excluded -$128,515

• 11d · All other revenue

  total $302,988 · excluded $302,988

• 11e · Other revenue, total

  $302,988

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $9,932 · program services $9,932

• 5 · Compensation of officers, directors and key employees

  total $838,863 · program services $671,738 · management and general $167,125

• 7 · Other salaries and wages

  total $4,422,605 · program services $3,541,499 · management and general $881,106

• 8 · Pension plan contributions

  total $51,988 · program services $41,630 · management and general $10,358

• 9 · Other employee benefits

  total $349,827 · program services $280,132 · management and general $69,695

• 10 · Payroll taxes

  total $353,556 · program services $283,118 · management and general $70,438

• 11b · Fees: legal

  total $39,293 · management and general $39,293

• 11c · Fees: accounting

  total $76,360 · management and general $76,360

• 11g · Fees: other

  total $4,028,556 · program services $3,161,833 · management and general $866,723

• 12 · Advertising and promotion

  total $97,716 · program services $691 · management and general $97,025

• 13 · Office expenses

  total $85,842 · program services $20,166 · management and general $65,676

• 14 · Information technology

  total $378,487 · program services $1,647 · management and general $376,840

• 16 · Occupancy

  total $179,495 · program services $146,020 · management and general $33,475

• 17 · Travel

  total $55,886 · program services $44,368 · management and general $11,518

• 20 · Interest

  total $42,426 · program services $33,459 · management and general $8,967

• 22 · Depreciation, depletion and amortization

  total $749,539 · program services $591,127 · management and general $158,412

• 23 · Insurance

  total $92,612 · program services $518 · management and general $92,094

• 24a · Other expenses: MEDICAL SUPPLIES

  total $1,431,183 · program services $1,431,089 · management and general $94

• 24b · Other expenses: REPAIRS & MAINTENANCE

  total $283,266 · program services $283,250 · management and general $16

• 24c · Other expenses: BAD DEBT EXPENSE

  total $223,131 · program services $223,131

• 24d · Other expenses: EQUIPMENT RENTAL

  total $105,808 · program services $102,566 · management and general $3,242

• 24e · All other expenses

  total $229,608 · program services $93,957 · management and general $135,651

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $8,014 · end of year $8,414

• 2 · Savings and temporary cash investments

  beginning of year $5,379,625 · end of year $5,048,783

• 4 · Accounts receivable

  beginning of year $1,835,529 · end of year $2,073,506

• 8 · Inventories for sale or use

  beginning of year $251,060 · end of year $262,959

• 9 · Prepaid expenses and deferred charges

  beginning of year $124,985 · end of year $242,040

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

  $17,028,897

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

  $9,656,891

• 10c · Land, buildings and equipment, net

  beginning of year $7,498,102 · end of year $7,372,006

• 12 · Investments: other securities

  beginning of year $2,444,718 · end of year $2,492,861

• 15 · Other assets

  beginning of year $583,911 · end of year $1,167,372

• 17 · Accounts payable and accrued expenses

  beginning of year $707,633 · end of year $864,059

• 20 · Tax-exempt bond liabilities

  beginning of year $649,670 · end of year $447,066

• 25 · Other liabilities

  beginning of year $0 · end of year $427,372

• 27 · Net assets without donor restrictions

  beginning of year $14,323,923 · end of year $14,436,583

• 28 · Net assets with donor restrictions

  beginning of year $2,444,718 · end of year $2,492,861

The filer's explanations (Part III)

PART I, LINE 4A

OSCAR FERNANDEZ, CMO, RECEIVED A SEVERANCE PAYMENT FROM CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION OF $19,256 ON NOVEMBER 2, 2022.