CMC MISSOULA INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CMC MISSOULA INC (EIN 81-0247705)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201501349349302030
- Schema version
- 2013v4.0
- 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 I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T09:30:24-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810247705 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 4067284100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAN K PARKS | PersonNm |
| Person Title | VICE CHAIR | PersonTitleTxt |
| Phone | 4067284100 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KACIE MCEWEN | PreparerPersonNm |
| PTIN | P01599614 | PTIN |
| Phone | 6123764500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STAN MOSER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $178,904,372 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYMED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | YOUR HEALTH - OUR COMMITEMENT TO YOU, FROM DAY ONE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1413 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $2,898,306 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$476,829 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,075,030 | PYContributionsGrantsAmt |
| CY Contributions Grants | $374,123 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $156,421,696 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $168,838,381 | CYProgramServiceRevenueAmt |
| PY Investment Income | $715,839 | PYInvestmentIncomeAmt |
| CY Investment Income | $368,603 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,780,714 | PYOtherRevenueAmt |
| CY Other Revenue | $9,309,659 | CYOtherRevenueAmt |
| PY Total Revenue | $166,993,279 | PYTotalRevenueAmt |
| CY Total Revenue | $178,890,766 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $193,440 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $196,710 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,495,493 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,688,327 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $253,873 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,990,426 | PYOtherExpensesAmt |
| CY Other Expenses | $91,489,792 | CYOtherExpensesAmt |
| PY Total Expenses | $160,679,359 | PYTotalExpensesAmt |
| CY Total Expenses | $168,374,829 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,313,920 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,515,937 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $153,399,701 | TotalAssetsBOYAmt |
| Total Assets EOY | $170,824,687 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $60,360,743 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $65,947,687 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $93,038,958 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,877,000 | NetAssetsOrFundBalancesEOYAmt |
| Mission | YOUR HEALTH - OUR COMMITMENT TO YOU, FROM DAY ONE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $135,084,288 | ExpenseAmt |
| Grant | $196,710 | GrantAmt |
| Revenue | $168,838,381 | RevenueAmt |
| Desc | CMC PROVIDES DAILY PATIENT SERVICES, PROFESSIONAL AND TECHNICAL SERVICES, AND REHABILITATION SERVICES FOR PATIENT CARE. 5,080 INPATIENTS WERE ADMITTED TO CMC, 139,766 OUTPATIENT SERVICES WERE PROVIDED, AND 107,144 VISITS WERE MADE TO OUR PHYSICIANS DURING FISCAL YEAR 2014. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY POLICY AGGREGATED APPROXIMATELY $4,742,143 FOR THE YEAR ENDED JUNE 30, 2014. | Desc |
| Total Program Service Expenses | $135,084,288 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 157 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1413 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID RICHHART | PersonNm |
| Phone | 4063274004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SCOTT STEARNS | |||||||||
| BOARD CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SCOTT HACKER | |||||||||
| 1ST VICE CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAN PARKS | |||||||||
| 2ND VICE CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN VANSTRYDONCK | |||||||||
| SECRETARY/TREASURER | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TANYA ASK | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| FRANK D'ANGELO | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARK GARNAAS MD | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| BILL JOHNSTON | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| BARRY KENFIELD | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | 3.00 | |||
