CABINET PEAKS MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CABINET PEAKS MEDICAL CENTER (EIN 81-0241755)
- Tax period
- 2019-04-01 to 2020-03-31
- Filed
- 2021-02-12
- IRS object ID
- 202130439349300808
- Schema version
- 2019v5.2
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-02-12T07:49:43-06:00 | ReturnTs |
| Tax Period End | 2020-03-31 | 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 | 2019-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810241755 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John's Lutheran Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 4062837000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 209 Health Park Drive | AddressLine1Txt |
| City | Libby | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59923 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brigid Burke | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4062837000 | PhoneNum |
| Signature | 2021-02-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2021-02-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | Cabinet Peaks Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bruce Whitfield | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 209 Health Park Drive | AddressLine1Txt |
| City | Libby | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,839,281 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cabinetpeaks.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | Healthcare services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 323 | TotalEmployeeCnt |
| Total Volunteers | 49 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $168,730 | PYContributionsGrantsAmt |
| CY Contributions Grants | $774,564 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,068,619 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,738,459 | CYProgramServiceRevenueAmt |
| PY Investment Income | $148,886 | PYInvestmentIncomeAmt |
| CY Investment Income | $226,129 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,685 | PYOtherRevenueAmt |
| CY Other Revenue | -$20,323 | CYOtherRevenueAmt |
| PY Total Revenue | $37,389,920 | PYTotalRevenueAmt |
| CY Total Revenue | $40,718,829 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,689 | 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 | $18,970,351 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,374,328 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $155,094 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,805,190 | PYOtherExpensesAmt |
| CY Other Expenses | $17,552,567 | CYOtherExpensesAmt |
| PY Total Expenses | $35,778,230 | PYTotalExpensesAmt |
| CY Total Expenses | $36,926,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,611,690 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,791,934 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,043,954 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,648,733 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,999,658 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,582,875 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,044,296 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,065,858 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Committed to quality, compassionate care. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,309,761 | ExpenseAmt |
| Revenue | $39,738,459 | RevenueAmt |
| Desc | Cabinet Peaks Medical Center operates a 25 bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including primary care and OB/GYN services, a variety of rehab and therapy services, infusion and chemotherapy, imaging, and lab. Continued on Schedule O.Patients often do not have the luxury of time or money or the physical strength necessary to make the 90 mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. In fiscal year 2020, Cabinet Peaks Medical Center provided services to 12,849 unique patients amounting to a total of 17,373 adjusted patient days. Just over 952 surgical cases were performed. Additionally, Cabinet Peaks Medical Center delivered 97 babies during fiscal year 2020. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The amounts of charges forgone, based on established rates, were $666,373 and $518,569 during the years ended March 31, 2020 and 2019, respectively. The estimated cost of providing these services was approximately $365,000 and $282,000 for the years ended March 31, 2020 and 2019, respectively, 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 | $29,309,761 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 323 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gayl Smith Controller | PersonNm |
| Phone | 4062837139 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 209 Health Park Drive | AddressLine1Txt |
| City | Libby | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59923 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| Mark Serra DO | ||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $400,270 | $0 | $34,727 | ||
| Mark Harding MD | ||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $333,696 | $0 | $43,359 | ||
| Kathryn Cockerham MD | ||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $324,194 | $0 | $35,707 | ||
| Bruce Whitfield | ||||||||
| CEO | 40.00 | 1.00 | $312,674 | $0 | $43,540 | Yes (X) | ||
| Brigid Burke | ||||||||
| CFO | 40.00 | 0.00 | $299,951 | $0 | $41,880 | Yes (X) | ||
| Brian Bell MD | ||||||||
| Trustee/Chief Medical Officer | 40.00 | 0.00 | $245,680 | $0 | $34,087 | Yes (X) | ||
| Jay Maloney MD | ||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $238,349 | $0 | $35,707 | ||
| Sara Mertes MD | ||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $225,724 | $0 | $21,517 | ||
| Anita Ivankovig | ||||||||
| CNO thru 9/6/2019 | 40.00 | 0.00 | $127,109 | $0 | $23,273 | Yes (X) | ||
| Doug Mudgett | ||||||||
| CNO as of 8/12/2019 | 40.00 | 0.00 | $49,543 | $0 | $8,211 | Yes (X) | ||
| Manuel Castaneda | ||||||||
| Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Sarah Sorensen | ||||||||
| Vice Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Kathy Nelson | ||||||||
| Secretary/Treasurer | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Russ Barnes | ||||||||
| Trustee | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Kerry Beasley | ||||||||
| Trustee | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| John Konzen | ||||||||
| Trustee | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Steve Sorensen OD | ||||||||
| Trustee | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,557,190 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $322,008 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | 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 |
|---|---|---|---|---|---|
| Kalispell Regional Medical Center | |||||
| 310 Sunnyview Lane | Kalispell | MT | 59901 | Software maintenance and support, servic | $2,082,743 |
| Cardinal Health Pharmacy Svcs | |||||
| 7000 Cardinal Place | Dublin | OH | 43017 | Pharmacy Management Services | $494,135 |
| Guardian Healthcare | |||||
| 105 West Park Drive Suite 100 | Brentwood | TN | 37027 | Contract Staffing | $358,805 |
| Psychiatric Medical Care LLC | |||||
| PO Box 305172 Dept 141 | Nashville | TN | 372305172 | Management Fees, Contracting | $345,081 |
| Medical Solutions | |||||
| PO Box 310737 | Des Moines | IA | 503310737 | Contract Staffing | $288,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $479,662 | RelatedOrganizationsAmt |
| Government Grants | $278,507 | GovernmentGrantsAmt |
| All Other Contributions | $16,395 | AllOtherContributionsAmt |
| Noncash Contributions | $528 | NoncashContributionsAmt |
| Total Contributions | $774,564 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 622110 | $38,749,187 | $38,749,187 |
| Cafeteria | 722210 | $367,780 | $367,780 |
| Pharmacy Revenue | 900099 | $323,073 | $323,073 |
| Mgmt Fee Outside Clinics | 541610 | $169,204 | $169,204 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,215 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $129,215 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,738,459 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,259 | TotalRevenueColumnAmt |
| Exclusion | $240,259 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,999 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $106,322 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$20,323 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,323 | TotalRevenueColumnAmt |
| Exclusion | -$20,323 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,130 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$14,130 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,130 | TotalRevenueColumnAmt |
| Exclusion | -$14,130 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,718,829 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,738,459 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $205,806 | 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 | $1,205,737 | TotalAmt |
| Program Services | $515,258 | ProgramServicesAmt |
| Management And General | $690,479 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,466 | TotalAmt |
| Program Services | $95,466 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,173,111 | TotalAmt |
| Program Services | $11,762,266 | ProgramServicesAmt |
| Management And General | $2,303,128 | ManagementAndGeneralAmt |
| Fundraising | $107,717 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,487 | TotalAmt |
| Program Services | $381,740 | ProgramServicesAmt |
| Management And General | $96,249 | ManagementAndGeneralAmt |
| Fundraising | $3,498 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,359,610 | TotalAmt |
| Program Services | $1,900,008 | ProgramServicesAmt |
| Management And General | $442,359 | ManagementAndGeneralAmt |
| Fundraising | $17,243 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,058,917 | TotalAmt |
| Program Services | $821,063 | ProgramServicesAmt |
| Management And General | $233,718 | ManagementAndGeneralAmt |
| Fundraising | $4,136 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,030 | TotalAmt |
| Management And General | $4,030 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,665 | TotalAmt |
| Management And General | $65,400 | ManagementAndGeneralAmt |
| Fundraising | $265 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,422,781 | TotalAmt |
| Program Services | $3,729,714 | ProgramServicesAmt |
| Management And General | $691,210 | ManagementAndGeneralAmt |
| Fundraising | $1,857 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,767 | TotalAmt |
| Program Services | $37,231 | ProgramServicesAmt |
| Management And General | $45,243 | ManagementAndGeneralAmt |
| Fundraising | $4,293 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,910 | TotalAmt |
