Form 990 for tax year 2023
Filed by CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION.
Totals
- Total revenue
- $14,021,254
- Total expenses
- $14,268,388
- Contributions and grants received
- $396,122
- Grants paid
- $7,394
- Program service revenue
- $13,392,815
- Investment income
- $45,558
- Other revenue
- $186,759
- Total assets, end of year
- $16,397,218
- Total liabilities, end of year
- $2,137,913
- Net assets or fund balances, end of year
- $14,259,305
- Program services expenses (Part IX)
- $10,881,414
- Management and general expenses
- $3,386,974
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,881,414
Program services were 76.3% 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)
$347,734
-
1f · All other contributions, gifts and grants
$48,388
-
2a · Program service revenue: NET PATIENT REVENUE
total $12,413,560 · related or exempt $12,413,560
-
2b · Program service revenue: 340B PHARMACY REVENUE
total $815,069 · related or exempt $815,069
-
2c · Program service revenue: LANGDON COUNTY AMBULANCE
total $164,186 · related or exempt $164,186
-
3 · Investment income
total $45,558 · excluded $45,558
-
6a · Gross rents
real property $31,845
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $31,845
-
6d · Net rental income or loss
total $31,845 · excluded $31,845
-
11a · Other revenue: OTHER
total $154,914 · excluded $154,914
-
11e · Other revenue, total
$154,914
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $7,394 · program services $7,394
-
5 · Compensation of officers, directors and key employees
total $1,067,611 · program services $854,089 · management and general $213,522
-
7 · Other salaries and wages
total $4,160,032 · program services $3,312,396 · management and general $847,636
-
8 · Pension plan contributions
total $65,661 · program services $52,529 · management and general $13,132
-
9 · Other employee benefits
total $457,321 · program services $365,857 · management and general $91,464
-
10 · Payroll taxes
total $374,410 · program services $299,528 · management and general $74,882
-
11b · Fees: legal
total $25,780 · program services $12,051 · management and general $13,729
-
11c · Fees: accounting
total $74,217 · management and general $74,217
-
11g · Fees: other
total $26,192 · program services $16,900 · management and general $9,292
-
12 · Advertising and promotion
total $90,621 · management and general $90,621
-
13 · Office expenses
total $50,395 · program services $30,545 · management and general $19,850
-
14 · Information technology
total $463,823 · management and general $463,823
-
16 · Occupancy
total $187,136 · program services $130,486 · management and general $56,650
-
17 · Travel
total $43,065 · program services $36,884 · management and general $6,181
-
20 · Interest
total $28,941 · program services $22,863 · management and general $6,078
-
22 · Depreciation, depletion and amortization
total $1,037,342 · program services $819,500 · management and general $217,842
-
23 · Insurance
total $111,443 · program services $1,193 · management and general $110,250
-
24a · Other expenses: CONTRACTED SERVICES
total $1,775,138 · program services $1,591,779 · management and general $183,359
-
24b · Other expenses: FEES
total $1,152,933 · program services $1,152,933
-
24c · Other expenses: PURCHASED SERVICES
total $983,459 · program services $585,090 · management and general $398,369
-
24d · Other expenses: OTHER
total $772,332 · program services $600,868 · management and general $171,464
-
24e · All other expenses
total $1,313,142 · program services $988,529 · management and general $324,613
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,222,758 · end of year $4,507,602
-
4 · Accounts receivable
beginning of year $2,073,506 · end of year $1,649,673
-
8 · Inventories for sale or use
beginning of year $262,959 · end of year $168,072
-
9 · Prepaid expenses and deferred charges
beginning of year $242,040 · end of year $220,501
-
10a · Land, buildings and equipment: cost or other basis
$13,109,612
-
10b · Land, buildings and equipment: accumulated depreciation
$6,250,724
-
10c · Land, buildings and equipment, net
beginning of year $7,372,006 · end of year $6,858,888
-
11 · Investments: publicly traded securities
beginning of year $2,706,700 · end of year $2,702,618
-
12 · Investments: other securities
beginning of year $2,492,861 · end of year $0
-
15 · Other assets
beginning of year $1,295,111 · end of year $289,864
-
17 · Accounts payable and accrued expenses
beginning of year $864,059 · end of year $911,348
-
20 · Tax-exempt bond liabilities
beginning of year $447,066 · end of year $229,462
-
25 · Other liabilities
beginning of year $427,372 · end of year $997,103
-
27 · Net assets without donor restrictions
beginning of year $14,436,583 · end of year $14,259,305
-
28 · Net assets with donor restrictions
beginning of year $2,492,861 · end of year $0
Mission and programs · 2023
Mission
STANDING PROUDLY ON THE TRADITIONS AND PERSEVERANCE OF OUR HOSPITAL FOUNDERS, LPH IS DEDICATED TO EXCEL AT PROVIDING HIGH-QUALITY, COMPASSIONATE HEALTHCARE TO ALL WE SERVE.
Activities or mission (Part I)
LPH IS DEDICATED TO EXCEL AT PROVIDING HIGH-QUALITY, COMPASSIONATE HEALTHCARE TO ALL WE SERVE.
-
PROVIDE PATIENT HEALTHCARE SERVICES INCLUDING HOSPITAL AND CLINIC SERVICES TO THE SURROUNDING COMMUNITY. THE ORGANIZATION PROVIDED APPROXIMATELY $58,000 OF CHARITY CARE DURING THE YEAR ENDED 06/30/2024.
Expenses $10,881,414 · Grants $7,394 · Revenue $13,392,815
As filed on the 2023 return.
Listed in Part VII
-
Jay DuboisJAY DUBOIS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Sherry BuchweitzSHERRY BUCHWEITZ
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Kathryn KopfKATHRYN KOPF
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Steve HartSTEVE HART
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Runa AndersonRUNA ANDERSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Chyrisse RegehrCHYRISSE REGEHR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jackie DvorakJACKIE DVORAK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Richard Wayne ReidRICHARD WAYNE REID
CEO BEGINNING NOV 2023
- Total calculated
- $93,178
- From this org
- $74,574
- From related orgs
- $0
- Other
- $18,604
- Hours/week
- 40
-
Michelle SkillingsMICHELLE SKILLINGS
CNO
- Total calculated
- $96,377
- From this org
- $90,381
- From related orgs
- $0
- Other
- $5,996
- Hours/week
- 40
-
Margaret FontanaMARGARET FONTANA
CFO UNTIL NOVEMBER 2023
- Total calculated
- $205,489
- From this org
- $193,650
- From related orgs
- $0
- Other
- $11,839
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,650
- Bonus
- $0
- Other
- $0
- Deferred
- $5,879
- Nontaxable benefits
- $5,960
- Filer's total
- $205,489
-
Darla RoderDARLA RODER
INTERIM CEO UNTIL 10/23 AND COO
- Total calculated
- $239,412
- From this org
- $219,864
- From related orgs
- $0
- Other
- $19,548
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $219,864
- Bonus
- $0
- Other
- $0
- Deferred
- $6,882
- Nontaxable benefits
- $12,666
- Filer's total
- $239,412
-
Joseph SandersJOSEPH SANDERS
AMBULANCE DIRECTOR
- Total calculated
- $131,038
- From this org
- $121,654
- From related orgs
- $0
- Other
- $9,384
- Hours/week
- 40
-
Courtney Feil-ShortCOURTNEY FEIL-SHORT
NURSE PRACTITIONER
- Total calculated
- $167,085
- From this org
- $166,324
- From related orgs
- $0
- Other
- $761
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $166,324
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $761
- Filer's total
- $167,085
-
Catherine TaylorCATHERINE TAYLOR
PHARMACY DIRECTOR
- Total calculated
- $151,379
- From this org
- $135,789
- From related orgs
- $0
- Other
- $15,590
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $135,789
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $15,590
- Filer's total
- $151,379
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.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 24 March 2025
- IRS schema version
- 2023v6.0
- Source object
- 202520839349300772
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