Hazen Memorial Hospital Association

Address
510 8th Avenue NE
Hazen, ND 58545
Contact
Website: http://www.smcnd.org
Phone: +1 (701) 748-2225
Nonprofit
NTEE: E22 - Hospital, General
EIN: 45-0308379

Mission

Provide high quality care that is measured and continuously improved. Provide individualized care that exceeds expectations of those we serve. Strengthen partnerships with providers to enhance coordination of care and improve system performance. Be a steward of resources. Commit to service excellence. Be a vital contributor to our area communities. Recognize the value of each employee and provide opportunities for personal growth and development that complement the needs of the organization.
 20172016201520142013
Basic features of the organization
Doing business as nameSakakawea Medical Center
Year of formation1943
Subsection code03
PF filing required0    
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$312,541.00$275,352.00$269,905.00$163,797.00$264,788.00
Sum of reportable (W2/1099) compensation$985,402.00$856,671.00$676,762.00$780,103.00$699,191.00
Number of employees172167165157166
Number of people compensated >$100k55443
Number of volunteers8590938095
Number of highly compensated contractors1330 
Personnel
Bertsch, Darrold
TitleCEOCEOCEOCEOCEO
Name of key/compensated personDarrold BertschDarrold BertschDarrold BertschDarrold BertschDarrold Bertsch
Position of compensated person
Current officerTrueTrueTrueTrueTrue
Average hours per week working for org19.6019.6019.6040.0040.00
Reportable compensation from org$133,725.00$116,027.00$106,416.00$134,396.00$190,467.00
Breakdown of reportable comp
Base reportable compensation from org$128,983.00$115,632.00$106,416.00$134,396.00$166,414.00
Bonus and incentive reportable compensation$0.00$0.00$0.00$0.00$24,053.00
Other reportable compensation from org$4,742.00$395.00$0.00$0.00$0.00
Retirement and other deferred compensation$0.00$0.00$65,000.00$3,124.00$7,655.00
Nontaxable benefits from org$78,000.00$78,000.00$0.00$2,833.00$15,884.00
Compensation from org previously reported as deferred$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$78,000.00$78,000.00$65,000.00$5,938.00$23,492.00
Sum of all compensation from org$211,725.00$194,027.00$171,416.00$140,353.00$214,006.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Czywczynski, Heather
Title Midlevel   
Name of key/compensated person Heather Czywczynski   
Position of compensated person
Average hours per week working for org 40.00   
Reportable compensation from org $108,153.00   
Other comp, non-reportable, from org and related orgs $27,449.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Erickson, Don
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personDon Lyn EricksonDon Lyn EricksonDon Lyn EricksonDon Lyn EricksonDon Lyn Erickson
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Gerde, Mark
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personMark GerdeMark GerdeMark GerdeMark GerdeMark Gerde
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Huber, Beverly
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personBeverly HuberBeverly HuberBeverly HuberBeverly HuberBeverly Huber
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Kessler, Kimberly
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personKimberly KesslerKimberly KesslerKimberly KesslerKimberly KesslerKimberly Kessler
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Kuschel, Lorina
Title    Director
Name of key/compensated person    Lorina Kuschel
Position of compensated person
Average hours per week working for org    1.50
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
Lindquist, Todd
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personTodd LindquistTodd LindquistTodd LindquistTodd LindquistTodd Lindquist
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Miller, Carl
TitleCRNACRNACRNA  
Name of key/compensated personCarl MillerCarl MillerCarl Miller  
Position of compensated person
Average hours per week working for org36.0036.0036.00  
Reportable compensation from org$143,659.00$140,637.00$124,979.00  
Breakdown of reportable comp
Base reportable compensation from org$133,785.00$132,127.00   
Bonus and incentive reportable compensation$0.00$0.00   
Other reportable compensation from org$9,874.00$8,510.00   
Retirement and other deferred compensation$6,121.00$2,760.00   
Nontaxable benefits from org$20,511.00$17,066.00   
Compensation from org previously reported as deferred$0.00$0.00   
Other comp, non-reportable, from org and related orgs$26,587.00$19,781.00$16,126.00  
Sum of all compensation from org$170,291.00$160,463.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Obenauer, Christie
TitlePresidentPresidentPresidentPresidentPresident
Name of key/compensated personChristie ObenauerChristie ObenauerChristie ObenauerChristie ObenauerChristie Obenauer
Position of compensated person
Current officerTrueTrueTrueTrueTrue
Average hours per week working for org2.002.002.002.002.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Perry, Myria
TitleSecretary/TreasurerSecretary/TreasurerSecretary/TreasurerSecretary/TreasurerSecretary/Treasurer
Name of key/compensated personMyria PerryMyria PerryMyria PerryMyria PerryMyria Perry
Position of compensated person
Current officerTrueTrueTrueTrueTrue
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Richter, Robin
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personRobin RichterRobin RichterRobin RichterRobin RichterRobin Richter
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Sailer, Sienna
TitleDirectorDirectorDirectorDirectorDirector
Name of key/compensated personSienna SailerSienna SailerSienna SailerSienna SailerSienna Sailer
Position of compensated person
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Schmit, Michael
TitleSurgeon    
Name of key/compensated personMichael Schmit    
Position of compensated person
Average hours per week working for org40.00    
Reportable compensation from org$349,039.00    
Breakdown of reportable comp
Base reportable compensation from org$307,690.00    
Bonus and incentive reportable compensation$41,349.00    
Other reportable compensation from org$0.00    
Retirement and other deferred compensation$9,231.00    
Nontaxable benefits from org$14,422.00    
Compensation from org previously reported as deferred$0.00    
Other comp, non-reportable, from org and related orgs$23,608.00    
Sum of all compensation from org$372,692.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Schmitz, Ronald
Title   CRNACRNA
Name of key/compensated person   Ronald SchmitzRonald Schmitz
Position of compensated person
Average hours per week working for org   40.0040.00
Reportable compensation from org   $209,118.00$198,419.00
Breakdown of reportable comp
Base reportable compensation from org   $209,118.00$198,419.00
Bonus and incentive reportable compensation   $0.00$0.00
Other reportable compensation from org   $0.00$0.00
Retirement and other deferred compensation   $8,365.00$7,656.00
Nontaxable benefits from org   $4,856.00$5,797.00
Compensation from org previously reported as deferred   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $13,182.00$13,407.00
Sum of all compensation from org   $222,339.00$211,872.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Schulz, Marcie
TitleDirector of Patient CareDirector of Patient Care   
Name of key/compensated personMarcie SchulzMarcie Schulz   
Position of compensated person
Average hours per week working for org40.0040.00   
Reportable compensation from org$103,072.00$104,658.00   
Other comp, non-reportable, from org and related orgs$24,744.00$22,483.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Snyder, Renae
TitleCFOCFOCFOCFOCFO
Name of key/compensated personRenae SnyderRenae SnyderRenae SnyderRenae SnyderRenae Snyder
Position of compensated person
Current officerTrueTrueTrueTrueTrue
Average hours per week working for org40.0040.0040.0040.0040.00
Reportable compensation from org$77,619.00$76,791.00$72,552.00$67,418.00$64,083.00
Other comp, non-reportable, from org and related orgs$3,846.00$3,665.00$3,617.00$3,404.00$3,581.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Stern, Fred
TitleVice PresidentVice PresidentVice PresidentVice PresidentVice President
Name of key/compensated personFred SternFred SternFred SternFred SternFred Stern
Position of compensated person
Current officerTrueTrueTrueTrueTrue
Average hours per week working for org1.501.501.501.501.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Volk, Robert
Title  MidlevelMidlevel 
Name of key/compensated person  Robert VolkRobert Volk 
Position of compensated person
Average hours per week working for org  40.0040.00 
Reportable compensation from org  $103,951.00$116,918.00 
Other comp, non-reportable, from org and related orgs  $21,520.00$21,330.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00 
Zimmerman, Rodney
TitleFamily Practice PhysicianFamily Practice PhysicianFamily Practice PhysicianPhysicianPhysician, MD, Family Practice
Name of key/compensated personRodney ZimmermanRodney ZimmermanRodney ZimmermanRodney ZimmermanRodney Zimmerman
Position of compensated person
Average hours per week working for org24.0040.0040.0040.0040.00
Reportable compensation from org$178,288.00$310,405.00$268,864.00$252,253.00$246,222.00
Breakdown of reportable comp
Base reportable compensation from org$172,788.00$298,405.00$268,864.00$252,253.00$246,222.00
Bonus and incentive reportable compensation$5,500.00$12,000.00$0.00$0.00$0.00
Other reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Retirement and other deferred compensation$7,132.00$8,075.00$7,819.00$10,126.00$9,586.00
Nontaxable benefits from org$6,606.00$18,548.00$16,685.00$15,978.00$15,434.00
Compensation from org previously reported as deferred$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$13,723.00$26,578.00$24,459.00$26,057.00$24,973.00
Sum of all compensation from org$192,026.00$337,028.00$293,368.00$278,357.00$271,242.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesOperation of a hospital and an elderly care facility.Operation of a hospital, clinic, and an elderly care facility.Operation of a hospital, clinic, and an elderly care facility.Operation of a hospital, clinic, and an elderly care facility.Operation of a hospital, clinic, and an elderly care facility.
Program service expenses, total$11,476,580.00$10,661,379.00$10,338,029.00$9,635,922.00$9,139,830.00
Programs, including revenue & expenses
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 convenience clinic, home health, 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 $68,637 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, a Community Care nurse and health career presentations to high schools. SMC sponsors several community events that promote good health and wellness education including Healthy Halloween Bash, 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.
Program expenses$10,559,386.00$8,761,838.00$8,162,432.00$7,475,863.00$7,134,312.00
Grants and allocations made$2,000.00$1,500.00$2,000.00$4,500.00$2,000.00
Program revenue$12,237,244.00$11,431,492.00$10,808,149.00$9,686,886.00$9,033,111.00
Program descriptionSakakawea 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 convenience clinic, home health, 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 $68,637 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, a Community Care nurse and health career presentations to high schools. SMC sponsors several community events that promote good health and wellness education including Healthy Halloween Bash, 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.Sakakawea Medical Center (SMC) is a 25 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 convenience clinic, home health, and hospice. Services provided by the ancillary departments include physical therapy, occupational therapy, radiology, digital mammography, bone density, ultrasound, CT, nuclear med, MRI, laboratory, respiratory therapy, cardiac rehab, EKG, Holter Monitor, sleep studies, and thallium stress tests. Based on charges foregone Sakakawea Medical Center provided $79,235 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, a Community Care nurse and health career presentations to high schools. 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.Sakakawea Medical Center (SMC) is a 25 bed critical care access hospital providing services in the following areas - acute care, surgery, intermediate and skilled swing bed, emergency room with trauma level V certification, home health, and hospice. Services provided by the ancillary departments include physical therapy, occupational therapy, radiology, digital mammography, bone density, ultrasound, CT, nuclear med, MRI, laboratory, respiratory therapy, cardiac rehab, EKG, EEG, sleep studies, and thallium stress tests. Based on charges foregone Sakakawea Medical Center provided $30,760 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. 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.Sakakawea Medical Center (SMC) is a 25 bed critical care access hospital providing services in the following areas - acute care, surgery, intermediate and skilled swing bed, emergency room with trauma level IV certification, home health, and hospice. Services provided by the ancillary departments include physical therapy, occupational therapy, radiology, digital mammography, bone density, ultrasound, CT, nuclear med, MRI, laboratory, respiratory therapy, cardiac rehab, EKG, EEG, sleep studies, and thallium stress tests. Based on charges foregone Sakakawea Medical Center provided $84,148 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. 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.Sakakawea Medical Center (SMC) is a 25 bed critical care access hospital providing services in the following areas - acute care, surgery, intermediate and skilled swing bed, emergency room with trauma level IV certification, home health, and hospice. Services provided by the ancillary departments include physical therapy, occupational therapy, radiology, digital mammography, bone density, ultrasound, CT, nuclear med, MRI, laboratory, respiratory therapy, cardiac rehab, EKG, EEG, sleep studies, and thallium stress tests. Based on charges foregone Sakakawea Medical Center provided $91,043 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 Senior Day Out, grief support groups, smoking cessation classes, occupational health, free blood pressure checks, a Christmas giving tree project, and health career presentations to high schools. 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.
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 8,765 this year.
Program expenses$917,194.00$881,758.00$883,567.00$830,996.00$757,227.00
Program revenue$1,097,986.00$987,916.00$1,098,021.00$1,108,804.00$969,949.00
Program descriptionSenior 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 8,765 this year.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 requires 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 8,091 this year.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 requires 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 9,243 this year.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 requires 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 9,855 this year.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 requires 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 9,418 this year.
To ensure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients. The clinic is staffed with one physician and two mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.Operation of the Sakakawea Hazen Clinic ceased as of April 30, 2016. The clinic is now under the management of Coal Country Community Health Center, operating as a Federally Qualified Health Center.
Program expenses $1,017,783.00$1,292,030.00  
Program revenue $810,188.00$917,026.00  
Program description To ensure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients. The clinic is staffed with one physician and two mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.Operation of the Sakakawea Hazen Clinic ceased as of April 30, 2016. The clinic is now under the management of Coal Country Community Health Center, operating as a Federally Qualified Health Center.To ensure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients. The clinic is staffed with two physicians and two mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.  
To insure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients and also space is provided in the clinic for visiting specialists. This saves the patients from having to drive up to 70 miles to receive specialty health care. The clinic is staffed with two physicians and two mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.
