COMMUNITY HOSPITAL OF ANACONDA: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPITAL OF ANACONDA (EIN 81-0303913)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-26
- IRS object ID
- 201732999349301218
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-26T12:09:29-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 992066130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810303913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF ANACONDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 4065638521 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 W PENNSYLVANIA | AddressLine1Txt |
| City | ANACONDA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59711 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA AUSTIN | PersonNm |
| Person Title | SENIOR VP/VP OF FINA | PersonTitleTxt |
| Phone | 4065638521 | PhoneNum |
| Signature | 2017-10-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2017-10-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN S MCNEECE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 W PENNSYLVANIA | AddressLine1Txt |
| City | ANACONDA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,387,761 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 472 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $94,009 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$10,728 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $278,917 | PYContributionsGrantsAmt |
| CY Contributions Grants | $100,025 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,217,580 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,846,940 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,104 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,695 | CYInvestmentIncomeAmt |
| PY Other Revenue | $270,185 | PYOtherRevenueAmt |
| CY Other Revenue | $423,101 | CYOtherRevenueAmt |
| PY Total Revenue | $44,776,786 | PYTotalRevenueAmt |
| CY Total Revenue | $60,387,761 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,059 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,423 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,824,902 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,785,388 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,785,012 | PYOtherExpensesAmt |
| CY Other Expenses | $27,896,583 | CYOtherExpensesAmt |
| PY Total Expenses | $43,636,973 | PYTotalExpensesAmt |
| CY Total Expenses | $59,705,394 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,139,813 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $682,367 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,741,255 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,254,262 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,083,332 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,442,529 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,657,923 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,811,733 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $54,250,070 | ExpenseAmt |
| Revenue | $59,846,940 | RevenueAmt |
| Desc | COMMUNITY HOSPITAL OF ANACONDA IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A 62-BED NURSING HOME FACILITY WHICH PROVIDES HEALTH CARE SERVICES. THE HOSPITAL PROVIDED 5,418 DAYS OF INPATIENT ACUTE CARE SERVICES, 191,932 OUTPATIENT VISITS, 8,433 EMERGENCY ROOM/CONVENIENT CARE VISITS, AND 2,183 SURGERIES. THE NURSING HOME PROVIDED 12,822 DAYS OF RESIDENT SERVICES FOR THE YEAR ENDED DECEMBER 31, 2016. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 731,071 FOR CHARITY CARE, 22,781,258 FOR MEDICARE, 7,614,760 FOR MEDICAID, AND 10,340,863 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2016. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $23,423 | ExpenseAmt |
| Grant | $23,423 | GrantAmt |
| Desc | COMMUNITY HOSPITAL OF ANACONDA ALSO SPONSORS NUMEROUS YOUTH GROUPS AND ACTIVITIES WITHIN ITS COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $54,273,493 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 73 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 472 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA AUSTIN | PersonNm |
| Phone | 4065638521 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 W PENNSYLVANIA | AddressLine1Txt |
| City | ANACONDA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59711 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JOHN S MCNEECE | |||||||
| PRESIDENT | 40.00 | Yes (X) | Yes (X) | $494,316 | $0 | $14,968 | |
| FREDRICK BARTOLETTI | |||||||
| TRUSTEE/PHYS | 40.00 | Yes (X) | $353,907 | $0 | $20,252 | ||
| LAURA AUSTIN | |||||||
| SENIOR VP/VP | 40.00 | Yes (X) | Yes (X) | $342,625 | $0 | $14,418 | |
| BOB FRANCISCO | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LEE ANN BARTOLETTI | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILL FINNEGAN | |||||||
| SECRETARY/TR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GENE VUCKOVICH | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK HAFFEY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STAN BLAZ | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JODI MCCARTHY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE SORINI | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VANETTA VAN CLEAVE | |||||||
| CFO (START 1 | 40.00 | Yes (X) | $41,285 | $0 | $0 | ||
| GUS VARNAVUS | |||||||
| SURGEON | 40.00 | $931,764 | $0 | $13,978 | Yes (X) | ||
| GRZEGORZ CIESLEWICZ | |||||||
| HOSPITALIST | 32.00 | $566,680 | $0 | $14,968 | Yes (X) | ||
| CARL SCHILLHAMMER | |||||||
| PHYSICIAN | 40.00 | $560,256 | $0 | $12,630 | Yes (X) | ||
| BERTRAND JONES | |||||||
| PHYSICIAN | 40.00 | $550,049 | $0 | $14,968 | Yes (X) | ||
| JAMES HUEFTLE | |||||||
| PHYSICIAN | 40.00 | $476,211 | $0 | $13,986 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,317,093 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $120,168 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 44 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| FASTAFF LLC | ||||||
| 5700 SOUTH QUEBEC STREET | SUITE 300 | GREENWOOD VILLAGE | CO | 80111 | LOCUMS AGENCY | $1,083,190 |
| DR JONATHAN PINE | ||||||
| 305 W PENN AVE | ANACONDA | MT | 59711 | SURGEON SERVICE | $559,500 | |
| FLATHEAD UROLOGY PLLC | ||||||
| 210 SUNNYVIEW LN | SUITE 106 | KALISPELL | MT | 59901 | UROLOGY SERVICE | $536,470 |
| DR THOMAS MCMAHON | ||||||
| 401 W PENN AVE | ANACONDA | MT | 59711 | SURGEON SERVICE | $374,554 | |
| SNS CORP | ||||||
| PO BOX 1420 | ANACONDA | MT | 59711 | PHYSICIAN | $304,500 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $23,524 | RelatedOrganizationsAmt |
| Government Grants | $28,252 | GovernmentGrantsAmt |
| All Other Contributions | $48,249 | AllOtherContributionsAmt |
| Total Contributions | $100,025 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $59,723,591 | $59,723,591 | |
| PHARMACY SALES | 446110 | $94,009 | $94,009 | |
| RENTAL INCOME | 621110 | $29,340 | $29,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,846,940 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,195 | TotalRevenueColumnAmt |
| Exclusion | $6,195 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,500 | TotalRevenueColumnAmt |
| Exclusion | $11,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL STAFF REIMBURSEMENT | 900099 | $272,634 | $272,634 |
| CAFETERIA REVENUE | 722514 | $119,954 | $119,954 |
| OTHER | 900099 | $21,685 | $21,685 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,828 | TotalRevenueColumnAmt |
| Exclusion | $8,828 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $423,101 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,387,761 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,752,931 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $94,009 | UnrelatedBusinessRevenueAmt |
| Exclusion | $440,796 | 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 | $23,423 | TotalAmt |
| Program Services | $23,423 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,281,771 | TotalAmt |
| Program Services | $374,159 | ProgramServicesAmt |
| Management And General | $907,612 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,620,114 | TotalAmt |
| Program Services | $23,488,543 | ProgramServicesAmt |
| Management And General | $2,131,571 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,620 | TotalAmt |
| Program Services | $530,573 | ProgramServicesAmt |
| Management And General | $57,047 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,224,581 | TotalAmt |
| Program Services | $1,990,238 | ProgramServicesAmt |
| Management And General | $234,343 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,071,302 | TotalAmt |
| Program Services | $1,839,135 | ProgramServicesAmt |
| Management And General | $232,167 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,671 | TotalAmt |
| Management And General | $27,671 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,830 | TotalAmt |
| Management And General | $66,830 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,840 | TotalAmt |
| Management And General | $54,840 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,969,398 | TotalAmt |
| Program Services | $6,628,809 | ProgramServicesAmt |
| Management And General | $340,589 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,122 | TotalAmt |
| Program Services | $900 | ProgramServicesAmt |
| Management And General | $440,222 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,297,900 | TotalAmt |
| Program Services | $3,024,055 | ProgramServicesAmt |
| Management And General | $273,845 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,322 | TotalAmt |
| Program Services | $331,322 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,856 | TotalAmt |
| Program Services | $834,465 | ProgramServicesAmt |
| Management And General | $735,391 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,948 | TotalAmt |
| Program Services | $28,622 | ProgramServicesAmt |
| Management And General | $10,326 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,495 | TotalAmt |
| Program Services | $146,254 | ProgramServicesAmt |
| Management And General | $19,241 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,924 | TotalAmt |
| Program Services | $918,970 | ProgramServicesAmt |
| Management And General | $187,954 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,329,561 | TotalAmt |
| Program Services | $1,631,819 | ProgramServicesAmt |
| Management And General | $697,742 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,098,130 | TotalAmt |
| Program Services | $1,090,326 | ProgramServicesAmt |
| Management And General | $7,804 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $9,578,225 | $9,578,225 | |
| DUES & SUBSCRIPTIONS | $344,898 | $215,775 | $129,123 |
| HOSPITAL BED TAX | $303,630 | $303,630 | |
| OTHER EXPENSES | $86,370 | $7,416 | $78,954 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,463 | TotalAmt |
| Program Services | $1,286,834 | ProgramServicesAmt |
| Management And General | -$1,201,371 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,705,394 | TotalAmt |
| Program Services | $54,273,493 | ProgramServicesAmt |
| Management And General | $5,431,901 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,722,263 | BOYAmt |
| EOY | $3,213,868 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,361,946 | BOYAmt |
| EOY | $2,576,814 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,242,096 | BOYAmt |
| EOY | $8,472,896 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,005 | BOYAmt |
| EOY | $6,538 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,039,973 | BOYAmt |
| EOY | $1,402,733 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,662 | BOYAmt |
| EOY | $343,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,018,738 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,382,054 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,502,091 | BOYAmt |
| EOY | $22,636,684 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,644,647 | BOYAmt |
| EOY | $6,133,153 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $467,277 | BOYAmt |
| EOY | $586,021 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,609,295 | BOYAmt |
| EOY | $1,882,312 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,741,255 | BOYAmt |
| EOY | $47,254,262 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,977,064 | BOYAmt |
| EOY | $5,038,764 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,664 | BOYAmt |
| EOY | $342,557 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,166,759 | BOYAmt |
| EOY | $22,471,587 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,700 | BOYAmt |
| EOY | $18,384 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,145 | BOYAmt |
| EOY | $1,571,237 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,083,332 | BOYAmt |
| EOY | $29,442,529 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,657,923 | BOYAmt |
| EOY | $17,811,733 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,657,923 | BOYAmt |
| EOY | $17,811,733 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,741,255 | BOYAmt |
| EOY | $47,254,262 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $682,367 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $471,443 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $115 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $115 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $809,274 | OtherCostOrOtherBasisAmt |
| Book Value | $809,274 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,541,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,977,863 | DepreciationAmt |
| Book Value | $17,563,865 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,084,822 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,961,163 | DepreciationAmt |
| Book Value | $4,123,659 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $582,914 | OtherCostOrOtherBasisAmt |
| Depreciation | $443,028 | DepreciationAmt |
| Book Value | $139,886 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,636,684 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD PARTY SETTLEMENTS | Desc |
| Amt | $1,571,237 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,571,237 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $60,859,204 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $471,443 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $471,443 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,387,761 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $60,387,761 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,705,394 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $59,705,394 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $59,705,394 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WERE CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMEBER 31, 2016 AND 2015, THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.300000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 2.200000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $358,225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,894 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,431,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,431,127 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,789,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,550,021 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $408,137 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $408,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,162,772 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,636,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,526,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,483 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,605,392 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,636,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,969,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,394,744 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,186,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,208,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08720 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,063,622 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,642,686 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,953,340 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$310,654 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | COMMUNITY HOSPITAL OF ANACONDA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 W PENNSYLVANIA | AddressLine1Txt |
| City | ANACONDA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | WebsiteAddressTxt |
| 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 | HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF ANACONDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 130.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 220.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.COMMUNITYHOSPITALOFANACONDA.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.COMMUNITYHOSPITALOFANACONDA.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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 5 | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY ENSURING THE ZIP CODES WITH THE LARGEST NUMBER OF ADMISSIONS WERE INCLUDED IN THE SURVEY SAMPLE. THE PROCESS INCLUDED A RANDOM, WRITTEN SURVEY MAILED TO 800 RESIDENTS OF ANACONDA-DEER LODGE COUNTY HOUSEHOLDS FOLLOWED BY THREE FOCUS GROUPS. IN ADDITION, A STEERING COMMITTEE OF VARIOUS COMMUNITY MEMBERS WAS FORMED TO ASSIST IN THE DEVELOPMENT OF THE SURVEY INSTRUMENT AND TO PROVIDE A FORUM TO DISCUSS THE COMMUNITY'S ISSUES WITH RESPECT TO HEALTHCARE. |
| FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 11 | THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE NEEDS IDENTIFIED BUT NOT ADDRESSED INCLUDE ADDITIONAL SPECIALTY SERVICES SUCH AS DERMATOLOGY AND ENT (EAR/NOSE/THROAT). THE HOSPITAL HAS ADDED A SIGNIFICANT NUMBER OF SPECIALTY OFFERINGS THE LAST SEVERAL YEARS SUCH AS ENDOCRINOLOGY, UROLOGY, RHEUMATOLOGY, AND ONCOLOGY. AT THIS TIME, ADDITIONAL SPECIALTY SERVICES ARE NOT FINANCIALLY FEASIBLE GIVEN THE COST OF STAFF, EQUIPMENT, ETC. |
| 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 |
|---|---|---|---|---|
| COMMUNITY NURSING HOME OF ANACONDA | ||||
| 600 MAIN | ANACONDA | MT | 59711 | NURSING HOME |
| PINTLER HOME OPTIONS | ||||
| 305 W PENNSYLVANIA | ANACONDA | MT | 59711 | HOME HEALTH AGENCY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 9,170,442 IN COLUMN C AND 6,206,506 IN COLUMN D. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR FIGURES REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES). |
| PART II - COMMUNITY BUILDING ACTIVITIES | CHA IS COMMITTED TO SUPPORTING SOCIAL SERVICE PROGRAMS THAT BENEFIT LOCAL RESIDENTS. CHA ALSO ENCOURAGES HOSPITAL EMPLOYEES TO VOLUNTEER IN THE COMMUNITY. EMPLOYEES VOLUNTEER AT THE LOCAL FOOD BANK AND VOLUNTEER THEIR TIME TO TEACHING BASIC LIFE SUPPORT COURSES AT LOCAL BUSINESSES. THE HOSPITAL SUPPORTS THE LOCAL SCHOOL'S MOUTH-RINSE AND HEALTHY SNACK PROGRAMS AND OFFERS FINANCIAL SUPPORT TO AFTER SCHOOL AND SUMMER PROGRAMS FOR AT RISK YOUTH. FOR THE LAST FOUR YEARS, CHA HAS BEEN SPONSORING THE DIABETES PREVENTION PROGRAM TWO TIMES A YEAR. WITH OVER 70,000 ADULTS DIAGNOSED WITH DIABETES ANNUALLY IN THE UNITED STATES, THIS PROGRAM IS FOCUSED ON EDUCATING AND EMPOWERING PARTICIPANTS TO UNDERSTAND THEIR DISEASE AND TO BECOME ADVOCATES FOR THEIR HEALTH THROUGH EDUCATION AND HEALTHY LIVING. CHA IS COMMITTED TO ENSURING WE ARE ACTIVELY ASSISTING OUR COMMUNITY IN PROVIDING RESOURCES TO COMBAT PREVENTABLE DISEASES SUCH AS DIABETES. SINCE 2012, CHA HAS GIVEN AN ANNUAL 1,000 CONTRIBUTION TO THE BOYS AND GIRLS CLUB OF ANACONDA. THE BOYS & GIRLS CLUBS OF AMERICA IS AN ORGANIZATION THAT PROMOTES POSITIVE YOUTH DEVELOPMENT IN STUDENTS BY PROVIDING A SAFE PLACE WITH CARING ADULTS AND FUN ACTIVITIES WHERE YOUTH CAN SPEND THEIR FREE TIME. THE LOCAL CLUB PROVIDES TUTORING ASSISTANCE, EDUCATIONAL ENHANCEMENT ACTIVITIES, AND SUMMER PROGRAMS TARGETED FOR AT RISK YOUTH. CHA IS ALSO COMMITTED TO SPONSORING LOCAL FUN RUNS AND EVENTS SUCH AS THE ANNUAL ECHO LAKE TRAILS ASSOCIATION RACE, ST. PATRICK DAY RACE, THE ANACONDA BICYCLE FEST, AND THE BUTTE 100 BIKE RACE. THE ST. PATRICK DAY RACE IS ORGANIZED BY THE LOCAL ANCIENT ORDER OF HIBERNIANS AND INCLUDES BOTH A THREE AND SIX MILE RACE AND A WHEELCHAIR DIVISION, WITH CLOSE TO 1,000 PARTICIPANTS. THE BUTTE 100 OFFERS 25, 50 AND 100 MILE EVENTS WHILE THE ANACONDA BICYCLE FESTIVAL IS TWO-DAY WEEKEND OF BICYCLE EVENTS THAT RAISES FUNDS FOR THE UPKEEP AND RESTORATION OF ANACONDA'S WASHOE PARK. ALL EVENTS ARE DEDICATED TO RAISING AWARENESS AND PROMOTING HEALTH LIFESTYLES. IN THE FALL OF 2016, COMMUNITY HOSPITAL OF ANACONDA HOSTED ITS TWELFTH ANNUAL HEALTH, FITNESS AND WELLNESS FAIR. PARTICIPANTS WERE OFFERED A SPECTRUM OF LAB WORK FOR 50, WHICH INCLUDED A TSH, LIPID PANEL, GLUCOSE AND CBC. FOR AN ADDITIONAL 25, PARTICIPANTS COULD HAVE HEMOGLOBIN A-1C OR PSA. ALL SERVICES THAT WOULD NORMALLY COST IN EXCESS OF 300 PARTICIPANTS RECEIVED INFORMATION ON HOW TO INTERPRET THEIR LAB RESULTS AS WELL AS FREE BLOOD PRESSURE SCREENINGS, FREE BLOOD GLUCOSE TESTING, OXYGEN SATURATION SCREENINGS AND COMPLIMENTARY HEALTH PROMOTION ITEMS. CHA OFFERS THE FAIR ANNUALLY TO ENSURE THE COMMUNITY KNOWS THEIR NUMBERS AND RISKS AND AS A RESULT, FOCUSES ON PREVENTION AND INTERVENTION. ON OCTOBER 26-28, 2016, COMMUNITY HOSPITAL OF ANACONDA (CHA) SPONSORED A PILOT BEHAVIORAL HEALTH CAREERS CAMP OVER PUPIL-INSTRUCTION RELATED (PIR) DAYS (DESIGNED FOR STUDENTS INTERESTED IN THE FIELD OF BEHAVIORAL HEALTH (SUCH AS SOCIAL WORK, COUNSELING, ETC.). IN ADDITION TO THE CAREER FOCUS, STUDENTS WERE PROVIDED INFORMATION AND RESOURCES ON KEY BEHAVIORAL HEALTH TOPICS SUCH AS BULLYING, STIGMA, ADDICTION, SUICIDE AWARENESS AND PREVENTION, STRESS, AND MENTAL HEALTH. EACH STUDENT RECEIVED CERTIFICATION IN YOUTH MENTAL HEALTH FIRST AID (YMHFA). THE CAMP HOSTED 11 STUDENTS FROM BOTH BUTTE AND ANACONDA, SOPHOMORES THROUGH SENIORS ATTENDING BUTTE HIGH, BUTTE CENTRAL AND ANACONDA HIGH. THE CAMP WAS FOCUSED ON STUDENTS FROM LOW-INCOME FAMILIES, RURAL AREAS, UNDER-REPRESENTED MINORITIES AND THOSE WHO WILL BE FIRST IN THEIR FAMILY TO ATTEND COLLEGE. OUR GOAL WAS TO EMPOWER STUDENTS TO BECOME MENTAL HEALTH ADVOCATES IN THEIR COMMUNITIES AS WELL AS EXPOSE THEM TO BEHAVIORAL HEALTH CAREERS. IN ADDITION, CHA PROVIDED A SCHOLARSHIP FOR A PHARMACY STUDENT AT THE UNIVERSITY OF MONTANA. CHA ALSO HOSTED SEVERAL NURSING, NURSE ANESTHETIST, MEDICAL RESIDENTS, MID-LEVEL STUDENTS AS WELL AS HIGH SCHOOL STUDENTS LOOKING FOR SHADOWING OPPORTUNITIES. ANNUALLY, CHA OFFERS TWO FIVE WEEK FREE PRE-NATAL CLASSES WHICH COVERED A VARIETY OF TOPICS INCLUDING THE IMPORTANCE OF PRE-NATAL CARE AND FETAL DEVELOPMENT, PREPARING FOR DELIVERY, POSTPARTUM ADJUSTMENTS AND NEWBORN CARE. IN MAY OF 2016, WE PROVIDED OVER 70 FREE SPORTS PHYSICALS TO LOCAL HIGH SCHOOL AND MIDDLE SCHOOL ATHLETES. PARTNERSHIPS CONTINUED WITH THE LOCAL METCALF SENIOR CENTER, OFFERING "SIT AND BE FIT" CLASSES AS WELL AS A DEMENTIA SUPPORT GROUP. CHA ALSO SUPPORTED LOCAL ARTS AND ENTERTAINMENT INCLUDED COPPER VILLAGE MUSEUM AND ART CENTER'S ART IN THE PARK AND THE COMMUNITY ALIVE AFTER FIVE WEEKLY EVENT. IN 2016, CHA SPONSORED THE FOLLOWING PROGRAMS: - BOYS AND GIRLS CLUB OF ANACONDA - AHS CLASS OF 2016 CHEMICAL FREE GRADUATION PARTY - ANACONDA ANCIENT ORDER OF HIBERNIANS ST. PATRICK'S DAY RUN - SPECIAL OLYMPICS OF ANACONDA AND MONTANA - COPPER VILLAGE MUSEUM AND ART CENTER - UNITED VETERANS OF ANACONDA-ANNUAL FOURTH OF JULY FIREWORKS DISPLAY - UNITED WAY ANACONDA - ANACONDA RELAY FOR LIFE - WAYNE ESTES BASKETBALL TOURNAMENT - COPPER VILLAGE MUSEUM AND ART CENTER - ANACONDA A'S BASEBALL - ANACONDA LITTLE LEAGUE - ANACONDA FOOD BANK - ANACONDA PUBLIC SCHOOLS - SCHOOL MOUTH RINSE PROGRAM - FOOD FOR BLOOD DRIVES - WORK SHADOWING FOR HIGH SCHOOL STUDENTS - FREE SPORTS PHYSICALS FOR ATHLETES - FREE PRE-NATAL EDUCATION CLASSES - MEDICAL TRAINING FOR VOLUNTEER EMS GROUPS - JOB CORPS STUDENT APPRECIATION PICNIC - AHS BOOSTER CLUB SPONSORSHIP - CHA HEALTH FAIR - PINTLER SUICIDE AWARENESS & PREVENTION PROGRAM - SCHOLARSHIPS FOR AHS GRADUATES - NEWSPAPERS IN EDUCATION - COMMUNITY INTERVENTION - KIWANIS - UM PHARMACY SCHOLARSHIP - MT MED START CAMP - ANACONDA ROTARY CARING IS SHARING PROGRAM - TRI COUNTY FAIR |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED. WE SCREEN THE PATIENT TO DETERMINE THEIR FINANCIAL STATUS. IF THEY ARE TRUE SELF PAY WITHOUT INSURANCE, WE MAKE A REFERRAL TO THE MASH PROGRAM TO SEE IF THEY QUALIFY FOR ANY GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE, SSI, ETC. IF THEY HAVE BEEN SCREENED AND DO NOT QUALIFY FOR ANY PROGRAMS, WE DETERMINE IF THEY ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. PART OF THE FINANCIAL ASSISTANCE PROGRAM IS A REDUCED PAYMENT PLAN THAT CAN BE APPROVED EVEN IF THE PATIENT DOES NOT QUALIFY FOR FULL FINANCIAL ASSISTANCE. IF THE PATIENT HAS INSURANCE, THE SAME PROCEDURE IS COMPLETED WITHOUT THE PATIENT BEING SCREENED BY THE MASH PROGRAM. ANOTHER PROVISION IN THE CREDIT AND COLLECTIONS POLICY ALLOWS THE PATIENT ACCOUNT REPRESENTATIVE TO APPROVE A LESSER PAYMENT ARRANGEMENT IF THE ARRANGEMENT IS IN THE BEST INTEREST OF THE HOSPITAL AND THE PATIENT. AN EXAMPLE OF THIS WOULD BE IF A PATIENT IS IN A TEMPORARY SITUATION THAT PREVENTS MEETING A HIGHER PAYMENT, WE WILL APPROVE THE LOWER PAYMENT PLAN WITH A DATE TO REEVALUATE WHEN THAT SITUATION IS RESOLVED. CHA WORKS WITH PATIENTS TO ACCOMMODATE THEIR FINANCIAL SITUATION. THE FACT THAT THEY CANNOT MEET THE GUIDELINES UNDER THE FINANCIAL POLICY DOES NOT MEAN THAT THEY ARE SENT DIRECTLY TO COLLECTIONS. PARTIAL OR FULL PAYMENT MAY BE REQUIRED PRIOR TO SERVICE IN SOME SITUATIONS. ALL NON-EMERGENT PATIENTS REQUIRING A SURGICAL PROCEDURE THAT DO NOT HAVE INSURANCE COVERAGE MUST MEET WITH A PATIENT ACCOUNT REPRESENTATIVE PRIOR TO HAVING THE SERVICE PROVIDED. WE INTERVIEW THE PATIENT TO DETERMINE THEIR FINANCIAL STATUS. BASED ON THE PROCEDURE BEING PERFORMED AND THE FINANCIAL STATUS OF THE PATIENT, A PARTIAL OR FULL PAYMENT MAY BE REQUIRED. IF THE PATIENT IS UNABLE TO MAKE THE PARTIAL OR FULL PAYMENT, A REFERRAL IS MADE WITH THE MASH PROGRAM TO DETERMINE IF THE PATIENT QUALIFIES FOR ANY GOVERNMENT PROGRAMS. ONCE SCREENED BY MASH, FOR ANY PATIENT THAT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAM, AN APPLICATION FOR FINANCIAL ASSISTANCE IS OFFERED PRIOR TO THE SERVICE BEING PERFORMED. BASED ON THE RESULTS OF THE FINANCIAL ASSISTANCE APPLICATION, THE BALANCE OF THE ACCOUNT AND THE PATIENT'S ABILITY TO PAY ARE EVALUATED. IF THE PATIENT HAS THE ABILITY TO PAY, A PARTIAL OR FULL PAYMENT IS REQUIRED. IF THE PATIENT DOES NOT HAVE THE ABILITY TO PAY, THE ACCOUNT IS RELIEVED UNDER THE PATIENT FINANCIAL ASSISTANCE PROGRAM. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | COMMUNITY HOSPITAL OF ANACONDA COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. THE ASSESSMENT WAS COMPLETED WITH ASSISTANCE FROM THE MONTANA OFFICE OF RURAL HEALTH, WITH DATA COLLECTED BY STEERING COMMITTEE MEETINGS, KEY INFORMANT INTERVIEWS,FOCUS GROUPS AND A SURVEY MAILED TO 800 RANDOM HOUSEHOLDS IN OUR SERVICE AREA. THE SURVEY RESULTED IN A 20.4% RESPONSE RATE, WHICH IS DEEMED STATISTICALLY SIGNIFICANT. THE TOP FOUR ISSUES/OPPORTUNITIES WERE IDENTIFIED: - ACCESS TO HEALTH CARE SERVICES - BEHAVIORAL HEALTH - HEALTH, WELLNESS AND HEALTHY LIFESTYLES - SENIOR HOUSING THE CHA BOARD OF TRUSTEES APPROVED THE NEEDS ASSESSMENT IMPLEMENTATION PLAN ON FEBRUARY 23, 2017. THE PLAN ESTABLISHES GOALS, STRATEGIES FOR EACH GOAL, ANTICIPATED IMPACT, PLAN TO EVALUATE IMPACT AND MEASURE OF SUCCESS. THE FOLLOWING GOALS AND STRATEGIES WERE APPROVED: GOAL 1: IMPROVE ACCESS TO HEALTHCARE SERVICES IN ANACONDA AND DEER LODGE COUNTY. STRATEGY 1: ASSESS THE PRIMARY CARE WORKFORCE AT CHA. STRATEGY 2: EXPAND THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL TO COORDINATE COMPREHENSIVE AND PERSONALIZED CARE FOR ADDITIONAL SPECIFIED POPULATIONS. GOAL 2: IMPROVE ACCESS TO BEHAVIORAL HEALTH INFORMATION AND SERVICES. STRATEGY 1: ASSESS COMMUNITY NEEDS FOR BEHAVIORAL HEALTH. STRATEGY 2: WORKFORCE DEVELOPMENT-PIPELINE PROGRAMS GOAL 3: PROMOTE HEALTH, WELLNESS AND HEALTH LIFESTYLES IN ANACONDA AND DEER LODGE COUNTY. STRATEGY 1: ASSESS COMMUNITY WELLNESS AND HEALTH PROMOTION OFFERINGS. STRATEGY 2: CREATE A COMMUNITY DIRECTORY OF AVAILABLE HEALTH, WELLNESS AND HEALTHY LIFESTYLES RESOURCES. STRATEGY 3: EXPLORE EXPANSION OF HEALTH EDUCATION OFFERINGS THROUGH CHA. GOAL 4: IMPROVE ACCESS TO SENIOR HOUSING IN ANACONDA AND DEER LODGE COUNTY STRATEGY: ASSESS SENIOR HOUSING AVAILABLE IN ANACONDA AND DEER LODGE COUNTY. ACTIVITIES AND STRATEGIES WERE DEVELOPED FOR EACH GOAL WITH A CORRESPONDING IMPLEMENTATION GRID. COMMUNITY HOSPITAL OF ANACONDA (CHA) DISSEMINATED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN BY POSTING BOTH DOCUMENTS CONSPICUOUSLY ON CHA'S WEBSITE (WWW.COMMUNITYHOSPITALOFANACONDA.ORG) AS WELL AS HAVING COPIES AVAILABLE AT THE FACILITY SHOULD COMMUNITY MEMBERS REQUEST TO VIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OR THE IMPLEMENTATION PLANNING DOCUMENTS. THE STEERING COMMITTEE, WHICH WAS FORMED SPECIFICALLY AS A RESULT OF THE CHNA PROCESS IN ORDER TO INTRODUCE THE COMMUNITY TO THE ASSESSMENT PROCESS, WAS INFORMED OF THE IMPLEMENTATION PLAN TO SEE THE VALUE OF THEIR INPUT AND TIME IN THE CHNA PROCESS, AS WELL AS HOW COMMUNITY HOSPITAL OF ANACONDA IS UTILIZING THEIR INPUT. THE STEERING COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS, WILL BE ENCOURAGED TO ACT AS ADVOCATES IN DEER LODGE COUNTY AS THE FACILITY SEEKS TO ADDRESS THE HEALTH CARE NEEDS OF THEIR COMMUNITY. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | IN COMPLIANCE WITH THE COLLECTION POLICIES OF CHA, AN ANNUAL REVIEW IS PERFORMED OF ALL CREDIT/COLLECTION AND FINANCIAL ASSISTANCE POLICIES. ONCE REVIEWED AND REVISED, THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. THE FACILITY PUBLISHED A BROCHURE THAT IS PLACED IN PUBLIC AREAS OF ALL THE CHA FACILITIES, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. THE PATIENT ACCOUNT REPRESENTATIVES HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. THE INFORMATION IS ALSO AVAILABLE ON THE CHA WEBSITE. ANNUALLY, THE PATIENT ACCOUNTS LEADER DISTRIBUTES THE NEW INFORMATION TO LOCAL AGENCIES THAT ASSIST LOW INCOME POPULATIONS. DISCUSSIONS OCCUR WITH THE AGENCIES REGARDING THE FINANCIAL ASSISTANCE PROGRAMS AND CHA'S ABILITY TO ASSIST PATIENTS WITH THE BURDEN OF APPLYING FOR GOVERNMENT PROGRAMS SUCH AS DISABILITY, ETC. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | ANACONDA-DEER LODGE COUNTY (ADLC) COVERS 737 SQUARE MILES OF SOUTHWESTERN MONTANA, WITH 12.6 PERSONS PER SQUARE MILE, MAKING IT A RURAL COUNTY WITH RURAL URBAN CONTINUUM CODE OF 7 (RUCC 1 = MOST URBAN, 10= MOST RURAL). ANACONDA DEER LODGE COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA, ID1309993042). THE 2016 POPULATION WAS 9,085 COMPARED TO A 2000 POPULATION OF 9,417, REPRESENTING A POPULATION LOSS OF 3.6% SINCE 2000. THE MAJOR COMMUNITY IN ANACONDA-DEER LODGE COUNTY IS ANACONDA, WITH A MEDIAN AGE OF 46 YEARS. 17.3% OF THE PEOPLE IN THE COUNTY LIVE BELOW THE POVERTY LINE. COMMUNITY HOSPITAL OF ANACONDA (CHA) HAS BEEN SERVING THE HEALTHCARE NEEDS OF ANACONDA-DEER LODGE COUNTY (ADLC) SINCE 1889. THE HOSPITAL IS A PRIVATELY OWNED, NON-PROFIT, TWENTY-FIVE BED CRITICAL ACCESS FACILITY BUILT IN 1981. CHA OFFERS A FULL CONTINUUM OF CARE INCLUDING INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, FOUR AMBULATORY CARE CLINICS INCLUDING INTERNAL/FAMILY MEDICINE, SURGICAL, PEDIATRICS AND ONCOLOGY, A LONG-TERM CARE FACILITY, AND HOSPICE/HOME HEALTH SERVICES. CHA EMPLOYS OVER 400 INDIVIDUALS, WITH AN ANNUAL PAYROLL IN EXCESS OF 20 MILLION. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | COMMUNITY HOSPITAL OF ANACONDA'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM THE FINANCIAL SECTOR TO SMALL BUSINESS OWNERS TO RETIREES AND SCHOOL DISTRICT EMPLOYEES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT CHA ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE WE HAVE INSTITUTED AN ARDUOUS CREDENTIALING PROCESS TO ENSURE PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, WE DO NOT HAVE SHAREHOLDERS. THEREFORE, SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ELIMINATES THE POTENTIAL FOR CONFLICTS OF INTEREST RELATED TO ATTAINING INFLATED PROFIT MARGINS AND ALLOWS COMMUNITY HOSPITAL OF ANACONDA TO FOCUS ON WHAT IS IMPORTANT-MEETING THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | N/A. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MONTANA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| JOHN S MCNEECE | ||||
| PRESIDENT | $494,316 | $5,300 | $9,668 | $509,284 |
| FREDRICK BARTOLETTI | ||||
| TRUSTEE/PHYSICIAN | $353,907 | $5,300 | $14,952 | $374,159 |
| LAURA AUSTIN | ||||
| SENIOR VP/VP OF FINA | $342,625 | $5,300 | $9,118 | $357,043 |
| GUS VARNAVUS | ||||
| SURGEON | $931,764 | $5,116 | $8,862 | $945,742 |
| GRZEGORZ CIESLEWICZ | ||||
| HOSPITALIST | $566,680 | $5,300 | $9,668 | $581,648 |
| CARL SCHILLHAMMER | ||||
| PHYSICIAN | $560,256 | $2,962 | $9,668 | $572,886 |
| BERTRAND JONES | ||||
| PHYSICIAN | $550,049 | $5,300 | $9,668 | $565,017 |
| JAMES HUEFTLE | ||||
| PHYSICIAN | $476,211 | $13,986 | $490,197 | |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FREDRICK BARTOLETTI MD | |||
| TRUSTEE | $374,159 | EMPLOYMENT | false |
| JOHN MCNEECE PRESIDENT | |||
| TRUSTEE | $509,284 | EMPLOYMENT | false |
| LAURA AUSTIN SENIOR VPVP OF FINAN | |||
| TRUSTEE | $357,043 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 2 | LEE ANN BARTOLETTI FREDRICK BARTOLETTI, MD TRUSTEE PHYSICIAN FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 6 | WHEN THE HOSPITAL WAS FORMED IN 1969, SOME COMMUNITY MEMBERS PURCHASED THE HOSPITAL FROM SISTERS OF CHARITY. AS THESE ORIGINAL MEMBERS DECEASE, THEIR MEMBERSHIP IS LOST. AN ANNUAL MEETING IS SCHEDULED IN SEPTEMBER OF EACH YEAR WITH A PUBLIC NOTICE POSTED IN THE LOCAL PAPER. THE REMAINING ORIGINAL MEMBERS MAY ATTEND THE MEETING; HOWEVER, THEY ARE NOT ACTIVE MEMBERS AND DO NOT HAVE VOTING RIGHTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE VP OF FINANCE WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE FINANCE COMMITTEE IS DESIGNATED BY THE BOARD OF TRUSTEES TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE 990 AND IS ALSO PART OF THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE VP OF FINANCE SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ARTICLE II OF THE BYLAWS STATES THAT, AT A MINIMUM, EACH MEMBER OF THE BOARD WILL EXECUTE THE CONFLICT OF INTEREST FORM AT THE COMMENCEMENT OF THE TERM OR IN THE EVENT OF ANY CHANGE THAT MAY DEVELOP. THE CONFLICT OF INTEREST GUIDELINES ARE MONITORED BY THE CHA CORPORATE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ATTENDS NEW EMPLOYEE ORIENTATION AND PRESENTS THE POLICY AS PART OF THE OVERALL CORPORATE LEGAL COMPLIANCE PROGRAM. EACH EMPLOYEE IS PRESENTED WITH A CONFLICT OF INTEREST STATEMENT. ALL POTENTIAL CONFLICTS ARE DISCLOSED. IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED, THE COMPLIANCE OFFICER WILL MEET WITH THE EMPLOYEE'S SUPERVISOR AND ADMINISTRATION TO DETERMINE IF A CONFLICT EXISTS. ON AN ANNUAL BASIS, ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE REQUIRED TO READ AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE CORPORATE COMPLIANCE OFFICER TRACKS THE RECEIPT AND COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS. THE PROCESS IS A PART OF THE ANNUAL EMPLOYEE REQUIREMENTS MANDATED FOR CONTINUED EMPLOYMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE SOURCES UTILIZED BY CHA IN REGARD TO FAIR MARKET VALUE IN SALARIES ARE AN EXECUTIVE COMPENSATION SURVEY, PUBLISHED BY CRITICAL DATA, INC., AND THE MONTANA HOSPITAL ASSOCIATION (MHA) ANNUAL SALARY SURVEY. THESE SURVEYS ARE UTILIZED FOR SETTING THE SALARY LEVELS OF EMPLOYEES AT CHA. THE MHA SURVEY ITEMIZES ALL HOSPITALS AS A GROUP, CAH HOSPITALS, AND HOSPITALS BY REGION. CHALLENGES EXIST WHEN CHA JOB DESCRIPTIONS ARE UNIQUE AND, THEREFORE, MAY NOT BE LISTED AS A JOB CATEGORY IN THE MHA SURVEY. IN REGARD TO SETTING THE SALARY LEVELS OF PHYSICIANS, CHA UTILIZES THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY. THIS SURVEY ITEMIZES SALARIES AND PRODUCTIVITY BY PHYSICIAN SPECIALTY, YEARS IN PRACTICE, GEOGRAPHIC REGION, AND OTHER CATEGORIES. CHA STRIVES TO PAY MARKET LEVEL SALARIES TO ALL EMPLOYEES OF THE ORGANIZATION. IT IS OUR GOAL TO RECRUIT AND RETAIN TOP TALENT IN EVERY VENUE, WHILE CONTROLLING SALARY AND BENEFIT COSTS WITHIN ESTABLISHED TARGETS. IN 2010, 2012, AND 2014, CHA HIRED AN INDEPENDENT CONSULTANT TO EVALUATE THE SALARY LEVELS OF THE SENIOR MANAGEMENT. THIS SALARY SURVEY REVIEWED SALARIES FOR HOSPITALS IN CHA'S REVENUE RANGE IN OUR REGION, AS WELL AS SALARY LEVELS ACROSS THE COUNTRY. ALL JOBS REVIEWED WERE WELL WITHIN THE PUBLISHED RANGES, AS DETERMINED BY CRITICAL DATA, INC. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | COMMUNITY HOSPITAL OF ANACONDA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO INCLUDED IN THE COMMUNITY BENEFIT REPORT. |
| FORM 990, PART IX, LINE 11G | 6,628,809 340,589 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHANHA FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1245 | AddressLine1Txt |
| City | ANACONDA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810504127 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12B | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNTIY | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL OF ANACONDA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |