FALLON MEDICAL COMPLEX INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: FALLON MEDICAL COMPLEX INC (EIN 36-3808993)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-04-07
IRS object ID: 202010989349300206
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-04-07T08:36:37-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363808993	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Fallon Medical Complex Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FALL	BusinessNameControlTxt
Phone	4067783331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 820	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59313	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David Espeland	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4067783331	PhoneNum
Signature	2020-04-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim C Hunwardsen	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2020-04-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.147.181.49	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-04-02	IPDt
IP Tm	11:02:27	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5755687E6BF8D8D10BDE3B83E6631EF3D64C584D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	David Espeland	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 820	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59313	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$11,291,450	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.fallonmedical.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	Providing healthcare services	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	119	TotalEmployeeCnt
Total Volunteers	65	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$262,488	PYContributionsGrantsAmt
CY Contributions Grants	$179,735	CYContributionsGrantsAmt
PY Program Service Revenue	$10,987,374	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,087,683	CYProgramServiceRevenueAmt
PY Investment Income	$483	PYInvestmentIncomeAmt
CY Investment Income	-$7,858	CYInvestmentIncomeAmt
PY Other Revenue	$4,120	PYOtherRevenueAmt
CY Other Revenue	$3,159	CYOtherRevenueAmt
PY Total Revenue	$11,254,465	PYTotalRevenueAmt
CY Total Revenue	$11,262,719	CYTotalRevenueAmt
PY Grants And Similar Paid	$33,727	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$39,474	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,678,084	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,430,460	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,813,717	PYOtherExpensesAmt
CY Other Expenses	$6,228,356	CYOtherExpensesAmt
PY Total Expenses	$10,525,528	PYTotalExpensesAmt
CY Total Expenses	$10,698,290	CYTotalExpensesAmt
PY Revenues Less Expenses	$728,937	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$564,429	CYRevenuesLessExpensesAmt
Total Assets BOY	$18,158,773	TotalAssetsBOYAmt
Total Assets EOY	$19,363,593	TotalAssetsEOYAmt
Total Liabilities BOY	$801,139	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,346,633	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,357,634	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$18,016,960	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Fallon Medical Complex, in its innovative pursuit of Friends Healing Friends, provides comfort, compassion, and excellence in the promotion of quality of life to all individuals.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$8,049,259	ExpenseAmt
Grant	$39,474	GrantAmt
Revenue	$9,752,133	RevenueAmt
Desc	FMC is a sole community provider of healthcare services in rural Fallon County, Montana. It is predominantly a primary care provider for its service area, consisting of a number of entities structured under a charitable non-profit corporation. It strives to excel at offering family practice and preventative health outpatient services, routine hospital, lab and fully digital diagnostic services, 24-hour emergency care, intermediate swing bed long-term care, home-based skilled and personal care, and physical and occupational therapy.Fallon Medical Complex (FMC) provides quality health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation of FMC, it is recognized that not all individuals possess the ability to purchase these essential services. It is the FMC's mission to serve the surrounding area by providing health care services to all community members.FMC provides medical services to individuals who are determined unable to purchase such services through FMC's Financial Assistance policy and guidelines. In addition to free and/or subsidized care, services are also provided at below cost rates to persons covered by government programs. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. The unreimbursed value of providing care to these patients, based on established rates is $51,000 for the year ended June 30, 2019. FMC's Critical Access Hospital provides 24 hour x 7 days a week Emergency Room services, observation, Acute Care, Swing Bed services and onsite ancillary lab and diagnostic imaging services. During fiscal year ended June 30, 2019, FMC provided over 266 days of hospital services, 5,181 days of swing bed care, 1,091 ER visits, and over 8,600 outpatient visits.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,411,665	ExpenseAmt
Revenue	$1,335,550	RevenueAmt
Desc	FMC Community Clinic (Rural Health Clinic) operates under the same mission as FMC by providing family health care to over 8,200 patient visits per year. The four providers (one physician and three mid-levels) also provide ER coverage 24 hours, 7 days a week.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$19,409	ExpenseAmt
Desc	One of FMC's operating philosophies states that education programs are necessary to enhance the competence of personnel in the healthcare system as well as to assist in the attainment of both personal and organizational goals. To this end, not only does the organization routinely budget $35,000 or more in continuing education for its employees, it also provides job shadowing to area students (typically 3-5 students per year) who may be interested in a healthcare career, in addition to offering routine Certified Nursing Assistant training programs (to about 5-10 prospective aides per year).FMC also hosts numerous college students seeking careers as doctors (1-2 per year), physician assistants (1-2 per year), and various other disciplines, such as nursing, radiology & laboratory technology and physical therapy. FMC further believes that it is its responsibility to take a leadership role in informing the public about healthcare subjects of relevance or interest through community education. This objective is supported through a number of channels, which includes routine "Lunch and Learn" sessions provided by medical professionals (about 6 times per year), weekly public service announcements on the local radio station, and an annual health fair which is attended by people from all over the service area.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$9,480,333	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	17	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	119	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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	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	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marjorie Losing	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4067785303	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 820	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	593130820	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Betty Mueller
President	0.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
Doug Varner
Vice President	0.50	0.50	Yes (X)	Yes (X)	$0	$0	$0
Richard Menger