| SUZANNE PETERSON | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT PHILLIPS | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS LOWDER MD | |||||||||
| BOARD MEMBER/EMPLOYED PHYSICIAN | 40.00 | Yes (X) | $185,216 | $0 | $33,393 | ||||
| MICHAEL STEWART MD | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN CARLSON | |||||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $420,928 | $0 | $37,086 | ||||
| STAN MOSER | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | Yes (X) | $261,343 | $0 | $17,264 | ||||
| DAVID LECHNER | |||||||||
| PRESIDENT, CPG | 40.00 | $244,015 | $0 | $25,918 | Yes (X) | ||||
| DAVID RICHHART | |||||||||
| VP - FISCAL SERVICES/CFO | 40.00 | $196,918 | $0 | $22,120 | Yes (X) | ||||
| JONATHAN WEISUL | |||||||||
| CHEIF MEDICAL OFFICER | 40.00 | $302,955 | $0 | $31,850 | Yes (X) | ||||
| DAVID JINICH MD | |||||||||
| CARDIOLOGY PHYSICIAN | 40.00 | $659,208 | $0 | $47,227 | Yes (X) | ||||
| KARA ARVIN MD | |||||||||
| NEONATOLOGY PHYSICIAN | 40.00 | $363,168 | $0 | $17,762 | Yes (X) | ||||
| ERIC STERN MD | |||||||||
| PULMONOLOGY PHYSICIAN | 40.00 | $343,772 | $0 | $27,820 | Yes (X) | ||||
| BONNIE STEPHENS MD | |||||||||
| NEONATOLOGY PHYSICIAN | 40.00 | $449,227 | $0 | $41,981 | Yes (X) | ||||
| BRUCE MORGAN MD | |||||||||
| VASCULAR SURGURY PHYSICIAN | 40.00 | $281,394 | $0 | $12,006 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,708,144 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,427 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 84 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MT CANCER SPECIALISTS | |||||
| 1821 SOUTH AVE W SUITE 5 | MISSOULA | MT | 59801 | ONCOLOGY SERVICES | $1,735,733 |
| MT HEART ANGIO LAB LLC | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | CATH SERVICES | $1,176,240 |
| SOUND INPATIENT | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | HOSPITALIST | $1,125,998 |
| BILLINGS CLINIC | |||||
| PO BOX 30977 | BILLINGS | MT | 59107 | MEDICAL SERVICES | $755,790 |
| MAYO COLLABORATIVE | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | LAB SERVICES | $527,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $86,645 | RelatedOrganizationsAmt |
| Government Grants | $218,000 | GovernmentGrantsAmt |
| All Other Contributions | $69,478 | AllOtherContributionsAmt |
| Total Contributions | $374,123 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621500 | $165,533,973 | $162,635,667 | $2,898,306 |
| JV ANCILLARY REVENUE | 621500 | $3,487,488 | $3,487,488 | |
| HEART LAB REVENUE | 621500 | -$183,080 | -$183,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $168,838,381 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $345,551 | TotalRevenueColumnAmt |
| Exclusion | $345,551 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $542,664 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $542,664 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $542,664 | TotalRevenueColumnAmt |
| Exclusion | $542,664 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $36,658 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,606 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,052 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,052 | TotalRevenueColumnAmt |
| Exclusion | $23,052 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $6,037,184 | $6,037,184 |
| 340B REVENUE | 900099 | $1,378,049 | $1,378,049 |
| MEANINGFUL USE REVENUE | 900099 | $1,351,762 | $1,351,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,766,995 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,890,766 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $165,940,075 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,898,306 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,678,262 | 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 | $196,710 | TotalAmt |
| Program Services | $196,710 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,159 | TotalAmt |
| Management And General | $1,685,159 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,631,362 | TotalAmt |
| Program Services | $49,624,519 | ProgramServicesAmt |
| Management And General | $11,853,606 | ManagementAndGeneralAmt |
