CENTRAL MONTANA MEDICAL FACILITIES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL MONTANA MEDICAL FACILITIES INC (EIN 23-7169043)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-09-21
- IRS object ID
- 202212649349300931
- Schema version
- 2020v4.2
- Note
- A later return for the same period supersedes this one.
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-21T12:09:05-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237169043 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Montana Medical Facilities Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 4065387711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 408 Wendell Avenue | AddressLine1Txt |
| City | Lewistown | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Merkle | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4065387711 | PhoneNum |
| Signature | 2022-09-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Scott | PersonFirstNm |
| Person Last | Merkle | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2022-09-20 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Montana Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Cody Langbehn | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 408 Wendell Avenue | AddressLine1Txt |
| City | Lewistown | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $57,323,705 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cmmc.health | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | The mission of CMMC is to be the leader in assuring community based quality healthcare. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 394 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $627,180 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,311,849 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,641,852 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,267,064 | CYProgramServiceRevenueAmt |
| PY Investment Income | $270,818 | PYInvestmentIncomeAmt |
| CY Investment Income | $464,122 | CYInvestmentIncomeAmt |
| PY Other Revenue | $545,997 | PYOtherRevenueAmt |
| CY Other Revenue | $302,194 | CYOtherRevenueAmt |
| PY Total Revenue | $38,085,847 | PYTotalRevenueAmt |
| CY Total Revenue | $56,345,229 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,287,930 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,870,876 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $116,745 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,081,915 | PYOtherExpensesAmt |
| CY Other Expenses | $20,484,154 | CYOtherExpensesAmt |
| PY Total Expenses | $41,369,845 | PYTotalExpensesAmt |
| CY Total Expenses | $43,355,030 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,283,998 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,990,199 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,203,325 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,226,831 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,170,560 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,155,913 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,032,765 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,070,918 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,574,347 | ExpenseAmt |
| Revenue | $40,267,064 | RevenueAmt |
| Desc | Central Montana Medical Facilities, Inc. operates a 25-bed critical access hospital located in Lewistown, Montana.Hospital Inpatient Services for FY 2021:Number of beds: 25Provided 1,878 acute days of care and 1,004 swing bed days of care for 31.58% occupancy rate. Emergency Services for FY 2021:Provided for 4,448 Emergency visits.24-hour Physician coverage available.OB Services for FY 2021:Provided for 95 births in Central MontanaCommunity care and services are also provided through the many reduced-price services and free clinics, fairs, and programs offered throughout the year. Due to the Covid-19 Pandemic many of our services were not held to keep community members and employees safe. What we were able to complete includes but is not limited to the following (all costs are estimates):Services provided for fiscal year 20-21:*Concussion Testing: -429 students tested-Established baseline cognitive functioning for all area schools' athletic programs (Lewistown High School and Junior High, Winifred, Roy, Hobson, and Moore)-Educated on importance of brain health and injury prevention-Estimated Cost: $3,000.00*Sports Physical Clinics:-Provided 224 sports physical exams to area students that included a musculoskeletal exam by CMMC Rehab department: Donated proceeds back to individual school athletic programs-Estimated cost: $6,160.00*CPR / First Aid:-107 students taught at Fergus High School: 7 day class / 6 class periods per day-Educated on 9-1-1 emergency calls; basic adult / infant CPR; AED training; seizure care; allergic reactions and training in use of an Epi-pen; Stop the Bleed training; diabetic s/sx and response to abnormal issues -Estimated cost: $5,055.00*Rural EMS volunteer services:-11 volunteer EMTs served.