Secretary	0.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
Merri Burns
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Shane Bettenhausen
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Bryant Steen
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Alice Kay Schweigert
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
David Espeland
Chief Executive Officer	40.00	0.00		Yes (X)	$129,177	$0	$22,795
Marjorie Losing
Chief Financial Officer	40.00	0.00		Yes (X)	$82,258	$0	$7,192
Travis Allen
PA	40.00	0.00			$135,091	$0	$19,048	Yes (X)
George Ceremuga
DO	40.00	0.00			$132,052	$0	$4,097	Yes (X)
Susan G Lunde
DON	40.00	0.00			$101,620	$0	$12,534	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$580,198	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$65,666	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	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
Rural Medical Partners
4956 Curran Court	Grand Forks	ND	58201	Locum Physicians	$728,047
MT Health Network
111 S 7th St Ste 241	Miles City	MT	59301	Contracted Nursing and Xray	$544,228
Prairie Travelers
130 3rd St S 2	Glasgow	MT	59230	Contract Nursing	$204,745
Focus Staff Services
8848 Greenville Ave	Dallas	TX	75243	Contract Staffing	$179,414
NXC Imaging
2118 4th Ave S	Minneapolis	MN	55485	Software and Maintenance	$140,895

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$20,012	RelatedOrganizationsAmt
Government Grants	$99,919	GovernmentGrantsAmt
All Other Contributions	$59,804	AllOtherContributionsAmt
Total Contributions	$179,735	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	622110	$10,116,803	$10,116,803
County Subsidy	900099	$871,524	$871,524
Meals on Wheels	722212	$61,261	$61,261
Cafeteria	722212	$19,724	$19,724
Miscellaneous	900099	$18,371	$18,371

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,087,683	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$709	TotalRevenueColumnAmt
Exclusion	$709	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$19,000	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,841	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,159	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,159	TotalRevenueColumnAmt
Exclusion	$3,159	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,323	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$12,890	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$8,567	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,567	TotalRevenueColumnAmt
Exclusion	-$8,567	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,262,719	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,087,683	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$4,699	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$39,474	TotalAmt
Program Services	$39,474	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$252,115	TotalAmt
Management And General	$252,115	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$32,480	TotalAmt
Program Services	$32,480	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,372,543	TotalAmt
Program Services	$2,937,832	ProgramServicesAmt
Management And General	$434,711	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$55,194	TotalAmt
Program Services	$50,601	ProgramServicesAmt
Management And General	$4,593	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$449,723	TotalAmt
Program Services	$379,713	ProgramServicesAmt
Management And General	$70,010	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$268,405	TotalAmt
Program Services	$219,082	ProgramServicesAmt
Management And General	$49,323	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,334,405	TotalAmt
Program Services	$3,259,457	ProgramServicesAmt
Management And General	$74,948	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$19,597	TotalAmt
Program Services	$8,209	ProgramServicesAmt
Management And General	$11,388	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$133,260	TotalAmt
Program Services	$106,019	ProgramServicesAmt
Management And General	$27,241	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$172,968	TotalAmt
Program Services	$152,697	ProgramServicesAmt
Management And General	$20,271	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$228,720	TotalAmt
Program Services	$227,630	ProgramServicesAmt
Management And General	$1,090	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$14,304	TotalAmt
Program Services	$8,999	ProgramServicesAmt
Management And General	$5,305	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,314	TotalAmt
Program Services	$1,314	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$907,864	TotalAmt
Program Services	$765,003	ProgramServicesAmt
Management And General	$142,861	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$109,734	TotalAmt
Program Services	$72,441	ProgramServicesAmt
Management And General	$37,293	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$520,546	$520,546
Repairs and Maintenance	$450,414	$386,583	$63,831
Bad Debt	$188,677	$188,677
Food	$97,559	$97,559

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,994	TotalAmt
Program Services	$26,017	ProgramServicesAmt
Management And General	$22,977	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,698,290	TotalAmt
Program Services	$9,480,333	ProgramServicesAmt
Management And General	$1,217,957	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,639,846	BOYAmt
EOY	$5,479,779	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,399,100	BOYAmt
EOY	$2,965,972	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$205,808	BOYAmt
EOY	$190,271	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$125,510	BOYAmt
EOY	$23,114	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$21,699,675	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$12,420,631	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,506,147	BOYAmt
EOY	$9,279,044	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$68,154	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,262,362	BOYAmt
EOY	$1,357,259	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,000	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,158,773	BOYAmt
EOY	$19,363,593	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$684,107	BOYAmt
EOY	$732,040	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$50,537	BOYAmt
EOY	$4,387	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$498	BOYAmt
EOY	$330	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,059	BOYAmt
EOY	$69,876	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,938	BOYAmt
EOY	$540,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$801,139	BOYAmt
EOY	$1,346,633	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,006,251	BOYAmt
EOY	$17,675,997	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$168,334	BOYAmt
EOY	$147,914	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$183,049	BOYAmt
EOY	$193,049	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,357,634	BOYAmt
EOY	$18,016,960	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$18,158,773	BOYAmt
EOY	$19,363,593	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$564,429	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$94,897	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$244,418	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$1,403	InvestmentEarningsOrLossesAmt
End Year Balance	$255,821	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,715	BeginningYearBalanceAmt
Investment Earnings Or Losses	$703	InvestmentEarningsOrLossesAmt
End Year Balance	$244,418	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,034	BeginningYearBalanceAmt
Investment Earnings Or Losses	$681	InvestmentEarningsOrLossesAmt
End Year Balance	$243,715	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$230,502	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$2,532	InvestmentEarningsOrLossesAmt