Program expenses   $1,329,063.00$1,248,291.00
Program revenue   $984,330.00$1,042,870.00
Program description   To insure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients and also space is provided in the clinic for visiting specialists. This saves the patients from having to drive up to 70 miles to receive specialty health care. The clinic is staffed with two physicians and two mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.To insure the need for quality health care is met in SMC's service area, Sakakawea Medical Center began managing a rural health clinic in July 2007. The clinic is located directly across the street from the hospital. This provides primary health care for our patients and also space is provided in the clinic for visiting specialists. This saves the patients from having to drive up to 70 miles to receive specialty health care. The clinic is staffed with physicians and mid-level providers. A sliding fee scale charity care program is available to patients who qualify financially.
Financial data
Revenue
Total revenue$13,797,429.00$14,379,279.00$13,520,458.00$12,269,070.00$11,352,797.00
Revenue from contributions (total)$598,815.00$1,080,624.00$652,883.00$481,595.00$237,672.00
Investment income, current yr-$211,920.00-$1,320.00$12,906.00-$23,593.00$19,403.00
Total revenue from grants, etc., current yr$598,815.00$1,080,624.00$652,883.00$481,595.00$237,672.00
Total unrelated business revenue$0.00$0.00$0.00$0.00$0.00
Other revenue, current yr$75,304.00$70,379.00$31,473.00$31,048.00$26,737.00
Net unrelated business taxable revenue$0.00$0.00$0.00$0.00$0.00
Program service revenue (total)$13,335,230.00$13,229,596.00$12,823,196.00$11,780,020.00$11,068,985.00
Gross receipts$14,051,126.00$14,454,108.00$13,521,326.00$12,302,795.00$11,354,239.00
Sources of contributions
Revenue from gov't grants$211,954.00$15,565.00$38,614.00$104,163.00$26,422.00
Revenue from all other contributions$386,861.00$1,065,059.00$614,269.00$377,432.00$211,250.00
Other types of revenue
Net revenue from gaming (total)   $770.00$543.00
Income from dividends, interest, and similar investments$15,921.00$19,025.00$11,842.00$8,789.00$11,203.00
Net rental income$68,277.00$60,991.00$23,828.00$23,209.00$19,882.00
Net income from fundraising events$7,027.00$9,388.00$7,645.00$7,069.00$6,312.00
Expense categories (totals)
Total functional expenses: sum of all$13,319,030.00$12,655,076.00$12,193,492.00$11,267,476.00$10,658,575.00
Total functional expenses: program service $11,476,580.00$10,661,379.00$10,338,029.00$9,635,922.00$9,139,830.00
Total functional expenses: management and general$1,842,450.00$1,993,697.00$1,855,463.00$1,631,554.00$1,518,745.00
Total functional expenses: fundraising$0.00$0.00$0.00$0.00$0.00
Fees for services
Legal fees (total)$7,370.00$6,150.00$13,520.00$12,763.00$22,678.00
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
General management fees (total)  $9,740.00$115,606.00$8,100.00
Assets and liabilities
Total assets$41,048,395.00$41,608,471.00$11,244,196.00$7,805,109.00$7,179,795.00
Total assets, beginning of year$41,608,471.00$11,244,196.00$7,805,109.00$7,179,795.00$6,461,461.00
Total liabilities$29,889,063.00$31,006,143.00$1,938,457.00$1,459,004.00$1,910,110.00
Total liabilities, beginning of year$31,006,143.00$1,938,457.00$1,459,004.00$1,910,110.00$1,969,155.00
Unrestricted net assets, end of yr$9,338,987.00$8,870,741.00$7,132,622.00$5,815,518.00$4,820,810.00
Temporarily restricted net assets$1,770,345.00$1,681,587.00$2,123,117.00$480,587.00$398,875.00
Permanently restricted net assets, end of yr$50,000.00$50,000.00$50,000.00$50,000.00$50,000.00
Net assets$11,159,332.00$10,602,328.00$9,305,739.00$6,346,105.00$5,269,685.00
Net assets, beginning of year$10,602,328.00$9,305,739.00$6,346,105.00$5,269,685.00$4,492,306.00
Other liabilities$722,585.00$1,837,094.00$562,090.00$13,364.00$41,656.00
Other assets$913,324.00$653,599.00$582,083.00$723,465.00$542,581.00
Investments: publicly traded securities$1,614,059.00$19,252,019.00$876,662.00$870,054.00$466,254.00
Cash: non-interest bearing$13,275.00$7,342.00$7,328.00$5,581.00$4,417.00
Cash: non-interest bearing, beginning of year$7,342.00$7,328.00$5,581.00$4,417.00$2,207.00
Investments -- program-related$1,753,942.00$1,665,470.00$2,107,427.00$465,182.00$383,892.00
Loans and other payables to key persons$9,980,208.00$194,785.00$326,407.00$492,690.00$690,004.00
Inventories for sale or use$398,555.00$361,051.00$372,250.00$324,678.00$305,899.00
Other financial variables
Revenue less expenses$478,399.00$1,724,203.00$1,326,966.00$1,001,594.00$694,222.00
Advertising (total)$31,130.00$33,664.00$34,522.00$15,394.00$19,072.00
Savings & temp cash investment$4,862,111.00$3,057,124.00$2,912,178.00$2,238,611.00$2,206,796.00
Accounts receivable, net$1,575,612.00$1,191,946.00$1,361,975.00$1,391,256.00$1,514,503.00
Prepaid expenses & deferred charges$93,297.00$61,869.00$62,588.00$41,385.00$30,709.00
Accounts payable & accrued expenses$998,263.00$1,309,553.00$1,010,017.00$952,950.00$955,281.00
Deferred revenue  $39,943.00$0.00$223,169.00
Secured mortgages and notes payable$18,188,007.00$27,664,711.00   
Total net assets or fund balances$11,159,332.00$10,602,328.00$9,305,739.00$6,346,105.00$5,269,685.00
Depreciation, depletion, amortization$776,652.00$281,756.00$349,336.00$466,685.00$486,678.00
Governance and accountability
Number of voting members1010101011
Number of independent voting members999910
Financial sheets auditedTrueTrueTrueTrueTrue
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-07-012015-07-012014-07-012013-07-012012-07-01
Tax year end date2017-06-012016-06-012015-06-012014-06-012013-06-01
Indicators for schedules (selected)
Outstanding loan to key person or disqualified personTrueTrueTrueTrueTrue
Business transaction with family memberTrueTrueTrue  
Attached copy of audited financialsTrueTrueTrueTrueTrue
Operate hospital facilitiesTrueTrueTrueTrueTrue
Hospital data
Facility count11111
Hospital facilities
Sakakawea Medical Center
Facility nameSakakawea Medical CenterSakakawea Medical CenterSakakawea Medical CenterSakakawea Medical CenterSakakawea Medical Center
Facility line number11111
Facility's websitewww.smcnd.orgwww.smcnd.orgwww.sakmedcenter.orgwww.sakmedcenter.org 
Address 510 8th Ave NE510 8th Ave NE510 8th Ave NE510 8th Ave NE510 8th Ave NE
StateNDNDNDNDND
Zip code5854558545585455854558545
State license number5024A5024A5024A5024A 
Type(s) of facility
Licensed facilityTrueTrueTrueTrueTrue
General medical and surgicalTrueTrueTrueTrueTrue
Critical access hospitalTrueTrueTrueTrueTrue
ER - 24 hoursTrueTrueTrueTrueTrue
Community benefits and community building
Has financial assistance policyTrueTrueTrueTrueTrue
Provide discounts to medically indigentTrueTrueTrue  
Financial assistance at cost, net community benefit $50,000.00$54,000.00$22,000.00$59,000.00$62,000.00
Financial assistance at cost, percent of total $0.00$0.00$0.00$0.01$0.01
Medicaid, net community benefit expense$87,690.00$54,314.00$2,388.00$14,229.00$12,644.00
Medicaid, percent of total expense$0.01$0.00$0.00$0.00$0.00
Community health improvement, net community benefit expense$84,113.00$67,599.00$13,897.00$16,109.00$18,374.00
Community health improvement, percent of total expense$0.01$0.01$0.00$0.00$0.00
Total benefits, net community benefit expense$313,579.00$578,026.00$594,327.00$601,791.00$416,725.00
Total community benefits as percent of total expense$0.02$0.05$0.05$0.06$0.04
Bad debt expense$611,475.00$496,095.00$469,816.00$403,299.00$839,771.00
Bad debt due to charity$40,357.00$30,758.00$29,129.00$25,005.00$52,066.00
Revenue from Medicare$5,392,688.00$4,661,429.00$4,346,501.00$3,763,513.00$3,306,731.00
Medicare allowable costs$5,521,920.00$4,740,245.00$4,425,627.00$3,840,810.00$3,330,704.00
Medicare surplus or shortfall-$129,232.00-$78,816.00-$79,126.00-$77,297.00-$23,973.00
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Date e-filing submitted2018-05-182017-08-182016-07-262014-12-292014-03-17
IRS schema version2016v3.02015v3.02014v6.02013v3.02012v2.1
Filing identifier201801229349300210201701009349300205201621029349300112201443579349300629201420369349300617
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