| Program Services | $37,806 | ProgramServicesAmt |
| Management And General | $168,650 | ManagementAndGeneralAmt |
| Fundraising | $13,454 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,832 | TotalAmt |
| Program Services | $326,611 | ProgramServicesAmt |
| Management And General | $166,221 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,206 | TotalAmt |
| Program Services | $177,368 | ProgramServicesAmt |
| Management And General | $13,816 | ManagementAndGeneralAmt |
| Fundraising | $22 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,187 | TotalAmt |
| Management And General | $12,772 | ManagementAndGeneralAmt |
| Fundraising | $2,415 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $936,179 | TotalAmt |
| Management And General | $936,179 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,345,168 | TotalAmt |
| Program Services | $2,345,168 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,073 | TotalAmt |
| Management And General | $419,073 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $4,672,515 | $4,660,169 | $12,346 | |
| Repairs and Maintenance | $1,152,037 | $824,255 | $327,782 | |
| Bad Debts | $1,033,928 | $1,033,928 | ||
| Licenses, Dues & Subscr | $819,209 | $89,827 | $729,188 | $194 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,080 | TotalAmt |
| Program Services | $571,883 | ProgramServicesAmt |
| Management And General | $104,197 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,926,895 | TotalAmt |
| Program Services | $29,309,761 | ProgramServicesAmt |
| Management And General | $7,462,040 | ManagementAndGeneralAmt |
| Fundraising | $155,094 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,707,149 | BOYAmt |
| EOY | $5,346,688 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,242,792 | BOYAmt |
| EOY | $9,963,480 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $905,157 | BOYAmt |
| EOY | $1,009,301 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,199 | BOYAmt |
| EOY | $832,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,485,942 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,868,779 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,600,373 | BOYAmt |
| EOY | $23,617,163 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,112,911 | BOYAmt |
| EOY | $14,329,654 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,993,373 | BOYAmt |
| EOY | $1,550,065 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,043,954 | BOYAmt |
| EOY | $56,648,733 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,347,310 | BOYAmt |
| EOY | $3,106,520 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,554 | BOYAmt |
| EOY | $95,376 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,576,794 | BOYAmt |
| EOY | $21,870,979 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $510,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,999,658 | BOYAmt |
| EOY | $25,582,875 | 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 | $26,656,509 | BOYAmt |
| EOY | $30,095,259 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,387,787 | BOYAmt |
| EOY | $970,599 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,044,296 | BOYAmt |
| EOY | $31,065,858 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,043,954 | BOYAmt |
| EOY | $56,648,733 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,791,934 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$316,381 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$453,991 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $9,405 | BeginningBalanceAmt |
| Additions During Year | $21,543 | AdditionsDuringYearAmt |
| Distributions During Year | $10,860 | DistributionsDuringYearAmt |
| Ending Balance | $20,088 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,409,626 | BeginningYearBalanceAmt |
| Contributions | $2,261 | ContributionsAmt |
| Investment Earnings Or Losses | -$107,676 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $8,028 | AdministrativeExpensesAmt |
| End Year Balance | $1,296,183 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,372,317 | BeginningYearBalanceAmt |
| Contributions | $2,190 | ContributionsAmt |
| Investment Earnings Or Losses | $55,669 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,860 | OtherExpendituresAmt |
| Administrative Expenses | $7,690 | AdministrativeExpensesAmt |
| End Year Balance | $1,409,626 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,378,426 | BeginningYearBalanceAmt |
| Contributions | $8,920 | ContributionsAmt |
| Investment Earnings Or Losses | $135,991 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $141,348 | OtherExpendituresAmt |
| Administrative Expenses | $9,672 | AdministrativeExpensesAmt |
| End Year Balance | $1,372,317 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,266,339 | BeginningYearBalanceAmt |
| Contributions | $2,941 | ContributionsAmt |
| Investment Earnings Or Losses | $152,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $37,573 | OtherExpendituresAmt |
| Administrative Expenses | $6,250 | AdministrativeExpensesAmt |
| End Year Balance | $1,378,426 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,230,137 | BeginningYearBalanceAmt |
| Contributions | $2,879 | ContributionsAmt |
| Investment Earnings Or Losses | $39,389 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,066 | AdministrativeExpensesAmt |
| End Year Balance | $1,266,339 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.25120 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.71760 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03120 | 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 | $867,280 | OtherCostOrOtherBasisAmt |
| Book Value | $867,280 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,005,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,981,360 | DepreciationAmt |
| Book Value | $18,024,631 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,284,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,920,556 | DepreciationAmt |
| Book Value | $3,364,283 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,327,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,966,863 | DepreciationAmt |
| Book Value | $1,360,969 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,617,163 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated Third Party Payor Setlements | Desc |
| Amt | $510,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $510,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $39,453,299 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$316,381 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$1,033,928 | OtherRevenueAmt |
| Revenue Not Reported | -$1,350,309 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,803,608 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$84,779 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$84,779 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $40,718,829 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $35,988,429 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $106,322 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $106,322 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,882,107 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,044,788 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,044,788 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $36,926,895 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 1b: | The assets of St. John's Hospital Auxiliary are held by Cabinet Peaks Medical Center. The auxiliary account balances were not included in the balance sheet as they are not recorded for audit purposes. |
| Part V, Line 4: | The Endowment was created to help with the capital needs of Cabinet Peaks Medical Center as they arise. This can include but is not limited to equipment, building projects, and health related programs. A strict Endowment Income Distribution Policy is in place and adhered to. |
| Part X, Line 2: | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for bad debts recorded in revenue on financial statements -1,033,928. |
| Part XI, Line 4b - Other Adjustments: | Auxiliary revenue not included in financial statements 21,543. Rent expenses recorded in expenses on financial statements -106,322. |
| Part XII, Line 2d - Other Adjustments: | Rent expenses recorded in expenses on financial statements 106,322. |
| Part XII, Line 4b - Other Adjustments: | Auxiliary expenses not included in financial statements 10,860. Provision for bad debts included in revenue in financial statements 1,033,928. |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $365,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $365,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $365,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $365,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 653 | PersonsServedCnt |
| Total Community Benefit Expns | $38,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,320 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,634 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,739,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,011,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,728,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04820 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,478 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 653 | PersonsServedCnt |
| Total Community Benefit Expns | $2,781,340 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,012,495 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,768,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 653 | PersonsServedCnt |
| Total Community Benefit Expns | $3,146,340 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,012,495 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,133,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05950 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $699 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $699 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,033,928 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,017,767 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,062,797 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$45,030 | 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 | Cabinet Peaks Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 209 Health Park Drive | AddressLine1Txt |
| City | Libby | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cabinetpeaks.org | WebsiteAddressTxt |
| State License | 13545 | 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 | 2 provider based/2 non-provider based clinics | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cabinet Peaks Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cabinetpeaks.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cabinetpeaks.org | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 | www.cabinetpeaks.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.cabinetpeaks.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.cabinetpeaks.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cabinet Peaks Medical Center | Part V, Section B, Line 5: In July 2017, surveys were mailed out to the residents in Cabinet Peak Medical Center's service area. Additionally, two focus groups were held to identify important local healthcare issues, how to improve the health of the community and gaps in health services. It was intended that this research would help determine the awareness of local programs and services, as well as the level of satisfaction with local services, providers, and facilities.A Steering Committee was convened to assist Cabinet Peaks Medical Center in conducting CHSD. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together in May 2017. 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. The Steering Committee was comprised of public leaders including members of other healthcare organizations, school system, athletic clubs, local politicians, governmental organizations, public health, community service organizations, etc.An Implementation Planning Committee was comprised of Cabinet Peaks Medical Center's leadership team. |
| Cabinet Peaks Medical Center | Part V, Section B, Line 11: Goal 1: Assure access to healthcare services in Lincoln County through increasing community knowledge of primary and specialty care services. In FY20, We have created Same Day appointment slots (a minimum of 4 per provider per day) that are available. Marketing has worked diligently to disseminate a message to the community about the availability of Same Day Appointments. Psychiatry via telehealth will now be available for utilization at the Family Medicine clinic for their patient base to provide consultations and follow up care collaboratively with the Primary Care Providers. Additional actions were accomplished in previous fiscal years.Goal 2: Enhance community collaboration to promote community health in Lincoln County. A Cabinet Peaks employee serves as a member of the Lincoln City/County health board and continues to ensure appropriate stakeholders/projects are included through this forum. CPMC continues to participate in the Lincoln County Health Alliance Project working to improve population health through integrated health information exchange platforms. LCHA received an Outreach Grant for 2018-2021 and completed multiple projects aimed at improving interoperability within the Alliance. Additional actions were accomplished in previous fiscal years.Goal 3: Increase Cabinet Peaks Medical Center's education and outreach to improve the community's health as well as knowledge of available and affordable healthcare services. CPMC has continued our employment of Patient Account representatives to assist patients. Additionally, registration In-Services have been held to educate staff about insurances. Additional actions were accomplished in previous fiscal years. CPMC continues to participate in events such as CHC Fundraiser, Youth Runnerfell, PIP Fun Run, STOKR ,etc and plan to continue to do so for the foreseeable future. CPMC hosted our annual Community Health Fair. The Fair was well received and over 500 community members were served. Cabinet Peaks hosted annual "Paint it Pink" event. This year, the month held a fun run, logger week, dessert, PNAC week, Bling a bra, Hava Java, Flocking Season, Ladies Night Out, Jeans Day, Brews for Benefits, Paint the Town Pink Day, Chick Flick Night, Bracelet Sales, Etc. Proceeds from this year Paint it Pink events went towards providing mammograms and breast ultrasounds for the uninsured in our services area. Additionally, Cabinet Peaks hosted its annual Breast Health Awareness Dessert. Cabinet Peaks also continued its medical mentorship program for area high school students.Goal 4: Enhance outreach to the community by promoting healthy living for Seniors in Lincoln County. CPMC continues to educate the community on the new behavioral health program 'Senior Life Solutions.' CPMC partnered with LCCP to develop a senior resource directory and assisted with dissemination of the directory. The Palliative Care program is up and running at Cabinet Peaks Medical Center.Goal 5: Enhance and support community programs and activities that address behavioral health, mental health and chemical dependency services in Lincoln County. CPMC continues its 'Senior Life Solutions' program focusing on intensive outpatient therapy for seniors (65+). CPMC continues its participation on Unite for Youth Board and Coalition. CMPC continues its participation on Lincoln County Mental Health Coalition. CPC started providing telepsychiatry services November 2019 for direct patient care and BHC consultations. CPMC meets monthly with other healthcare/community partners with local chemical dependency program to enhance care transitions for patients in need. CPMC calls AA and Al-Anon to provide onsite support and education at CPMC as needed. CPMC continues supporting the prescription disposal program. |
| Cabinet Peaks Medical Center | Part V, Section B, Line 13h: Cabinet Peaks Medical Center also uses an asset test. A patient must meet both the income and asset criteria. |
| Cabinet Peaks Medical Center | Part V, Section B, Line 16j: A summary of the financial assistance policy is provided with billing invoices and is posted in the facility's emergency room and waiting rooms and a summary brochure is also posted on the Hospital's website. |
| Cabinet Peaks Medical Center | 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. FAP-eligible patients without insurance may be charged gross charges on elective procedures. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Cabinet Peaks Medical Center also uses an asset test. A patient must meet both the income and asset criteria. |
| Part I, Line 6a: | The Organization's community benefit report can be found on its website at www.cabinetpeaks.org. |
| Part I, Line 7: | Charity care expense was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Community health improvement services, line 7e, health professions education, line 7f, and cash and in-kind contributions, line 7i, are reported based on actual expenses. The cost for subsidized health services on line 7g was determined using the Medicare cost report. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,033,928. |
| Part II, Community Building Activities: | The Hospital is involved in various community activities that are indirectly related to the health and well-being of the community. Employees actively participate on the boards of other non-profits and organizations that promote economic development. Community building activities are essential to the economic growth of the community which in turn affects access to healthcare and overall better health for all individuals in the area. |
| Part III, Line 2: | Bad debt is the unpaid obligation for care provided to patients who may be unable or unwilling to pay or who do not qualify for charity care. Prior to any account being classified as bad debt, all payments are applied including contractual allowances and discounts from Medicare, Medicaid, and insurance companies. Accounts from patients qualifying for charity care or the SharePay sliding scale financial assistance program are not written off to bad debt. Every effort is made with the patient in an attempt to collect the outstanding balance. Payments on accounts that were written off as bad debt reduces bad debt expense.The Organization's bad debt is reported as charges incurred during the year. |
| Part III, Line 3: | Cabinet Peaks Medical Center budgets for and monitors the level of charity care it provides. The estimated amount of the Organization's bad debt expense attributable to patients eligible under the Organization's charity care policy cannot be estimated due to the expectation that all eligible individuals would apply for financial assistance. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes bad debt expense is located on pages 12-13 of the attached financial statements. |
| Part III, Line 8: | The expenses represent an overall shortfall for the Medicare patient population. The costs themselves are a community benefit as the community would not receive these services if we did not provide them.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 Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | There are no collection efforts for patients that qualifed for Share Pay. However, there may be collection actions on their personal portion not covered by Share Pay. Our sliding scale financial assistance program is designed to meet the medical financial obligations of the uninsured and underinsured. |
| Part VI, Line 2: | CPMC utilizes a third party to collect patient input and perspective. This company calls a sample of our patients who received services in Acute Care, Emergency Department and Surgery to see if we are meeting their expectations. CPMC reviews the compiled data and comments monthly. Additionally, CPMC holds a yearly Patient and Family Advisory Council (PFAC) Focus Group meeting to listen to what our patients have to say about the care and services they receive. This group participates by openly answering questions about their experience, what worked and what did not as well as an opportunity for them to make suggestion on ways we can improve in the future.Thirdly, annually we invite a patient who received less than excellent care to attend one of CPMC's Board of Director's meetings to speak about their experiences and offer insight into ways we can improve.In addition to these formal methods for feedback, we are continuously rounding with patients to ensure their needs are met and we regularly attend community events and meetings to stay abreast on our community's needs and initiative. A complete community health needs assessment was conducted and completed during the 2018 fiscal year. Cabinet Peaks Medical Center participated in the Community Health Services Development (CHSD) process, a Community Health Needs Assessment (CHNA), conducted by the Montana Office of Rural Health (MORH). Community involvement in steering committee meetings and focus groups enhanced the community's engagement in the assessment process. The hospital also completed and the Board approved our implementation plan with MORH for the CHNA in FY18. Over the past two years CPMC has made significant progress on achieving the items identified in the implementation plan. |
| Part VI, Line 3: | CPMC publicizes the availability of financial assistance through the following methods:A. Postage of signage in the Patient Admitting and Registration areas as well as the Emergency Department and other areas throughout the Hospital's facilities offering meaningful visibility;B. Posting the Financial Assistance Policy, the Financial Assistance Application, and the Plain-Language Summary on CPMC's website;C. Including the Plain-Language Summary in patient registration materials and inpatient handbooks; andD. Including the Plain-Language Summary in materials offered to each patient as part of the intake or discharge process.CPMC also includes in each billing statement sent to the patient a statement regarding the availability of financial assistance, including a website address where the Financial Assistance Policy, Financial Assistance Application, and the Plain Language Summary can be found as well as a phone number for information about the Financial Assistance Policy and application process. In addition, the hospital employs self-pay account representatives to assist patients in determining if they qualify for free or discounted care. The account representatives also provide hands-on assistance to patients applying for other financial assistance such as CHIP's, heating assistance, Medicaid, and WIC. Applications for charity care are also discussed at registration and discharge and with patients who have bills that are past due. |
| Part VI, Line 4: | Cabinet Peaks Medical Center is located in Libby, a very remote town in northwestern Montana. Libby is 72 miles south of the Canadian border, 89 miles northwest of Kalispell, Montana, and 35 miles east of the Idaho border. Libby is the county seat for Lincoln County. Due to its remote nature, Libby relies upon transport services, including helicopter and fixed wing transports, to ensure patients requiring specialized care can travel the longer distances to access larger facilities, usually in Spokane, Kalispell, or Missoula. The closest hospital is Bonner General Hospital about 47 miles from Libby in Sandpoint, ID, which is also of a somewhat limited scope of practice. The next largest hospital with more specialized and high acuity services is Kalispell Regional Medical Center 90 miles from Libby.CPMC has been designated a Medically Underserved Population and a Health Professional Shortage Area due to our economic challenges, lack of resources and remote location. We are a relatively poor county, with 22.8% of Libby population being at or below the poverty level, compared to a state average of 15.2%. |
| Part VI, Line 5: | Cabinet Peaks Medical Center operates a 25 bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including a variety of rehab and therapy services, infusion and chemotherapy, family medicine, imaging, and lab. Patients often do not have the luxury of time or money or the physical strength necessary to make the 90 mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care. Emergency and other medically necessary services are provided to all persons, regardless of their ability to pay.In addition to the services provided within the Hospital campus, Cabinet Peaks also does a considerable amount of outreach to promote the health of the community. Organizing and funding a community health fair, providing discounted services for mammography and laboratory tests, providing speakers for health lectures, promoting hospital tours for the schools, and providing internship opportunities for the schools are just a few ways Cabinet Peaks partners to promote the health of the community. Cabinet Peaks' mission is to provide quality compassionate care to its community. A majority of Cabinet Peaks' Board of Directors is comprised of residents and/or business owners of Lincoln County. With the exception of the Medical Staff representative on the Board, none of the Board members are Cabinet Peak's contractors or employees, meaning they truly do serve the needs of the community. In order to ensure the appropriate medical staff and services are available for patients, Cabinet Peak's medical staff privileges are open to all qualified, licensed physicians in the community and are also extended to physicians who visit Lincoln County in order to offer additional services to our residents. Additionally, in order to ensure the future success of Cabinet Peaks, any and all surplus funds generated by the Hospital are reinvested into operations, capital equipment and infrastructure, including facility upkeep. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Serra DO | ||||||||||||||
| Physician | $400,270 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $20,727 | $0 | $434,997 | $0 | $0 | $0 |
| Mark Harding MD | ||||||||||||||
| Physician | $327,029 | $0 | $6,667 | $0 | $0 | $0 | $13,251 | $0 | $30,107 | $0 | $377,054 | $0 | $0 | $0 |
| Kathryn Cockerham MD | ||||||||||||||
| Physician | $324,194 | $0 | $0 | $0 | $0 | $0 | $5,600 | $0 | $30,107 | $0 | $359,901 | $0 | $0 | $0 |
| Bruce Whitfield | ||||||||||||||
| CEO | $236,830 | $0 | $46,351 | $0 | $29,493 | $0 | $16,365 | $0 | $27,175 | $0 | $356,214 | $0 | $0 | $0 |
| Brigid Burke | ||||||||||||||
| CFO | $133,419 | $0 | $15,667 | $0 | $150,865 | $0 | $26,505 | $0 | $15,375 | $0 | $341,831 | $0 | $36,500 | $0 |
| Brian Bell MD | ||||||||||||||
| Trustee/Chief Medical Officer | $223,180 | $0 | $22,500 | $0 | $0 | $0 | $10,039 | $0 | $24,048 | $0 | $279,767 | $0 | $0 | $0 |
| Jay Maloney MD | ||||||||||||||
| Physician | $238,349 | $0 | $0 | $0 | $0 | $0 | $10,816 | $0 | $24,891 | $0 | $274,056 | $0 | $0 | $0 |
| Sara Mertes MD | ||||||||||||||
| Physician | $220,243 | $0 | $5,481 | $0 | $0 | $0 | $11,387 | $0 | $10,130 | $0 | $247,241 | $0 | $0 | $0 |
| Anita Ivankovig | ||||||||||||||
| CNO thru 9/6/2019 | $109,562 | $0 | $17,547 | $0 | $0 | $0 | $6,545 | $0 | $16,728 | $0 | $150,382 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | Bruce Whitfield and Brigid Burke both participate in a non-qualified 457 SERP plan through Kalispell Regional Health. KRH makes annual contributions to that plan. |
| Part I, Line 7 | Bruce Whitfield, Brigid Burke, and Anita Ivankovig have "compensation at risk" that is provided based on performance metrics. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Melanie Courteau | |||
| Daughter of Board Member | $55,249 | Employment | 0 |
| Morgan Bell | |||
| Daughter of Board Member | $22,160 | Employment | 0 |
| Michelle Mudgett | |||
| Spouse of Officer | $18,056 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | The organization acquired a General Surgery clinic in August 2019. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee has the delegated authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair, Secretary/Treasurer, Chief of Staff, Past Chair and one Member at Large. All members of the Executive Committee are also members of the governing body. |
| Form 990, Part VI, Section A, line 2 | Steve Sorensen and Sarah Sorensen have a family relationship. |
| Form 990, Part VI, Section B, line 11b | A draft copy of the Form 990 will be reviewed in detail by the CFO. The entire board is then provided a copy for review prior to filing of the Form 990 return. |
| Form 990, Part VI, Section B, line 12c | The organization reviews the policies for conflict of interest annually for all officers, directors, and key employees along with an annual submission of a conflict of interest form. The board oversees the process and any potential conflicts are discussed by the board. Should a conflict be determined, the conflicted individual abstains from voting on the conflicted issue. |
| Form 990, Part VI, Section B, line 15 | Cabinet Peak Medical Center's (CPMC) Board of Trustees has contracted with Kalispell Regional Medical Center (KRMC) for purposes of employing CPMC's CEO and CFO. KRMC passes on the associated employment expenses to CPMC. While the CEO and CFO are employed by KRMC, the CPMC Board retains control of these positions and of related decisions. The CFO reports to the CEO, and the CEO reports to CPMC's Board. The CEO and CFO are considered common law employees of Cabinet Peaks Medical Center. Administration reviews independent salary surveys and other comparability data to determine fair market compensation amounts and also takes into account local economic factors and specific job responsibilities. This is done on an annual basis as part of the budgeting process, The Board reviews Administration's recommendations for rate adjustments annually during the budget process. The Board also determines compensation for the CEO. The Board determines compensation for the CEO based on independent salary surveys and other comparability data to determine fair market compensation, taking into account local economic factors and specific job responsibilities. In addition to CPMC's Board determining compensation for the CEO, Kalispell Regional Medical Center also has a process in place to review the market reasonableness of the CEO and CFO positions. |
| Form 990, Part VI, Section C, line 19 | Our Mission and Vision statement, conflict of interest policy, and annual financial statements are available to the public upon request. Requests may be in person, by e-mail, in writing, or by telephone. |
| Form 990, Part IX, line 11g | Contract Labor: Program service expenses 1,695,083. Management and general expenses 124,971. Fundraising expenses 0. Total expenses 1,820,054. Purchased Services: Program service expenses 1,321,454. Management and general expenses 417,135. Fundraising expenses 0. Total expenses 1,738,589. Professional Fees: Program service expenses 675,875. Management and general expenses 127,552. Fundraising expenses 1,857. Total expenses 805,284. Recruitment: Program service expenses 37,302. Management and general expenses 21,552. Fundraising expenses 0. Total expenses 58,854. |
| Form 990, Part XI, line 9: | St. John's Hospital Auxiliary activity -10,683. Change in Interest in Net Assets of Foundation -443,308. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St John's Lutheran Hospital Foundation | |||||||||||
| 350 Louisiana Avenue | Libby | MT | 59923 | 810425832 | Support the development of Cabinet Peaks Medical Center | MT | 501(c)(3) | Line 7 | N/A | 0 | |
| St John's Real Estate Corporation | |||||||||||
| 350 Louisiana Avenue | Libby | MT | 59923 | 201538952 | Support the development of Cabinet Peaks Medical Center | MT | 501(c)(2) | N/A | Yes (1) | Cabinet Peaks Medical Center | |
| 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 | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cabinet Peaks Medical Center Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $479,662 | InvolvedAmt |
| Method Of Amount Determination | General Ledger | MethodOfAmountDeterminationTxt |