QUALITY HEALTH ASSOCIATES OF ND

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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

1974

Legal Domicile

Principal Officer

RICHARD BUBACH

Phone

7019896220

Tax Period

2024-10-01 to 2025-09-30

QUALITY HEALTH ASSOCIATES OF ND, founded in 1974, is a community nonprofit in the Health Care sector that reported $1.2M in total revenue in fiscal year 2024. Revenue fell 50% from the prior year — a significant decline worth monitoring. Expenses of $2.1M exceeded revenue, resulting in a 71% operating deficit.

Mission

QUALITY HEALTH ASSOCIATES OF NORTH DAKOTA IS A MISSION-DRIVEN ORGANIZATION THAT LEADS COLLABORATION AND INNOVATION IN HEALTH CARE QUALITY AND PATIENT SAFETY, AND IS A TRUSTED EXPERT IN FACILITATING IMPROVEMENT FOR PEOPLE AND COMMUNITIES. WE WORK WITH THE HEALTH CARE PROVIDER COMMUNITY - HOSPITALS, CLINICS, NURSING HOMES, PHYSICIAN PRACTIICES, AND HOME HEALTH AGENCIES - TO ENSURE THAT WE ARE DELIVERING HEALTH CARE IN SAFE, HIGH QUALITY, AND EVIDENCE BASED WAYS. WE SUPPORT CONSUMERS IN ENGAGING WITH THE HEALTH SYSTEM AND USING DATA TO MAKE INFORMED DECISIONS.

Program Service Accomplishments

Program 1

Expenses: $1,574,147 Revenue: $159,386

IN ORDER TO MEET OUR MISSION, QUALITY HEALTH ASSOCIATES OF NORTH DAKOTA WORKS WITH THE HEALTH CARE PROVIDER COMMUNITY - HOSPITALS, CLINICS, NURSING HOMES, PHYSICIAN PRACTICES, HOME HEALTH AGENCIES...

IN ORDER TO MEET OUR MISSION, QUALITY HEALTH ASSOCIATES OF NORTH DAKOTA WORKS WITH THE HEALTH CARE PROVIDER COMMUNITY - HOSPITALS, CLINICS, NURSING HOMES, PHYSICIAN PRACTICES, HOME HEALTH AGENCIES, PUBLIC HEALTH UNITS, AND PHARMACIES - TO ENSURE THAT THEY ARE DELIVERING HEALTH CARE IN SAFE, HIGH QUALITY, AND EVIDENCE-BASED WAYS. WE SUPPORT CONSUMERS IN ENGAGING WITH THE HEALTH SYSTEM AND USING DATA TO MAKE INFORMED DECISIONS.IN NORTH DAKOTA, WE REGULARLY REACH 44 HOSPITALS, 100 PRIMARY CARE CLINICS AND OTHER HEALTHCARE AND COMMUNITY PROVIDERS WITH QUALITY IMPROVEMENT RESOURCES, TOOLS, AND INFORMATION VIA QUALITY NEWSLETTERS. IN ADDITION, WE ACTIVELY SUPPORT THE DISSEMINATION OF QUALITY IMPROVEMENT TOOLS AND SOURCES ON OUR WEBSITE (WWW.QUALITYHEALTHND.ORG).

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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 $964,118

Program Service Revenue $201,362

Investment Income $76,215

Other Revenue $0

TOTAL REVENUE $1,241,695

Expense Breakdown

Grants Paid $0

Salaries & Benefits $1,516,360

Fundraising Expenses $0

Program Expenses $1,574,147

Other Expenses $610,130

TOTAL EXPENSES $2,126,490

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,241,695	$2,504,792	-0.5%
Expenses	$2,126,490	$2,390,121	-0.1%
Net Income	$-884,795	$114,671	-8.7%

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

$310,545

Total Directors

$1,450

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JEFFREY SATHER MD	PRESIDENT	1.00	Officer Director	$0	$0	$0
SHELLY PETERSON	VICE PRESIDENT	1.00	Officer Director	$325	$0	$325
TIFFANY SCHMIDT CPA	SECRETARY/TREASURER	1.00	Officer Director	$0	$0	$0
JENELL LOFTESNES	DIRECTOR	1.00	Director	$475	$0	$475
JULIE BLEHM MD	DIRECTOR	1.00	Director	$225	$0	$225
AARON GARMAN MD	DIRECTOR	1.00	Director	$200	$0	$200
JOSHUA ASKVIG	DIRECTOR	1.00	Director	$0	$0	$0
DEBORAH SWANSON	DIRECTOR	1.00	Director	$225	$0	$225
RICHARD BUBACH	CEO	40.00	Officer	$161,004	$22,349	$183,353
CHRISTI HOFFMAN	FINANCE MANAGER	40.00	Officer	$107,539	$19,328	$126,867

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	$1,241,695	$2,126,490	$1,414,259	$-884,795
2024	$2,504,792	$2,390,121	$2,340,011	$114,671
2023	$2,196,008	$2,169,763	$2,151,603	$26,245
2022	$1,909,926	$2,024,402	$2,021,633	$-114,476
2021	$2,085,971	$1,784,161	$2,345,239	$301,810
2020	$2,312,790	$2,744,628	$2,272,946	$-431,838
2019	$2,928,736	$2,783,147	$2,572,810	$145,589
2018	$2,858,317	$2,784,828	$2,444,413	$73,489