End Year Balance	$243,034	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$208,676	BeginningYearBalanceAmt
Contributions	$21,794	ContributionsAmt
Investment Earnings Or Losses	$1,032	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
End Year Balance	$230,502	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.16440	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.75460	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08100	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	$96,521	OtherCostOrOtherBasisAmt
Book Value	$96,521	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,149,458	OtherCostOrOtherBasisAmt
Depreciation	$9,622,772	DepreciationAmt
Book Value	$8,526,686	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,149,447	OtherCostOrOtherBasisAmt
Depreciation	$2,616,756	DepreciationAmt
Book Value	$532,691	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$304,249	OtherCostOrOtherBasisAmt
Depreciation	$181,103	DepreciationAmt
Book Value	$123,146	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,279,044	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investment in Foundation	Desc
Book Value	$1,357,259	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$1,357,259	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Due to County	$60,000
Estimated Third Party Payor Settlements	$480,000

Field	Value	IRS element (for citing)
Total Liability	$540,000	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$11,184,780	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$93,780	OtherRevenueAmt
Revenue Not Reported	-$93,780	RevenueNotReportedAmt
Revenue Subtotal	$11,278,560	RevenueSubtotalAmt
Other Revenues Not Included	-$15,841	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$15,841	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$11,262,719	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$10,525,454	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$15,841	OtherExpensesIncludedAmt
Expenses Not Reported	$15,841	ExpensesNotReportedAmt
Expenses Subtotal	$10,509,613	ExpensesSubtotalAmt
Other Expenses Not Included	$188,677	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$188,677	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$10,698,290	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	The complex acts as a custodian for the funds of some residents. Resident funds totaled $330 and $498 at June 30, 2019 and 2018, respectively.
Part V, Line 4:	Friends of FMC Foundation, Inc. holds the permanently restricted funds to provide a source of income to be used for Long Term Care, and/or equipment purchases on behalf of Fallon Medical Complex, and for scholarships. The principal has been invested and the generated income (temporarily restricted) is used for said purpose.
Part X, Line 2:	The Complex is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Complex is also exempt from state income taxes. The Complex is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Complex is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Complex has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Complex believes it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Complex 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:	Equity in Earnings of Affiliate recorded in revenue for financial statements 94,897. Provision for Bad Debts -188,677.
Part XI, Line 4b - Other Adjustments:	Rental Expenses recorded in revenue for Form 990 -15,841.
Part XII, Line 2d - Other Adjustments:	Rental Expenses recorded in revenue for Form 990 15,841.
Part XII, Line 4b - Other Adjustments:	Provision for Bad Debts 188,677.

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
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$52,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,140,102	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$825,522	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$314,580	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,009	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$1,235,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$846,531	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$388,578	NetCommunityBenefitExpnsAmt
Total Expense	0.03690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,611	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,717	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,894	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,789,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,895,589	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$893,846	NetCommunityBenefitExpnsAmt
Total Expense	0.08510	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$696	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,941,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,952,306	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$989,436	NetCommunityBenefitExpnsAmt
Total Expense	0.09420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$4,176,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,798,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,378,014	NetCommunityBenefitExpnsAmt
Total Expense	0.13110	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$937	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$937	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$501	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$501	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$611	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$611	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$159,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,261	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,402	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$164,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,261	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$188,677	BadDebtExpenseAmt
Bad Debt Expense Attributable	$10,906	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,414,012	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,409,609	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,403	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	Fallon Medical Complex Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	202 South 4th Street West	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59313	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.fallonmedical.org	WebsiteAddressTxt
State License	13128	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Outpatient Clinic - RHC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Fallon Medical Complex 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
CHNA Conducted	18	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	http://www.fallonmedical.org/	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	http://www.fallonmedical.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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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.fallonmedical.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.fallonmedical.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.fallonmedical.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
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Fallon Medical Complex, Inc.	Part V, Section B, Line 5: During the Community Health Services Development Process, Fallon Medical Complex conducted three focus group meetings that were open to the public. Steering committee participants were selected based on their involvement with community development and healthcare services, including: local business men and women, Fallon County commissioners, healthcare personnel, and representatives from the Council on Aging and the South Eastern Montana Area Revitalization Team (SMART).
