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Nonprofiteer
← HAZEN MEMORIAL HOSPITAL ASSOCIATION

Form 990 for tax year 2023

Filed by HAZEN MEMORIAL HOSPITAL ASSOCIATION.

Totals

Total revenue
$21,892,343
Total expenses
$17,204,666
Contributions and grants received
$3,742,871
Grants paid
$0
Program service revenue
$17,156,907
Investment income
$808,715
Other revenue
$183,850
Total assets, end of year
$45,729,985
Total liabilities, end of year
$23,954,776
Net assets or fund balances, end of year
$21,775,209
Program services expenses (Part IX)
$14,159,839
Management and general expenses
$3,044,827
Fundraising expenses
$0
Program service expenses (Part III)
$14,159,839

Program services were 82.3% 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.

  • 1e · Government grants (contributions)

    $3,431,292

  • 1f · All other contributions, gifts and grants

    $311,579

  • 2a · Program service revenue: Patient and Resident Services

    total $16,833,171 · related or exempt $16,833,171

  • 2b · Program service revenue: Other Program Revenue

    total $220,564 · related or exempt $220,564

  • 2c · Program service revenue: Cafeteria

    total $84,144 · related or exempt $84,144

  • 2d · Program service revenue: Education

    total $19,028 · related or exempt $19,028

  • 3 · Investment income

    total $689,994 · excluded $689,994

  • 6a · Gross rents

    real property $178,304

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $178,304

  • 6d · Net rental income or loss

    total $178,304 · excluded $178,304

  • 7a · Gross sales of assets other than inventory

    other assets $133,000

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

    other assets $14,279

  • 7c · Gain or loss

    other assets $118,721

  • 7d · Net gain or loss

    total $118,721 · excluded $118,721

  • 8a · Fundraising events: gross income

    $8,763

  • 8b · Fundraising events: direct expenses

    $3,217

  • 8c · Net income from fundraising events

    total $5,546 · excluded $5,546

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $338,375 · management and general $338,375

  • 6 · Compensation of disqualified persons

    total $44,817 · management and general $44,817

  • 7 · Other salaries and wages

    total $6,990,964 · program services $6,368,224 · management and general $622,740

  • 8 · Pension plan contributions

    total $245,849 · program services $224,008 · management and general $21,841

  • 9 · Other employee benefits

    total $606,235 · program services $537,921 · management and general $68,314

  • 10 · Payroll taxes

    total $510,281 · program services $457,042 · management and general $53,239

  • 11c · Fees: accounting

    total $551,897 · management and general $551,897

  • 11g · Fees: other

    total $1,507,209 · program services $1,496,806 · management and general $10,403

  • 12 · Advertising and promotion

    total $34,389 · management and general $34,389

  • 13 · Office expenses

    total $174,093 · program services $96,322 · management and general $77,771

  • 14 · Information technology

    total $124,489 · management and general $124,489

  • 16 · Occupancy

    total $449,971 · program services $441,783 · management and general $8,188

  • 17 · Travel

    total $31,325 · program services $23,569 · management and general $7,756

  • 20 · Interest

    total $391,967 · program services $289,861 · management and general $102,106

  • 22 · Depreciation, depletion and amortization

    total $1,929,890 · program services $1,438,923 · management and general $490,967

  • 23 · Insurance

    total $161,754 · program services $12,954 · management and general $148,800

  • 24a · Other expenses: Medical Supplies

    total $1,602,862 · program services $1,602,862

  • 24b · Other expenses: Repairs & Maintenance

    total $715,518 · program services $646,753 · management and general $68,765

  • 24c · Other expenses: Lease & Rentals

    total $270,501 · program services $248,570 · management and general $21,931

  • 24d · Other expenses: Food

    total $176,247 · program services $176,247

  • 24e · All other expenses

    total $346,033 · program services $97,994 · management and general $248,039

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $19,615 · end of year $21,844

  • 2 · Savings and temporary cash investments

    beginning of year $16,552,705 · end of year $19,133,273

  • 4 · Accounts receivable

    beginning of year $1,748,757 · end of year $5,012,114

  • 8 · Inventories for sale or use

    beginning of year $401,263 · end of year $396,629

  • 9 · Prepaid expenses and deferred charges

    beginning of year $115,351 · end of year $119,216

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

    $37,017,233

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

    $18,679,079

  • 10c · Land, buildings and equipment, net

    beginning of year $19,932,945 · end of year $18,338,154

  • 11 · Investments: publicly traded securities

    beginning of year $1,296,486 · end of year $1,347,033

  • 13 · Investments: program-related

    beginning of year $1,018,994 · end of year $1,045,009

  • 15 · Other assets

    beginning of year $437,528 · end of year $316,713

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,066,102 · end of year $1,645,779

  • 22 · Loans and payables to officers and key people

    beginning of year $8,455,520 · end of year $8,132,689

  • 23 · Secured mortgages and notes payable

    beginning of year $14,659,039 · end of year $13,922,533

  • 25 · Other liabilities

    beginning of year $284,255 · end of year $253,775

  • 27 · Net assets without donor restrictions

    beginning of year $15,968,392 · end of year $20,658,359

  • 28 · Net assets with donor restrictions

    beginning of year $1,090,336 · end of year $1,116,850

Mission and programs · 2023

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)

To be the preeminent providers of innovative and collaborative healthcare services.

  • Sakakawea Medical Center (SMC) is a 13 bed critical access hospital providing services in the following areas - acute care, observation, surgery, intermediate and skilled swing bed, emergency room with trauma level V certification, Saturday urgent care, and hospice. Services provided by the ancillary departments include physical therapy, occupational therapy, radiology, 3D mammography, bone density, ultrasound, CT, nuclear med, MRI, laboratory, respiratory therapy, cardiac rehab, EKG, Holter Monitor, and thallium stress tests. Based on charges foregone Sakakawea Medical Center provided $87,113 in charity care. Also available to all self-pay patients, regardless of financial status, is a 30% discount policy for timely payments. SMC is a participating provider for Medicare, Medicaid, Blue Cross Blue Shield and other insurances.Sakakawea Medical Center reaches out to the communities in the service area through programs such as falls prevention classes, CPR education, ACLS classes, PALS classes, grief support groups, smoking cessation classes, occupational health, free blood pressure checks, a Christmas giving tree project, and health career presentations to high schools. SMC sponsors several community events that promote good health and wellness education including Women's World of Wellness and Mammography Marathon. Wellness screenings are provided to area schools and businesses. SMC provides community education programs on requested topics free of charge. It is important for Sakakawea Medical Center to serve our communities by providing all of their health care needs.

    Expenses $13,150,395 · Revenue $16,330,536

  • Senior Suites is a basic care facility that was completed in April 1997. It is adjacent to Sakakawea Medical Center. Senior Suites can accommodate 34 residents with single or double rooms. It features a licensed beauty shop, activity room, spacious commons areas and an enclosed nurse's station. The rooms are set up like suites, hence the name "Senior Suites." The facility is available to those in the senior population that require a minimal amount of supervision, but do not require 24 hour services. The residents are provided with assistance for daily living and medication administration. Resident care census days totaled 4,112 this year.

    Expenses $1,009,444 · Revenue $826,371

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Fred Stern

    President

    Total calculated
    $0
    Hours/week
    2

  • Christie Obenauer-Huber

    Vice President

    Total calculated
    $0
    Hours/week
    1.5

  • Myria Perry

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1.5

  • Don Lyn Erickson

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Robin Richter

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Todd Lindquist

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Wayne Hoffner

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Rachel Connolly

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Daren Eliason

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Martha Raad

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Jesse Krieger

    Director

    Total calculated
    $0
    Hours/week
    1.5

  • Kari Cutting

    Director (As of Nov 23)

    Total calculated
    $0
    Hours/week
    1.5

  • Beverly Huber

    Director (Until Nov 23)

    Total calculated
    $0
    Hours/week
    1.5

  • Darrold Bertsch

    CEO (July-Sept)

    Total calculated
    $131,266
    From this org
    $131,266
    From related orgs
    $0
    Other
    $0
    Hours/week
    19.6

    Schedule J breakdown matched by us

    Base
    $91,266
    Bonus
    $0
    Other
    $40,000
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $131,266

  • Kurt Waldbillig

    CEO (starting Oct)

    Total calculated
    $34,206
    From this org
    $34,206
    From related orgs
    $0
    Other
    $0
    Hours/week
    19.6

    Schedule J breakdown matched by us

    Base
    $34,206
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $34,206

  • Melissa Dillman

    CFO

    Total calculated
    $108,182
    From this org
    $103,021
    From related orgs
    $0
    Other
    $5,161
    Hours/week
    36

  • Michael Schmit

    Surgeon

    Total calculated
    $361,009
    From this org
    $329,801
    From related orgs
    $0
    Other
    $31,208
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $329,801
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $18,059
    Filer's total
    $361,060

  • Carl Miller

    CRNA

    Total calculated
    $208,859
    From this org
    $174,720
    From related orgs
    $0
    Other
    $34,139
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $174,720
    Bonus
    $0
    Other
    $0
    Deferred
    $7,040
    Nontaxable benefits
    $27,150
    Filer's total
    $208,910

  • Kimberley Binstock

    FNP-C

    Total calculated
    $182,610
    From this org
    $152,548
    From related orgs
    $0
    Other
    $30,062
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $152,548
    Bonus
    $0
    Other
    $0
    Deferred
    $6,149
    Nontaxable benefits
    $23,964
    Filer's total
    $182,661

  • Alyssa Wolden

    Pharmacist

    Total calculated
    $137,013
    From this org
    $121,995
    From related orgs
    $0
    Other
    $15,018
    Hours/week
    36

  • Teri Parker

    Director of Senior Suites

    Total calculated
    $113,351
    From this org
    $108,452
    From related orgs
    $0
    Other
    $4,899
    Hours/week
    40

  • Brian Williams

    Former CEO

    Total calculated
    $131,108
    From this org
    $131,108
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $131,108
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $131,108

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 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

Part I, Line 4b
SMC paid $40,000 for a 457(f) plan for Darrold Bertsch, CEO. The amount reported on Form 990, Part VII is the calander year 2023 payout of his 457(f) plan that was previously reported as deferred compensation on prior year Form 990s.
Schedule J, Part II:
The CEO position reported on Schedule J for Brian Williams, Darrold Bertsch and Kurt Waldbillig is an employee of Coal Country Community Health Center (CCCHC) and all individuals provided CEO services to both SMC and CCCHC. However, as an employee of CCCHC, each CEO received their W-2 from CCCHC. Sakakawea Medical Center reimbursed CCCHC for part of the CEOs' salary based on a contract. The compensation reported in Part VII of the core form and Schedule J, Part II reflected total base compensation, benefits and payroll taxes associated with this compensation on which SMC reimbursed CCCHC for their services solely to SMC, which was reported on each of their 2023 Form W-2 from CCCHC. In addition, Darrold Bertsch compensation column B (iii) reflecdts a payout of $40,000 from the 457(f) plan, which was reported as deferred compensation in prior year Form 990s,

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
2023
Filed
31 January 2025
IRS schema version
2023v6.0
Source object
202500319349301770

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