| Fundraising | $153,237 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,386,720 | TotalAmt |
| Program Services | $1,995,688 | ProgramServicesAmt |
| Management And General | $384,655 | ManagementAndGeneralAmt |
| Fundraising | $6,377 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,566,485 | TotalAmt |
| Program Services | $5,703,397 | ProgramServicesAmt |
| Management And General | $844,863 | ManagementAndGeneralAmt |
| Fundraising | $18,225 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,418,601 | TotalAmt |
| Program Services | $3,449,678 | ProgramServicesAmt |
| Management And General | $957,900 | ManagementAndGeneralAmt |
| Fundraising | $11,023 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,798 | TotalAmt |
| Management And General | $402,121 | ManagementAndGeneralAmt |
| Fundraising | $677 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,706 | TotalAmt |
| Management And General | $97,226 | ManagementAndGeneralAmt |
| Fundraising | $15,480 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,563,852 | TotalAmt |
| Program Services | $19,149,376 | ProgramServicesAmt |
| Management And General | $5,404,354 | ManagementAndGeneralAmt |
| Fundraising | $10,122 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,014,698 | TotalAmt |
| Program Services | $1,458,430 | ProgramServicesAmt |
| Management And General | $1,548,462 | ManagementAndGeneralAmt |
| Fundraising | $7,806 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,596,895 | TotalAmt |
| Program Services | $1,084,707 | ProgramServicesAmt |
| Management And General | $1,509,213 | ManagementAndGeneralAmt |
| Fundraising | $2,975 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,198 | TotalAmt |
| Program Services | $459,780 | ProgramServicesAmt |
| Management And General | $323,629 | ManagementAndGeneralAmt |
| Fundraising | $789 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,719,950 | TotalAmt |
| Program Services | $1,719,950 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,333,425 | TotalAmt |
| Program Services | $9,259,310 | ProgramServicesAmt |
| Management And General | $74,115 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,407,359 | TotalAmt |
| Program Services | $1,407,359 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES/DRUGS | $26,427,542 | $26,427,542 | |
| BAD DEBT | $9,980,510 | $9,980,510 | |
| REPAIRS & MAINTENANCE | $6,682,384 | $895,282 | $5,787,102 |
| LICENSE & FEES | $1,740,261 | $1,228,422 | $511,839 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,723,214 | TotalAmt |
| Program Services | $1,043,628 | ProgramServicesAmt |
| Management And General | $1,652,424 | ManagementAndGeneralAmt |
| Fundraising | $27,162 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,374,829 | TotalAmt |
| Program Services | $135,084,288 | ProgramServicesAmt |
| Management And General | $33,036,668 | ManagementAndGeneralAmt |
| Fundraising | $253,873 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,906,384 | BOYAmt |
| EOY | $22,551,021 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,937,099 | BOYAmt |
| EOY | $11,452,513 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,960,108 | BOYAmt |
| EOY | $31,452,860 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,877,121 | BOYAmt |
| EOY | $3,895,029 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,414,286 | BOYAmt |
| EOY | $3,703,276 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,084,495 | BOYAmt |
| EOY | $1,011,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $151,576,216 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,631,066 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,200,136 | BOYAmt |
| EOY | $72,945,150 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,101,689 | BOYAmt |
| EOY | $13,891,761 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,773,064 | BOYAmt |
| EOY | $2,059,414 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $827,029 | BOYAmt |
| EOY | $807,816 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,318,290 | BOYAmt |
| EOY | $7,054,623 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,399,701 | BOYAmt |
| EOY | $170,824,687 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,570,213 | BOYAmt |
| EOY | $22,001,046 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,932 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,447,509 | BOYAmt |
