Form 990 for tax year 2022
Filed by TOWNER COUNTY HOSPITAL AUTHORITY.
Totals
- Total revenue
- $1,748,078
- Total expenses
- $505,548
- Contributions and grants received
- $1,547,477
- Grants paid
- $0
- Program service revenue
- $195,600
- Investment income
- $5,001
- Other revenue
- $0
- Total assets, end of year
- $24,439,399
- Total liabilities, end of year
- $19,141,465
- Net assets or fund balances, end of year
- $5,297,934
- Program services expenses (Part IX)
- $493,786
- Management and general expenses
- $11,762
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $493,786
Program services were 97.7% 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.
-
1b · Membership dues
$1,450
-
1d · Related organizations
$1,411,583
-
1e · Government grants (contributions)
$134,444
-
2a · Program service revenue: Rental
total $195,600 · related or exempt $195,600
-
3 · Investment income
total $5,001 · excluded $5,001
Functional expenses
Part IX, the statement of functional expenses.
-
11c · Fees: accounting
total $11,400 · management and general $11,400
-
11g · Fees: other
total $362 · management and general $362
-
20 · Interest
total $47,459 · program services $47,459
-
22 · Depreciation, depletion and amortization
total $446,327 · program services $446,327
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $963,434 · end of year $76,144
-
4 · Accounts receivable
beginning of year $131 · end of year $194
-
10a · Land, buildings and equipment: cost or other basis
$26,868,041
-
10b · Land, buildings and equipment: accumulated depreciation
$6,534,606
-
10c · Land, buildings and equipment, net
beginning of year $4,224,819 · end of year $20,333,435
-
11 · Investments: publicly traded securities
beginning of year $175,892 · end of year $4,029,626
-
17 · Accounts payable and accrued expenses
beginning of year $1,271 · end of year $7,371,350
-
23 · Secured mortgages and notes payable
beginning of year $1,158,801 · end of year $11,621,315
-
25 · Other liabilities
beginning of year $148,800 · end of year $148,800
-
27 · Net assets without donor restrictions
beginning of year $3,955,404 · end of year $5,297,934
-
28 · Net assets with donor restrictions
beginning of year $100,000 · end of year $0
Mission and programs · 2022
Mission
None
Activities or mission (Part I)
Furnishing of health care facilities and equipment to Towner County Medical Center in furtherance of its tax exempt mission.
-
Towner County Hospital Authority owns an acute care hospital and physician clinic in Cando, North Dakota. The Authority leases its facilities and equipment to Towner County Medical Center.
Expenses $493,786 · Revenue $195,600
As filed on the 2022 return.
Listed in Part VII
-
Tammy Larson
Director/CFO
- Total calculated
- $208,636
- From this org
- $0
- From related orgs
- $188,321
- Other
- $20,315
- Hours/week
- 5 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $166,140 related
- Bonus
- $0 + $22,181 related
- Other
- $0
- Deferred
- $0 + $7,162 related
- Nontaxable benefits
- $0 + $13,897 related
- Filer's total
- $0 + $209,380 related
-
Tim Hendrickson
President
- Total calculated
- $0
- Hours/week
- 0.5
-
Jeff Miller
Vice President (July-Oct)
- Total calculated
- $0
- Hours/week
- 0.5
-
Lisa Mosser
Vice President (Nov-June)
- Total calculated
- $0
- Hours/week
- 0.5
-
Deborah Odegaard
Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Tom Belzer
Treasurer
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
Bradley Bergdahl
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
JoAnn Rodenbiker
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Chantel Parker
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Brad Miller
Director (Nov-June)
- Total calculated
- $0
- Hours/week
- 0.5
-
Ben Bucher
CEO
- Total calculated
- $306,228
- From this org
- $0
- From related orgs
- $284,936
- Other
- $21,292
- Hours/week
- 5 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $246,436 related
- Bonus
- $0 + $38,500 related
- Other
- $0
- Deferred
- $0 + $10,193 related
- Nontaxable benefits
- $0 + $11,843 related
- Filer's total
- $0 + $306,972 related
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
None.
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)
- Part I, Line 3
- The CEO and CFO are paid by a related organization for services to the related organization. The related organization used one or more of the methods listed to establish their compensation.
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.
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501(c)(3) · Leasing of congregate care and long term care facilities · ND
Directly controlled by Towner County Medical Center
-
501(c)(3) · Operation of hospital, clinical, long term care, and other services · ND · controlled entity
Directly controlled by Towner County Hospital Authority
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 29 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401279349303555
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