HAND COUNTY MEMORIAL HOSPITAL

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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

1948

Legal Domicile

Principal Officer

DANIEL COSS

Phone

6058530364

Tax Period

2024-07-01 to 2025-06-30

HAND COUNTY MEMORIAL HOSPITAL, founded in 1948, is a community nonprofit in the Health Care sector that reported $1.3M in total revenue in fiscal year 2024. Revenue decreased 6% compared to the prior year. Expenses of $1.4M exceeded revenue, resulting in a 11% operating deficit.

Mission

HAND COUNTY MEMORIAL HOSPITAL'S MISSION IS TO ASSESS, MAINTAIN, RESTORE AND IMPROVE THE HEALTH OF OUR COMMUNITY, AS WELL AS RECOGNIZE AND PRESERVE THE NEED FOR EACH INDIVIDUAL'S HUMAN DIGNITY THROUGH OUR SERVICE.

Program Service Accomplishments

Program 1

Expenses: $1,229,273 Revenue: $1,221,585

HAND COUNTY MEMORIAL HOSPITAL INC. CONSISTS OF FOUR SEPARATE DEPARTMENTS WITH TWO WELLNESS FACILITIES. OUR ASSISTED LIVING IS 24 BEDS, AND WE HAVE 7000-7600 RESIDENT DAYS DEPENDING ON OCCUPANCY. MOST OF THE RESIDENTS ARE FROM THE HAND COUNTY AREA. TOE NAIL CARE FOR THE ELDERLY IN HAND AND HYDE COUNTY IS TAKEN CARE OF THROUGH OUR ASSISTED LIVING FACILITY.HAND COUNTY AMBULANCE: SERVICES THE GREATER HAND COUNTY AREA. THE AMBULANCE SERVICE WENT ON A TOTAL OF 219 CALLS IN FY25 AND PROVIDED 59 TRANSFERS TO HIGHER LEVELS OF CARE. THEY ALSO PROVIDE STANDBY AT THE LOCAL HIGH SCHOOL FOOTBALL GAMES AS WELL AS AT THE LOCAL RACES DURING THE SUMMER. THE AMBULANCE SERVICE IS FULLY STAFFED WITH VOLUNTEERS. CURRENTLY THERE ARE OVER 25 EMTS THAT MAKE UP THE AMBULANCE SERVICE.DIETARY DEPARTMENT: OUR DIETARY DEPARTMENT PROVIDED 19,500+ MEALS FOR OUR ASSISTED LIVING RESIDENTS. WE CONTRACT WITH AVERA HAND COUNTY MEMORIAL HOSPITAL AND PROVIDED OVER 2,500 MEALS FOR HOSPITAL PATIENTS, GUESTS, AND STAFF. OUR DIETARY DEPARTMENT ALSO SERVICES THE MEALS ON WHEELS PROGRAM FOR THE MILLER COMMUNITY AND PROVIDED 5,200 MEALS.OUR WELLNESS CENTERS PROVIDE 24/7 ACCESS TO A VARIETY OF EXERCISE EQUIPMENT IN THE MILLER AND HIGHMORE COMMUNITIES INCLUDING CARDIO MACHINES, WEIGHT TRAINERS, AND FREE WEIGHTS.

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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 $13,557

Program Service Revenue $1,121,736

Investment Income $28,361

Other Revenue $118,763

TOTAL REVENUE $1,282,417

Expense Breakdown

Grants Paid $0

Salaries & Benefits $853,175

Fundraising Expenses $0

Program Expenses $1,229,273

Other Expenses $570,790

TOTAL EXPENSES $1,423,965

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,282,417	$1,359,971	-0.1%
Expenses	$1,423,965	$1,443,114	0.0%
Net Income	$-141,548	$-83,143	+0.7%

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

$45,323

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JOE FIALA	CHAIR/DIRECTOR	3.00	Officer Director	$0	$0	$0
DANIEL COSS	DIRECTOR/CHAIR	3.00	Officer Director	$0	$0	$0
MARLA LICHTY	VICE CHAIR	3.00	Officer Director	$0	$0	$0
MIKE ANGLIN	SECRETARY-TREASURER	3.00	Officer Director	$0	$0	$0
CHERYL FAWCETT	DIRECTOR	3.00	Director	$0	$0	$0
DR MICHELLE TURNER	DIRECTOR	3.00	Director	$0	$0	$0
JESSE JOHNSON	DIRECTOR	3.00	Director	$0	$0	$0
TIERNEY ALPIZAR	BUSINESS MANAGER	30.00	Officer	$45,311	$12	$45,323
MATTHEW CAMPION	ADMINISTRATOR	5.00	Officer	$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	$1,282,417	$1,423,965	$5,618,610	$-141,548
2024	$1,359,971	$1,443,114	$5,872,030	$-83,143
2023	$1,271,619	$1,428,924	$6,145,479	$-157,305
2022	$1,216,790	$1,357,241	$4,602,474	$-140,451
2021	$1,355,399	$1,238,494	$4,803,174	$116,905
2020	$1,103,785	$1,188,403	$4,837,367	$-84,618
2019	$1,124,344	$1,185,032	$4,806,703	$-60,688
2018	$1,160,020	$1,141,298	$4,845,214	$18,722