McKenzie County Healthcare Systems
McKenzie County Healthcare Systems reported $65.1 million in revenue and $58.0 million in expenses for the fiscal year ending June 30, 2024. Of every $100 it spent, $81.55 went to program services, $18.45 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 79.7% of the total. Government grants made up 15.5%. The highest compensation it reported for one person was $1,204,781 (Orthopedic Surgeon). 10 people received more than $100,000 in reportable compensation. Revenue rose 72% between FY2020 and FY2024. Source: Form 990, FY2024.
Where $100 of spending went
The fiscal year ending June 30, 2024 · Form 990, Part IX, line 25 · total expenses $58MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2024 · Form 990, Part VIII · total revenue $65M- Contributions & grants (non-government)$4.69 $3.1M
- Government grants$15.44 $10M
- Program service revenue$79.27 $52M
- Investment income$0.60 $390K
Other revenue was negative: −$325K. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2024 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 81.5% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 18.5% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 20.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 15.5% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 79.7% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,204,781 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 2.08% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 10 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 8.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 9 of 9 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2024 · Form 990, Part III · the three largest programs by expenseMcKenzie County Healthcare Systems provides 24 hour x 7 days a week services. MCHS provided in-patient, observation, and swing bed services and obstetrics - hospital - total inpatient/observation days -1,213. Total swing bed days -1,046. MCHS offers various other services. They offer Ortho, Gen Surgery, Urol and ENT. Total Surgeries - 1015.The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,673. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Total lab…
The McKenzie County Healthcare System (MCHS) Good Shepherd Home (GSH) is a 47 bed skilled nursing home with an attached 9-bed basic care unit. The GSH offers Day Care and/or Respite Care for those caring for a loved one in their home. A Dementia Support Group is offered to families. They maintain regular Resident Family Council Meetings. Along with qualified nursing care and staff, social services, physical therapy, occupational therapy, restoration nursing, laundry, housekeeping, beautician services, and activity programs are offered (beautician and activities held when COVID conditions…
The MCHS Clinic (Rural Health Clinic) maintains the same mission as the Hospital. It provides care Monday through Friday. The RHC recently started conducting Telehealth visits as rendering providers due to COVID. A full-time contracted locum physician group provide Emergency Room Coverage at the hospital 24 hours a day x 7 days a week as well as 7 day a week Urgent Care coverage from 8am to 8pm utilizing mid-level providers. An RHC provider offered regular visits to the Good Shepherd Home. Both the Value Based Program involvement as well as our Visiting Nurse Program have been a great asset…
Highest reported compensation
FY2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Orthopedic Surgeon Highest compensated employee, 40.00 hrs/week | $1,184,581 | $0 | $20,200 | $1,204,781 |
| Medical Doctor Highest compensated employee, 40.00 hrs/week | $524,535 | $0 | $24,892 | $549,427 |
| Medical Director, Physician Key employee, 32.00 hrs/week | $376,136 | $0 | $39,943 | $416,079 |
| Interim Anesthesia Chief Highest compensated employee, 40.00 hrs/week | $353,064 | $0 | $46,408 | $399,472 |
| CRNA Highest compensated employee, 40.00 hrs/week | $321,817 | $0 | $28,083 | $349,900 |
| CEO Officer, 40.00 hrs/week | $301,617 | $0 | $40,890 | $342,507 |
| Medical Doctor Highest compensated employee, 40.00 hrs/week | $297,000 | $0 | $13,148 | $310,148 |
| Former President Former, 0.00 hrs/week | $180,151 | $0 | $23,321 | $203,472 |
10 people received more than $100,000 in reportable compensation from McKenzie County Healthcare Systems (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.3M (Part IX, line 5).
5 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b9 · 9 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 50
- Volunteers Part I, line 610
Largest outside contractors
FY2024 · Form 990, Part VII, Section B · businesses only| Compassionate Hospitalist Care Physician | $548,635 |
| Mastrapa Medical Services LLC Physician | $528,126 |
| Construction Engineers Inc Construction | $509,955 |
| WelkerPR Inc Marketing | $249,710 |
Individuals listed as contractors are left out. 8 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to McKenzie County Healthcare Systems totaling $10,000 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from McKenzie County Healthcare Systems's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for McKenzie County Healthcare Systems, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 McKenzie County Healthcare Systems spent in FY2024, $81.55 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Sonoma County Indian Health ProjectSanta Rosa, CA · revenue $65M · programs 66.2% · FY2025
- Crisp Shared ServicesColumbia, MD · revenue $65M · programs 87.3% · FY2025
- Premium HealthBrooklyn, NY · revenue $65M · programs 85.3% · 2024
- Versiti IllinoisAurora, IL · revenue $65M · programs 84.5% · 2024
- Valley-Wide Health SystemsAlamosa, CO · revenue $65M · programs 78.9% · FY2025
All health care charities · Largest charities in North Dakota
Questions people ask
How much of McKenzie County Healthcare Systems's spending goes to programs?
In the fiscal year ending June 30, 2024, McKenzie County Healthcare Systems reported that 81.5% of its $58.0 million in expenses went to program services, 18.5% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does McKenzie County Healthcare Systems pay its top executive?
The largest total compensation McKenzie County Healthcare Systems reported for one person in the fiscal year ending June 30, 2024 was $1,204,781, for the role of Orthopedic Surgeon (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does McKenzie County Healthcare Systems get its money?
Of $65.1 million in revenue in the fiscal year ending June 30, 2024, 20.2% came from contributions and grants (including 15.5% from government grants) and 79.7% from program service revenue (Form 990, Part VIII).
Is McKenzie County Healthcare Systems a registered charity?
The IRS lists EIN 77-0637498 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531359349313813 · read the filing · XML
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421369349310887 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202341359349313744 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202243269349300524 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111239349302061 · read the filing
All filings for EIN 77-0637498: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.