PIONEER MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PIONEER MEDICAL CENTER (EIN 47-5437700)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-07
- IRS object ID
- 202431289349303573
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-07T16:10:29-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 E PINE ST UPPER FLOOR | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475437700 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIONEER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PION | BusinessNameControlTxt |
| Phone | 4069324603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1228 | AddressLine1Txt |
| City | BIG TIMBER | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IAN PETERSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4069324603 | PhoneNum |
| Signature | 2024-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | IAN | PersonFirstNm |
| Person Last | PETERSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM BRUNSON CPA | PreparerPersonNm |
| PTIN | P01696998 | PTIN |
| Phone | 4067281800 | PhoneNum |
| Preparation | 2024-05-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IAN PETERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 WEST 7TH AVE | AddressLine1Txt |
| City | BIG TIMBER | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,753,704 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PMCMT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | PIONEER MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY BASED IN BIG TIMBER, MONTANA. PIONEER MEDICAL CENTER HAS A SERVICE AREA OF JUST UNDER 1,900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 162 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $46,898 | PYContributionsGrantsAmt |
| CY Contributions Grants | $916,786 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,674,605 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,963,134 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,128 | PYInvestmentIncomeAmt |
| CY Investment Income | $34,767 | CYInvestmentIncomeAmt |
| PY Other Revenue | $742,531 | PYOtherRevenueAmt |
| CY Other Revenue | $839,017 | CYOtherRevenueAmt |
| PY Total Revenue | $11,468,162 | PYTotalRevenueAmt |
| CY Total Revenue | $13,753,704 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,304,985 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,232,422 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,740,754 | PYOtherExpensesAmt |
| CY Other Expenses | $7,171,102 | CYOtherExpensesAmt |
| PY Total Expenses | $12,045,739 | PYTotalExpensesAmt |
| CY Total Expenses | $12,403,524 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$577,577 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,350,180 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,984,161 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,304,921 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,321,474 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,292,054 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,662,687 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,012,867 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MISSION: SUSTAINABLE EXCELLENCE IN PATIENT AND RESIDENT FOCUSED CARE. VISION: GROW TO BECOME THE TRUSTED HEALTHCARE PROVIDER AND EMPLOYER OF CHOICE IN SWEET GRASS COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,288,374 | ExpenseAmt |
| Revenue | $12,784,893 | RevenueAmt |
| Desc | PIONEER MEDICAL CENTER SERVES THE RESIDENTS OF SWEET GRASS COUNTY THROUGH ITS 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY. | Desc |
| Total Program Service Expenses | $11,288,374 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 162 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4069324603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1228 | AddressLine1Txt |
| City | BIG TIMBER | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59011 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARK KETCHUM | |||||||
