MARSHALL COUNTY HEALTHCARE CENTER

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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

1983

Legal Domicile

Principal Officer

NICK FOSNESS

Phone

6054482253

Tax Period

2024-07-01 to 2025-06-30

MARSHALL COUNTY HEALTHCARE CENTER, founded in 1983, is a mid-sized nonprofit in the Health Care sector that reported $13.2M in total revenue in fiscal year 2024.

Mission

THE MISSION OF MARSHALL COUNTY HEALTHCARE CENTER IS TO OVERSEE THAT THE FULL CONTINUUM OF QUALITY HEALTHCARE SERVICES IS MADE AVAILABLE TO THE PEOPLE IN ITS REGION.

Program Service Accomplishments

Program 1

Expenses: $10,956,043 Revenue: $13,005,055

MARSHALL COUNTY HEALTHCARE CENTER OPERATES A 20 BED ACUTE CARE HOSPITAL, A 25 UNIT ASSISTED & INDEPENDENT LIVING FACILITY, AND A PROVIDER BASED RURAL HEALTH CLINIC LOCATED IN BRITTON, SD. HEALTH CARE SERVICES INCLUDE ACUTE INPATIENT CARE, SWING BED CARE AND OUTPATIENT & CLINIC SERVICES. FOR YEAR ENDED JUNE 30, 2025, THE AMOUNTS AND TYPES OF CARE PROVIDED WERE: 445 ACUTE PATIENT DAYS; 346 SWING BED DAYS; 5,427 CLINIC VISITS; AND 4,160 ASSISTED & INDEPENDENT LIVING DAYS.MCHC PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE MCHC DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE.THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS $20,000 FOR THE YEAR ENDED JUNE 30, 2025, CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR MCHC BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS.

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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 $14,832

Program Service Revenue $13,005,055

Investment Income $173,562

Other Revenue $1,484

TOTAL REVENUE $13,194,933

Expense Breakdown

Grants Paid $4,611

Salaries & Benefits $7,684,533

Fundraising Expenses $0

Program Expenses $10,956,043

Other Expenses $5,324,264

TOTAL EXPENSES $13,013,408

Year-over-Year Comparison

	2024	2023	Change
Revenue	$13,194,933	$13,613,213	0.0%
Expenses	$13,013,408	$12,485,870	+0.0%
Net Income	$181,525	$1,127,343	-0.8%

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

131

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

$363,900

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ADRIAN HEITMANN	PRESIDENT	0.30	Officer Director	$0	$0	$0
BILL HAYWOOD	VICE PRESIDENT	0.10	Officer Director	$0	$0	$0
KAYLA SUTHER	SECRETARY	0.10	Officer Director	$0	$0	$0
BJ RICHTER	TRUSTEE	0.10	Director	$0	$0	$0
ROGER FURMAN	TRUSTEE	0.10	Director	$0	$0	$0
TRAE BERGH	TRUSTEE FROM 05/2025	0.10	Director	$0	$0	$0
MATT SCHULLER	TRUSTEE	0.10	Director	$0	$0	$0
TANNER WHITE	TRUSTEE UNTIL 04/2025	0.10	Director	$0	$0	$0
RYAN SMITH	TRUSTEE	0.10	Director	$0	$0	$0
NICK FOSNESS	CEO	40.00	Officer	$194,275	$33,184	$227,459
ERIK PETERSON	CFO	40.00	Officer	$98,025	$38,416	$136,441
AMANDA SCHMIEG	NURSE PRACTIONER	36.00	Highest	$170,612	$37,216	$207,828
SARA RAABE	NURSE PRACTIONER	36.00	Highest	$182,447	$32,190	$214,637
JILL ZUEHLKE	NURSE PRACTIONER	36.00	Highest	$152,724	$32,190	$184,914
JACQUELYN VEFLIN	LAB/RADIOLOGY DIRECTOR	40.00	Highest	$118,316	$21,250	$139,566
TONI MATTSON	DIRECTOR OF NURSING	40.00	Highest	$109,338	$32,190	$141,528

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	$13,194,933	$13,013,408	$18,009,697	$181,525
2024	$13,613,213	$12,485,870	$17,549,985	$1,127,343
2023	$12,119,127	$11,812,829	$16,693,651	$306,298
2022	$10,874,285	$10,530,208	$17,492,325	$344,077
2021	$14,895,272	$10,017,178	$17,206,820	$4,878,094
2020	$9,269,127	$8,989,239	$15,640,763	$279,888
2019	$9,108,176	$8,349,693	$11,700,422	$758,483
2018	$7,899,066	$7,860,008	$10,331,832	$39,058