Wishek Hospital Clinic Association
Nonprofit profile at a glance
- EIN
- 450358986
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Wishek, ND, USA
- Phone
- 7014522326
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $11,552,485
- Expenses
- $10,829,917
- Assets
- $7,773,462
- Liabilities
- $2,035,350
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- Lila Raile (President)
- Nathan Wolf (Vice President)
- Lukas Fischer (CEO)
Highest reported compensation
- Jayme Martell (FNP): $224,793 total reported compensation
- Trina Schilling (FNP): $222,902 total reported compensation
- Shawna Bradley (FNP): $200,847 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Wishek Hospital Clinic Association is a progressive and innovative healthcare leader providing personalized services promoting the creation of healthier communities.
What it reported doing in 2024
Wishek Hospital-Clinic Association d/b/a South Central Health is a 24-bed acute care hospital located in Wishek North Dakota providing acute healthcare, outpatient, emergency, and skilled swingbed services. The Association provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Association does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $33,000 for the year ended December 31, 2024, calculated by multiplying the ratio of cost to gross charges for the Association by the gross uncompensated charges associated with providing charity care to its patients.
Operating model
- Revenue model
- Other-operating. 94% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 77
- Transparency & Controls: 79
- Accountability: 94
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 72.6%; rating input score 73
- Program expense ratio: 77.3%; rating input score 77
- Fundraising efficiency: $2,988.55 raised per $1 spent on fundraising; rating input score 98; 98th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 6.3%; rating input score 58; 58th percentile among comparable filings
- Total-asset coverage ratio: 0.72; rating input score 25; 25th percentile among comparable filings
- Liabilities to assets ratio: 0.26; rating input score 51; 51st percentile among comparable filings
- Officer compensation ratio: 11.4%; rating input score 16; 16th percentile among comparable filings
Growth
- Program expense growth: 3.4% per year; rating input score 100; 29th percentile among comparable filings
- Revenue growth: 4.2% per year; rating input score 100; 37th percentile among comparable filings
- Asset growth: 7.2% per year; rating input score 100; 50th percentile among comparable filings
Details
- Where the money goes: 72.6% of revenue deployed · 77.3% of spending went to programs
- Governance: 8 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $8.4M in reported program spending
- Leadership: top reported pay $225K · 17 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $966K reported
- Consistency: 36 of 36 current checks pass
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Total-asset coverage ratio scored 25/100.
- Review — Sustainability: Operating margin scored 58/100.
- High — Sustainability: Officer compensation ratio scored 16/100.
- Review — Sustainability: Liabilities to assets ratio scored 51/100.