Fallon Medical Complex, Inc.	Part V, Section B, Line 7d: Available in FMC's Quality Improvement Department
Fallon Medical Complex, Inc.	Part V, Section B, Line 11: Fallon Medical Complex (FMC) conducted a Community Health Needs Assessment (CHNA) during FY2016 in order to develop an implementation plan for FY2017 beginning July 1, 2016. That plan was adopted by our Board of Trustees on November 2, 2016. FY2019 is the third year of reporting under that plan.Our 2017 implementation plan identified four prioritized health needs as determined by the assessment process: 1) outreach and education, 2) primary care, 3) specialty care, 4) smoking prevalence. For the most part, our implementation plan largely addressed the formation of a framework for providing these services using our existing staff. We identified the most substantial barrier to be "resource limitations," which has been the case.1) Outreach & Education: Our PR Coordinator has continued to evaluate alternative modalities to share information (radio, newspaper, websites, social media), trying to determine which is the most effective and reasonably priced. In particular, she has been enhancing our presence on FaceBook, which seems to be viewed the most. In addition, we have continued to actively sponsor and participate in our local health fair, holding mini-health fairs throughout the year for major employers. In light of provider retirements and ongoing turnover, we have been educating the community on our plan for provider staffing in the clinic. Lastly, we did implement the 340B program in November 2016 to provide reasonably priced medications to low income individuals. 2) Primary Care: We did extend our clinic scheduling from one month in advance to six months in advance, and we are currently still working on a one-year schedule. However, due to our current dependency on locum tenens providers, we cannot obtain scheduling commitments out that far. We publish a color copy of our monthly staffing in the local newspaper, so that our patients can see who is available on each day. We continue to offer student camps, job shadow opportunities and rural clinical rotation experiences for medical students.3) Specialty Care: We worked diligently with other stakeholders to produce a community resource manual, and we dedicated a resource to develop fresh content for our website to educate the community about available services. We are continuing to offer Lunch-and-Learn programs during the winter months (summer months are not well-attended), which have included sessions on telemedicine and eEmergency.4) Smoking Prevalence: We embraced the process of evaluating the concept of a Smoke Free Medical Campus and developed a working policy and implementation plan. We provided the appropriate education and notification, in addition to posting signage throughout our campus. We also worked with our health insurance plan to create smoking cessation funding. All in all, this need was fully implemented and completed on September 1, 2016.During the CHNA process, a handful of needs were identified that we are not able to address:a) Offering optometry in our facility: For a number of years, we rented space to an out-of-town optometrist who offered his services once a week. When he retired, he was unable to convince the buyer of his practice to come to our town. We have been continuously searching for a replacement with no success. That type of service cannot be sustained 5-days a week in this community, so a new optometrist will need to provide outreach from a neighboring town.b) Offering additional programs in alcohol & substance abuse: A large number of CHNA participants identified this as a significant issue. While we can heighten people's awareness of alcohol and substance abuse through education, we do not have the population base to support a formal program. Even towns five times bigger than ours cannot seem to sustain such a program, so our providers routinely refer patients to programs in larger cities. Nevertheless, we offer alcohol and drug counseling over telemedicine with the Eastern MT Mental Health Center in Miles City, MT and Billings Clinic.c) Reducing the burden of traveling long distances to receive specialty services: Unfortunately, we do not have the population base to support specialty services. We have collaborated with neighboring facilities to offer routine 1-day clinics in our facility, but inevitably the providers find it too burdensome to sustain. We are, however, offering specialty consultations over telemedicine which has been very successful, greatly reducing the travel burden.d) Addressing the shortage of mental health resources and providers: It is widely recognized by healthcare providers statewide that there is a significant need to provide better mental health services. After studying this issue in collaboration with our peers in the Montana Health Network, we have identified two sizeable barriers: 1) there are no mental health professionals available to service our communities, and 2) there is no insurance reimbursement available to pay for the services. This is an ongoing topic that is discussed frequently in larger circles, but too substantial for us to solve on our own.Beyond all of that, an updated CHNA was completed at the end of FY2019 and a new implementation was being finalized at that time. Even though the new implementation plan, slated to start in FY2020, was not yet completed or adopted, we did work on three items contained in our 2019 CHNA:1) Chronic Care Services - we participated in a Chronic Care Management (CCM) HRSA grant during FY2019 with regional rural partners,2) Specialty Services - we hired a full time Occupational Therapist (OT) during FY2019 to work diligently on developing that service,3) Primary Care Services-we explored alternatives for the expansion of our primary care workforce during FY2019.
Fallon Medical Complex, Inc.	Part V, Section B, Line 16j: FMC provides a summary of the financial assistance policy to patients upon admission. FMC also attaches a summary of the policy to billing invoices and posts a plain language summary in the facility's emergency and waiting rooms, admissions offices, public health, courthouse, and senior citizen center.

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 - Community Clinic
202 South 4th Street West	Baker	MT	59313	Outpatient Clinic - RHC
2 - Wibaux Clinic
710 Drake Street	Wibaux	MT	59353	Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	We do include an asset and liability test for those who qualify between 200-250%. Anyone at or below 150% qualifies for free care. Anyone who does not qualify for free care, with income between 151% and 250% qualifies for discounted care. Because the test of discounted care considers net assets and the patient's medical bills are included in liabilities, a medically indigent could qualify for discounted care under this program.
Part I, Line 7:	Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Community health improvement services and community benefit operations and cash and in-kind contributions to community groups are based on costs recorded in the general ledger and estimated costs. Medicaid, Subsidized health services, and costs of other means-tested government programs are determined based on costing methods used to prepare the cost report.
Part I, Ln 7 Col(f):	The amount of bad debt expense removed from the denominator of the calculation was $188,677.
Part II, Community Building Activities:	FMC participates in a number of community building activities to improve our community. Our Foundation Coordinator has been a member of the local housing board, searching for ways to address our community's chronic housing shortage by facilitating the construction of new housing and the renovation of existing housing. In addition, FMC manages a senior independent living complex for Fallon County. Although the county does reimburse direct expenses for maintenance, one of our employees acts as a "property manager," coordinating tenant turnover, fielding questions or concerns, calling for property services, etc.From an economic development standpoint, our Foundation Director has also been a board member of our local Southeastern Montana Revitalization Team which is dedicated to revitalizing the economic climate in the area. They are focused on building community infrastructure, as well as attracting new businesses and finding ways to provide housing for incoming workers and their families. In addition, in an effort to help keep local commerce alive, our Foundation Coordinator actively participates in Baker Chamber of Commerce meetings and events, including hosting their monthly meeting on a rotating basis. One of the Chamber's primary events, the Fall Festival, is coordinated by FMC staff, who also participate in the Chili Cook-off event every year.To further support the community, a number of FMC employees frequently participate in disaster preparedness meetings and events through the Fallon County Local Emergency Preparedness Committee (LEPC). This group meets regularly to discuss disaster preparedness activities, to review the response of similar groups to disasters across the nation, to determine ways to enhance the effectiveness of disaster response in our area and to conduct table top exercises that simulate potential local disasters. We have also dedicated staff time and resources to acquiring knowledge in the Hospital Emergency Incident Command System (HEICS), a nationally recognized and practice program in incident management.In an effort to assist with leadership development, two staff members routinely provide assistance with youth leadership programs. For instance, one of our Physical Therapists has acted as a 4H leader for a number of years, participating in youth developmental programs that provide hands-on learning activities to youth. In addition, our CEO provides coaching and judging for our local Business Professionals of America (BPA) chapter, which teaches basic and advanced business skills to high school students. Our CEO has also acted as a judge for local Speech and Drama events, which helps high school students gain valuable skills in public speaking and performing.FMC participates in coalition building by contributing to collaborative efforts that address health and safety issues, including LEPC and HEICS mentioned earlier, with other healthcare entities and emergency service providers. To further provide continuity across our service area, our Chief of the Medical Staff is the County Health Officer for Carter, Fallon, and Wibaux Counties, routinely attending their meeting and providing medical control and guidance on relevant issues.One of our larger efforts to assist with community health improvement is to take an active role in offering, serving and significantly subsidizing noon meals to seniors. FMC collaborates with our local Council on Aging to serve 2,893 meals each year to seniors in our facility dining room as well as an additional 3,241 meals through Meals on Wheels. This program promotes health and well-being of our seniors by providing nutritious meals to those who might otherwise not receive them, especially those who are home bound.FMC's workforce development support is largely focused on healthcare careers. We annually work with the local school system to offer "Medical Explorers," which allows students to ask medical professionals questions about their job and learn about the myriad of healthcare careers. Some years we are able to secure a patient simulator to give students a real life experience. Additionally, we allow students of all levels to request an opportunity to job shadow a healthcare professional. In the past, students have observed lab techs, radiology techs, nurses, doctors and mid-levels in their daily activities of providing care for patients. Our CEO and Foundation Director serve on two Montana healthcare-related scholarship committees. Their participation on these committees promotes healthcare-related careers by helping to fund college educations.
Part III, Line 2:	Bad debt expense is reported as charges at gross charges recorded by the organization.Bad debts are expensed when accounts are determined uncollectible (charges less any payments or insurer discounts) and any payments toward bad debt are booked as bad debt recovery.
Part III, Line 3:	The estimated amount of bad debt expense attributable to patients eligible under the organization's charity care policy is 5.78% (based upon US Census Bureau Quickfacts for percent of citizens below the poverty level in Fallon County). Fallon Medical Complex is estimating the amount of bad debt to be charity care based on the percentage of demographics below charity care income/asset levels. This identifies a reasonable percentage of individuals who potentially qualify for charity care but may not have applied and therefore were written off to bad debt.
Part III, Line 4:	The footnote to the Organization's financial statements can be found on page 8 of the attached audited financial statements.
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:	Once a patient has been determined by FMC to be eligible for financial assistance, that patient shall not receive any future bills based upon undiscounted gross charges on approved account balances. Requests for financial assistance shall be processed promptly. FMC shall notify the patient in writing within 30 days of receipt of a completed application. Collection activity will be suspended while a financial assistance application is under review. Normal collection efforts will resume if the application is not returned in a timely fashion or after the write-off is complete and the patient owes a balance.
Part VI, Line 2:	We have traditionally received input about unmet community health care needs from a number of sources: a) citizens, board members, patients, and residents expressing an idea or a concern, b) suggestions from consultants who were hired to provide a study of our operations, c) the county or state health department providing observations or data regarding the health status of our specific population, d) staff members gleaning information from an education program or from reviewing professional journals and periodicals regarding the latest equipment or trends in patient and resident care, e) suggestions from the public posted on our website, etc. We have completed a formal Community Health Services Development assessment through Montana State University, the result of which is available on our website, www.fallonmedical.org. Subsequent to the CHNA, we developed a 3 year implementation plan to address the most important health needs in our community. This plan is also published on our website. Information from all of these sources is analyzed on a case by case basis by the department manager who would be responsible for implementing the program. The manager determines the program's merit relative to our stated mission as well as what resources would be necessary to implement the program. The manager submits the analysis to our internal Operational Review Committee, which looks at its impact facility-wide and its feasibility. If it progresses past this committee, it is then evaluated by our management team, who analyzes the finer details. Ultimately, it is discussed at the Board of Trustees level to seek their input and approval, if necessary.
Part VI, Line 3:	We notify our patients of our financial assistance program through a number of methods; (1) we post the charity care policy, or a summary thereof, and financial assistance contact information in admissions areas, emergency rooms, facility website, other areas of our facility in which eligible patients are likely to be present, public health department, senior citizen center and courthouse; (2) we make available a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process; (3) we provide a copy of the policy, or a summary thereof, and financial assistance contact information to patients with discharge materials; (4) we include the policy, or a summary thereof, along with financial assistance contact information, in patient bills; and/or (5) we discuss with the patient the availability of various government benefits, such as Medicaid or state programs, and assist the patient with qualification for such programs, where applicable. In addition, we offer the free services of a certified "Navigator" who can assist the public while evaluating health insurance choices offered in the ACA Marketplace.
Part VI, Line 4:	Fallon Medical Complex (FMC) is a sole community health care provider for a rural population in excess of 7,200 people spread over seven counties. In addition to serving Fallon County, located in southeastern Montana, FMC also provides health care for three bordering Montana counties (Carter, Wibaux, and part of Custer) and three adjacent North Dakota counties (Slope, Golden Valley, and part of Bowman). Considered "frontier" by the Montana Department of Public Health and Human Services, this region boasts less than two residents per square mile. FMC operates a critical access hospital, a rural health clinic, and a home care and personal services agency. Although Carter County operates a Critical Access Hospital and a Rural Health Clinic in Ekalaka, MT (35 miles to the south), facilities offering the next highest level of care are over 80 miles from Baker, necessitating a drive of nearly two hours in inclement weather. Two primary care physicians and two mid levels (physician assistants and/or family nurse practitioners) practice full time in Baker and see patients two days a week in our satellite clinic in Wibaux, MT. In addition, FMC's physicians supervise physician assistants in Ekalaka, MT and in Wibaux, MT. All in all, the DHHS Bureau of Primary Health Care has designated FMC's service area as a Health Professional Shortage Area (HPSA) due to: a) a high population-to-physician ratio (greater than 3,500:1), b) the extreme remoteness of this facility, c) sparseness of our service area, and d) excessive distances to alternative providers.The majority of patients in FMC's service area are Caucasian (96%), older than age 45 (52%) and have graduated from high school (96.2%). The per capita income is about $31,902 per year (compared to $27,309 for all of Montana) and the unemployment rate is 1.3% (compared to 3.8%). About 8.5% of the population is below the Federal Poverty Level and roughly 6.5% of the population does not have health insurance. Of those with health insurance, 22% are covered by Medicare, and 6% are covered by Medicaid. Of those people on Medicaid, 21% receive mental health services. In all, according to a Robert Wood Johnson Foundation study, Fallon County is ranked 3 out of 47 for "health factors," based on health behaviors, clinical care, social and economic factors, and physical environment.Like most rural Montana areas, FMC's service area economy is largely based on agriculture. Wheat and barley are major farm crops and cattle and sheep dominate the local livestock production. The other major contributor towards the local economy is oil and gas exploration and extraction. Many residents are employed by large energy exploration and drilling companies or smaller energy-related service companies. The area recently entered the alternative energy arena when wind farms began cropping up across the wind-swept prairie.
Part VI, Line 5:	All members of the Board of Trustees reside in our primary service area and are neither employees, contractors, nor family members of FMC. They are not compensated for their participation on the board and must be interested in, and willing to work towards, the best interests of health care in our service area. The board strives to find trustee candidates from all corners of FMC's service area, as well as diversity in gender and occupations. The Board is comprised of individuals who work as educators, ranchers, small business owners, retirees, and oil company managers.One of the board's responsibilities is to maintain and oversee FMC's Medical Staff. As such, they are responsible for granting privileges to qualified physicians and mid-levels (providers) based on education and skills confirmed through a structured credentialing process. The board extends medical staff privileges to all qualified providers that have an interest in providing services to our patients and who complete our formal application process. This process includes conducting due diligence through background checks, verification of education and credentials, and personal and professional reference checks. Providers may offer their services directly in our community or remotely via telemedicine systems.Given the isolated rural location of FMC as well as its limited service area population, the facility typically does not generate surplus funds from operations. A delicate balance exists between forecasting an anticipated revenue stream and attempting to match up operational expenses. Given that no revenue is guaranteed, adjustments must be made throughout each fiscal year to ensure the facility's ongoing solvency. Accordingly, FMC has not realized a net profit from operations for over 20 years.Most "surplus" funds are derived from gifts, grants, and fundraising efforts, all of which are generally focused on acquiring capital for the acquisition of patient care equipment. Some of these purchases are meant to upgrade equipment that has reached the end of its useful life cycle, in which case we strive to leverage design or technology improvements to provide greater comfort and effectiveness for the benefit of our patients. And in some cases, we use the funding to start a new service which was identified through our various needs assessments.FMC is predominantly a sole community "primary care" provider for its service area. Its system, or complex, of health care services was created out of necessity due to its remoteness. FMC lacks the resources and service area population to offer specialized medical services and/or conduct formal medical education and medical research. For the most part, we have striven to incrementally improve and enhance our core service offerings in an effort to increase the overall health status of our patients and residents. Accordingly, we strive to excel at primary care, offering family practice and preventative health outpatient services, routine hospital and fully digital diagnostic services, 24-hour emergency care (available to all regardless of ability to pay), long-term care, home-based skilled and personal care, and physical and occupational therapy. FMC is a sole community "primary care" provider, operating a 24-hour emergency room available to all patients regardless of an ability to pay. Its ER includes a telemedicine connection to the Avera eCare Network which offers on-demand board certified physicians on call 24-hours a day.In an effort to provide comprehensive medical care to the community, various providers from neighboring communities routinely offer services to patients at FMC. For instance, chiropractic, dental, and hearing aid clinics are held regularly in Baker. In addition, FMC's primary medical care is augmented by visiting physicians such as Obstetricians and Pediatricians.In addition, our Telemedicine system is routinely used by participants in a Chemical Dependency (CD) support, education, and life skill class, allowing participants to interact with other participants and counselors in neighboring communities without having to drive for more than an hour each way multiple times each month. It is also used to conduct Healthy Lifestyles classes in conjunction with Holy Rosary Healthcare in Miles City, MT and to connect our patients with specialists located at Billings Clinic. Although we are not a formal teaching facility, we do host multiple students annually who are seeking careers in healthcare related disciplines. This includes high school students who would like to job shadow, to medical students who are completing a primary care rural rotation. We have a number of cooperative agreements with colleges and universities across the nation that allow students a variety of clinical experiences, from observation of care by a trained professional to providing limited patient services under direct supervision. In the past few years, we have hosted students pursuing careers as nurses, lab techs, radiology techs, physician assistants, physical therapists and physicians, coming from Pennsylvania, Washington State, Florida, Utah and Montana.In addition, FMC's Hospital Helpers organization has 30 members who volunteer their time by fundraising for various projects, working in our long term care area -- operating a beauty shop, visiting with residents, and providing assistance with activities -- and managing a small gift shop in the hospital. All of the money raised by this group is gifted to the facility for the purchase of essential furniture, fixtures, and equipment. The community also provides 36 specialty volunteers who offer their talents to our facility. For example, various music groups provide events throughout the year and clergy from surrounding churches hold regular church services and help with special needs. Volunteers also read newspapers and books, hold bible study classes, and decorate rooms and hallways for our residents.FMC operates a foundation that exists solely to attract and manage funds from donors who would like to provide financial support in the furtherance of FMC's mission. This separate non-profit entity is governed by its own Board of Directors, which raises the funds, manages the investments, and determines how the funds should be spent. One of their most actively managed efforts is the awarding of scholarships to students from our service area seeking healthcare careers.We also encourage our staff to be involved in community-related boards and programs. For instance, our Foundation Coordinator has been a member of a local housing board, searching for ways to address our community's chronic housing shortage, as well as a county-supported economic revitalization team, and the local chamber of commerce. Furthermore, a number of employees participate in disaster preparedness meetings through the Local Emergency Preparedness Committee and provide leadership roles in Boy Scouts, 4H, Business Professionals of America, Medical Explorers and Speech and Drama.Lastly, FMC participates in many government-sponsored health care programs, including Medicare, Medicaid, Champus/Tricare, CHIP, and VA Choice. Plus, we recently agreed to participate in the newly expanded Medicaid program (HELP) offered in Montana. We have also embraced participation in a number of voluntary government-sponsored programs that focus on quality assurance and process improvement, both independently, as well as through collaborative efforts with other Montana hospitals and associations (such as the Montana Health Network, the Montana Hospital Association, the Mountain-Pacific Quality Health Foundation and the Hospital Improvement Innovation Network).

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Friends of FMC Foundation Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 820	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59313	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	431975486	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Non Cash Assistance	$39,474	NonCashAssistanceAmt
Valuation Method Used	Cost	ValuationMethodUsedDesc
Purpose Of Grant	In kind donation of wages and supplies	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The organization pays for the salaries and wages of the Foundation Director for Friends of FMC Foundation, a related organization, as well as small amounts of supplies.	ExplanationTxt

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	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Espeland
Chief Executive Officer	$129,177	$0	$0	$0	$0	$0	$3,501	$0	$19,305	$0	$151,983	$0	$0	$0
Travis Allen
PA	$135,091	$0	$0	$0	$0	$0	$1,709	$0	$17,350	$0	$154,150	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Darryl Espeland	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Employee and brother of CEO	RelationshipDescriptionTxt
Transaction	$32,480	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The members of the Corporation shall consist of all trustees and those individuals who apply for membership and fulfill the qualifications for membership which are established by the Board of Trustees.
Form 990, Part VI, Section A, line 7a	Elections for Trustees shall be held at the annual membership meeting, or by written ballot if authorized by the Board of Trustees. Any vacancy occurring on the Board of Trustees may be filled by appointment by the President of the Board of Trustees subject to confirmation by a majority of the members of the Board present at the next regular meeting of the Board following such appointment. The person so appointed shall serve for the remainder of the term of the Trustee for whom he or she was appointed. In the event that the election date set forth above falls on a legal holiday, the Board may by resolution adopted at any regular or special meeting preceding said date, postpone said election to the next business day following such date.
Form 990, Part VI, Section A, line 8b	The organization does not have a committee that acts on behalf of the governing board.
Form 990, Part VI, Section B, line 11b	The Form 990 is emailed to the Board of Trustees for their review and they are allowed to comment prior to filing.
Form 990, Part VI, Section B, line 12c	The organization's policy requires a duty to disclose any conflicts annually as well as during discussions. The conflict of interest policy covers all members of the board, officers and employees. Board Members, officers and employees complete a questionnaire annually addressing potential areas of conflicts. Conflicts are determined by each individual. Conflicts are determined by each individual, but reviewed at the board level. If a conflict arises, the board member abstains from voting on matters that gave rise to the conflict.
Form 990, Part VI, Section B, line 15	The Montana Hospital Association (MHA) publishes its compensation data for all classifications of healthcare workers annually. The data pertaining to facilities comparable in size is used to determine executive and officer compensation. The Board may also choose to call their peers in other facilities to substantiate the MHA data and to confirm the appropriateness of any proposed compensation. The board votes and approves the compensation for officers such as the CEO and CFO. The decisions are documented on an annual basis when salaries are approved. This process last took place at the end of fiscal year 06/30/19, with board approval of the budget for FY 2020 at the 06/5/19 board meeting.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest policy and financial statements are available for inspection at the corporation's place of business upon request.
Form 990, Part IX, line 11g	Contract Services: Program service expenses 1,741,489. Management and general expenses 1,549. Fundraising expenses 0. Total expenses 1,743,038. Professional Services: Program service expenses 1,448,994. Management and general expenses 46,558. Fundraising expenses 0. Total expenses 1,495,552. Other Fees: Program service expenses 68,974. Management and general expenses 26,841. Fundraising expenses 0. Total expenses 95,815.
Form 990, Part XI, line 9:	Equity in Earnings of Affiliate recorded in Revenue for Financial Statement 94,897.
Form 990, Page 1, Line C:	Fallon Medical Complex, Inc. is doing business under the following names: Community Clinic, Home Care Services, Fallon Memorial Hospital, and Wibaux Clinic.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Friends of FMC Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 820	AddressLine1Txt
City	Baker	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59313	ZIPCd

Field	Value	IRS element (for citing)
EIN	431975486	EIN
Primary Activities	Foundation/Fundraising	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Line 7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	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	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd