STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

VISTA PLAINS HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
VISTA PLAINS HEALTH (EIN 81-0392231)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-28
IRS object ID
202443029349300734
Schema version
2023v5.1
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

FieldValueIRS element (for citing)
Return2024-10-28T11:12:39-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1105 E PINE ST UPPER FLOORAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810392231EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWHEABusinessNameControlTxt
Phone4066324351PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 287AddressLine1Txt
CityHARLOWTONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59036ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA NESTEPersonNm
Person TitleCEOPersonTitleTxt
Phone4066324351PhoneNum
Signature2024-10-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM BRUNSON CPAPreparerPersonNm
PTINP01696998PTIN
Phone4067281800PhoneNum
Preparation2024-10-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONNA NESTEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 287AddressLine1Txt
CityHARLOWTONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59036ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,049,162GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WHEATLANDMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee89TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$384,119PYContributionsGrantsAmt
CY Contributions Grants$460,144CYContributionsGrantsAmt
PY Program Service Revenue$10,772,030PYProgramServiceRevenueAmt
CY Program Service Revenue$11,525,986CYProgramServiceRevenueAmt
PY Investment Income$21,044PYInvestmentIncomeAmt
CY Investment Income$45,605CYInvestmentIncomeAmt
PY Other Revenue$28,515PYOtherRevenueAmt
CY Other Revenue$17,427CYOtherRevenueAmt
PY Total Revenue$11,205,708PYTotalRevenueAmt
CY Total Revenue$12,049,162CYTotalRevenueAmt
PY Grants And Similar Paid$2,735PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,039,795PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,286,300CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,861,734PYOtherExpensesAmt
CY Other Expenses$7,087,112CYOtherExpensesAmt
PY Total Expenses$9,904,264PYTotalExpensesAmt
CY Total Expenses$11,377,012CYTotalExpensesAmt
PY Revenues Less Expenses$1,301,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$672,150CYRevenuesLessExpensesAmt
Total Assets BOY$10,160,673TotalAssetsBOYAmt
Total Assets EOY$11,561,889TotalAssetsEOYAmt
Total Liabilities BOY$1,203,473TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,748,969TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,957,200NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,812,920NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRESPONSIVE TO THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. WHEATLAND MEMORIAL HEALTHCARE IS DEDICATED TO PROVIDING SUSTAINABLE QUALITY CARE WITH RESPECT, COMPASSION, AND TEAMWORK.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,254,444ExpenseAmt
Grant$3,600GrantAmt
Revenue$11,525,986RevenueAmt
DescAS A CRITICAL ACCESS HOSPITAL, WHEATLAND MEMORIAL HEALTHCARE PROVIDES A BROAD RANGE OF PRIMARY CARE SERVICES TO THE LOCAL COMMUNITY REGARDLESS OF ABILITY TO PAY. THE OBJECTIVE FOR OPERATING THE HOSPITAL AND ITS VARIOUS DEPARTMENTS IS TO MEET THE MISSION OF BEING RESPONSIVE TO THE COMMUNITIES WE SERVE AND PROVIDING SUSTAINABLE QUALITY HEALTH CARE WITH RESPECT, COMPASSION, AND TEAMWORK.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNTS OF CHARGES FOREGONE WERE $80,227, FOR THE YEAR ENDED DECEMBER 31, 2023. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $69,316 FOR THE YEAR ENDED DECEMBER 31, 2023, CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE HOSPITAL BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS.Desc
Total Program Service Expenses$9,254,444TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee89EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICK MCCONNELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4066573821PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 37000AddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD MOE
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
JULIE BERG
VICE CHAIR0.500.50Yes (X)Yes (X)$0$0$0
DON AMUNDSON
SECRETARY/TREASURER0.200.50Yes (X)Yes (X)$0$0$0
PAXTON WOJTOWICK
DIRECTOR0.200.00Yes (X)$0$0$0
ADAM JONES
DIRECTOR0.200.00Yes (X)$0$0$0
BECKY SIEBENALER
DIRECTOR0.200.00Yes (X)$0$0$0
SUSAN MILLER
DIRECTOR0.200.00Yes (X)$0$0$0
DEBI STELMACH
DIRECTOR0.200.00Yes (X)$0$0$0
KELLEY EVANS
OUTGOING CEO40.000.00Yes (X)$0$0$0
DONNA NESTE
INCOMING CEO40.000.00Yes (X)$0$0$0
PATRICK MCCONNELL
CFO10.000.00Yes (X)$0$0$0
EMILY SHOUP
DON40.000.00$120,863$0$22,864Yes (X)
PATRICIA MORRIS
RADIOLOGY MANAGER40.000.00$117,208$0$4,779Yes (X)
MANDIE SMITH
LAB MANAGER40.000.00$112,840$0$21,248Yes (X)
LORNA THERIAULT
RN40.000.00$112,226$0$23,664Yes (X)
KELLEY OLSON
PT40.000.00$107,463$0$13,674Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$570,600TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$86,229TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BILLINGS CLINIC
PO BOX 30357BILLINGSMT59107MANAGEMENT, FINANCIAL, CLINICAL PROVIDER$1,069,705
XTEND HEALTHCARE
90 VOLUNTEER DRIVE SUITE 200HENDERSNVILLETN37075BILLING AND CODING SERVICES$474,945
FOREFRONT HEALTHCARE
22622 HARPER AVENUEST CLAIRE SHORESMI48080DIETARY SERVICES$437,852
MONTANA HEALTH NETWORK
519 PLEASANT STREETMILES CITYMT59301CONTRACT LABOR COVERAGE$353,194
CATHY MCCOY
2488 FOUNTAINHEAD BLVDGRAND JUNCTIONCO81505PROVIDER CONTRACT LABOR COVERAGE$312,549
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$109,929RelatedOrganizationsAmt
Government Grants$346,122GovernmentGrantsAmt
All Other Contributions$4,093AllOtherContributionsAmt
Noncash Contributions$170,603NoncashContributionsAmt
Total Contributions$460,144TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$11,446,919$11,446,919
OTHER OPERATING REVENUE900099$79,067$79,067
FieldValueIRS element (for citing)
Total Program Service Revenue$11,525,986TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,605TotalRevenueColumnAmt
Exclusion$45,605ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,427RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,427RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,427TotalRevenueColumnAmt
Exclusion$17,427ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,049,162TotalRevenueColumnAmt
Related Or Exempt Func Income$11,525,986RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$63,032ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,100TotalAmt
Program Services$2,100ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,497,243TotalAmt
Program Services$3,407,087ProgramServicesAmt
Management And General$90,156ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$98,276TotalAmt
Program Services$92,680ProgramServicesAmt
Management And General$5,596ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$425,247TotalAmt
Program Services$361,628ProgramServicesAmt
Management And General$63,619ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$265,534TotalAmt
Program Services$255,625ProgramServicesAmt
Management And General$9,909ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$503TotalAmt
Management And General$503ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,541TotalAmt
Management And General$74,541ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,457TotalAmt
Management And General$9,457ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,151,471TotalAmt
Program Services$2,689,176ProgramServicesAmt
Management And General$1,462,295ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,069TotalAmt
Program Services$3,053ProgramServicesAmt
Management And General$5,016ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$131,202TotalAmt
Program Services$50,899ProgramServicesAmt
Management And General$80,303ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,549TotalAmt
Program Services$4,149ProgramServicesAmt
Management And General$7,400ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$272,658TotalAmt
Program Services$256,884ProgramServicesAmt
Management And General$15,774ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,904TotalAmt
Program Services$14,730ProgramServicesAmt
Management And General$18,174ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,506TotalAmt
Program Services$11,388ProgramServicesAmt
Management And General$4,118ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,775TotalAmt
Program Services$31,775ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$653,445TotalAmt
Program Services$653,445ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$134,644TotalAmt
Program Services$643ProgramServicesAmt
Management And General$134,001ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIE$527,031$488,140$38,891
BAD DEBT EXPENSE$509,214$509,214
REPAIRS AND MAINTENANCE$128,101$127,553$548
OTHER ADMINISTRATIVE AD$125,234$125,234

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$269,808TotalAmt
Program Services$167,541ProgramServicesAmt
Management And General$102,267ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,377,012TotalAmt
Program Services$9,254,444ProgramServicesAmt
Management And General$2,122,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$230BOYAmt
EOY$1,680EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,455,011BOYAmt
EOY$3,549,428EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,632,042BOYAmt
EOY$3,146,540EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$266,058BOYAmt
EOY$201,698EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,003BOYAmt
EOY$5,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,617,810LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,407,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,661,507BOYAmt
EOY$2,210,580EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,678,178BOYAmt
EOY$1,870,038EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$306,480BOYAmt
EOY$251,841EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$155,164BOYAmt
EOY$325,042EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,160,673BOYAmt
EOY$11,561,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$641,457BOYAmt
EOY$647,940EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,170BOYAmt
EOY$2,170EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$173,471BOYAmt
EOY$670,177EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$386,375BOYAmt
EOY$428,682EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,203,473BOYAmt
EOY$1,748,969EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,661,855BOYAmt
EOY$9,812,920EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$295,345BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,957,200BOYAmt
EOY$9,812,920EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,160,673BOYAmt
EOY$11,561,889EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$672,150ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$175,949NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$7,621PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$255,475BeginningYearBalanceAmt
Investment Earnings Or Losses$45,855InvestmentEarningsOrLossesAmt
End Year Balance$301,330EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$315,128BeginningYearBalanceAmt
Investment Earnings Or Losses-$59,653InvestmentEarningsOrLossesAmt
End Year Balance$255,475EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$240,638BeginningYearBalanceAmt
Investment Earnings Or Losses$74,490InvestmentEarningsOrLossesAmt
End Year Balance$315,128EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$237,185BeginningYearBalanceAmt
Investment Earnings Or Losses$3,453InvestmentEarningsOrLossesAmt
End Year Balance$240,638EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$123,788BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$13,397InvestmentEarningsOrLossesAmt
End Year Balance$237,185EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.71433PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.28567TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$291,930OtherCostOrOtherBasisAmt
Book Value$291,930BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,313,682OtherCostOrOtherBasisAmt
Depreciation$2,253,782DepreciationAmt
Book Value$1,059,900BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,238,048OtherCostOrOtherBasisAmt
Depreciation$5,153,448DepreciationAmt
Book Value$84,600BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$774,150OtherCostOrOtherBasisAmt
Book Value$774,150BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,210,580TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
COST REPORT PAYABLE$102,999
OPERATING LEASE LIABILITIES$325,683
FieldValueIRS element (for citing)
Total Liability$428,682TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE HOSPITAL ACTS AS CUSTODIAN FOR FUNDS OF CERTAIN SWING BED PATIENTS. THESE FUNDS ARE INCLUDED IN ASSETS LIMITED AS TO USE AND ACCOUNTS PAYABLE IN THE FINANCIAL STATEMENTS. SWING BED PATIENT TRUST FUNDS TOTALED $2,619 AND $2,570 AT DECEMBER 31, 2023 AND 2022, RESPECTIVELY.
PART V, LINE 4:GROW THE PRINCIPLE OF THE FUND SO EARNINGS CAN BE USED TO SUPPORT THE MISSION OF WHEATLAND MEMORIAL HEALTHCARE.
PART X, LINE 2:THE HOSPITAL IS ORGANIZED AS A MONTANA NON-PROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE, IF APPLICABLE. THE HOSPITAL HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE HOSPITAL BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$111,260TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$111,260NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,495,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,097,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$397,944NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,606,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,097,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$509,204NetCommunityBenefitExpnsAmt
Total Expense0.04680TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,391TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,391NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,433TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,433NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,824TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,824NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,641,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,097,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$544,028NetCommunityBenefitExpnsAmt
Total Expense0.05000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$509,214BadDebtExpenseAmt
Reimbursed By Medicare$3,599,229ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,650,634CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$51,405MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 287AddressLine1Txt
CityHARLOWTONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59036ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WHEATLANDMEMORIAL.ORGWebsiteAddressTxt
State License13546StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherRURAL HEALTH CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWHEATLANDMEMORIAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWHEATLANDMEMORIAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WHEATLAND MEMORIAL HEALTHCAREPART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST WHEATLAND MEMORIAL HEALTHCARE IN CONDUCTING CHSD. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED) WAS FORMED AND MET AS NEEDED DURING THE PROCESS.
WHEATLAND MEMORIAL HEALTHCAREPART V, SECTION B, LINE 6B: WHEATLAND MEMORIAL HEALTHCARE PARTICIPATED IN THE COMMUNITY HEALTH SERVICES DEPARTMENT (CHSD) PROJECT ADMINISTERED BY THE MONTANA OFFICE OF RURAL HEALTH.
WHEATLAND MEMORIAL HEALTHCAREPART V, SECTION B, LINE 11: GOAL 1: ENHANCE COMMUNITY ENGAGEMENT AND COLLABORATION WITH LOCAL PARTNERS. STRATEGY 1.1: ENGAGE WITH LOCAL PARTNERS TO ENHANCE OUTREACH AND RESOURCES IN WHEATLAND COUNTY.1.1.1.ENHANCE COMMUNITY KNOWLEDGE ABOUT HEALTH STATUS IN WHEATLAND COUNTY AND DETERMINE OPPORTUNITIES FOR COLLABORATION.1.1.2.ENGAGE WITH PUBLIC HEALTH TO ENHANCE TOBACCO EDUCATION AND CESSATION RESOURCES IN WHEATLAND COUNTY.1.1.3.PARTNER WITH LOCAL FOOD RESOURCES (FOOD BANK, FOOD TRUCK, HOLIDAY MEALS) TO ADDRESS FOOD INSECURITY IN WHEATLAND COUNTY.1.1.4.EXPLORE OPPORTUNITIES TO DEVELOP A FIRST AID/CPR COURSE FOR COMMUNITY IN COLLABORATION WITH LOCAL PARTNERS. GOAL 2: IMPROVE ACCESS TO CHRONIC CARE AND PREVENTION SERVICES AT WMH. STRATEGY 2.1: EXPAND SERVICE OFFERINGS AT WMH TO ADDRESS CHRONIC DISEASE IN WHEATLAND COUNTY.2.1.1.DEVELOP AND IMPLEMENT A CHRONIC CARE MANAGEMENT PROGRAM.2.1.2.CREATE AND DISSEMINATE INFORMATION AND RESOURCES AROUND STROKE PREVENTION. GOAL 3: ENHANCE ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES IN WHEATLAND COUNTY. STRATEGY 3.1: IMPROVE KNOWLEDGE AND EXPAND SERVICES ON MENTAL AND BEHAVIORAL HEALTH.3.1.1.DEVELOP AND IMPLEMENT AN IBH PROGRAM AT WMH.3.1.2.COLLABORATE WITH COMMUNITY HEALTH WORKERS (CHW) TO ENHANCE ACCESS TO RESOURCES AND REFERRALS FOR PATIENTS.COORDINATE WITH CHWS TO PROVIDE EDUCATION TO WMH STAFF AND PROVIDERS TO BETTER REFER PATIENTS IN NEED.3.1.3.EXPLORE TRAINING AVAILABLE THROUGH THE MONTANA OFFICE OF RURAL HEALTH/AHEC TO ENHANCE MENTAL/BEHAVIORAL HEALTH SKILLS WITH WMH STAFF. (BEHAVIORAL HEALTH WORKFORCE EDUCATION & TRAINING - MONTANA OFFICE OF RURAL HEALTH AND AREA HEALTH EDUCATION CENTER | MONTANA STATE UNIVERSITY)3.1.4.CONTINUE TO OFFER E-AVAL TELEHEALTH RESOURCE IN EMERGENCY DEPARTMENT TO SUPPORT PATIENTS WITH MENTAL HEALTH NEEDS.3.1.5.DETERMINE FEASIBILITY OF DEVELOPING A CRISIS ROOM AT WMH TO SUPPORT PATIENTS NEEDING PSYCHIATRIC SUPPORT.WMH IS UNABLE TO ADDRESS THE FOLLOWING NEEDS AT THIS TIME. 1. "ACCESS TO A DOCTOR (MD/DO) AND "MORE PRIMARY CARE PROVIDERS" WERE THE TOP SELECTED RESPONSES FOR HOW TO IMPROVE THE COMMUNITY'S ACCESS TO HEALTHCARE. BOTH HAVE SIGNIFICANTLY INCREASED IN THE LAST THREE YEARS. EXPANDING HEALTHCARE SERVICES AND HIRING MORE MEDICAL PROFESSIONALS CAN BE COSTLY, AND THE HEALTHCARE FACILITY MAY HAVE LIMITATIONS IN TERMS OF BUDGET ALLOCATION TO IMPLEMENT THESE CHANGES EFFECTIVELY.2. 61.7% OF SURVEY RESPONDENTS FEEL THERE ARE NOT ADEQUATE AND AFFORDABLE HOUSING OPTIONS AVAILABLE. WHEATLAND MEMORIAL HEALTHCARE'S INABILITY TO ADDRESS THE CONCERNS OF SURVEY RESPONDENTS REGARDING INADEQUATE AND AFFORDABLE HOUSING OPTIONS MAY BE ATTRIBUTED TO ITS LIMITED SCOPE, LACK OF AUTHORITY, RESOURCE CONSTRAINTS, AND PRIORITIZATION OF HEALTHCARE SERVICES. 3. FOCUS GROUP PARTICIPANTS INDICATED A NEED FOR ENHANCED SENIOR SERVICES SUCH AS HOME HEALTH AND HOSPICE. WHEATLAND MEMORIAL HEALTHCARE DOES NOT HAVE SUFFICIENT RESOURCES SUCH AS FUNDING, STAFF, OR INFRASTRUCTURE TO EXPAND OR ENHANCE HOME HEALTH OR HOSPICE.
WHEATLAND MEMORIAL HEALTHCAREPART V, SECTION B, LINE 16J: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND INFORMATION ON HOW TO OBTAIN AN APPLICATION OR VIEW THE ENTIRE POLICY IS POSTED IN THE EMERGENCY ROOM, WAITING ROOMS, AND ADMISSION AREAS OF THE HOSPITAL. A SUMMARY IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED WITH THE INITIAL COLLECTION EFFORT NOTICES.
WHEATLAND MEMORIAL HEALTHCAREPART V, SECTION B, LINE 24: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. HOWEVER, PATIENT PAYMENTS ARE ELIGIBLE FOR OTHER DISCOUNTS FROM GROSS CHARGES.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:CHARITY CARE WAS RECORDED AT COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS.
PART I, LINE 7G:THE COST FOR SUBSIDIZED HEALTH SERVICES ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT.
PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE WAS $509,214.
PART III, LINE 2:PATIENT ACCOUNTS ARE NOT CLASSIFIED AS BAD DEBT UNTIL EVERY EFFORT IS MADE TO COLLECT ON THE ACCOUNT, INSURANCE IS FILED, AND ALL PAYMENTS ARE APPLIED INCLUDING CONTRACTUAL ALLOWANCES AND DISCOUNTS. ANY PAYMENT ON AN ACCOUNT THAT WAS WRITTEN OFF TO BAD DEBT REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS.
PART III, LINE 4:BAD DEBT EXPENSE IS DESCRIBED IN FOOTNOTE 1 BEGINNING ON PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:WHEATLAND MEMORIAL HEALTHCARE IS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES SERVICES TO PATIENTS BECAUSE ACCESS TO HEALTHCARE AND INDIVIDUAL'S HEALTH IS IMPORTANT TO THE HOSPITAL. THEREFORE, THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
PART III, LINE 9B:THE HOSPITAL IS AWARE OF PATIENTS WHO ARE IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE AND THESE ACCOUNTS ARE NOT SENT TO COLLECTIONS. IF A PATIENT DOES NOT COOPERATE OR IS NOT IN COMPLIANCE WITH THEIR PAYMENT ARRANGEMENT THE ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY.COLLECTION EFFORTS CEASE WHILE A PATIENT IS UNDER REVIEW FOR CHARITY CARE OR WHILE A PATIENT IS IN COMPLIANCE WITH A PAYMENT ARRANGEMENT. AFTER FINANCIAL ASSISTANCE IS AWARDED, ANY PERSONAL PORTION DUE FOLLOWS THE SAME COLLECTION PROCEDURE AS OTHER ACCOUNTS. BEFORE ACCOUNTS ARE TURNED OVER TO COLLECTIONS, PRESUMPTIVE ELEGIBILITY FOR FINANCIAL ASSISTANCE IS PERFORMED AND IF ALL OR A PORTION IS DEEMED TO QUALIFY THAT AMOUNT IS ADJUSTED AS FINANCIAL ASSISTANCE AND NOT TURNED TO COLLECTIONS.
PART VI, LINE 2:WHEATLAND MEMORIAL HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY THROUGH PATIENT SURVEYS, GENERAL PUBLIC SURVEYS, AND COMMUNITY MEETINGS.A STEERING COMMITTEE WAS CONVENED TO ASSIST WHEATLAND MEMORIAL HEALTHCARE IN CONDUCTING ITS CHNA. THE HOSPITAL USED A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY. THE 2023 NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED TO THE HOSPITAL WEBSITE.
PART VI, LINE 3:WHEATLAND MEMORIAL HEALTHCARE TRIES TO DETERMINE IF PATIENTS QUALIFY OR POSSIBLY QUALIFY FOR ANY FINANCIAL ASSISTANCE EITHER AT REGISTRATION OR DISCHARGE. WE NOTIFY PATIENTS OF OUR PROGRAMS BY MAKING AVAILABLE FINANCIAL ASSISTANCE BROCHURES IN WAITING ROOMS, EMERGENCY ROOM AREAS, AND OTHER PATIENT ACCESS AREAS AND LOCAL NEWSPAPER ADS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN ALL CORRESPONDENCE REGARDING PATIENT BILLS. WE ALSO HAVE STAFF AVAILABLE TO ASSIST IN APPLICATIONS FOR STATE AID.
PART VI, LINE 4:WHEATLAND MEMORIAL HEALTHCARE (WMH) IS A 25-BED CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINIC LOCATED IN HARLOWTON, MONTANA. HARLOWTON IS A RANCHING COMMUNITY IN CENTRAL MONTANA WITH APPROXIMATELY 1.6 PEOPLE PER SQUARE MILE. THE POPULATION OF HARLOWTON WAS 945 AND WHEATLAND COUNTY WAS 2,069. WMH SERVES RESIDENTS OF WHEATLAND, GOLDEN VALLEY, JUDITH BASIN AND PORTIONS OF SWEET GRASS AND MEAGHER COUNTIES. THE MOST COMMON INDUSTRIES ARE MANAGEMENT, FARMING, FISHING, AND CONSTRUCTION. THE NEAREST TERTIARY CARE FACILITY IS 93 MILES SOUTH EAST OF HARLOWTON, IN BILLINGS, MT. THE NEXT CLOSEST TERTIARY CARE FACILITY IS 130 MILES NORTH WEST OF HARLOWTON, IN GREAT FALLS, MT. LEWISTOWN, WHICH IS 60 MILES NORTH FROM WMH, HAS A SECONDARY CARE FACILITY.THE MEDIAN HOUSEHOLD INCOME IN WHEATLAND COUNTY WAS $48,272, AND INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 22.7%.
PART VI, LINE 5:OUR BOARD IS COMPRISED OF MEMBERS WITHIN OUR LOCAL AND OUTLYING SERVICE AREA. THESE MEMBERS ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. AT THIS TIME THE ORGANIZATION HAS LACKED EXCESS FUNDS FROM OPERATIONS BUT HAS PURSUED GRANTS AGGRESSIVELY IN ORDER TO REPLACE AGING EQUIPMENT AND ESTABLISH COMMUNITY HEALTH PROGRAMS THAT WILL ALLOW US TO CONTINUE SERVING THE HEALTH CARE NEEDS OF OUR COMMUNITY DURING THESE CHALLENGING ECONOMIC TIMES. OUR EMERGENCY ROOM IS AVAILABLE 24/7 AND SERVES ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. WE EXTEND PRIVILEGES TO MEDICAL STAFF THAT ARE LICENSED AND QUALIFIED.THE HOSPITAL PROVIDES SPACE FOR IMMUNIZATION CLINICS TO ENSURE CHILDREN IN THE COMMUNITY RECEIVE RECOMMENDED IMMUNIZATIONS. THE HOSPITAL HAS ESTABLISHED A STRONG WORKING RELATIONSHIP WITH THE CHAPLAINS OF SEVERAL CHURCHES WHO PROVIDE SUPPORT TO PATIENTS AND FAMILIES OF THE FACILITY AND PARTICIPATE IN CARE PLANNING AND REGULAR MEETINGS. THE CEO REGULARLY ATTENDS COUNTY COMMISSIONER MEETINGS TO PROVIDE THE COMMUNITY WITH AN UPDATE OF THE EVENTS GOING ON AT THE HOSPITAL. BOARD MEMBERS ALSO FREQUENTLY ATTEND THESE COMMISSIONER MEETINGS. THE HOSPITAL AND ITS ATTACHED RURAL HEALTH CLINIC IS THE SOLE PROVIDER OF HEALTH CARE SERVICES WITHIN THE COMMUNITY.

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$170,603NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3WHEATLAND MEMORIAL HEALTHCARE HAS CONTRACTED WITH BILLINGS CLINIC TO PROVIDE MANAGEMENT SERVICES. THE CEO AND CFO POSITIONS AT WHEATLAND MEMORIAL HEALTHCARE ARE CONSIDERED COMMON LAW EMPLOYEES OF BILLINGS CLINIC. BILLINGS CLINIC MAY, IN ITS DISCRETION AT ANY TIME, REMOVE AND REPLACE THE CEO AND CFO. THE CEO HAS THE RESPONSIBILITY OF SUPERVISING MANAGEMENT AND ADMINISTRATING THE OPERATION OF WHEATLAND MEMORIAL HEALTHCARE. THE CFO HAS THE RESPONSIBILITY OF MANAGING THE ORGANIZATION'S FINANCES. THE AMOUNTS BELOW WERE PAID TO EACH INDIVIDUAL BASED ON AN HOURLY RATE. KELLEY EVANS, INTERIM CEO SALARY $182,596 DONNA NESTE, CEO SALARY $43,337 PATRICK MCCONNELL, CFO SALARY $16,731
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD MEMBERS BEFORE IT IS FILED. THE CEO, CFO AND ACCOUNTING MANAGER REVIEW THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED UPON HIRE AND AT LEAST ANNUALLY THEREAFTER, TO DISCLOSE ANY CONFLICTS OR POTENTIAL CONFLICTS AND SIGN A CONFLICT OF INTEREST POLICY. A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF WHEATLAND MEMORIAL ALSO INVOLVE THE OBTAINING OF AN IMPROPER GAIN OR ADVANTAGE, OR ADVERSE EFFECT ON THE INTERESTS OF WHEATLAND MEMORIAL. THE CEO REVIEWS THE STATEMENTS AND INVESTIGATES ALL DISCLOSURES OF POSSIBLE CONFLICTS OF INTEREST. THE CEO PREPARES A REPORT FOR THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR FINAL REVIEW AND INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST AND PRESENTATION OF ITS FINDINGS TO THE WHEATLAND MEMORIAL BOARD OF DIRECTORS ON AN ANNUAL BASIS. UPON DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, BOARD MEMBERS WILL REFRAIN FROM DELIBERATING ON THE MATTER UNTIL ALL RELEVANT AND PERTINENT FACTS AND CIRCUMSTANCES HAVE BEEN DISCLOSED AND ANY POTENTIAL CONFLICT HAS BEEN AVOIDED OR RESOLVED. THE INDIVIDUAL WITH A CONFLICT IS NOT ALLOWED TO BE PRESENT WHEN THE MATTER IS DISCUSSED OR VOTED UPON. ALL MATTERS OF DISCUSSION ARE DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO AND CFO ARE COMMON LAW EMPLOYEES OF BILLINGS CLINIC. BILLINGS CLINIC DETERMINES COMPENSATION BASED ON METHODS THEY HAVE ESTABLISHED. THE BOARD OF DIRECTORS APPROVES THE MANAGEMENT RELATIONSHIP WITH BILLINGS CLINIC.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE FORM 990.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,515,850. MANAGEMENT AND GENERAL EXPENSES 1,328,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,844,083. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 161,939. MANAGEMENT AND GENERAL EXPENSES 80,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,483. RECRUITMENT: PROGRAM SERVICE EXPENSES 11,387. MANAGEMENT AND GENERAL EXPENSES 53,518. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,905.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCARE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 287AddressLine1Txt
CityHARLOWTONCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59036ZIPCd
FieldValueIRS element (for citing)
EIN454035841EIN
Primary ActivitiesSUPPORT WHEATLAND MEMORIAL HEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WHEATLAND MEMORIAL HEALTHCARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$109,929InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt