VISTA PLAINS HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- VISTA PLAINS HEALTH (EIN 81-0392231)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202343189349314749
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T16:08:35-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 E PINE ST UPPER FLOOR | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810392231 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEATLAND MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHEA | BusinessNameControlTxt |
| Phone | 4066324351 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | HARLOWTON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONNA NESTE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4066324351 | PhoneNum |
| Signature | 2023-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DONNA | PersonFirstNm |
| Person Last | NESTE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM BRUNSON CPA | PreparerPersonNm |
| PTIN | P01696998 | PTIN |
| Phone | 4067281800 | PhoneNum |
| Preparation | 2023-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONNA NESTE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | HARLOWTON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,710,040 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WHEATLANDMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1951 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 87 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,617,666 | PYContributionsGrantsAmt |
| CY Contributions Grants | $384,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,968,980 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,772,030 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66,021 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,044 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,644 | PYOtherRevenueAmt |
| CY Other Revenue | $28,515 | CYOtherRevenueAmt |
| PY Total Revenue | $10,672,311 | PYTotalRevenueAmt |
| CY Total Revenue | $11,205,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,025 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,735 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,611,287 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,039,795 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,975,162 | PYOtherExpensesAmt |
| CY Other Expenses | $5,861,734 | CYOtherExpensesAmt |
| PY Total Expenses | $8,588,474 | PYTotalExpensesAmt |
| CY Total Expenses | $9,904,264 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,083,837 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,301,444 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,522,176 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,160,673 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,658,303 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,203,473 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,863,873 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,957,200 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | RESPONSIVE TO THE COMMUNITIES WE SERVE, WHEATLAND MEMORIAL HEALTHCARE IS DEDICATED TO PROVIDING SUSTAINABLE QUALITY CARE WITH RESPECT, COMPASSION, AND TEAMWORK. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,016,901 | ExpenseAmt |
| Grant | $2,735 | GrantAmt |
| Revenue | $10,772,030 | RevenueAmt |
| Desc | AS 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 $24,768, FOR THE YEAR ENDED DECEMBER 31, 2022. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $18,827 FOR THE YEAR ENDED DECEMBER 31, 2022, 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 | $8,016,901 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 87 | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 | 0 | 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 | PATRICK MCCONNELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4066573821 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 37000 | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD MOE | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JULIE BERG | ||||||||
| VICE CHAIR | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DON AMUNDSON | ||||||||
| SECRETARY/TREASURER | 0.20 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAXTON WOJTOWICK | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ADAM JONES | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BECKY SIEBENALER | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KELLEY EVANS | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK MCCONNELL | ||||||||
| CFO | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA MORRIS | ||||||||
| RADIOLOGIST | 40.00 | 0.00 | $120,947 | $0 | $4,849 | Yes (X) | ||
| JOAN MCMAHON | ||||||||
| MD | 40.00 | 0.00 | $111,314 | $0 | $4,774 | Yes (X) | ||
| SAMMI WIDDICOMBE | ||||||||
| RN | 40.00 | 0.00 | $111,119 | $0 | $11,569 | Yes (X) | ||
| KELLEY OLSON | ||||||||
| PT | 40.00 | 0.00 | $110,534 | $0 | $12,667 | Yes (X) | ||
| LORNA THERIAULT | ||||||||
| RN | 40.00 | 0.00 | $110,090 | $0 | $12,650 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $564,004 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,509 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 | 59107 | MANAGEMENT, PROVIDERS, ACCOUNTING, INFOR | $815,820 |
| WAPITI MEDICAL STAFFING | |||||
| 107 FLYNN DRIVE SUITE 600 | MILBANK | SD | 57252 | PROVIDER COVERAGE | $750,773 |
| XTEND HEALTHCARE | |||||
| 90 VOLUNTEER DRIVE SUITE 200 | HENDERSONVILLE | TN | 37075 | BILLING AND CODING SERVICES | $452,127 |
| MONTANA HEALTH NETWORK | |||||
| 519 PLEASANT STREET | MILES CITY | MT | 59301 | CONTRACT LABOR COVERAGE | $226,247 |
| CONNECTED HEALTH CARE LLC | |||||
| PO BOX 9487 | TYLER | TX | 75711 | CONTRACT LABOR COVERAGE | $193,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $116,412 | GovernmentGrantsAmt |
| All Other Contributions | $267,707 | AllOtherContributionsAmt |
| Total Contributions | $384,119 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $10,644,436 | $10,644,436 |
| OTHER PROGRAM INCOME | 900099 | $127,594 | $127,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,772,030 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,498 | TotalRevenueColumnAmt |
| Exclusion | $37,498 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,570 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,515 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,515 | TotalRevenueColumnAmt |
| Exclusion | $28,515 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $487,823 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $504,277 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$16,454 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,454 | TotalRevenueColumnAmt |
| Exclusion | -$16,454 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,205,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,772,030 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $49,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,235 | TotalAmt |
| Program Services | $1,235 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,299,193 | TotalAmt |
| Program Services | $3,205,471 | ProgramServicesAmt |
| Management And General | $93,722 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,627 | TotalAmt |
| Program Services | $86,945 | ProgramServicesAmt |
| Management And General | $5,682 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,100 | TotalAmt |
| Program Services | $314,962 | ProgramServicesAmt |
| Management And General | $68,138 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,875 | TotalAmt |
| Program Services | $254,237 | ProgramServicesAmt |
| Management And General | $10,638 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,525 | TotalAmt |
| Management And General | $14,525 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,439 | TotalAmt |
| Management And General | $107,439 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,612 | TotalAmt |
| Management And General | $9,612 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,368,787 | TotalAmt |
| Program Services | $2,128,972 | ProgramServicesAmt |
| Management And General | $1,239,815 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,521 | TotalAmt |
| Program Services | $4,572 | ProgramServicesAmt |
| Management And General | $3,949 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,759 | TotalAmt |
| Program Services | $78,376 | ProgramServicesAmt |
| Management And General | $81,383 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,970 | TotalAmt |
| Program Services | $21,418 | ProgramServicesAmt |
| Management And General | $10,552 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,077 | TotalAmt |
| Program Services | $172,756 | ProgramServicesAmt |
| Management And General | $11,321 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,465 | TotalAmt |
| Program Services | $15,791 | ProgramServicesAmt |
| Management And General | $9,674 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,377 | TotalAmt |
| Program Services | $9,849 | ProgramServicesAmt |
| Management And General | $11,528 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,863 | TotalAmt |
| Program Services | $21,863 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,650 | TotalAmt |
| Program Services | $472,650 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,484 | TotalAmt |
| Program Services | $643 | ProgramServicesAmt |
| Management And General | $55,841 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $508,051 | $453,750 | $54,301 |
| BAD DEBT EXPENSE | $318,719 | $318,719 | |
| REPAIRS AND MAINTENANCE | $150,611 | $143,891 | $6,720 |
| FOOD | $129,767 | $129,708 | $59 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,057 | TotalAmt |
| Program Services | $179,593 | ProgramServicesAmt |
| Management And General | $92,464 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,904,264 | TotalAmt |
| Program Services | $8,016,901 | ProgramServicesAmt |
| Management And General | $1,887,363 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181 | BOYAmt |
| EOY | $230 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,234,601 | BOYAmt |
| EOY | $3,455,011 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,692,100 | BOYAmt |
| EOY | $2,632,042 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,697 | BOYAmt |
| EOY | $266,058 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,085 | BOYAmt |
| EOY | $6,003 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,691,535 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,030,028 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,948 | BOYAmt |
| EOY | $1,661,507 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,936,975 | BOYAmt |
| EOY | $1,678,178 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,549 | BOYAmt |
| EOY | $306,480 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,040 | BOYAmt |
| EOY | $155,164 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,522,176 | BOYAmt |
| EOY | $10,160,673 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,137 | BOYAmt |
| EOY | $641,457 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,561 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,026 | BOYAmt |
| EOY | $2,170 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,179 | BOYAmt |
| EOY | $173,471 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,400 | BOYAmt |
| EOY | $386,375 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,658,303 | BOYAmt |
| EOY | $1,203,473 | 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 | $7,478,493 | BOYAmt |
| EOY | $8,661,855 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,380 | BOYAmt |
| EOY | $295,345 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,863,873 | BOYAmt |
| EOY | $8,957,200 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,522,176 | BOYAmt |
| EOY | $10,160,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,301,444 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$236,193 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $28,076 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | 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 |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $315,128 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$59,653 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $255,475 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $240,638 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $74,490 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $315,128 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $237,185 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,453 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $240,638 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $123,788 | BeginningYearBalanceAmt |
| Contributions | $100,000 | ContributionsAmt |
| Investment Earnings Or Losses | $13,397 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $237,185 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $129,503 | BeginningYearBalanceAmt |
| Contributions | $700 | ContributionsAmt |
| Investment Earnings Or Losses | -$6,415 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $123,788 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.84255 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.15745 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,308 | OtherCostOrOtherBasisAmt |
| Book Value | $60,308 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,313,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,171,852 | DepreciationAmt |
| Book Value | -$858,170 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,277,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,858,176 | DepreciationAmt |
| Book Value | $2,419,131 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,238 | OtherCostOrOtherBasisAmt |
| Book Value | $40,238 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,661,507 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COST REPORT PAYABLE | Desc |
| Amt | $386,375 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $386,375 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $2,570 AND $2,426 AT DECEMBER 31, 2022 AND 2021, 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, DO 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,893 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,893 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,372,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,058,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $314,432 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,455,414 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,058,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $397,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,776 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,276 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,276 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,465,690 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,058,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $407,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $318,719 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $3,531,228 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,583,381 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$52,153 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | WHEATLAND MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | HARLOWTON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WHEATLANDMEMORIAL.ORG | WebsiteAddressTxt |
| State License | 13546 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL HEALTH CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEATLAND MEMORIAL HEALTHCARE | 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 | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | Yes (1) | OrganizationIncurExciseTaxInd |
| Form4720 Filed | 0 | Form4720FiledInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WHEATLAND MEMORIAL HEALTHCARE | PART 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 HEALTHCARE | PART 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. |
| PART V, LINE 12A, FAILURE TO CONDUCT CHNA: | WHEATLAND MEMORIAL HEALTHCARE'S HOSPITAL FACILITY IN HARLOWTON, MONTANA FAILED TO MEET THE REQUIREMENTS OF IRC SECTION 501(R)(3) REGARDING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY FOR REASONS THAT ARE EXPLAINED BELOW. THE FAILURE WAS NEITHER WILLFUL NOR EGREGIOUS, WAS THE ONLY OCCURRENCE OF SUCH A FAILURE, AND THE HOSPITAL FACILITY IS IN THE PROCESS OF CORRECTING THE FAILURE. AT THE TIME OF FILING THIS RETURN, THE PREVIOUS CHNA WAS CONDUCTED IN 2019 AND THE IMPLEMENTATION STRATEGY WAS APPROVED AND ADOPTED BY THE BOARD OF DIRECTORS IN DECEMBER 2019. THE NEXT CHNA SHOULD HAVE BEEN CONDUCTED BY THE END OF 2022 WITH THE IMPLEMENTATION STRATEGY APPROVED AND ADOPTED BY MAY 15, 2023. HOWEVER, MANAGEMENT REALIZED HALFWAY THROUGH THE TAX YEAR THAT UNFORESEEN CIRCUMSTANCES WERE PREVENTING WHEATLAND MEMORIAL HEALTHCARE FROM MEETING THESE DEADLINES. ONE SIGNIFICANT OBSTACLE WAS THE HIGH TURNOVER OF KEY LEADERSHIP ROLES WITHIN THE FACILITY. A NEW INTERIM CEO STARTED THE END OF 2021 AND SPENT THEIR FIRST SIX MONTHS TRYING TO STABILIZE THE FACILITY POST-COVID. ALSO, THERE WERE THREE DIFFERENT DIRECTORS OF NURSING IN 2022, A CHANGE IN THE CHIEF OF STAFF, AND THE DIRECTOR OF FACILITIES WAS OUT ON LONG-TERM EXTENDED LEAVE. THE LEADERSHIP TEAM ALSO SPENT A LOT OF RESOURCES AND TIME STABILIZING THE PROVIDER BASE. THE TURNOVER OF KEY LEADERSHIP ROLES DIRECTLY IMPACTED THE ASSESSMENT PROCESS. NEW LEADERS NEEDED TIME TO FAMILIARIZE THEMSELVES WITH THE ORGANIZATION AND UNDERSTAND THE INTRICACIES OF CONDUCTING A COMPREHENSIVE CHNA. EXISTING LEADERS COVERED ADDITIONAL RESPONSIBILITIES AND ASSISTED WITH THE ONBOARDING OF NEW LEADERSHIP TEAM MEMBERS. CONSEQUENTLY, THERE WAS A DELAY IN COMPLETING THE ASSESSMENT. ADDITIONALLY, THE OFFICE OF RURAL HEALTH, THE ENTITY CONTRACTED TO CONDUCT THE ASSESSMENT, ALSO EXPERIENCED TURNOVER WITHIN ITS OFFICE STAFF, WHICH FURTHER CONTRIBUTED TO DELAYS IN THE ASSESSMENT. THE INEXPERIENCED STAFF MEMBERS REQUIRED TIME TO ACCLIMATE TO THEIR ROLES AND RESPONSIBILITIES, AFFECTING THE OVERALL EFFICIENCY OF THE ASSESSMENT PROCESS. THESE KEY POSITIONS ALSO LEFT THEIR POSITIONS BEFORE THE ASSESSMENT WAS COMPLETED. FURTHERMORE, THE FACILITY ENCOUNTERED MULTIPLE SEWAGE AND PLUMBING ISSUES IN FISCAL YEAR 2022. THESE UNEXPECTED PROBLEMS DEMANDED IMMEDIATE ATTENTION AND RESOURCES TO ENSURE THE SAFETY AND WELL-BEING OF PATIENTS AND STAFF. CONSEQUENTLY, THE HOSPITAL HAD TO REDIRECT ITS FOCUS AND RESOURCES TOWARD ADDRESSING THESE PRESSING INFRASTRUCTURE CONCERNS, CAUSING A DIVERSION OF RESOURCES FROM THE CHNA.DESPITE THE CHALLENGES FACED, WHEATLAND MEMORIAL HEALTHCARE CONTINUED THEIR ACTION PLAN RELATED TO THE 2019 CHNA DURING THIS PERIOD AND DID NOT STOP STRIVING TO IMPROVE THE COMMUNITY'S ACCESS TO CARE AND HEALTH STATUS. AS PART OF THESE EFFORTS, MANAGEMENT WORKED TO STAY CONNECTED WITH THE COMMUNITY THROUGH ONGOING COMMUNICATION. THE CEO AND COMMUNITY RELATIONS MANAGER HOSTED NUMEROUS COMMUNITY FORUMS TO REMAIN IN TOUCH WITH COMMUNITY CONCERNS AND NEEDS. PART OF THE PURPOSE OF THESE COMMUNITY FORUMS WAS TO GET THE COMMUNITY'S FEEDBACK ON WHAT SERVICES THEY WANT AND NEED LOOKING INTO THE FUTURE. MANAGEMENT DOES NOT BELIEVE ANYONE IN THE COMMUNITY WAS HARMED BY THIS DELAY IN THE CHNA AS THE FACILITY WAS ACTIVELY ENGAGED IN GETTING FEEDBACK FROM THE COMMUNITY DURING THIS TIME. WHILE THIS DOES NOT SERVE AS AN OFFICIAL CHNA, THE LEADERSHIP TEAM WAS FOCUSED ON THE COMMUNITY'S NEEDS LOOKING WELL INTO THE FUTURE. GIVEN THESE CHALLENGES, COMPLETING THE CHNA BY THE DEADLINE WAS NOT FEASIBLE FOR WHEATLAND MEMORIAL HEALTHCARE, BUT THE LEADERSHIP TEAM WORKED DILIGENTLY TO COMPLETE THE CHNA AS SOON AS POSSIBLE. THE CHNA WAS COMPLETED ON OCTOBER 15, 2023. THE IMPLEMENTATION STRATEGY WILL BE REVIEWED AT THE NEXT BOARD OF DIRECTORS MEETING WHICH IS SCHEDULED FOR NOVEMBER 16, 2023. THE HOSPITAL ANTICIPATES THE BOARD WILL APPROVE AND ADOPT THE IMPLEMENTATION STRATEGY AT THIS MEETING. THE HOSPITAL RECOGNIZES THE IMPORTANCE OF CONDUCTING THIS ASSESSMENT TO MEET THE NEEDS OF THE COMMUNITY AND IS COMMITTED TO MAKING IT A PRIORITY. GOING FORWARD, THE CHNA WILL BE A STANDING AGENDA ITEM ON THE WEEKLY LEADERSHIP MEETINGS HELD BY THE FACILITY. THIS WILL ENSURE THE CHNA IS ALWAYS IN THE FOREFRONT OF THE CONVERSATION AND WILL HELP MITIGATE THE LIKELIHOOD OF THIS TYPE OF FAILURE OCCURRING IN THE FUTURE. IT WILL ALSO HELP FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURE THAT COULD OCCUR. IN ADDITION, A FORMAL POLICY AROUND THE COMPLETION OF THE CHNA AS REQUIRED IS BEING DRAFTED AND SHOULD BE APPROVED BY THE BOARD OF DIRECTORS AT THE NOVEMBER 2023 MEETING. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $318,719. |
| 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 10 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. |
| 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 12/31/2019 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 992 AND WHEATLAND COUNTY WAS 2,108. 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 $37,222, AND INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL IN WAS 19.8%. |
| 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. WE ALSO PROVIDE SPACE FOR THE REGIONAL WIC (WOMEN, INFANTS AND CHILDREN) CLINIC TO PROMOTE THE SERVICES OFFERED BY THAT ORGANIZATION. 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | WHEATLAND 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, CEO SALARY $167,347 PATRICK MCCONNELL, CFO SALARY $16,731 |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | A 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 12C | ALL 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 15A | THE 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 19 | THE 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 11G | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,993,180. MANAGEMENT AND GENERAL EXPENSES 1,038,023. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,031,203. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 98,216. MANAGEMENT AND GENERAL EXPENSES 158,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,633. RECRUITMENT: PROGRAM SERVICE EXPENSES 37,576. MANAGEMENT AND GENERAL EXPENSES 43,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,951. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEATLAND MEMORIAL HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | HARLOWTON | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454035841 | EIN |
| Primary Activities | SUPPORT WHEATLAND MEMORIAL HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEATLAND MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |