COMMUNITY HEALTHCARE OF THE DAKOTAS

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1985

Legal Domicile

Principal Officer

SHELLY TEN NAPEL

Phone

6052752423

Tax Period

2024-07-01 to 2025-06-30

COMMUNITY HEALTHCARE OF THE DAKOTAS, founded in 1985, is a community nonprofit in the Health Care sector that reported $4.3M in total revenue in fiscal year 2024. Revenue grew 8% year-over-year, indicating healthy expansion.

Mission

FOSTER HEALTHY COMMUNITIES BY PROMOTING AND SUPPORTING PROGRAMS THAT INCREASE ACCESS TO AFFORDABLE HIGH QUALITY CARE FOR ALL.

Program Service Accomplishments

Program 1

Expenses: $4,191,457 Revenue: $114,824

COMMUNITY HEALTHCARE ASSOCIATION OF THE DAKOTAS PROVIDES TRAINING, HEALTH CARE TECHNICAL ASSISTANCE, AND ADVOCACY, SERVING 9 COMMUNITY HEALTH CENTERS CONSISTING OF 70 COMMUNITY HEALTH CENTER DELIVERY SITES ACROSS NORTH AND SOUTH DAKOTA. THESE ASSOCIATION SITES INCLUDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES. THE CENTERS SERVED APPROXIMATELY 162,600 PATIENTS IN 2024. EVERY TYPE OF INSURANCE COVERAGE AND THE UNINSURED ARE ACCEPTED.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $4,194,674

Program Service Revenue $114,824

Investment Income $17,493

Other Revenue $0

TOTAL REVENUE $4,326,991

Expense Breakdown

Grants Paid $0

Salaries & Benefits $2,355,963

Fundraising Expenses $0

Program Expenses $4,191,457

Other Expenses $1,950,765

TOTAL EXPENSES $4,306,728

Year-over-Year Comparison

	2024	2023	Change
Revenue	$4,326,991	$3,990,085	+0.1%
Expenses	$4,306,728	$3,945,866	+0.1%
Net Income	$20,263	$44,219	-0.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$192,753

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SHELLY TEN NAPEL	CEO	40.00	Officer	$162,855	$29,898	$192,753
MARGARET ASHEIM	DIRECTOR	1.00	Officer Director	$0	$0	$0
NADINE BOE	VICE PRESIDE	1.00	Officer Director	$0	$0	$0
RHONDA EASTLUND	DIRECTOR	1.00	Officer Director	$0	$0	$0
WADE ERICKSON	TREASURER	1.00	Officer Director	$0	$0	$0
TAMI HOGIE-LORENZEN	DIRECTOR	1.00	Officer Director	$0	$0	$0
MARA JIRAN	DIRECTOR	1.00	Officer Director	$0	$0	$0
AMY RICHARDSON	DIRECTOR	1.00	Officer Director	$0	$0	$0
TIM TRITHART	PRESIDENT	1.00	Officer Director	$0	$0	$0
KURT WALDBILLIG	SECRETARY	1.00	Officer Director	$0	$0	$0
SCOTT WEATHERILL	DIRECTOR	1.00	Officer Director	$0	$0	$0
JACKIE YOTTER	DIRECTOR	1.00	Officer Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$4,326,991	$4,306,728	$1,180,283	$20,263
2024	$3,990,085	$3,945,866	$1,438,697	$44,219
2023	$3,917,000	$3,939,545	$1,106,009	$-22,545
2022	$2,866,482	$2,823,355	$1,032,114	$43,127
2021	$2,825,472	$2,778,900	$1,092,812	$46,572
2020	$1,829,204	$1,812,542	$703,524	$16,662
2019	$1,579,109	$1,549,684	$751,004	$29,425
2018	$1,521,924	$1,524,022	$624,842	$-2,098