-Respirator fit testing, TB testing & immunization assessment completed-Estimated cost: $1,100.00*Respirator Fit Testing:-117 individuals served-Respirators fit testing for Roundup Memorial Hospital and Wheatland Memorial Hospital -Estimated cost: $5,026.00*Community Wellness Screenings: -281 clients served-Lab testing, vital signs and body metrics provided-5 staff and supplies used -Estimated cost to provide: $31,000*Hospice Annual Volunteer Training: -13 volunteers served-Educated on immunizations; appropriate PPE, and Covid precautions / symptoms for Covid-Estimated cost: $90.00The facilities maintain records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. The amount of charges foregone for services provided under the Facilities charity care policy were approximately $344,934 for the fiscal year. Total direct and indirect costs related to these foregone charges were $515,000 based on an average ratio of cost to gross charges.Awards received for FY 2021 were:* Top 100 Critical Access Hospital 2021 iVantange Health Analytics (7 years in a row)* NOSORH Performance Leadership Award (4 years in a row)* MHA PIN- Performance Improvement Network (4 years in a row) * MHA PIN Quality Program of the Year * Dr. Michael Sura received the Dr. Frank Newman Rural Health award for Rural Health Education in Montana. | Desc |
| Total Program Service Expenses | $35,574,347 | 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 | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 394 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 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 | Scott Merkle | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4065357711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 408 Wendell Ave | AddressLine1Txt |
| City | Lewistown | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Dr Gardner Smith | |||||||
| Surgeon | 40.00 | Yes (X) | $433,876 | $0 | $21,630 | ||
| Dr Amy A LePage | |||||||
| ER Physician | 40.00 | Yes (X) | $380,820 | $0 | $27,700 | ||
| Felipe Vile Martignoni | |||||||
| Physician | 32.00 | Yes (X) | $379,480 | $0 | $28,067 | ||
| Dr Michael Sura | |||||||
| Physician/Member | 40.00 | $354,291 | $0 | $32,446 | Yes (X) | ||
| Kimberly Schaaf | |||||||
| ER Physician | 48.00 | Yes (X) | $281,741 | $0 | $21,295 | ||
| Dr Tamara Welsh | |||||||
| Physician/Member | 40.00 | $277,256 | $0 | $11,219 | Yes (X) | ||
| Alan R Aldrich | |||||||
| Co-CEO-Aug 2020, CFO-Dec 2020 | 40.00 | $249,545 | $0 | $20,511 | Yes (X) | ||
| Dr Laura Bennett | |||||||
| Co-CEO-Aug 2020, Dir Clinical Ops | 40.00 | $217,159 | $0 | $21,786 | Yes (X) | ||
| Melanie Hardy | |||||||
| ER Physician | 48.00 | Yes (X) | $170,765 | $0 | $8,624 | ||
| Scott Merkle | |||||||
| CFO starting April 2021 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Cody Langbehn | |||||||
| CEO starting Aug 2020 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Bret Carpenter | |||||||
| Chair | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Dave Phillips | |||||||
| Vice Chair until 10/5/20 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Corry Arntzen - Member until | |||||||
| 10/4/20/Vice Chair starting 10/5/20 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Jennifer Saunders | |||||||
| Secretary/Treasurer | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Mary Albers | |||||||
| Member starting 9/2/20 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Brandon Bantz | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Keith Cook | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Ryan d'Autremont | |||||||
| Member starting 10/5/20 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Karen Durbin | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Nick Econom | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Marvin Mauws | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Melody Montgomery | |||||||
| Member starting 1/5/21 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Ashley Morris | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Carl Seilstad | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Kimberly Vincent | |||||||
| Member until 10/5/20 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Erik Wood | |||||||
| Member | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,744,933 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $193,278 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Billings Clinic | |||||
| PO Box 37000 | Billings | MT | 59107 | Mgmt & Radiology Med Dir Fees | $1,189,768 |
| Crist Krogh Alke & Nord PLLC | |||||
| 2708 1st Ave N Suite 300 | Billings | MT | 59457 | Legal Services | $315,000 |
| Hall Render Killian Heath & Lyman P | |||||
| 999 17th Street Suite 800 | Denver | CO | 80202 | Legal Services | $287,342 |
| Fusion Medical Staffing | |||||
| PO Box 82674 | Lincoln | NE | 685012674 | Medical Staffing | $167,652 |
| Oaas Law Firm | |||||
| 618 W Main | Lewistown | MT | 59457 | Legal Services | $145,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $2,880 | FundraisingAmt |
| Government Grants | $8,901,007 | GovernmentGrantsAmt |
| All Other Contributions | $6,407,962 | AllOtherContributionsAmt |
| Total Contributions | $15,311,849 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 621110 | $38,088,934 | $38,088,934 |
| Special Programs | 900099 | $1,648,405 | $1,648,405 |
| Pharmacy Revenue | 446110 | $493,933 | $493,933 |
| Cafeteria | 722210 | $35,792 | $35,792 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,267,064 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,156 | TotalRevenueColumnAmt |
| Exclusion | $146,156 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $573,461 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $254,467 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $318,994 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $318,994 | TotalRevenueColumnAmt |
| Exclusion | $318,994 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $675,000 | SecuritiesAmt |
| Other | $265,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $622,034 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $52,966 | SecuritiesAmt |
| Other | $265,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $317,966 | TotalRevenueColumnAmt |
| Exclusion | $317,966 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $85,175 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $2,880 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $101,975 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,800 | TotalRevenueColumnAmt |
| Exclusion | -$16,800 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,345,229 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,267,064 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $766,316 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,926 | TotalAmt |
| Program Services | $763,714 | ProgramServicesAmt |
| Management And General | $282,212 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,871 | TotalAmt |
| Management And General | $100,871 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,462,338 | TotalAmt |
| Program Services | $13,940,210 | ProgramServicesAmt |
| Management And General | $3,446,194 | ManagementAndGeneralAmt |
| Fundraising | $75,934 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,503 | TotalAmt |
| Program Services | $462,702 | ProgramServicesAmt |
| Management And General | $226,251 | ManagementAndGeneralAmt |
| Fundraising | $1,550 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,325,875 | TotalAmt |
| Program Services | $1,860,700 | ProgramServicesAmt |
| Management And General | $453,853 | ManagementAndGeneralAmt |
| Fundraising | $11,322 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,363 | TotalAmt |
| Program Services | $996,291 | ProgramServicesAmt |
| Management And General | $244,426 | ManagementAndGeneralAmt |
| Fundraising | $4,646 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,000 | TotalAmt |
| Management And General | $300,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,338 | TotalAmt |
| Management And General | $140,338 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,189 | TotalAmt |
| Management And General | $60,189 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,133,528 | TotalAmt |
| Program Services | $6,133,328 | ProgramServicesAmt |
| Fundraising | $200 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,123 | TotalAmt |
| Program Services | $221,342 | ProgramServicesAmt |
| Management And General | $59,686 | ManagementAndGeneralAmt |
| Fundraising | $14,095 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,283,397 | TotalAmt |
| Program Services | $2,090,762 | ProgramServicesAmt |
| Management And General | $1,182,108 | ManagementAndGeneralAmt |
| Fundraising | $10,527 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $877,626 | TotalAmt |
| Program Services | $692,812 | ProgramServicesAmt |
| Management And General | $183,014 | ManagementAndGeneralAmt |
| Fundraising | $1,800 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,637 | TotalAmt |
| Program Services | $73,637 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,538 | TotalAmt |
| Program Services | $38,488 | ProgramServicesAmt |
| Fundraising | $50 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,645 | TotalAmt |
| Program Services | $124,522 | ProgramServicesAmt |
| Management And General | $40,123 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700,863 | TotalAmt |
| Program Services | $1,286,372 | ProgramServicesAmt |
| Management And General | $414,491 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,982 | TotalAmt |
| Program Services | $524,982 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| Medical Supplies | $4,640,219 | $4,640,193 | $26 | |
| Equipment Rental and Ma | $1,392,275 | $1,395,680 | -$3,405 | |
| Taxes and Licenses | $224,929 | $82,141 | $142,788 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $633,865 | TotalAmt |
| Program Services | $246,471 | ProgramServicesAmt |
| Management And General | $387,394 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,355,030 | TotalAmt |
| Program Services | $35,574,347 | ProgramServicesAmt |
| Management And General | $7,663,938 | ManagementAndGeneralAmt |
| Fundraising | $116,745 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,998,243 | BOYAmt |
| EOY | $10,331,104 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,065,167 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,442,282 | BOYAmt |
| EOY | $7,957,547 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,672 | BOYAmt |
| EOY | $930,284 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,143 | BOYAmt |
| EOY | $560,372 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,281,657 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,076,259 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,187,319 | BOYAmt |
| EOY | $13,205,398 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,964,696 | BOYAmt |
| EOY | $5,281,382 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,469,970 | BOYAmt |
| EOY | $4,895,577 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,203,325 | BOYAmt |
| EOY | $47,226,831 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,672,375 | BOYAmt |
| EOY | $4,403,769 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,339,770 | BOYAmt |
| EOY | $3,343,436 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,486,772 | BOYAmt |
| EOY | $3,367,238 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,419,272 | BOYAmt |
| EOY | $1,977,349 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,772,500 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,871 | BOYAmt |
| EOY | $64,121 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,170,560 | BOYAmt |
| EOY | $13,155,913 | 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 | $16,862,898 | BOYAmt |
| EOY | $30,747,153 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,169,867 | BOYAmt |
| EOY | $3,323,765 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,032,765 | BOYAmt |
| EOY | $34,070,918 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,203,325 | BOYAmt |
| EOY | $47,226,831 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,990,199 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $894,056 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $153,898 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,009 | OtherCostOrOtherBasisAmt |
| Book Value | $123,009 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,987,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,229,516 | DepreciationAmt |
| Book Value | $7,757,500 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,294,298 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,676,022 | DepreciationAmt |
| Book Value | $3,618,276 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,877,334 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,170,721 | DepreciationAmt |
| Book Value | $1,706,613 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,205,398 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Long-Term Prepaid Expenses | $603,272 |
| Due from Foundation | $3,323,765 |
| Other Receivables | $968,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,895,577 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated Third-Party Payor Settlements | Desc |
| Amt | $64,121 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $64,121 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Oak Ridge Boys Concert | Event1Nm |
| Gross Receipts Event1 | $88,055 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $2,880 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $85,175 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,000 | NonCashPrizesEvent1Amt |
| Entertainment Event1 | $28,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $72,475 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $88,055 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $2,880 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $85,175 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,000 | NonCashPrizesTotalEventsAmt |
| Entertainment Total Events | $28,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $72,475 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $101,975 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$16,800 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $515,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $515,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,654,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,901,111 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $753,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,169,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,901,111 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,268,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 815 | PersonsServedCnt |
| Total Community Benefit Expns | $9,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 10 | PersonsServedCnt |
| Total Community Benefit Expns | $62 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,151,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,692,625 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,458,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14900 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 42 | PersonsServedCnt |
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 867 | PersonsServedCnt |
| Total Community Benefit Expns | $11,161,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,694,305 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,466,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14920 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 867 | PersonsServedCnt |
| Total Community Benefit Expns | $15,330,709 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,595,416 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,735,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17850 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 32 | PersonsServedCnt |
| Total Community Benefit Expns | $993 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 32 | PersonsServedCnt |
| Total Community Benefit Expns | $993 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,116,828 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,026,562 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $90,266 | 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 | Central Montana Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 408 Wendall Avenue | AddressLine1Txt |
| City | Lewistown | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cmmc.health | WebsiteAddressTxt |
| State License | 12894 | 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 | Home Health / Hospice | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Montana Medical Facilities Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.cmmc.health/resources/reports/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.cmmc.health/resources/reports/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V | 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 |
| 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 Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 3j: Secondary Data: County Profile, Demographic Trends and Economic Impacts |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 5: A Steering Committee was convened to assist Central Montana Medical Center in conducting a Communtiy Health Services Development (CHSD) Project administered by the Montana Office of Rural Health. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together. The Steering Committee met twice during the CHSD process; first to discuss health concerns in the community and offer their perspective in designing the survey instrument and again to review results of the survey and focus groups and to assist in the prioritization of health needs to address. |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 6b: The Needs Assessment was formed by a committee. Central Montana Community Health Center in Lewiston was included as part of this. |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 7d: The Needs Assessment is available at the Foundation Office, Administration Assistant Office and at Central Montana Medical Center hospital website. |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 11: The Organization completed a new CHNA during the 6/30/19 FYE. Survey respondents identified the community's top health concerns as: Alcohol abuse/substance abuse; Cancer; Overweight/obesity.The following summary briefly represents the goals and corresponding strategies which the facility will execute to address the prioritized health needs:Goal 1: Expand access to behavioral health services at Central Montana Medical CenterStrategy 1.1: Develop a workforce and processes to support CMMC's behavioral health activities1. Explore feasibility of adding staff positions (social worker, licensed addiction counselor, other);**The Organization hired a behavioral health specialist.2. Expand number of M.A.T. trained providers in clinic and ED.**Not accomplishedStrategy 1.2: Support local community efforts that address behavioral health needs in the CMMC service area1. Continued to participate in the Lewistown Dementia Friendly Community Workgroup;2. Continued to assist local support groups (e.g., dementia support, care givers support, cancer, etc.);3. Explore opportunities to expand health educational offerings in the CMMC area (at CMMC or with community partners); **This goal was delayed due to COVID.Strategy 1.3: Ensure sustainability of collaborative care efforts at CMMC which help screen and provide resources for behavioral health needs1. Explore feasibility of expanding behavioral health medicine services at CMMC; *All patients now are provided a mental health questionnaire prior to seeing a provider.2. Explore best practices/models to address behavioral health needs/population health metrics: *Implemented suicide screenings in clinic and ED; domestic violence; OUD/SUD resources.Goal 2: Increase access to healthcare services at Central Montana Medical Center.Strategy 2.1: Increase access to primary care services at CMMC1. Conducted a feasibility study of expanded clinic hours, urgent care, or walk-in clinic models; **Expanded clinic hours from 5-7 pm for same day appointments three days a week2. Expand primary care workforce at CMMC (hire new providers); **Hired several new providers3. Develop educational/marketing materials for community related to capabilities and skills to promote role of NP/PA as a part of the primary care team and services; **Some marketing has been done however no brochures were created yet.4. Explore hosting a facility open house to introduce community to CMMC NP providers. **This goal was delayed due to COVID.Strategy 2.2: Increase access to specialty care services at CMMC1. Created community education and outreach on available CMMC specialty services, schedule, and how to make an appointment; 2. Explore feasibility of specialty care service expansion (ortho, cariology, radiology); **Hired for specialty services within ortho and continue to explore other organizations to bring in cardiology and other specialty services3. Created community education and outreach on telemedicine (technology/uses). 4. Explore hosting a telemedicine open house to introduce community to CMMC telemedicine services. **This was not done due to COVID.Goal 3: Enhance patient understanding of healthcare billing, insurance, and navigation of patient financial programs.Strategy 3.1: Improve CMMC education and outreach efforts related to billing, insurance and financial health 1. Create outreach to assist community in understanding changes in patient billing and transition to Cerner; **This is in process2. Explore development of a "how to Interpret My Bill" tab/resource on CMMC website; **This has been done and is on our website.3. Created education and marketing on how to access new website resource for CMMC community and staff; 4. Convene community partners (e.g., insurance, Council on Aging etc.) to develop and support community financial education (topics may include health insurance education, personal finance, estate planning, financial assistance programs, etc.). **This has not been done yet due to COVID.Goal 4: Enhance population health education and outreach in the CMMC service area. Strategy 4.1: Continue population health related outreach through CMMC1. Assessed and promoted current CMMC classes and programs that promote health and wellness; 2. Explore offering health additional education classes and programs that promote prevention, health, and chronic disease management (e.g., diabetes management, COPD, parenting, financial education, stress management, cancer support, etc.); **Began addressing this, and will continue to work on it.3. Continued to support physical health and healthy behaviors in the CMMC service area (community fun runs, sponsoring various events, etc.). Strategy 4.2: Develop community resource to increase knowledge of available health and wellness opportunities1. Convene community partners to assess and catalogue available resources; **This is not done yet, but is in process.2. Collaborate with community partners to develop ad promote health and wellness resources. **A health fair was scheduled to help address this, but was cancelled due to COVID.The following needs were identified in our most recent CHNA and will not be addressed:1. Secondary data shows Fergus County has a higher unintentional injury death rate (per 100,000 population) compared to state and nation. Additionally, significantly more 2019 survey respondents felt that "Work/farm/ranch related accidents/injuries" were a serious health concern.2. 12.5% of survey respondents indicated cost had prohibited them from getting or taking their prescription medication regularly.3. Top reason identified for survey respondents who delayed or not receive needed care was cost (33.3%).Rationale of needs that were unable to address were as follows:* We live in an ag community where farm accidents are prevalent.* CMMC offers programs/charity care to assist with paying for healthcare costs/medicine at healthcare priced services that are based on current market conditions. CMMC provides Navigator services to the community. CMMC has affiliated with Billings Clinic (as of June 2017) to provide additional healthcare services and physicians. |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 13h: Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. |
| Central Montana Medical Facilities, Inc. | Part V, Section B, Line 16j: A summary of the financial assistance policy is also posted in the hospital facility's emergency room, waiting rooms, and admissions offices. |
| Part V, Line 16a, FAP Website: | https://www.cmmc.health/for-patients/billing-and-financial-assistance/ |
| Part V, Line 16b, FAP Application Website: | https://www.cmmc.health/for-patients/billing-and-financial-assistance/ |
| Part V, Line 16c, FAP Plain Language Summary Website: | https://www.cmmc.health/for-patients/billing-and-financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Central Montana Medical Center - DME | ||||
| 202 4th Avenue South | Lewistown | MT | 59457 | HME/DME Services |
| 2 - Central Montana Medical Center - Clinic | ||||
| 410 Wendell Ave | Lewistown | MT | 59457 | Physician Clinic |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. |
| Part I, Line 7: | The Organization used an average overall ratio of costs to gross charges which addresses all patient segments in order to calculate charity care. Community health improvement services, health professions education and cash and in kind contributions were based on expenses recorded in the general ledger. Medicaid and subsidized health services are reported according to costs allocated to the relevant cost centers on the Medicare cost report. |
| Part II, Community Building Activities: | Community Building activities promoted the health of the communities served by providing service and donations for a healthy, active, and educated public. Central Montana Medical Center staff donated time to community boards, such as LEPC (Lewistown Emergency Preparedness Community), Central Montana Youth Challenge, EPI Committing Meeting, and the DUI Task Force. By being a part of these community meetings CMMC staff provides a range of knowledge to the community members with a foundation on health and medical needs. All of these programs benefit central Montana area and promote health and wellness. |
| Part III, Line 8: | Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | On every patient statement it states that the Hospital assistance application is available upon request. Applications received prior to 120 days are not referred to a collection agency to be processed accordingly. Any application received from day 120-240 are immediately returned from any collection agency for the application to be processed. Applications are available upon request and on the website for clients to access. |
| Part VI, Line 2: | Currently, CMMC assesses the health care needs of the community by the number of responses to ads and articles released through the local media. Also tracked were the kinds of support requested of CMMC such as children's safety, wellness initiatives and healthcare assessments. In FYE 2019 CMMC completed a Community Health Needs Assessment with the help of Montana State University. Mail and phone surveys were completed and "town hall" type meetings were held in Lewistown, as well as some smaller surrounding communities. |
| Part VI, Line 3: | CMMC has financial assistance signage posted in the admissions areas and the ER waiting area. A pamphlet explaining our financial assistance program, the application process and contact information is available at all hospital registration areas. The Charity Care policy and application along with a checklist and contact information is posted on our website on the internet. Prior to discharge someone from discharge planning discusses with the patient the availability of various government benefits, such as Medicaid, and assists the patient with qualifications for such programs, where applicable. Assistance with filling out the Charity Care application is also provided at this time. Private Pay in-patients are informed of Charity Care either prior to scheduled admission by physician referral or prior to discharge from the facility. We also send out information with first time statements. All other patients are informed upon inquiry. |
| Part VI, Line 4: | Lewistown is an agricultural community and the county seat for Fergus County Montana. Lewistown is located in the center of Montana and is surrounded by five mountain ranges: the Snowies, the Judiths, the Moccasins, the Belts and the Highwoods. Lewistown's elevation is 3,963 feet with 3,102 people per square mile (average).The city of Lewistown and the surrounding rural towns are supported by one hospital, Central Montana Medical Center. Fergus County is located in a federally designated medically underserved area. As of the census of 2020, the population of Lewistown MT is 5,952 (2,988 female and 2,964 male). The county's population was 11,096 and there are 13.38 persons per square mile. March 2016 cost of living index in our zip code (59457) is 83.1%, U.S. average is 100.Real estate property taxes paid for housing units with mortgages in 2015 was $1,326. Renter-occupied apartments were 31% compared to the state average of 33%.The median resident age for this zip code is 45.8 years old with an average household size of 2.2 people.The population 25 years and over in 59457 shows High school or higher: 94.0%, Bachelor's degree or higher: 29.1%, Graduate or professional degree: 6.9%, Unemployed: 2.8%, Mean travel time to work (commute): 10.8 minutesInformation obtained from www.city-data.com/city/Lewistown-Montana.html |
| Part VI, Line 5: | The CMMC Governing Board consisted of 16 volunteer community members including residents from Grass Range, Winifred, Hobson and 2 members from our affiliate, Billings Clinic. CMMC extends medical staff privileges to qualified physicians based upon community needs.Surplus funds, when available, are applied to patient care needs, equipment and building maintenance and medical education requirements. The expenditure of these funds is approved by the Governing Board which meets on a monthly basis. |
| Part VI, Line 6: | CMMC is part of an affiliated health care system with Billings Clinic. Central Montana Medical Center is involved in promoting community health by participating in Population Health programs offered by Medicare and other third party insurers. Billings Clinic and CMMC collaborate on Population Health and Care Coordination initiatives that are provided to the community. CMMC has an independent Care Coordination department focused on promoting the health of the individuals in our community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Gardner Smith | ||||||||||||||
| Surgeon | $433,876 | $0 | $0 | $0 | $0 | $0 | $585 | $0 | $22,381 | $0 | $456,842 | $0 | $0 | $0 |
| Dr Amy A LePage | ||||||||||||||
| ER Physician | $380,820 | $0 | $0 | $0 | $0 | $0 | $6,654 | $0 | $21,046 | $0 | $408,520 | $0 | $0 | $0 |
| Felipe Vile Martignoni | ||||||||||||||
| Physician | $379,480 | $0 | $0 | $0 | $0 | $0 | $7,021 | $0 | $21,046 | $0 | $407,547 | $0 | $0 | $0 |
| Dr Michael Sura | ||||||||||||||
| Physician/Member | $354,291 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $22,381 | $0 | $388,072 | $0 | $0 | $0 |
| Kimberly Schaaf | ||||||||||||||
| ER Physician | $281,741 | $0 | $0 | $0 | $0 | $0 | $249 | $0 | $21,046 | $0 | $303,036 | $0 | $0 | $0 |
| Dr Tamara Welsh | ||||||||||||||
| Physician/Member | $277,256 | $0 | $0 | $0 | $0 | $0 | $11,219 | $0 | $1,277 | $0 | $289,752 | $0 | $0 | $0 |
| Alan R Aldrich | ||||||||||||||
| Co-CEO-Aug 2020, CFO-Dec 2020 | $249,545 | $0 | $0 | $0 | $0 | $0 | $10,203 | $0 | $11,625 | $0 | $271,373 | $0 | $0 | $0 |
| Dr Laura Bennett | ||||||||||||||
| Co-CEO-Aug 2020, Dir Clinical Ops | $217,159 | $0 | $0 | $0 | $0 | $0 | $8,971 | $0 | $12,815 | $0 | $238,945 | $0 | $0 | $0 |
| Melanie Hardy | ||||||||||||||
| ER Physician | $170,765 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,624 | $0 | $179,389 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fergus County Montana | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 816001358 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2014-05-01 | BondIssuedDt |
| Issue Price | $4,500,000 | IssuePriceAmt |
| Purpose | Emergency and laboratory expansion and remodel of existing facility | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,132,762 | RetiredAmt |
| Total Proceeds | $4,500,000 | TotalProceedsAmt |
| Capital Expenditures | $4,500,000 | CapitalExpendituresAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Annie Davis | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family Member of Board Member Dave Phillips | RelationshipDescriptionTxt |
| Transaction | $100,871 | TransactionAmt |
| Transaction | Payment of Compensation | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Orthopedic services began in 2021. |
| Form 990, Part IV, line 20b: | The organization is in the process of completing an audit for the tax year ended June 30, 2021. As such, the most recent financial statement issued for June 30, 2020 has been attached. An amended return will be completed when the audit is complete to make any adjustments and attach the audited financial statements for the year ended June 30, 2021. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee includes the President or Chair, Vice President or Vice Chair, Secretary and Treasurer and 2 members-at-large and their authority is similar to that of the full governing board. |
| Form 990, Part VI, Section A, line 3 | Cody Langbehn is a contract employee of Billings Clinic as of August 31, 2020. Central Montana Medical Center became affiliated with Billings Clinic and Cody serves as the CEO. Billings Clinic was paid $262,322 for Cody's services during fiscal year 2021. The organization pays Billings Clinic a Management Fee of $30,738 per month for our affiliation. |
| Form 990, Part VI, Section A, line 6 | The organization has two classes of membership: Class A general membership and Class B membership, with the sole member of the Class B Membership being Billings Clinic. Class A Membership in the Corporation shall consist of residents of Central Montana residing within the counties of Fergus, Judith Basin and Petroleum who are at least eighteen (18) years of age and who have or shall indicate their interest in the maintenance of adequate medical facilities and high standards of medical care in the area, served by CMMC, and who indicate a willingness and desire to be a member of the Corporation by attending and signing the register at the Corporation's annual meeting. |
| Form 990, Part VI, Section A, line 7a | The board has two classes of directors. Class A Directors are elected by the Class A Members and Class B Directors are appointed by the Billings Clinic. There shall be at last nine but no more than thirteen Class A Directors. There shall be at least one but no more than two Billings Clinic Directors, as determined by Billings Clinic from time to time. Each Class A Director must reside within the counties of Fergus, Judith Basin or Petroleum. Two Class A Directors must be physicians holding privileges on CMMC's active Medical Staff. Further, so long as the Corporation remains obligated for the repayment of any long-term tax-exempt financing, underwritten through Fergus County, Montana, one Class A Director shall be selected from the Fergus County Commissioners. The Board and Billings Clinic shall communicate concerning the appointment of Billings Clinic Directors with the objective of selecting individuals who will work cooperatively with the Class A Directors for the benefit of CMMC. |
| Form 990, Part VI, Section A, line 7b | Any amendment to the bylaws affecting the voting rights and powers of membership, must be approved by both a two-thirds majority of the board present at any regular or special meeting of the board and Billings Clinic. Additionally, Billings Clinic must consent to any amendment of the bylaws relating to CMMC's purpose, the membership, the members of the board, including but not limited to the number of directors, the composition of the board, the term of office of directors or the method or way in which directors are elected or selected. |
| Form 990, Part VI, Section B, line 11b | A draft copy of the Form 990 is reviewed by the CFO and Board of Directors prior to its filing. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by discussing at the Board of Director Meetings and obtaining signed statements from members. All officers, board members, and key employees are covered by the policy. The board determines whether conflicts exist and all potential conflicts are reviewed by the board. Any person with a conflict is not allowed to vote on conflicted issues. |
| Form 990, Part VI, Section B, line 15a | The Board of Directors established the compensation for Interim Co-CEO's Alan Aldrich and Dr. Laura Bennett. Cody Langbehn took over as CEO on August 31, 2020 and is employed by Billings Clinic. Billings Clinic provided market data to the Board and the Board takes action annually to set his compensation level. CFO compensation was determined by the CEO after looking at market data from MHA and consulting with a recruitment company about market data for the CFO pay range. The specific pay rate was then set based on the market range and relevant experience. These processes take place on an annual basis. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. A copy may be requested by calling, emailing, walk-in or via mail. |
| Form 990, Part IX, line 11g | Medical/Professional Fees: Program service expenses 671,963. Management and general expenses 0. Fundraising expenses 0. Total expenses 671,963. Service Contracts: Program service expenses 802,540. Management and general expenses 0. Fundraising expenses 0. Total expenses 802,540. Purchased Services: Program service expenses 4,658,825. Management and general expenses 0. Fundraising expenses 200. Total expenses 4,659,025. |
| Form 990, Part XI, line 9: | Change in Interest in Central Montana Foundation 153,898. |