| EOY | $24,466,486 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,321,822 | BOYAmt |
| EOY | $15,941,305 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,034 | BOYAmt |
| EOY | $161,573 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,634,233 | BOYAmt |
| EOY | $3,377,277 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,360,743 | BOYAmt |
| EOY | $65,947,687 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,813,900 | BOYAmt |
| EOY | $99,940,596 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125,361 | BOYAmt |
| EOY | $1,812,037 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,099,697 | BOYAmt |
| EOY | $3,124,367 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,038,958 | BOYAmt |
| EOY | $104,877,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,399,701 | BOYAmt |
| EOY | $170,824,687 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,515,937 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,036 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,324,141 | 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 | Yes (1) | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $9,500 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,110 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,610 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND MONTANA HOSPITAL ASSOCIATION. THESE ORGANIZATIONS PARTICIPATE IN LOBBYING ACTIVITIES. COMMUNITY MEDICAL CENTER ALSO PROVIDED GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING TO SUPPORT THE EXPANSION OF MEDICAID AND THE LOCAL BUS SERVICE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,092,824 | BeginningYearBalanceAmt |
| Contributions | $27,233 | ContributionsAmt |
| Investment Earnings Or Losses | $288,751 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $256,011 | OtherExpendituresAmt |
| End Year Balance | $3,152,797 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,822,091 | BeginningYearBalanceAmt |
| Contributions | $11,831 | ContributionsAmt |
| Investment Earnings Or Losses | $202,604 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $943,702 | OtherExpendituresAmt |
| End Year Balance | $3,092,824 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,756,462 | BeginningYearBalanceAmt |
| Contributions | $41,273 | ContributionsAmt |
| Investment Earnings Or Losses | $24,356 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,822,091 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,054,980 | BeginningYearBalanceAmt |
| Contributions | $49,499 | ContributionsAmt |
| Investment Earnings Or Losses | $651,983 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,756,462 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,356,624 | BeginningYearBalanceAmt |
| Contributions | $38,678 | ContributionsAmt |
| Investment Earnings Or Losses | $659,678 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,054,980 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.99100 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00900 | 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 | $209,682 | OtherCostOrOtherBasisAmt |
| Book Value | $209,682 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,888,156 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,646,156 | DepreciationAmt |
| Book Value | $41,242,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,463,965 | OtherCostOrOtherBasisAmt |
| Depreciation | $449,144 | DepreciationAmt |
| Book Value | $1,014,821 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,423,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,535,766 | DepreciationAmt |
| Book Value | $21,887,667 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,590,980 | OtherCostOrOtherBasisAmt |
| Book Value | $8,590,980 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $72,945,150 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MORTGAGE BACKED GOVERNMENT SECURITIES | Desc |
| Book Value | $13,891,761 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $13,891,761 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY PAYABLE | Desc |
| Amt | $3,377,277 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,377,277 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE HELD BY THE CMC FOUNDATION AND THE INCOME EARNED ON THESE FUNDS ARE DISTRIBUTED TO THE HOSPITAL TO COMPLY WITH THE PURPOSES SPECIFIED BY THE DONOR. |
| PART X, LINE 2: | THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE HOSPITAL'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS ENDED 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,228,807 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,155,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,534,264 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,574,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,959,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01760 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,763,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,647,913 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,115,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $996,658 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $996,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $744,476 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $744,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,165,244 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,027,311 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,137,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04830 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $246,441 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $246,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,152,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,027,311 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,125,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,915,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,675,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,240,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09050 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $66,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,980,509 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $35,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,122,098 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,803,216 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,681,118 | 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 | COMMUNITY MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://COMMUNITYMED.ORG/UPLOADS/DOCS/CHNA | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.CO.MISSOULA.MT.US/MEASURES/PDF/COMM | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 3: NUMEROUS STAKEHOLDERS FROM THE LARGER COMMUNITY WERE INVOLVED IN THE CREATION OF THE CHNA, INCLUDING; MISSOULA AGING SERVICES, INDIAN HEALTH SERVICE, UNIVERSITY OF MONTANA, MISSOULA YMCA, MISSOULA UNITED WAY, AND MISSOULA COUNTY PARKS & RECREATION. |
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 4: MISSOULA CITY-COUNTY HEALTH DEPARTMENTPARTNERSHIP HEALTH CENTERPROVIDENCE ST. PATRICK HOSPITAL |
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 6I: COMMUNITY MEDICAL CENTER INCORPORATED INDICATERS FROM THE CHNA INTO THEIR STRATEGIC PLAN. |
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 14G: CUSTOMER SERVICE PHONE, CASHIER'S WINDOW, DURING SCREENING FOR OTHER SOURCES OF PAYMENT, COLLECTION AGENCIES, CMC REPRESENTATIVES. |
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 18E: NOTIFY PATIENTS OF AVAILABILITY OF CHARITY WHEN MAKING PAYMENT ARRANGEMENTS. |
| COMMUNITY MEDICAL CENTER | PART V, SECTION B, LINE 20D: THE MINIMUM DISCOUNT ALLOWED FOR INDIVIDUALS ELIGBLE UNDER THIS POLICY WILL MEET OR EXCEED THE AVERAGE DISCOUNT RATE (CALCULATED ANNUALLY) BY COMMERCIAL PAYORS. IN THE CASE OF CATASTROPHIC EVENTS, CMC USES MEDICARE RATES TO DETERMINE THE MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1 | Address Line2USAddress/AddressLine2 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|---|
| CPG MISSOULA VALLEY PEDIATRICS (MVP) | |||||
| 2835 FORT MISSOULA ROAD SUITE 201 | 205 | MISSOULA | MT | 59804 | PEDIATRICS |
| CMC REHABILITATION PHYSICIANS | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | PHYSIATRISTS, FAMILY NURSE PRACTIONER, PY | |
| CPG PARKSIDE COMMUNITY FAMILY CARE | |||||
| 2831 FORT MISSOULA ROAD SUITE 146 | MISSOULA | MT | 59804 | FAMILY PRACTICE | |
| ROCKY MOUNTAIN NEONATOLOGY (RMN) | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | NEONATOLOGY | |
| ROCKY MOUNTAIN PERINATAL ASSOCIATES | |||||
| 2825 FORT MISSOULA ROAD SUITE 217 | MISSOULA | MT | 59804 | PERINATOLOGY | |