| OUTGOING CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRANDI SCHWEIGERT | |||||||
| INCOMING CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELAINE ALLESTAD | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MATT MCMANAMEN | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CORY AUSTIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOY OTT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHAD MILLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL WALLACE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR WALLACE WALKER | |||||||
| DIRECTOR/MD | 40.00 | Yes (X) | $301,520 | $0 | $0 | ||
| IAN PETERSON | |||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA WOLFORD | |||||||
| RADIOLOGY MANAGER | 40.00 | $125,315 | $0 | $18,997 | Yes (X) | ||
| TINA HENSLEY | |||||||
| REGISTERED NURSE | 40.00 | $121,756 | $0 | $44,337 | Yes (X) | ||
| KRISTA FARNUM | |||||||
| LABORATORY MANAGER | 40.00 | $120,560 | $0 | $21,072 | Yes (X) | ||
| SARAH WALTON | |||||||
| FNP | 40.00 | $109,107 | $0 | $19,703 | Yes (X) | ||
| JOHN FOWLER | |||||||
| RN | 40.00 | $103,747 | $0 | $3,886 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $882,005 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $107,995 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BILLINGS CLINIC | |||||
| PO BOX 31598 | BILLINGS | MT | 59107 | MANAGEMENT, ACCOUNTING, RAD, IS, LAB, AN | $1,515,434 |
| WILDERNESS MEDICAL STAFFING | |||||
| PO BOX 30729 | SPOKANE | WA | 99223 | PHYSICIAN STAFFING | $514,750 |
| WALLACE WALKER | |||||
| PO BOX 1267 | BIG TIMBER | MT | 59011 | PHYSICIAN SERVICES | $301,520 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | NURSE STAFFING | $222,521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $150,471 | GovernmentGrantsAmt |
| All Other Contributions | $766,315 | AllOtherContributionsAmt |
| Total Contributions | $916,786 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $11,594,137 | $11,594,137 |
| OTHER OPERATING REVENUE | 621110 | $368,997 | $368,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,963,134 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,767 | TotalRevenueColumnAmt |
| Exclusion | $34,767 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,258 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,258 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,258 | TotalRevenueColumnAmt |
| Exclusion | $17,258 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPITAL DISTRICT TAX REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $821,759 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $821,759 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $821,759 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,753,704 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,784,893 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,025 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,520 | TotalAmt |
| Program Services | $270,428 | ProgramServicesAmt |
| Management And General | $35,092 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,885,089 | TotalAmt |
| Program Services | $3,438,855 | ProgramServicesAmt |
| Management And General | $446,234 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,794 | TotalAmt |
| Program Services | $79,480 | ProgramServicesAmt |
| Management And General | $10,314 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,852 | TotalAmt |
| Program Services | $605,306 | ProgramServicesAmt |
| Management And General | $78,546 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,167 | TotalAmt |
| Program Services | $237,366 | ProgramServicesAmt |
| Management And General | $30,801 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,669 | TotalAmt |
| Program Services | $43,669 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,491 | TotalAmt |
| Program Services | $165,491 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,560,478 | TotalAmt |
| Program Services | $3,560,478 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,663 | TotalAmt |
| Management And General | $17,663 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,802 | TotalAmt |
| Program Services | $38,802 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,369 | TotalAmt |
| Program Services | $295,369 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,566 | TotalAmt |
| Program Services | $258,566 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,431 | TotalAmt |
| Program Services | $21,431 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,027 | TotalAmt |
| Program Services | $12,027 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,815 | TotalAmt |
| Management And General | $15,815 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,685 | TotalAmt |
| Management And General | $480,685 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,148 | TotalAmt |
| Program Services | $167,148 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $798,674 | $798,674 |
| BAD DEBT EXPENSE | $525,471 | $525,471 |
| REPAIRS AND MAINTENANCE | $278,066 | $278,066 |
| EQUIPMENT RENTAL | $122,726 | $122,726 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,021 | TotalAmt |
| Program Services | $369,021 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,403,524 | TotalAmt |
| Program Services | $11,288,374 | ProgramServicesAmt |
| Management And General | $1,115,150 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,203,943 | BOYAmt |
| EOY | $490,923 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,046 | BOYAmt |
| EOY | $2,437,683 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,814,490 | BOYAmt |
| EOY | $1,981,921 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,925 | BOYAmt |
| EOY | $174,593 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,243 | BOYAmt |
| EOY | $123,756 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,319,179 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,133,233 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,757,316 | BOYAmt |
| EOY | $3,185,946 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,198 | BOYAmt |
| EOY | $14,910,099 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,984,161 | BOYAmt |
| EOY | $23,304,921 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,886 | BOYAmt |
| EOY | $1,173,183 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,846 | BOYAmt |
| EOY | $2,938 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $7,500 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $522,836 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,906 | BOYAmt |
| EOY | $14,108,433 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,321,474 | BOYAmt |
| EOY | $15,292,054 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,610,342 | BOYAmt |
| EOY | $7,482,714 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,345 | BOYAmt |
| EOY | $530,153 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,662,687 | BOYAmt |
| EOY | $8,012,867 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,984,161 | BOYAmt |
| EOY | $23,304,921 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,350,180 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,866,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $375,026 | DepreciationAmt |
| Book Value | $2,491,394 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,840 | DepreciationAmt |
| Book Value | $38,461 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,406,458 | OtherCostOrOtherBasisAmt |
| Depreciation | $750,367 | DepreciationAmt |
| Book Value | $656,091 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,185,946 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LEASE ASSET | $14,092,112 |
| TAXES RECEIVABLE | $446,054 |
| COST REPORT SETTLEMENT RECEIVABLE | $364,266 |
| CASH HELD IN TRUST FOR RESIDENTS | $7,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,910,099 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $14,108,433 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,108,433 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,203,343 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $975,110 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $975,110 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,228,233 | RevenueSubtotalAmt |
| Other Revenues Not Included | $525,471 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $525,471 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,753,704 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,853,163 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $975,110 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $975,110 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,878,053 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $525,471 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $525,471 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,403,524 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HOLDS CASH IN TRUST FOR RESIDENTS OF THE LONG-TERM CARE FACILITY. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE HOSPITAL RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR TAX YEARS 2019 AND FORWARD REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 525,471. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 525,471. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $295,192 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $295,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,287,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,369,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,582,318 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,369,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $295,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,483 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $365,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $412,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $371,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $412,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,953,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,782,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $301,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $22,327 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,327 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $12,105 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,453 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,884 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,829 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,829 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,885 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $111,312 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $111,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $525,471 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $105,094 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,626,512 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,688,529 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$62,017 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIONEER MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 WEST 7TH AVENUE | AddressLine1Txt |
| City | BIG TIMBER | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PMCMT.ORG | WebsiteAddressTxt |
| State License | 12706 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL HEALTH CLINIC AND ASSISTED LIVING FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIONEER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | PMCMT.ORG/ABOUT/OVERVIEW | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | PMCMT.ORG/ABOUT/OVERVIEW | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.PMCMT.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.PMCMT.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PMCMT.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PIONEER MEDICAL CENTER | PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS IDENTIFIED COMPRISED OF A DIVERSE GROUP OF MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY INCLUDING PUBLIC HEALTH, ELDERLY, UNINSURED, YOUTH, ETC. |
| PIONEER MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COOPERATION WITH THE MONTANA OFFICE OF RURAL HEALTH. |
| PIONEER MEDICAL CENTER | PART V, SECTION B, LINE 11: THE FOLLOWING SUMMARY BRIEFLY REPRESENTS THE GOALS AND CORRESPONDING STRATEGIES AND ACTIVITIES WHICH THE FACILITY WILL EXECUTE TO ADDRESS THE PRIORITIZED HEALTH NEEDS. GOAL 1: IMPROVE ACCESS TO HEALTHCARE SERVICES IN SWEET GRASS COUNTY.STRATEGY 1.1: CONTINUE TO IMPROVE ACCESS TO PRIMARY CARE SERVICES.IMPROVE PATIENT DIGITAL HEALTH ACCESS AND MANAGEMENT BY MAKING SCHEDULING AND COMMUNICATION SEAMLESS WITH PMC. CREATE A COMMUNITY OUTREACH AND EDUCATION CAMPAIGN TO ACCOMPANY THE SYSTEM ENHANCEMENTS.BUILD UPON THE TRUST AND RELATIONSHIP WITH THE SERVICE AREA BY EXPLORING THE FEASIBILITY OF EXPANDING THE PATIENT-CENTERED CARE MODEL.CONTINUE TO WORK WITH COUNTY AND COMMUNITY LEVEL RESOURCES (PUBLIC HEALTH, EMS, SOCIAL SERVICE ORGANIZATIONS, ETC.) TO ADDRESS COMMUNITY-LEVEL INFRASTRUCTURE TO MEET THE EVOLVING NEEDS OF OUR COMMUNITY BEST AS WE NAVIGATE THE PANDEMIC AND ITS AFTER-EFFECTS.STRATEGY 1.2: CONTINUE TO ENHANCE ACCESS TO SPECIALTY CARE SERVICES.CONTINUE TO ENHANCE COMMUNITY AWARENESS OF SPECIALTY SERVICES BY DEVELOPING A SPECIALTY SERVICE CALENDAR CAMPAIGN HIGHLIGHTING VISITING PROVIDERS, SERVICES, AND CLINIC TIMES.GOAL 2: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES AND RESOURCES IN SWEET GRASS COUNTY.STRATEGY 2.1: ENHANCE COMMUNITY KNOWLEDGE OF ALCOHOL AND SUBSTANCE ABUSE RESOURCES.CATALOG ALCOHOL AND SUBSTANCE ABUSE RESOURCES ON PMC'S WEBSITE FOR PATIENTS AND CAREGIVERS BY SHARING EVENTS AND RESOURCES AVAILABLE LOCALLY. CREATE A SCHEDULE TO REVIEW AND UPDATE THE WEBSITE REGULARLY TO ENSURE THE MOST UP-TO-DATE INFORMATION. ORIENT THE PMC STAFF OF ALL LEVELS TO THE UPDATED CATALOG.EXPLORE ADDITIONAL EVIDENCE-BASED AVENUES TO DISSEMINATE ALCOHOL AND SUBSTANCE ABUSE PREVENTION OUTREACH AND EDUCATION MATERIALS IN SWEET GRASS COUNTY.STRATEGY 2.2: ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES AT PMC.MEET WITH COMMUNITY PARTNERS TO FACILITATE AND COORDINATE LOCAL MENTAL HEALTH RESOURCES, ENHANCE RELATIONSHIPS, AND EXPLORE OPPORTUNITIES TO IMPROVE REFERRAL/TRANSFER RESOURCES FOR AREA PATIENTS.EXPLORE THE FEASIBILITY OF EXPANDING PARTNERSHIPS OR COLLABORATIONS TO ENHANCE TELEPSYCHIATRY SERVICES IN SWEET GRASS COUNTY.DEVELOP AND DISSEMINATE STAFF TRAINING AND INFORMATION REGARDING AVAILABLE COMMUNITY AND STATE RESOURCES, ENHANCING MENTAL AND BEHAVIORAL HEALTH SKILLS AND KNOWLEDGE TO ADDRESS THE COMMUNITY'S MENTAL AND BEHAVIORAL HEALTH NEEDS. GOAL 3: CONTINUE TO ENHANCE PIONEER MEDICAL CENTER'S OUTREACH AND EDUCATION EFFORTS IN THE PMC SERVICE AREA. STRATEGY 3.1: ENHANCE PMC'S OUTREACH AND EDUCATION EFFORTS OF AVAILABLE HEALTH SERVICES.DEVELOP AN OUTREACH AND COMMUNICATION PLAN BY INTENTIONALLY PRIORITIZING WEBSITE AND SOCIAL MEDIA CONTENT IMPROVEMENTS. ENSURE NEW COMMUNICATION AND OUTREACH STAFF MEMBERS ARE TRAINED ON THE INTERNAL PROCEDURES FOR DEVELOPING AND MAINTAINING CONTENT.DEVELOP EDUCATIONAL OFFERINGS FOR STAFF AND COMMUNITY ON AVAILABLE SERVICES (ON-SITE AND TELEMEDICINE OPPORTUNITIES) TO ENHANCE KNOWLEDGE, ACCESS, AND PATIENT COMMUNICATION. EXPLORE OPPORTUNITIES TO DELIVER HEALTH EDUCATION THROUGH AVENUES SUCH AS COMMUNITY PRESENTATIONS AND NEWSLETTER MODALITIES.STRATEGY 3.2: GROW PMC'S PRESENCE IN THE COMMUNITY AS A RESOURCE FOR HEALTH EDUCATION AND PARTNERSHIPS, PARTICULARLY RELATED TO PREVENTIVE SERVICES AND CHRONIC DISEASE MANAGEMENT.CREATE AN OUTREACH PLAN TO PROMOTE PREVENTIVE SERVICE UTILIZATION AND CHRONIC CARE MANAGEMENT. RESEARCH ESTABLISHED STATE-LEVEL RESOURCES AND RURAL HEALTH INITIATIVE TOOLKITS PMC COULD ADOPT OR ADAPT TO IMPROVE HEALTH OUTCOMES IN SWEET GRASS COUNTY (I.E., NUTRITION, WEIGHT LOSS, FITNESS, WOMEN'S HEALTH, ETC.).EXPLORE OPPORTUNITIES TO SUPPORT AND COLLABORATE WITH KEY REGIONAL AND COMMUNITY PARTNERS ON INITIATIVES/COALITIONS RELATED TO PREVENTIVE HEALTH.NEEDS NOT ADDRESSED AND JUSTIFICATION8.0% OF CHILDREN (AGE <18) IN SWEET GRASS COUNTY ARE UNINSURED COMPARED TO 6.0% FOR MONTANA. PIONEER MEDICAL CENTER OFFERS HEALTH INSURANCE AS A BENEFIT TO ITS STAFF BUT DOES NOT PROVIDE INSURANCE FOR COMMUNITY MEMBERS. WE TRY TO PROVIDE INFORMATION AS OFTEN AS POSSIBLE, VIA BROCHURES, VISIBLE SIGNAGE IN OUR WAITING ROOMS, AND IN OUR BUSINESS OFFICE, WITH INFORMATION ON MECHANISMS TO ACCESS HEALTH INSURANCE COVERAGE.SURVEY RESPONDENTS WERE ASKED TO INDICATE IF THEY FELT THE COMMUNITY HAS ADEQUATE AND AFFORDABLE HOUSING OPTIONS AVAILABLE: NOT ADEQUATE HOUSING" (75.0%), "DON'T KNOW" (21.6%), AND "FEEL THERE IS ADEQUATE HOUSING" (3.4%). HOUSING AFFORDABILITY IS A CHALLENGING ISSUE. AS TIME ALLOWS IN THE FUTURE, PMC WOULD BE OPEN TO ENGAGING WITH COMMUNITY PARTNERS IN DISCUSSIONS RELATED TO HOUSING AFFORDABILITY. FURTHERMORE, PIONEER MEDICAL CENTER PROVIDES MEDICAL CARE, PIONEER MEDICAL DOES NOT PROVIDE HOUSING TO COMMUNITY MEMBERS NOT IN NEED OF MEDICAL CARE. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USES THE COST-TO-CHARGE RATIO CALCULATED ON WORKSHEET 2. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY INVOLVEMENT IN LEADERSHIP, GOVERNANCE, AND GUIDANCE; SWEET GRASS TECH, CHAMBER OF COMMERCE, LIONS, COMMUNITY COALITIONS, COMMUNITY DEVELOPMENT AND TRAINING, PREVENTION ACTIVITIES, JOB FAIRS, AND TRAINING OFFERED TO COMMUNITY. |
| PART III, LINE 2: | THE ORGANIZATION'S BAD DEBT EXPENSE IS EQUAL TO THE ACTUAL WRITE-OFFS DURING THE YEAR PLUS OR MINUS ANY ADJUSTMENTS MADE TO THE PROVISION ACCOUNT THROUGHOUT THE YEAR. |
| PART III, LINE 3: | THE ORGANIZATION ESTIMATES THAT ABOUT 20 PERCENT OF ITS BAD DEBT EXPENSE SHOULD BE INCLUDED AS COMMUNITY BENEFIT. |
| PART III, LINE 4: | PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE COST TO CHARGE RATIO IS USED TO DETERMINE COMMUNITY BENEFIT. THIS IS DONE BY APPLYING THE RATIO TO THE TOTAL MEDICARE REVENUE. A SHORTFALL OR OVERAGE IN ANY GIVEN YEAR IS A RESULT OF THE TIMING OF PAYMENTS FROM MEDICARE ON AN INTERIM BASIS AND WHEN FINAL SETTLEMENT IS MADE. MANAGEMENT USES ESTIMATES TO CALCULATE SUCH SETTLEMENTS BUT ACTUAL RESULTS VARY FROM THOSE ESTIMATES. ADDITIONALLY, SHORTFALLS CAN RESULT FROM VARIOUS EXPENSES THAT ARE INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. ALSO MEDICARE RECIPIENTS ARE PART OF A CHARITABLE CLASS AND SO THE PROVISION OF MEDICAL CARE FURTHERS THIS CHARITABLE CLASS.MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT WHICH IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. |
| PART III, LINE 9B: | THE ORGANIZATION FOLLOWS THE COLLECTION AND FINANCIAL ASSISTANCE PRACTICES MANDATED IN 501R OF THE AFFORDABLE CARE ACT. ONCE A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED IT IS REVIEWED TO ENSURE ALL AREAS ARE COMPLETED AND ALL REQUESTED DOCUMENTS ARE PROVIDED. AT THIS TIME ALL COLLECTION ACTION IS SUSPENDED UNTIL A DECISION CAN BE MADE ON THE APPLICANT'S FINANCIAL ASSISTANCE REQUEST. IF THE PATIENT QUALIFIES FOR ASSISTANCE IN ACCORDANCE TO THE SLIDING FEE SCHEDULE AND THE FEDERAL POVERTY GUIDELINES, A PATIENT FINANCIAL REPRESENTATIVE THEN LOOKS BACK 240 DAYS FROM THE DATE THE APPLICATION WAS RECEIVED AND APPLIES THAT PERCENTAGE OF DISCOUNT TO ALL ACCOUNTS. SOME ACCOUNTS AT THIS POINT MAY HAVE ALREADY BEEN TURNED OVER TO A COLLECTION AGENCY. THOSE ACCOUNTS ARE PULLED BACK FROM THE COLLECTION AGENCY AND THE SAME DISCOUNT IS APPLIED. ONCE ALL DISCOUNTS ARE APPLIED, COLLECTION ACTION IS PROCEEDED AS NORMAL. |
