2024-05-06T15:55:37-05:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450423303 Towner County Hospital Authority TOWN 7019684411 Highway 281 North Box 688 Cando ND 58324 Tammy Larson CFO 7019684411 2024-04-29 1 Tammy Larson 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Tim Hendrickson Highway 281 North Box 688 Cando ND 58324 1748078 0 X N/A X 1991 ND Furnishing of health care facilities and equipment to Towner County Medical Center in furtherance of its tax exempt mission. 9 8 0 9 0 0 3357211 1547477 195600 195600 46199 5001 0 0 3599010 1748078 0 0 0 0 0 0 0 0 0 173934 505548 173934 505548 3425076 1242530 5364276 24439399 1308872 19141465 4055404 5297934 None 0 0 493786 195600 Towner County Hospital Authority owns an acute care hospital and physician clinic in Cando, North Dakota. The Authority leases its facilities and equipment to Towner County Medical Center. 493786 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X Tammy Larson 7019682560 PO Box 688 Cando ND 58324 Tammy Larson Director/CFO 5.00 50.00 X X 0 188321 20315 Tim Hendrickson President 0.50 0.00 X X 0 0 0 Jeff Miller Vice President (July-Oct) 0.50 0.00 X X 0 0 0 Lisa Mosser Vice President (Nov-June) 0.50 0.00 X X 0 0 0 Deborah Odegaard Secretary 0.50 0.00 X X 0 0 0 Tom Belzer Treasurer 0.50 1.50 X X 0 0 0 Bradley Bergdahl Director 0.50 0.00 X 0 0 0 JoAnn Rodenbiker Director 0.50 0.00 X 0 0 0 Chantel Parker Director 0.50 0.00 X 0 0 0 Brad Miller Director (Nov-June) 0.50 0.00 X 0 0 0 Ben Bucher CEO 5.00 50.00 X 0 284936 21292 0 473257 41607 0 0 1 0 0 1450 1411583 134444 1547477 Rental 531120 195600 195600 195600 5001 5001 1748078 195600 0 5001 11400 11400 362 362 47459 47459 446327 446327 505548 493786 11762 0 963434 76144 131 194 26868041 6534606 4224819 20333435 175892 4029626 5364276 24439399 1271 7371350 1158801 11621315 148800 148800 1308872 19141465 X 3955404 5297934 100000 0 4055404 5297934 5364276 24439399 1242530 0 X 0 1 X 0 0 X 1625 1350 1740 3276842 1413033 4694590 73209 75602 75769 80369 134444 439393 74834 76952 77509 3357211 1547477 5133983 197121 4936862 1280 1334 1254 1091 5001 9960 5143943 978000 0.95970 0.93650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 349000 349000 4952533 4581594 370939 247439 172562 74877 1465258 1434465 30793 19853811 345985 19507826 20333435 Note Payable to Related Party 148800 148800 X 1748078 0 1748078 0 1748078 505548 0 505548 0 505548 Part X, Line 2: The Authority believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Authority would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 0 0 0 0 0 0 0 0 0 Ben Bucher CEO 0 246436 0 38500 0 0 0 10193 0 11843 0 306972 0 0 Tammy Larson Director/CFO 0 166140 0 22181 0 0 0 7162 0 13897 0 209380 0 0 Part I, Line 3 The CEO and CFO are paid by a related organization for services to the related organization. The related organization used one or more of the methods listed to establish their compensation. Form 990, Part VI, Section A, line 2 Tim Hendrickson & Tammy Larson have a family relationship. Ben Bucher, Tom Belzer, and Tammy Larson have a business relationship with each other. Form 990, Part VI, Section A, line 6 The organization has two classes of members - class A and class B. Any adult individual resident of Towner County, ND, is an automatic member. Class B members may vote on issues brought to the class B membership by the Board of Directors, as well as on issues concerning possible taxation assessments. Class A membership is available to individuals for an annual membership of $25. Class A members are allowed to fully participate at all corporate meetings and are eligible to vote on the board of directors. Form 990, Part VI, Section A, line 7a The organization has class A members who are allowed to elect members of the governing body. Each member has one vote. Form 990, Part VI, Section A, line 7b Amendments to the bylaws by a majority of the Board of Directors must be ratified by Class A membership at the next succeeding annual meeting. Form 990, Part VI, Section A, line 8b There were no committees with authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b The CEO will review the draft. The 990 draft will be provided to the Board of Directors for review prior to the 990 being finalized and filed. Form 990, Part VI, Section B, line 12c The CEO, CFO and board members annually disclose any interests that could give rise to conflicts. The CEO reviews the responses. Any member of the Board of Directors having a conflict of interest should not vote on the matter. The CEO and the CFO do not vote. If they have a conflict of interest they would be asked to leave the room when discussions were held related to the conflict. Form 990, Part VI, Section B, line 15 Towner County Hospital Authority (TCHA) does not provide compensation to employees as the compensation is paid by a related party, Towner County Medical Center (TCMC). Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Towner County Living Center Highway 281 North Box 688 Cando ND 58324 450422204 Leasing of congregate care and long term care facilities ND 501(c)(3) Line 12b, II Towner County Medical Center 0 Towner County Medical Center Highway 281 North Box 688 Cando ND 58324 450425948 Operation of hospital, clinical, long term care, and other services ND 501(c)(3) Line 3 Towner County Hospital Authority 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 Towner County Medical Center J 195600 General Ledger Towner County Medical Center C 1411583 General Ledger