| CPG STEVENSVILLE CMC (SCMC) | |||||
| 3800 EASTSIDE HIGHWAY | STEVENSVILLE | MT | 59870 | INTERNAL MEDICINE, FAMILY PRACTICE | |
| WELLCARE | |||||
| 2825 FORT MISSOULA ROAD SUITE 203 | MISSOULA | MT | 59804 | INDEPENDENT MEDICAL EXAMS FOR WORKERS' COMP | |
| CPG DIABETES & ENDOCRINOLOGY ASSOCIATES | |||||
| 1211 S RESERVE ST STE 201 | MISSOULA | MT | 59801 | ENDOCRINOLOGY | |
| CPG DIABETES & NUTRITION CENTER | |||||
| 1211 S RESERVE ST STE 202 | MISSOULA | MT | 59804 | PUMP EDUCATOR, DIETITIAN, DIABETES EDUCATION | |
| MOUNTAIN VIEW FAMILY MEDICINE | |||||
| 2835 FORT MISSOULA ROAD SUITE 101 | MISSOULA | MT | 59804 | FAMILY PRACTICE | |
| CPG ON NORTH RESERVE | |||||
| 2230 NORTH RESERVE STREET | MISSOULA | MT | 59801 | FAMILY PRACTICE/OPEN ACCESS WALK-IN CARE | |
| CPG ON SOUTH RESERVE | |||||
| 1211 RESERVE ST SOUTH SUITE 101 | MISSOULA | MT | 59801 | FAMILY PRACTICE/RHEUMATOLOGY | |
| CPG COUMADIN CLINIC | |||||
| 2825 FORT MISSOULA ROAD STE 115 | MISSOULA | MT | 59804 | COUMADIN | |
| CPG CARDIOLOGYGENERAL & VASCULAR SURGER | |||||
| 2831 FORT MISSOULA RD STE 102 | MISSOULA | MT | 59804 | CARDIOLOGY, GENERAL & VASCULAR SURGERY | |
| CPG NORTH PRIMARY CARE | |||||
| 2230 NORTH RESERVE STREET | MISSOULA | MT | 59808 | INTERNAL MEDICINE | |
| MONTANA BREAST HEALTH CENTER | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | BREAST HEALTH | |
| CPG OBGYN | |||||
| 2825 FORT MISSOULA ROAD STE 217 | MISSOULA | MT | 59804 | OB/GYN | |
| CPG NEUROSURGERY & CPG NEUROBEHAIVORAL | |||||
| 2825 FORT MISSOULA ROAD STE 317 | MISSOULA | MT | 59804 | NEUROLOGY | |
| CPG THORACIC SURGERY | |||||
| 2835 FORT MISSOULA ROAD STE 204 | MISSOULA | MT | 59804 | THORACIC SURGERY | |
| COMMUNITY BRIDGES & WORCCENTER | |||||
| 2685 PALMER ST SUITE D | MISSOULA | MT | 59801 | BRAIN INJURY REHABILITATION | |
| CPG DERMATOLOGY | |||||
| 2835 FORT MISSOULA ROAD STE 302 | MISSOULA | MT | 59804 | DERMATOLOGY | |
| CPG MT NEUROBEHAVIORAL SPECIALISTS SOUTH | |||||
| 1622 SOUTH AVENUE WEST | MISSOULA | MT | 59801 | NEUROLOGY | |
| CPG PSYCHIATRY | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | PSYCHIATRY | |
| CPG PULMONOLOGY | |||||
| 2825 FORT MISSOULA ROAD STE 115 | MISSOULA | MT | 59804 | PULMONOLOGY | |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHOD USED WAS THE COST TO CHARGE RATIO DERIVED FROM USING WORKSHEET 2. |
| PART I, LINE 7G: | $6,248,049 OF SUBSIDIZED HEALTH SERVICES IS ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| PART I, LN 7 COL(F): | WHEN CALCULATING CHARITY-CARE PERCENTAGE OF TOTAL EXPENSES (SCHEDULE H, PART I, LINE 7, COLUMN F), THE HOSPITAL ELIMINATED $9,980,509 OF BAD DEBT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | CMC INVESTS IN MISSOULA AND THE SURROUNDING AREA THROUGH MULTIPLE AVENUES. AS A KEY PARTNER OF THE MISSOULA ECONOMIC PROJECT (MEP), CMC HELPS MEP CREATE A PROGRESSIVE BUSINESS DEVELOPMENT AND RECRUITMENT PROGRAM FOR THE CITY OF MISSOULA. WE BELIEVE THAT A STRONG BUSINESS COMMUNITY CREATES A VIBRANT CITY THAT CAN BE SUPPORTED BY NON-PROFIT HEALTHCARE ORGANIZATIONS, SUCH AS CMC. IN ADDITION, OUR PARTICIPATION IN EMERGENCY PREPAREDNESS IN PARTNERSHIP WITH OTHER HOSPITALS, FIRE, POLICE, AND THE CITY/COUNTY GOVERNMENT STRENGTHENS OUR ABILITY TO RESPOND EFFICIENTLY AND QUICKLY TO ANY EMERGENCY WITHIN THE AREA. AS MISSOULA CHAMBER OF COMMERCE MEMBERS, WE SUPPORT OUR BUSINESS COMMUNITY BY SPONSORING AT LEAST ONE PARTICIPANT FROM CMC IN THE LEADERSHIP MISSOULA PROGRAM ANNUALLY. THIS PROGRAM CREATES AMBASSADORS OF CMC EMPLOYEES FOR THE LARGER COMMUNITY. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE THAT IS ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON HISTORY AND THE JUDGMENT OF THE DIRECTOR OF PATIENT ACCOUNTS. |
| PART III, LINE 4: | FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | ONE HUNDRED PERCENT OF THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THIS AMOUNT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: IN OUR COMMUNITY MEDICARE HAS THE LOWEST REIMBURSEMENT RATE OF ALL PAYERS. WE DO NOT BELIEVE OUR MEDICARE SHORTFALL TO BE FROM ANY SORT OF DEFICIENCIES IN THE EFFICIENCY OF OPERATIONS OR LOW PATIENT VOLUMES. THE AMOUNTS SHOWN ARE CALCULATED BY UTILIZING THE INCOME AND EXPENSES AS CALCULATED BY THE MEDICARE COST REPORT LESS ANY AMOUNTS THAT ARE ALREADY INCLUDED IN THE SUBSIDIZED HEALTH EXPENSES. |
| PART III, LINE 9B: | PATIENTS RECEIVE INFORMATION AT THE TIME OF REGISTRATION REGARDING FINANCIAL ASSISTANCE BOTH FOR SELF PAY AND BALANCE AFTER INSURANCE. ALL SELF PAY PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FEDERAL, STATE AND LOCAL PROGRAMS BY THE MASH PROGRAMS, AND IF NO ELIGIBILITY EXISTS, PATIENTS ARE FURTHER SCREENED FOR HOSPITAL FINANCIAL ASSISTANCE. ADDITIONALLY, PATIENTS RECEIVE INFORMATION REGARDING FINANCIAL ASSISTANCE IN THEIR BILLING STATEMENTS AS WELL AS VERBALLY WHEN FOLLOW UP CALLS ARE MADE ON ANY PATIENT BALANCE. PATIENTS WHO QUALIFY FOR CHARITY CARE RECEIVE AN ADJUSTMENT ON THE BALANCE OF THEIR ACCOUNT CORRESPONDING WITH THE APPROPRIATE REDUCTION ACCORDING TO POLICY. REMAINING BALANCES, IF ANY, ARE COLLECTED EITHER IN FULL OR BY PAYMENT PLAN, OR IN THE CASE OF NON-PAYMENT MAY HAVE THE ADJUSTED BALANCE ASSIGNED TO AN OUTSIDE AGENCY FOR RESOLUTION. |
| PART VI, LINE 2: | CMC, ALONG WITH OUR PARTNER ORGANIZATIONS, ASSESSES THE NEEDS OF THE COMMUNITY AND THEN CRAFTS A RESPONSE TO THE NEEDS ASSESSMENT TO FULFILL ANY GAPS THAT ARE IDENTIFIED. COMMUNITY MEDICAL CENTER WORKS WITH SAINT PATRICK HOSPITAL AND THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THE COMMUNITY, AS WELL AS WITH OTHER NON-PROFIT ORGANIZATIONS, I.E., MISSOULA AGING SERVICES, YWCA, YMCA, POVERELLO HOMELESS SHELTER, AND UNITED WAY. |
| PART VI, LINE 3: | PATIENTS RECEIVE INFORMATION AT THE TIME OF REGISTRATION REGARDING FINANCIAL ASSISTANCE BOTH FOR SELF PAY AND BALANCE AFTER INSURANCE. ALL SELF PAY PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FEDERAL, STATE AND LOCAL PROGRAMS BY THE MASH PROGRAMS, AND IF NO ELIGIBILITY EXISTS, PATIENTS ARE FURTHER SCREENED FOR HOSPITAL FINANCIAL ASSISTANCE. ADDITIONALLY, PATIENTS RECEIVE INFORMATION REGARDING FINANCIAL ASSISTANCE IN THEIR BILLING STATEMENTS AS WELL AS VERBALLY WHEN FOLLOW UP CALLS ARE MADE ON ANY PATIENT BALANCE. |
| PART VI, LINE 4: | CMC SERVES THE COMMUNITY OF MISSOULA, MT AND THE SURROUNDING COUNTIES. MONTANA IS A RURAL STATE AND THEREFORE, THERE ARE LIMITED HOSPITALS IN THE REGION. THERE ARE TWO HOSPITALS IN MISSOULA. CMC SERVES A DISPROPORTIONATE NUMBER OF LOWER INCOME INDIVIDUAL AND THEREFORE RECEIVES DSH PAYMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PARTNERSHIP HEALTH CENTER | |||||||
| 323 W ALDER ST | MISSOULA | MT | 59802 | 363843543 | 501(C)(3) | $25,000 | SUPPORT OF MISSION |
| MISSOULA ECONOMIC PARTNERSHIP | |||||||
| PO BOX 7457 | MISSOULA | MT | 59807 | 273994460 | 501(C)(6) | $20,200 | SUPPORT OF MISSION |
| MISSOULA FAMILY YMCA | |||||||
| 3000 S RUSSELL ST | MISSOULA | MT | 59801 | 810300829 | 501(C)(3) | $14,000 | SUPPORT OF MISSION |
| LIVING ART | |||||||
| PO BOX 17303 | MISSOULA | MT | 59808 | 810518819 | 501(C)(3) | $10,000 | SUPPORT OF MISSION |
| MISSOULA CHAMBER COMMERCE | |||||||
| PO BOX 7577 | MISSOULA | MT | 59807 | 810167990 | 501(C)(6) | $8,975 | SUPPORT OF MISSION |
| MISSOULA DOWNTOWN ASSOCIATION | |||||||
| 218 EAST MAIN STREET | MISSOULA | MT | 59802 | 810403474 | 501(C)(6) | $8,100 | SUPPORT OF MISSION |
| MARCH OF DIMES | |||||||
| 807 GRAND AVE | BILLINGS | MT | 59101 | 131846366 | 501(C)(3) | $8,000 | SUPPORT OF MISSION |
| CHICKS N CHAPS | |||||||
| 2785 MERIWETHER ST | MISSOULA | MT | 59803 | 272760144 | 501(C)(3) | $7,500 | SUPPORT OF MISSION |
| AMERICAN HEART ASSOCIATION | |||||||
| 320 B EAST MAIN ST | MISSOULA | MT | 59802 | 135613797 | 501(C)(3) | $6,500 | SUPPORT OF MISSION |
| UNIVERSITY OF MONTANA | |||||||
| 600 CONNELL AVE | MISSOULA | MT | 59812 | 810362989 | 501(C)(3) | $6,339 | SUPPORT OF MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ONLY NONPROFIT ORGANIZATIONS ARE ELIGIBLE FOR DONATIONS FROM CMC. THEY HAVE TO IDENTIFY HOW THEIR MISSION LINKS TO CMC'S AND OUR CORE COMPETENCIES IN WOMEN'S HEALTH, PEDIATRICS, ONCOLOGY, AND REHABILITATION. ALL COMMUNITY BENEFIT APPLICATIONS AND SUPPORTING MATERIALS ARE KEPT FOR EACH GRANT GIVEN. ONCE FUNDING IS GRANTED, NO ADDITIONAL MONITORING IS PERFORMED BY CMC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS LOWDER MD | ||||||||||||||
| BOARD MEMBER/EMPLOYED PHYSICIAN | $182,885 | $0 | $1,750 | $0 | $581 | $0 | $9,305 | $0 | $24,088 | $0 | $218,609 | $0 | $0 | $0 |
| STEPHEN CARLSON | ||||||||||||||
| PRESIDENT & CEO | $392,763 | $0 | $15,000 | $0 | $13,165 | $0 | $19,685 | $0 | $17,401 | $0 | $458,014 | $0 | $0 | $0 |