| PART VI, LINE 2: | THE LAST CHNA WAS PERFORMED IN JUNE 2021 AND THE IMPLEMENTATION PLAN WAS CREATED IN AUGUST 2021 AND APPROVED BY THE BOARD OF DIRECTORS ON SEPTEMBER 2, 2021. PMC CONTINUES TO WORK ON THE ACTIONS IDENTIFIED THE PRIOR YEAR. IN ADDITION, PATIENT'S SATISFACTION SURVEYS ARE SENT TO ALL INPATIENTS AND OBSERVATION PATIENTS, EMERGENCY ROOM PATIENTS, ALL PATIENTS RECEIVING OUTPATIENT SERVICES AND CLINIC PATIENTS. |
| PART VI, LINE 3: | PATIENTS ARE NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE AVAILABLE. IN ADDITION, INFORMATION IS POSTED ABOUT FINANCIAL ASSISTANCE IN ALL WAITING ROOM AREAS, ON OUR WEBSITE, AS WELL AS ON THE BACK OF OUR PATIENT STATEMENTS WHICH GO OUT MONTHLY. LETTERS ALSO GO OUT TO PATIENTS 30 DAYS AFTER THE CLAIM GOES INTO A SELF-PAY STATUS IF NO PRIOR PAYMENT ARRANGEMENTS HAVE BEEN MADE WITH INFORMATION ON FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | PIONEER MEDICAL CENTER IS LOCATED IN A SMALL RURAL COMMUNITY IN MONTANA. PMC'S SERVICE AREA IS JUST UNDER 1900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE |
| PART VI, LINE 5: | PIONEER MEDICAL CENTER OFFERS MANY SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: 1. PUBLIC HEALTH NURSE 2. BOARD OF DIRECTORS THAT CONSISTS OF VOLUNTEERS FROM THROUGHOUT THE COMMUNITY IN ORDER TO HAVE DIVERSE REPRESENTATION. 3. VARIOUS VISITING SPECIALISTS4. AMBULANCE SERVICES. 5. HOSPICE SERVICES. 6. IMPACT TESTING FOR ALL YOUTH ENGAGED IN CONTACT SPORTS. 7. DIABETES EDUCATION AND TRAINING. 8. TWICE A YEAR LOW COST LAB SPECIALS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR WALLACE WALKER | ||||||||||||||
| DIRECTOR/MD | $301,520 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $301,520 | $0 | $0 | $0 |
| TINA HENSLEY | ||||||||||||||
| REGISTERED NURSE | $121,756 | $0 | $0 | $0 | $0 | $0 | $13,150 | $0 | $31,187 | $0 | $166,093 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS CONTRACTED WITH BILLINGS CLINIC TO PROVIDE MANAGEMENT SERVICES. THE ORGANIZATION'S CURRENT CEO, IAN PETERSON, IS AN EMPLOYEE OF BILLINGS CLINIC AND COMPENSATION FOR SERVICES PROVIDED TO THE HOSPITAL INCLUDE THE FOLLOWING: BASE SALARY - $151,151 BONUS - $10,532 EMPLOYER CONTRIBUTION TO MEDICAL AND DENTAL - $6,966 EMPLOYER CONTRIBUTION TO LIFE INSURANCE AND LONG-TERM DISABILITY - $440 |
| FORM 990, PART VI, SECTION A, LINE 7A | BILLINGS CLINIC THROUGH THE MANAGEMENT SERVICES AGREEMENT APPOINTS TWO OF THE BOARD MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD WILL REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY APPLIES TO ALL EMPLOYEES OF PIONEER MEDICAL CENTER, BOARD OF DIRECTORS, VOLUNTEERS, MEDICAL STAFF, CONTRACTED WORKFORCE, AND OTHER INDIVIDUALS WHO HAVE A FINANCIAL INTEREST AND ARE AUTHORIZED TO CONDUCT BUSINESS ON BEHALF OF PMC. THE CEO, COMPLIANCE OFFICER, AND/OR THE HUMAN RESOURCES DIRECTOR WILL REVIEW ALL DISCLOSURES OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST BY ANY MEMBER OF THE BOARD OF DIRECTORS OR SENIOR EXECUTIVE STAFF, EXCEPT THAT A REVIEWER WILL BE EXCLUDED FROM THE REVIEW OF HIS OR HER OWN DISCLOSURE. THE CEO AND COMPLIANCE OFFICER WILL REVIEW ALL DISCLOSURES OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST BY ANY OTHER INTERESTED PERSONS AT PMC. THE REVIEW TEAM WILL TAKE APPROPRIATE ACTION TO MANAGE, REDUCE, OR ELIMINATE CONFLICTS OF INTEREST AND TO COMPLY WITH OTHER PMC POLICIES AND PROCEDURES, REGULATIONS, AND ANY OTHER APPLICABLE AUTHORITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PMC UTILIZES MHA WAGE DATA COLLECTION SERVICES ON AN ANNUAL BASIS. WAGES FOR THE CEO AND OTHER LEADING TEAM MEMBERS ARE REVIEWED WITH COMPARABLE SITES IN THE SURROUNDING AREA TO BE COMPETITIVE. THE SAME PROCESS IS USED FOR ALL EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE FORMS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,560,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,560,478. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |