Ashley Medical Center

Address
PO Box 450 612 Center Ave N
Ashley, ND 584130450
Contact
Website: http://amctoday.org
Phone: +1 (701) 288-3433
Nonprofit
NTEE: E22 - Hospital, General
EIN: 45-0255914

Mission

Ashley Medical Center is a community organization which provides preventative, curative, supportive and educational health care that meets the physical, emotional, and spiritual needs of the people we serve.
 20172016201520142013
Basic features of the organization
Year of formation1952
Subsection code03
PF filing required0    
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$108,235.00$109,455.00$102,696.00  
Sum of reportable (W2/1099) compensation$615,114.00$365,158.00$223,850.00  
Number of employees139139143  
Number of people compensated >$100k421  
Number of volunteers606060  
Number of highly compensated contractors122  
Personnel
Andrews, Laverne
TitleBoard MemberBoard Member   
Name of key/compensated personLaverne AndrewsLaverne Andrews   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org0.500.50   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Bichler, Lori
TitleNP/Asst AdministratorNP/Asst Administrator   
Name of key/compensated personLori BichlerLori Bichler   
Position of compensated person
Average hours per week working for org40.0040.00   
Reportable compensation from org$161,556.00$124,683.00   
Other comp, non-reportable, from org and related orgs$25,080.00$25,746.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Bollinger, David
TitleBoard Member (July-Oct)Board MemberBoard Member  
Name of key/compensated personDavid BollingerDavid BollingerDavid Bollinger  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org0.500.500.50  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Brandner, Tara
TitleNP    
Name of key/compensated personTara Brandner    
Position of compensated person
Average hours per week working for org40.00    
Reportable compensation from org$103,981.00    
Other comp, non-reportable, from org and related orgs$11,301.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Klein, Nina
TitleNP    
Name of key/compensated personNina Klein    
Position of compensated person
Average hours per week working for org40.00    
Reportable compensation from org$117,160.00    
Other comp, non-reportable, from org and related orgs$2,570.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Klein, William
TitleBoard PresidentBoard President (Nov-Jun)Board Member  
Name of key/compensated personWilliam KleinWilliam KleinWilliam Klein  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.000.50  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Kosel, Don
Title Board President (Jul-Oct)Board President  
Name of key/compensated person Don KoselDon Kosel  
Position of compensated person
Current individual trustee or director TrueTrue  
Average hours per week working for org 1.001.00  
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Lang, Dallas
TitleBoard MemberBoard Member   
Name of key/compensated personDallas LangDallas Lang   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org0.500.50   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Lepp, Jerry
TitleAdministrator (Jul-Mar)/CFO (Mar-Jun)Administrator/CEOAdministrator/CEO  
Name of key/compensated personJerry LeppJerry LeppJerry Lepp  
Position of compensated person
Average hours per week working for org40.0040.0040.00  
Reportable compensation from org$90,592.00$94,403.00$85,993.00  
Other comp, non-reportable, from org and related orgs$14,207.00$13,428.00$12,692.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Mettler, Dan
TitleCRNACRNACRNA  
Name of key/compensated personDan MettlerDan MettlerDan Mettler  
Position of compensated person
Average hours per week working for org40.0040.0040.00  
Reportable compensation from org$141,825.00$146,072.00$137,857.00  
Other comp, non-reportable, from org and related orgs$7,733.00$7,871.00$7,843.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Meyer, Brenda
TitleBoard Member (Oct-June)    
Name of key/compensated personBrenda Meyer    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org0.50    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Nies, Candace
TitleBoard Member    
Name of key/compensated personCandace Nies    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org0.50    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Nies, Candice
Title Board Member   
Name of key/compensated person Candice Nies   
Position of compensated person
Current individual trustee or director True   
Average hours per week working for org 0.50   
Reportable compensation from org $0.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Nies, Paul
Title Board Secretary (Jul-Oct)Board Secretary  
Name of key/compensated person Paul NiesPaul Nies  
Position of compensated person
Current individual trustee or director TrueTrue  
Average hours per week working for org 1.001.00  
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Rohrich, Jenny
TitleBoard SecretaryBoard Secretary (Nov-Jun)Board Member  
Name of key/compensated personJenny RohrichJenny RohrichJenny Rohrich  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.000.50  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Rueb, Terry
Title  Board Member  
Name of key/compensated person  Terry Rueb  
Position of compensated person
Current individual trustee or director  True  
Average hours per week working for org  0.50  
Reportable compensation from org  $0.00  
Other comp, non-reportable, from org and related orgs  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00  
Schnabel, Jean
TitleBoard MemberBoard MemberBoard Member  
Name of key/compensated personJean SchnabelJean SchnabelJean Schnabel  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org0.500.500.50  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Schnabel, Kristie
TitleBoard Member    
Name of key/compensated personKristie Schnabel    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org0.50    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Schnabel, Kristy
Title Board Member   
Name of key/compensated person Kristy Schnabel   
Position of compensated person
Current individual trustee or director True   
Average hours per week working for org 0.50   
Reportable compensation from org $0.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Speidel, Bruce
Title Board Member (Jul-Oct)Board Member  
Name of key/compensated person Bruce SpeidelBruce Speidel  
Position of compensated person
Current individual trustee or director TrueTrue  
Average hours per week working for org 0.500.50  
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Ulrich, Polly
TitleBoard Vice PresidentBoard Vice President   
Name of key/compensated personPolly Wyrick UlrichPolly Wyrick Ulrich   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Weisser, Frank
Title  Board Vice President  
Name of key/compensated person  Frank Weisser  
Position of compensated person
Current individual trustee or director  True  
Average hours per week working for org  1.00  
Reportable compensation from org  $0.00  
Other comp, non-reportable, from org and related orgs  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00  
Wishek, Tracey
Title Board Member (Jul-Oct)   
Name of key/compensated person Tracey Wishek   
Position of compensated person
Current individual trustee or director True   
Average hours per week working for org 0.50   
Reportable compensation from org $0.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Wolff, Holly
TitleAdministrator (Mar-Jun)    
Name of key/compensated personHolly Wolff    
Position of compensated person
Average hours per week working for org40.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTo construct, maintain, and operate health care facilities in the community of Ashley, ND.To construct, maintain, and operate health care facilities in the community of Ashley, ND.To construct, maintain, and operate health care facilities in the community of Ashley, ND.  
Program service expenses, total$6,905,577.00$6,650,515.00$6,731,982.00  
Programs, including revenue & expenses
Acute health care consisting of Inpatient days of 162, Outpatient hours of 1,307, and swing bed days of 946.
Program expenses$4,606,845.00$4,551,404.00$4,506,533.00  
Program revenue$3,235,867.00$3,093,044.00$3,092,130.00  
Program descriptionAcute health care consisting of Inpatient days of 162, Outpatient hours of 1,307, and swing bed days of 946.Acute health care consisting of Inpatient days of 174, Outpatient hours of 1,319, and swing bed days of 964.Acute health care consisting of Inpatient days of 208, Outpatient hours of 2139, and Swingbed days of 941.  
Long term skilled care for the frail and elderly total resident days of 14,421.
Program expenses$1,536,408.00$1,559,640.00$1,535,198.00  
Program revenue$3,564,750.00$3,094,003.00$3,197,139.00  
Program descriptionLong term skilled care for the frail and elderly total resident days of 14,421.Long term skilled care for the frail and elderly total resident days of 13,069.Long term skilled care for the frail and elderly total resident days of 13,254.  
Rural Health Clinic Services with 3,850 clinic visits.
Program expenses$706,562.00$495,185.00$639,965.00  
Program revenue$619,479.00$680,187.00$657,881.00  
Program descriptionRural Health Clinic Services with 3,850 clinic visits.Rural Health Clinic Services with 3,922 clinic visits.Rural Health Clinic Services with 3,718 clinic visits.  
Financial data
Revenue
Total revenue$7,714,865.00$7,766,457.00$7,258,973.00  
Revenue from contributions (total)$92,790.00$718,860.00$149,710.00$195,755.00$218,649.00
Revenue from noncash contributions$45,000.00$16,015.00$8,014.00  
Investment income, current yr$7,131.00$7,086.00$9,876.00  
Total revenue from grants, etc., current yr$92,790.00$718,860.00$149,710.00  
Total unrelated business revenue$0.00$0.00$0.00  
Other revenue, current yr$6,630.00$4,990.00$74,208.00  
Net unrelated business taxable revenue$0.00$0.00$0.00  
Program service revenue (total)$7,608,314.00$7,035,521.00$7,025,179.00$6,600,776.00$6,323,285.00
Gross receipts$7,719,438.00$7,766,457.00$7,263,182.00  
Sources of contributions
Revenue from gov't grants$17,310.00$30,000.00$10,833.00  
Revenue from all other contributions$75,480.00$688,860.00$138,877.00  
Other types of revenue
Miscellaneous revenue (total)  $68,658.00  
Income from dividends, interest, and similar investments$11,704.00$7,086.00$9,961.00  
Net rental income$6,630.00$4,990.00$5,550.00$3,078.00$3,366.00
Expense categories (totals)
Total functional expenses: sum of all$7,547,642.00$7,213,962.00$7,264,565.00  
Total functional expenses: program service $6,905,577.00$6,650,515.00$6,731,982.00  
Total functional expenses: management and general$642,065.00$563,447.00$532,583.00  
Total functional expenses: fundraising$0.00$0.00$0.00  
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00  
Assets and liabilities
Total assets$3,665,392.00$3,810,630.00$3,645,760.00$3,632,561.00$3,821,866.00
Total assets, beginning of year$3,810,630.00$3,645,760.00$3,632,561.00  
Total liabilities$1,457,808.00$1,779,986.00$2,168,952.00$2,150,879.00$2,204,297.00
Total liabilities, beginning of year$1,779,986.00$2,168,952.00$2,150,879.00  
Pledges & accounts receivable, net $36,875.00$11,488.00  
Unrestricted net assets, end of yr$2,166,727.00$1,993,098.00$1,441,560.00  
Temporarily restricted net assets$40,857.00$37,546.00$35,248.00  
Net assets$2,207,584.00$2,030,644.00$1,476,808.00  
Net assets, beginning of year$2,030,644.00$1,476,808.00$1,481,682.00  
Other liabilities$181,135.00$0.00$130,000.00  
Other assets$0.00$55,000.00   
Investments: publicly traded securities$180,224.00$169,895.00$216,587.00  
Cash: non-interest bearing$224.00$224.00$224.00  
Cash: non-interest bearing, beginning of year$224.00$224.00$225.00  
Escrow or custodial account liability$12,218.00$12,047.00$10,635.00  
Inventories for sale or use$127,741.00$141,580.00$114,337.00  
Other financial variables
Revenue less expenses$167,223.00$552,495.00-$5,592.00  
Advertising (total)$26,389.00$26,696.00$25,005.00  
Savings & temp cash investment$1,008,341.00$778,422.00$836,258.00  
Accounts receivable, net$900,746.00$997,296.00$1,030,421.00  
Prepaid expenses & deferred charges$42,732.00$72,428.00$73,647.00  
Accounts payable & accrued expenses$613,337.00$725,388.00$803,998.00  
Secured mortgages and notes payable$651,118.00$1,042,551.00$1,224,319.00  
Total net assets or fund balances$2,207,584.00$2,030,644.00$1,476,808.00  
Depreciation, depletion, amortization$284,711.00$268,383.00$381,610.00  
Governance and accountability
Number of voting members999  
Number of independent voting members887  
Financial sheets auditedTrueTrueTrue  
Accrual accountingTrueTrueTrue  
Tax year start date2016-07-012015-07-012014-07-01  
Tax year end date2017-06-012016-06-012015-06-012014-06-012013-06-01
Indicators for schedules (selected)
Business transaction with family memberTrueTrueTrue  
Attached copy of audited financialsTrueTrueTrue  
Operate hospital facilitiesTrueTrueTrue  
Hospital data
Facility count111  
Hospital facilities
Ashley Medical Center
Facility nameAshley Medical CenterAshley Medical CenterAshley Medical Center  
Facility line number111  
Facility's websiteamctoday.orgamctoday.orgamctoday.org  
Address PO Box 450 612 Center Avenue NorthPO Box 450 612 Center Avenue NorthPO Box 450 612 Center Avenue North  
StateNDNDND  
Zip code584130450584130450584130450  
State license number500150015001  
Type(s) of facility
Licensed facilityTrueTrueTrue  
Critical access hospitalTrueTrueTrue  
ER - 24 hoursTrueTrueTrue  
Other facility typeSwingbedSwingbedCritical Access Hospital and Swingbed  
Community benefits and community building
Has financial assistance policyTrueTrueTrue  
Provide discounts to medically indigentTrueTrueTrue  
Financial assistance at cost, net community benefit $4,000.00$1,425.00$10,936.00  
Financial assistance at cost, percent of total $0.00$0.00$0.00  
Medicaid, net community benefit expense $52,274.00   
Medicaid, percent of total expense $0.01   
Community health improvement, net community benefit expense$18,158.00$24,056.00$26,637.00  
Community health improvement, percent of total expense$0.00$0.00$0.00  
Total benefits, net community benefit expense$46,811.00$103,702.00$64,075.00  
Total community benefits as percent of total expense$0.01$0.01$0.01  
Bad debt expense$55,426.00$53,686.00$54,664.00  
Bad debt due to charity$5,543.00$5,369.00$5,446.00  
Revenue from Medicare$2,347,254.00$2,683,783.00$2,720,698.00  
Medicare allowable costs$2,697,040.00$2,712,804.00$2,736,396.00  
Medicare surplus or shortfall-$349,786.00-$29,021.00-$15,698.00  
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990  
Date e-filing submitted2018-05-042017-08-162016-07-28  
IRS schema version2016v3.02015v3.02014v6.0  
Filing identifier201831099349300438201710889349300206201611189349300601  
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