PIONEER MEDICAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PIONEER MEDICAL CENTER (EIN 47-5437700)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-05
- IRS object ID
- 202501259349300445
- Schema version
- 2023v6.0
- 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 | 2025-05-05T09:08:47-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | 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 | 2023-07-01 | 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 | 2025-04-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| 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 | 2025-04-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 | $12,168,587 | 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 | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 149 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $916,786 | PYContributionsGrantsAmt |
| CY Contributions Grants | $134,007 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,963,134 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,141,529 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,767 | PYInvestmentIncomeAmt |
| CY Investment Income | $72,084 | CYInvestmentIncomeAmt |
| PY Other Revenue | $839,017 | PYOtherRevenueAmt |
| CY Other Revenue | $820,967 | CYOtherRevenueAmt |
| PY Total Revenue | $13,753,704 | PYTotalRevenueAmt |
| CY Total Revenue | $12,168,587 | 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 | $5,232,422 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,710,846 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,171,102 | PYOtherExpensesAmt |
| CY Other Expenses | $7,612,390 | CYOtherExpensesAmt |
| PY Total Expenses | $12,403,524 | PYTotalExpensesAmt |
| CY Total Expenses | $13,323,236 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,350,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,154,649 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,304,921 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,628,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,292,054 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,770,084 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,012,867 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,858,218 | 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 | $12,100,138 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,954,996 | 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 | $12,100,138 | 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 | 149 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DR WALLACE WALKER | |||||||
| DIRECTOR/MD | 40.00 | Yes (X) | $332,410 | $0 | $0 | ||
| BRANDI SCHWEIGERT | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MATT MCMANAMEN | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ELAINE ALLESTAD | |||||||
| VICE CHAIR (THRU 2/24) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHAD MILLER | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOY OTT | |||||||
| DIRECTOR (THRU 10/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CORY AUSTIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL WALLACE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAN WITCHMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STACY DONALD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IAN PETERSON | |||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| TINA HENSLEY | |||||||
| REGISTERED NURSE | 40.00 | $129,277 | $0 | $28,425 | Yes (X) | ||
| SANDRA WOLFORD | |||||||
| RADIOLOGY MANAGER | 40.00 | $126,884 | $0 | $6,896 | Yes (X) | ||
| KRISTA FARNUM | |||||||
| LABORATORY MANAGER | 40.00 | $115,260 | $0 | $18,176 | Yes (X) | ||
| SARAH WALTON | |||||||
| FNP | 40.00 | $108,709 | $0 | $15,005 | Yes (X) | ||
| BRENDAN BURNS | |||||||
| CLINIC MANAGER | 40.00 | $104,490 | $0 | $13,600 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $917,030 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $82,102 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BILLINGS CLINIC | |||||
| PO BOX 30357 | BILLINGS | MT | 591073097 | MANAGEMENT, ACCOUNTING, RAD, IS ETC. | $1,662,220 |
| GLC ON-THE-GO INC | |||||
| 400 PARK AVENUE FL 19TH | NEW YORK | NY | 100229467 | PHYSICIAN STAFFING | $511,273 |
| BADLANDS MEDICAL STAFFING | |||||
| 1502 SCHOONER PL | BISMARK | ND | 58504 | NURSE/CNA STAFFING | $483,047 |
| FOREFRONT HEALTHCARE | |||||
| 22622 HARPER AVENUE | SAINT CLAIRE SHORE | MI | 48080 | DIETARY STAFFING SERVICES | $473,006 |
| AB STAFFING | |||||
| 3451 S MERCY RD STE 102 | GILBERT | AZ | 85297 | NURSE/CNA STAFFING | $390,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $134,007 | AllOtherContributionsAmt |
| Total Contributions | $134,007 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $10,932,920 | $10,932,920 |
| OTHER OPERATING REVENUE | 621110 | $208,609 | $208,609 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,141,529 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,084 | TotalRevenueColumnAmt |
| Exclusion | $72,084 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,500 | 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 | $7,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,500 | TotalRevenueColumnAmt |
| Exclusion | $7,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPITAL DISTRICT TAX REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $813,467 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $813,467 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $813,467 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,168,587 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,954,996 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $79,584 | 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 | $347,253 | TotalAmt |
| Program Services | $347,253 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,256,369 | TotalAmt |
| Program Services | $3,731,000 | ProgramServicesAmt |
| Management And General | $525,369 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,170 | TotalAmt |
| Program Services | $83,423 | ProgramServicesAmt |
| Management And General | $11,747 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,741 | TotalAmt |
| Program Services | $636,162 | ProgramServicesAmt |
| Management And General | $89,579 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,313 | TotalAmt |
| Program Services | $250,973 | ProgramServicesAmt |
| Management And General | $35,340 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,532 | TotalAmt |
| Program Services | $58,532 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,674 | TotalAmt |
| Program Services | $148,674 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,206,506 | TotalAmt |
| Program Services | $4,206,506 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,901 | TotalAmt |
| Management And General | $10,901 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,625 | TotalAmt |
| Program Services | $36,625 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,876 | TotalAmt |
| Program Services | $292,876 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,244 | TotalAmt |
| Program Services | $247,244 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,052 | TotalAmt |
| Program Services | $24,052 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,789 | TotalAmt |
| Program Services | $12,789 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,547 | TotalAmt |
| Management And General | $9,547 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,615 | TotalAmt |
| Management And General | $540,615 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,827 | TotalAmt |
| Program Services | $220,827 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $765,329 | $765,329 |
| BAD DEBT EXPENSE | $383,326 | $383,326 |
| REPAIRS AND MAINTENANCE | $220,416 | $220,416 |
| EQUIPMENT RENTAL | $126,885 | $126,885 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,246 | TotalAmt |
| Program Services | $307,246 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,323,236 | TotalAmt |
| Program Services | $12,100,138 | ProgramServicesAmt |
| Management And General | $1,223,098 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,923 | BOYAmt |
| EOY | $826,318 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,437,683 | BOYAmt |
| EOY | $1,210,339 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981,921 | BOYAmt |
| EOY | $2,025,325 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,593 | BOYAmt |
| EOY | $150,454 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,756 | BOYAmt |
| EOY | $68,620 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,902,930 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,635,361 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,185,946 | BOYAmt |
| EOY | $3,267,569 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,910,099 | BOYAmt |
| EOY | $14,079,677 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,304,921 | BOYAmt |
| EOY | $21,628,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,173,183 | BOYAmt |
| EOY | $1,295,150 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,938 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,500 | BOYAmt |
| EOY | $9,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,108,433 | BOYAmt |
| EOY | $13,465,934 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,292,054 | BOYAmt |
| EOY | $14,770,084 | 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 | $7,482,714 | BOYAmt |
| EOY | $6,662,058 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $530,153 | BOYAmt |
| EOY | $196,160 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,012,867 | BOYAmt |
| EOY | $6,858,218 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,304,921 | BOYAmt |
| EOY | $21,628,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,154,649 | 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 | $545,722 | DepreciationAmt |
| Book Value | $2,320,698 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,435 | DepreciationAmt |
| Book Value | $64,366 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,931,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,081,204 | DepreciationAmt |
| Book Value | $850,752 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,753 | OtherCostOrOtherBasisAmt |
| Book Value | $31,753 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,267,569 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT-OF-USE-ASSET - OPERATING | $13,350,939 |
| TAXES RECEIVABLE | $443,984 |
| COST REPORT SETTLEMENT RECEIVABLE | $181,597 |
| CASH HELD IN TRUST FOR RESIDENTS | $3,730 |
| RIGHT-OF-USE-ASSET - FINANCING | $99,427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,079,677 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY - OPERATING | $13,350,939 |
| LEASE OBLIGATION - FINANCING | $114,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,465,934 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,760,371 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $975,110 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $975,110 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,785,261 | RevenueSubtotalAmt |
| Other Revenues Not Included | $383,326 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $383,326 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,168,587 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,915,020 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $975,110 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $975,110 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,939,910 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $383,326 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $383,326 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,323,236 | 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 2021 AND FORWARD REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 383,326. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 383,326. |
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 | $453,686 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $453,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,134,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,090,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,588,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,090,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $497,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03740 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $421,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $265,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $155,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $265,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,020,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,356,377 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $664,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | 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 | 0.00170 | 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 | 0.00090 | 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 | 0.00110 | 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 | 0.00160 | 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 | 0.00160 | 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 | 0.00050 | 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 | 0.00830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $383,326 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,401,763 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,457,881 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$56,118 | 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 | 23 | 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 | 24 | 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: GOAL 1: INCREASE AWARENESS OF OUTREACH AND EDUCATION PROGRAMMING OFFERED BOTH THROUGH PIONEER MEDICAL CENTER AND THROUGH OTHER COMMUNITY HEALTH RESOURCES AND SERVICES.STRATEGY 1.1: ENHANCE COORDINATION AND PARTNERSHIPS BETWEEN PMC AND OTHER LOCAL HEALTH SERVICES.- CONTINUE TO SUPPORT AND PROMOTE THE SWEET GRASS SOLUTIONS WEBSITE, WHICH IS A WEB-BASED RESOURCE HIGHLIGHTING VARIOUS HEALTH RELATED SERVICES IN SWEET GRASS COUNTY.- EXPLORE WAYS TO EXPAND ADVERTISING AND AWARENESS OF SERVICES AND RESOURCES AVAILABLE.STRATEGY 1.2: CONTINUE TO PROVIDE AND SUPPORT PROGRAMMING AND SERVICES CURRENTLY UTILIZED BY THE COMMUNITY.- EXPLORE OPPORTUNITIES TO PARTICIPATE IN COMMUNITY EVENTS TO EXPAND OUTREACH. DETERMINE OTHER OPPORTUNITIES AS THEY BECOME AVAILABLE.- DEVELOP A FEEDBACK MECHANISM FROM COMMUNITY CONCERNING BEST METHODS OF PROMOTING PROGRAMMING AND SERVICES.- EXPLORE FEASIBILITY OF BRINGING SPEAKERS TO THE HIGH SCHOOL COMMUNITY EDUCATION PROGRAM.STRATEGY 1.3: INCREASE SERVICES AND EDUCATIONAL PROGRAMMING FOR SENIORS.- INVESTIGATE CURRENT UTILIZATION OF HOME HEALTH SERVICES IN SWEET GRASS COUNTY TO DETERMINE IF INCREASE IN SERVICES IS FEASIBLE.- OFFER HEALTH/WELLNESS EDUCATION THROUGH PARTNERSHIP WITH THE SENIOR CENTER.- EXPLORE PARTNERING AND COORDINATING WITH COMMUNITY HEALTH WORKERS AROUND SENIOR CARE.GOAL 2: CONTINUE TO MAINTAIN AND IMPROVE ACCESS TO SPECIALTY SERVICES OFFERED THROUGH PIONEER MEDICAL CENTER.STRATEGY 2.1: CONTINUE TO MAINTAIN RELATIONSHIPS WITH SPECIALTY SERVICE PROVIDERS AND INSTITUTIONS TO ADDRESS COMMUNITY NEEDS.- CONTINUE TO COORDINATE SPECIALTY SERVICE PROVIDER VISITS TO PMC AND UTILIZE THE CALENDAR CAMPAIGN ALREADY IN PLACE TO COMMUNICATE SPECIALTY SERVICES AVAILABILITY TO THE COMMUNITY.- ASSESS THE FEASIBILITY AND POTENTIAL BENEFITS OF INTRODUCING ONCOLOGY SERVICES AS A VISITING SPECIALIST TO OUR RURAL COMMUNITY THROUGH A COMPREHENSIVE NEEDS ASSESSMENT AND STAKEHOLDER ENGAGEMENT STUDY.- EVALUATE THE DEMAND AND IMPACT OF DERMATOLOGY SERVICES TO OUR COMMUNITY.- GENERATE A PLAN TO ADDRESS THE HEALTHCARE NEEDS OF GROWING POPULATIONS RECEIVING CARE AT PIONEER MEDICAL CENTER.STRATEGY 2.2: EXPLORE FEASIBILITY OF INCORPORATING NEW SPECIALTY SERVICES TO ADDRESS EVOLVING NEEDS OF THE COMMUNITY.- EXPLORE SPECIALTY SERVICES INCLUDING ATHLETIC TRAINING AND ADDITIONAL PHYSICAL/OCCUPATIONAL/SPEECH THERAPY.- UTILIZE COMMUNITY FEEDBACK ABOUT DESIRED SPECIALTY SERVICES AND EXPLORE FEASIBILITY OF EXPANDING OR ADDING SERVICE LINES.GOAL 3: INCREASE AWARENESS OF AND ACCESS TO MENTAL AND BEHAVIORAL SERVICES IN SWEET GRASS COUNTY.STRATEGY 3.1: PRIORITIZE RELATIONSHIPS BETWEEN PMC AND OTHER LOCAL PROVIDERS AND RESOURCES FOR MENTAL AND BEHAVIORAL HEALTH.- INCREASE INTEGRATION OF LOCAL PROVIDERS INTO EXISTING COLLABORATIVES TO SUPPORT MENTAL AND BEHAVIORAL HEALTH.- CONTINUE PARTICIPATION WITH LOCAL MENTAL AND BEHAVIORAL HEALTH BOARDS AND COMMITTEES.- STRENGTHEN PARTNERSHIPS BETWEEN PMC AND OTHER LOCAL MENTAL AND BEHAVIORAL HEALTH PROVIDERS.- 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. (EX. HEALTHINFO.MONTANA.EDU/BHWET/TRAININGS, MT DPHHS).STRATEGY 3.2: INTEGRATE EXISTING BEHAVIORAL HEALTH SERVICES WITH THE HOSPITAL'S IBH PROGRAM AND DRUG FREE COMMUNITY GRANT TO CREATE A COHESIVE AWARENESS STRATEGY FOR BEHAVIORAL HEALTH, SUBSTANCE USE PREVENTION AND TREATMENT.- STRENGTHEN RELATIONSHIPS WITH COMMUNITY PARTNERS.- DEVELOP OUTREACH MATERIALS AND EDUCATION FOR COMMUNITY AND COMMUNITY PARTNERS TO STRENGTHEN PROJECT IMPACT. NEEDS NOT ADDRESSED AND JUSTIFICATIONIDENTIFIED HEALTH NEEDS UNABLE TO ADDRESS BY PMC:1. THE SECOND TOP COMPONENT OF A HEALTHY COMMUNITY WAS "AFFORDABLE HOUSING" (40.4%), AND THE LACK OF ADEQUATE AND AFFORDABLE HOUSING IMPACTED THE LIVES OF 22.2% OF RESPONDENTS. RATIONALE: HOUSING AFFORDABILITY IS A CHALLENGING ISSUE. AS TIME ALLOWS IN THE FUTURE, PMC WOULD BE OPEN TO ENGAGING WITH COMMUNITY PARTNERS TO 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.2. RESPONDENTS INDICATED HIGH INTEREST IN CLASSES/PROGRAMS ABOUT "HEALTH AND WELLNESS" (40.9%), "FITNESS" (33.9%), AND "WEIGHT LOSS" (26.1%). 32.1% OF RESPONDENTS GET PHYSICAL ACTIVITY ONLY 3-5 TIMES PER MONTH OR LESS. "CHRONIC DISEASES" WAS THE SECOND TOP HEALTH CONCERN IN THE COMMUNITY AT 52.2%, AND "HEALTHY BEHAVIORS AND LIFESTYLES" WAS THE FOURTH MOST IMPORTANT COMPONENT OF A HEALTHY COMMUNITY (33.1%).RATIONALE: HEALTH AND FITNESS CLASSES HAVE BEEN OFFERED IN THE PAST AND DUE TO LOW UTILIZATION AND PARTICIPATION THE CLASSES HAVE BEEN SHUT DOWN. FEASIBILITY AND COST EFFECTIVENESS OF CLASSES SUCH AS DIABETES PREVENTION WILL CONTINUE TO BE EVALUATED AS NEEDS ARISE. |
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 HAS IMPLEMENTED AI TECHNOLOGY THROUGH WORK WITH A VENDOR TO IDENTIFY AND GRANT PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 4: | PAGE 12 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 WITH 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 EARLY 2024 AND THE IMPLEMENTATION PLAN WAS APPROVED IN AUGUST 2024. PMC IMPLEMENTED NEW DISCHARGE PROCESS FROM FEEDBACK AND UPDATED HCAHPS SCORES. FACILITY ALSO PARTNERED WITH LOCAL GROUPS SUCH AS THE SENIOR CENTER TO BRING HEALTHCARE EDUCATION TOPICS BASED ON HEALTHCARE NEEDS AND WANTS OF THE COMMUNITY. FACILITY ALSO USES INTERNAL DATA (FROM OWN EMR), STATE DATA (FROM ENTITIES LIKE DPHHS, AND THE NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES) TO ASSESS OUR COMMUNITY'S NEEDS FOR SERVICES AND THEN CONDUCT FEASIBILITY STUDIES TO SEE WHAT APPROPRIATE RESPONSES AND PROGRAMS COULD LOOK LIKE IN OUR COMMUNITY. |
| 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 1,900 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. 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 | $332,410 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $332,410 | $0 | $0 | $0 |
| TINA HENSLEY | ||||||||||||||
| REGISTERED NURSE | $129,277 | $0 | $0 | $0 | $0 | $0 | $6,852 | $0 | $21,573 | $0 | $157,702 | $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 - $157,176 BONUS - $114,845 EMPLOYER CONTRIBUTION TO MEDICAL AND DENTAL - $7,313 EMPLOYER CONTRIBUTION TO LIFE INSURANCE AND LONG-TERM DISABILITY - $398 |
| 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 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,206,506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,206,506. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |