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Nonprofiteer
← MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Form 990 for tax year 2022

Filed by MCKENZIE COUNTY HEALTHCARE SYSTEMS INC.

Totals

Total revenue
$54,870,948
Total expenses
$50,635,613
Contributions and grants received
$11,743,198
Grants paid
$0
Program service revenue
$43,954,736
Investment income
-$267,163
Other revenue
-$559,823
Total assets, end of year
$105,701,816
Total liabilities, end of year
$70,906,408
Net assets or fund balances, end of year
$34,795,408
Program services expenses (Part IX)
$41,170,104
Management and general expenses
$9,465,509
Fundraising expenses
$0
Program service expenses (Part III)
$41,170,104

Program services were 81.3% 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.

  • 1d · Related organizations

    $1,311,551

  • 1e · Government grants (contributions)

    $10,300,000

  • 1f · All other contributions, gifts and grants

    $131,647

  • 2a · Program service revenue: Hospital Patient Service Revenue

    total $27,420,301 · related or exempt $27,420,301

  • 2b · Program service revenue: Clinic Service Revenue

    total $6,226,714 · related or exempt $6,226,714

  • 2c · Program service revenue: Nursing Home Service Revenue

    total $5,709,620 · related or exempt $5,709,620

  • 2d · Program service revenue: 340B Pharmacy Revenue

    total $2,889,283 · related or exempt $2,889,283

  • 2e · Program service revenue: Assisted Living Rental

    total $426,713 · related or exempt $426,713

  • 2f · All other program service revenue

    total $1,282,105 · related or exempt $841,222 · unrelated business $440,883

  • 3 · Investment income

    total $19,288 · excluded $19,288

  • 6a · Gross rents

    real property $520,793

  • 6b · Less rental expenses

    real property $1,080,616

  • 6c · Rental income or loss

    real property -$559,823

  • 6d · Net rental income or loss

    total -$559,823 · unrelated business -$21,763 · excluded -$538,060

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

    other assets $286,451

  • 7c · Gain or loss

    other assets -$286,451

  • 7d · Net gain or loss

    total -$286,451 · excluded -$286,451

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $974,581 · program services $306,549 · management and general $668,032

  • 6 · Compensation of disqualified persons

    total $278,983 · management and general $278,983

  • 7 · Other salaries and wages

    total $16,765,082 · program services $15,070,126 · management and general $1,694,956

  • 8 · Pension plan contributions

    total $533,518 · program services $504,127 · management and general $29,391

  • 9 · Other employee benefits

    total $2,231,734 · program services $1,715,933 · management and general $515,801

  • 10 · Payroll taxes

    total $1,182,846 · program services $1,006,878 · management and general $175,968

  • 11b · Fees: legal

    total $49,688 · management and general $49,688

  • 11c · Fees: accounting

    total $14,811 · management and general $14,811

  • 11g · Fees: other

    total $12,849,590 · program services $10,126,110 · management and general $2,723,480

  • 12 · Advertising and promotion

    total $216,391 · program services $61,734 · management and general $154,657

  • 13 · Office expenses

    total $744,688 · program services $570,267 · management and general $174,421

  • 14 · Information technology

    total $584,934 · management and general $584,934

  • 16 · Occupancy

    total $682,725 · program services $607,032 · management and general $75,693

  • 17 · Travel

    total $205,800 · program services $191,764 · management and general $14,036

  • 19 · Conferences, conventions and meetings

    total $159,667 · program services $104,364 · management and general $55,303

  • 20 · Interest

    total $1,428,417 · program services $1,198,709 · management and general $229,708

  • 22 · Depreciation, depletion and amortization

    total $6,566,393 · program services $5,521,766 · management and general $1,044,627

  • 23 · Insurance

    total $361,835 · program services $138,891 · management and general $222,944

  • 24a · Other expenses: Medical Supplies

    total $2,083,626 · program services $2,110,336 · management and general -$26,710

  • 24b · Other expenses: Pharmaceuticals

    total $912,312 · program services $912,312

  • 24c · Other expenses: Repairs and Maintenance

    total $554,446 · program services $389,849 · management and general $164,597

  • 24d · Other expenses: Food Service Supplies

    total $440,500 · program services $435,481 · management and general $5,019

  • 24e · All other expenses

    total $813,046 · program services $197,876 · management and general $615,170

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,567,178 · end of year $4,807,834

  • 3 · Pledges and grants receivable

    beginning of year $6,695,536 · end of year $5,324,223

  • 4 · Accounts receivable

    beginning of year $6,470,547 · end of year $7,655,818

  • 8 · Inventories for sale or use

    beginning of year $1,017,730 · end of year $1,037,389

  • 9 · Prepaid expenses and deferred charges

    beginning of year $318,722 · end of year $618,785

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

    $113,747,438

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

    $42,542,037

  • 10c · Land, buildings and equipment, net

    beginning of year $75,999,026 · end of year $71,205,401

  • 11 · Investments: publicly traded securities

    beginning of year $9,284,832 · end of year $14,693,173

  • 15 · Other assets

    beginning of year $70,856 · end of year $359,193

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,349,923 · end of year $3,621,798

  • 21 · Escrow or custodial account liability

    beginning of year $60,813 · end of year $74,070

  • 23 · Secured mortgages and notes payable

    beginning of year $68,925,139 · end of year $67,190,540

  • 25 · Other liabilities

    beginning of year $35,000 · end of year $20,000

  • 27 · Net assets without donor restrictions

    beginning of year $31,053,552 · end of year $34,795,408

Mission and programs · 2022

Mission

Mckenzie County Healthcare Systems is a faith-based organization dedicated to professional, compassionate and quality healthcare.

Activities or mission (Part I)

Health care service provider.

  • McKenzie 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 -1,053. Total swing bed days -730. MCHS offers various other services. They offer endoscopic exams. Total Outpatient Surgeries - 739. The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,345. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Number of members taking advantage of Birthday Screenings - 1,396. Total outpatient procedures 28,795 Total births - 25.

    Expenses $30,081,985 · Revenue $31,591,689

  • The McKenzie County Healthcare System (MCHS) Good Shepherd Home (GSH) is a 47 bed skilled nursing home with an attached 9-bed basic care unit. The GSH offers Day Care and/or Respite Care for those caring for a loved one in their home. A Dementia Support Group is offered to families. They maintain regular Resident Family Council Meetings. Along with qualified nursing care and staff, social services, physical therapy, occupational therapy, restoration nursing, laundry, housekeeping, beautician services, and activity programs are offered (beautician and activities held when COVID conditions allow). Visitors are welcome when COVID conditions allow; regular electronic "visits" are arranged otherwise. Pastoral care and chapel are offered 7 days a week. Activities include birthday parties, musical groups, baking, and bus trips. The Skilled Nursing total percent of occupancy has been 90.2%.

    Expenses $3,250,675 · Revenue $5,709,620

  • The MCHS Clinic (Rural Health Clinic) maintains the same mission as the Hospital. It provides care Monday through Friday. The RHC recently started conducting Telehealth visits as rendering providers due to COVID. A full-time contracted locum physician group provide Emergency Room Coverage at the hospital 24 hours a day x 7 days a week as well as 7 day a week Urgent Care coverage from 8am to 8pm utilizing mid-level providers. An RHC provider offered regular visits to the Good Shepherd Home. Both the Value Based Program involvement as well as our Visiting Nurse Program have been a great asset to the clinic, providing care to homebound patients within our community. After the onset of the COVID-19 pandemic the RHC developed point-of-care services and rapid testing for the community.

    Expenses $7,498,392 · Revenue $6,226,714

  • Horizon Assisted Living provides assisted and independent living services. It consists of 15 apartments that provide a 24 hour call system to health care personnel. The staff is dedicated to helping seniors live at their highest level of independence and ability. Its percent of occupancy is currently at 98.3%

    Expenses $339,052 · Revenue $426,713

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

Listed in Part VII

  • Gary Brown

    Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Justin Voll

    Vice-chair

    Total calculated
    $0
    Hours/week
    1

  • Randy Quale

    Treasurer

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jan Dodge

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Monty Bulzomi

    Director

    Total calculated
    $0
    Hours/week
    1

  • Virginia Ceynar

    Director

    Total calculated
    $0
    Hours/week
    1

  • Tammy James

    Director

    Total calculated
    $0
    Hours/week
    1

  • Yolanda Rojas

    Director (Jan-Jun)

    Total calculated
    $0
    Hours/week
    1

  • Chase Wisness

    Director

    Total calculated
    $0
    Hours/week
    1

  • Neal Shipman

    Vice Chair (Jul-Dec)

    Total calculated
    $0
    Hours/week
    1

  • Peter Edis

    CEO

    Total calculated
    $285,177
    From this org
    $251,040
    From related orgs
    $0
    Other
    $34,137
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $238,540
    Bonus
    $12,500
    Other
    $0
    Deferred
    $13,461
    Nontaxable benefits
    $20,676
    Filer's total
    $285,177

  • Cheryl Batchelor

    Interim CFO

    Total calculated
    $0
    Hours/week
    38 + 2 related

  • Robert Black

    Interim COO (July thru May)

    Total calculated
    $126,000
    From this org
    $126,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Theo Stoller

    COO (as of April)

    Total calculated
    $0
    Hours/week
    40

  • Cheryl Faulkner

    CNO

    Total calculated
    $157,526
    From this org
    $127,987
    From related orgs
    $0
    Other
    $29,539
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,107
    Bonus
    $400
    Other
    $480
    Deferred
    $8,117
    Nontaxable benefits
    $21,422
    Filer's total
    $157,526

  • Dr Gary Ramage

    Medical Director, Physicia

    Total calculated
    $398,003
    From this org
    $351,575
    From related orgs
    $0
    Other
    $46,428
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $336,606
    Bonus
    $1,500
    Other
    $13,469
    Deferred
    $18,300
    Nontaxable benefits
    $28,128
    Filer's total
    $398,003

  • Dr Ravindra Joshi

    Orthopedic Surgeon

    Total calculated
    $878,399
    From this org
    $856,783
    From related orgs
    $0
    Other
    $21,616
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $829,879
    Bonus
    $0
    Other
    $26,904
    Deferred
    $7,955
    Nontaxable benefits
    $13,660
    Filer's total
    $878,398

  • Dr Craig Smith

    Anesthesiologist

    Total calculated
    $375,570
    From this org
    $361,234
    From related orgs
    $0
    Other
    $14,336
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $360,251
    Bonus
    $0
    Other
    $983
    Deferred
    $13,982
    Nontaxable benefits
    $354
    Filer's total
    $375,570

  • Dr Maria Marchenko

    Pediatrician

    Total calculated
    $311,734
    From this org
    $274,220
    From related orgs
    $0
    Other
    $37,514
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $270,731
    Bonus
    $0
    Other
    $3,489
    Deferred
    $16,838
    Nontaxable benefits
    $20,676
    Filer's total
    $311,734

  • Dr Vincent Adjetey

    Pediatrician

    Total calculated
    $291,627
    From this org
    $265,342
    From related orgs
    $0
    Other
    $26,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,299
    Bonus
    $0
    Other
    $3,043
    Deferred
    $16,052
    Nontaxable benefits
    $10,233
    Filer's total
    $291,627

  • Dr Lucinda Mundorf

    Internal Medicine

    Total calculated
    $284,084
    From this org
    $258,553
    From related orgs
    $0
    Other
    $25,531
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,453
    Bonus
    $0
    Other
    $5,100
    Deferred
    $15,655
    Nontaxable benefits
    $9,876
    Filer's total
    $284,084

  • Daniel Kelly

    Former President

    Total calculated
    $280,684
    From this org
    $254,130
    From related orgs
    $0
    Other
    $26,554
    Hours/week
    10 + 10 related

    Schedule J breakdown matched by us

    Base
    $229,014
    Bonus
    $24,465
    Other
    $651
    Deferred
    $15,468
    Nontaxable benefits
    $11,086
    Filer's total
    $280,684

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 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

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • McKenzie County Healthcare Systems Properties

    C · Property Management · ND · 100% owned · share of income $21,650 · share of assets $669,697 · controlled entity

    Directly controlled by McKenzie County Healthcare Systems Inc

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349310887

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