| STAN MOSER | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $261,343 | $0 | $0 | $0 | $0 | $0 | $4,215 | $0 | $13,049 | $0 | $278,607 | $0 | $0 | $0 |
| DAVID LECHNER | ||||||||||||||
| PRESIDENT, CPG | $242,773 | $0 | $0 | $0 | $1,242 | $0 | $10,345 | $0 | $15,573 | $0 | $269,933 | $0 | $0 | $0 |
| DAVID RICHHART | ||||||||||||||
| VP - FISCAL SERVICES/CFO | $190,202 | $0 | $0 | $0 | $6,716 | $0 | $9,491 | $0 | $12,629 | $0 | $219,038 | $0 | $0 | $0 |
| JONATHAN WEISUL | ||||||||||||||
| CHEIF MEDICAL OFFICER | $297,669 | $0 | $0 | $0 | $5,286 | $0 | $13,635 | $0 | $18,215 | $0 | $334,805 | $0 | $0 | $0 |
| DAVID JINICH MD | ||||||||||||||
| CARDIOLOGY PHYSICIAN | $582,891 | $0 | $75,075 | $0 | $1,242 | $0 | $26,618 | $0 | $20,609 | $0 | $706,435 | $0 | $0 | $0 |
| KARA ARVIN MD | ||||||||||||||
| NEONATOLOGY PHYSICIAN | $348,507 | $0 | $14,000 | $0 | $661 | $0 | $2,770 | $0 | $14,992 | $0 | $380,930 | $0 | $0 | $0 |
| ERIC STERN MD | ||||||||||||||
| PULMONOLOGY PHYSICIAN | $343,232 | $0 | $0 | $0 | $540 | $0 | $6,640 | $0 | $21,180 | $0 | $371,592 | $0 | $0 | $0 |
| BONNIE STEPHENS MD | ||||||||||||||
| NEONATOLOGY PHYSICIAN | $431,087 | $0 | $17,600 | $0 | $540 | $0 | $18,671 | $0 | $23,310 | $0 | $491,208 | $0 | $0 | $0 |
| BRUCE MORGAN MD | ||||||||||||||
| VASCULAR SURGURY PHYSICIAN | $281,394 | $0 | $0 | $0 | $0 | $0 | $9,145 | $0 | $2,861 | $0 | $293,400 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | CMC PAID COUNTRY CLUB DUES ON BEHALF OF STEVE CARLSON, CEO IN THE AMOUNT OF $15,393. THIS AMOUNT WAS NOT INCLUDED IN STEVE'S TAXABLE COMPENSATION. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| A | 364615155 | 612043JA3 | 2010-12-29 | $24,400,067 | CONSTRUCTION/FACILITY EXPANSION OF WOMEN'S, NEWBORN CARE, & ONCOLOGY CENTER | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| B | 364615155 | 2010-06-29 | $14,525,000 | REFINANCE 1988, 1996, AND 2001 BONDS | 0 | 0 | 0 | |
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| C | 364615155 | 2013-07-30 | $8,500,000 | CONSTRUCTION OF RADIATION AND ONCOLOGY FACILITIES | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $24,146,299 | $2,141,709 | $2,341,766 | $565,765 | $19,169,250 | $4 | 0 | 0 | 0 | Yes (1) | ||
| B | $14,345,948 | $178,052 | 0 | Yes (1) | Yes (1) | Yes (1) | $6,220,000 | 2001 | ||||
| C | $8,500,000 | $6,040,124 | $2,459,876 | 0 | 0 | 0 | Yes (1) | $1,049,292 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART II, LINE 3 | FormAndLineReferenceDesc |
| Explanation | TOTAL PROCEEDS OF $24,146,299 ON PART II, LINE 3 DOES NOT EQUAL THE ISSUE PRICE OF $24,400,061 INCLUDED IN PART I, LINE A, COLUMN E. THE DIFFERENCE OF $253,768 IS EQUAL TO THE UNDERWRITERS' DISCOUNTS. TOTAL PROCEEDS OF $14,345,948 ON PART II, LINE 3 DOES NOT EQUAL THE ISSUE PRICE OF $14,524,000 INCLUDED IN PART I, LINE A, COLUMN E. THE DIFFERENCE OF $178,052 IS EQUAL TO THE BOND ISSUANCE COSTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE ROLE OF THE EXECUTIVE COMMITTEE IS TO TRANSACT THE BUSINESS OF THE COMMUNITY MEDICAL CENTER BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE FULL BOARD, WHEN A MEETING OF THE FULL BOARD IS NOT FEASIBLE. THEIR RESPONSIBILITIES INCLUDE: - ACT ON MATTERS THAT CANNOT REASONABLY WAIT ACTION BY THE FULL BOARD. - ACT ON OTHER MATTERS DELEGATED TO THE EXECUTIVE COMMITTEE BY THE BOARD. - REPORT ACTIONS AT THE NEXT MEETING OF THE BOARD FOR RATIFICATION. - FUNCTION AS AN ADVISOR TO THE PRESIDENT/CEO ON SENSITIVE TOPICS. - PROVIDE INPUT INTO THE CONTENT AND STRUCTURING OF THE BOARD AGENDA. - CONDUCT THE EVALUATION AND SET THE SALARY OF THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND ONE ADDITIONAL BOARD MEMBER AT LARGE. THE PRESIDENT/CEO SHALL BE AN EX OFFICIO MEMBER WITHOUT VOTE. THE CHAIR OF THE BOARD APPOINTS THE COMMITTEE MEMBERS ANNUALLY, TO COINCIDE WITH THE ELECTION OF OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 AND RELATED SCHEDULES WILL BE GIVEN TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN THE BEGINNING OF EACH CALENDAR YEAR, THE BOARD IS REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST FORM THAT SPECIFICALLY ASKS ABOUT OUTSIDE INTERESTS, OUTSIDE ACTIVITIES, GIFTS, GRATUITIES, AND ENTERTAINMENT, AND INSIDE INFORMATION AND OTHER INTEREST. ON THIS SAME FORM, BOARD MEMBERS MUST ALSO CERTIFY THAT THEY HAVE A CONTINUING RESPONSIBILITY TO OBSERVE AND APPLY THE PROVISIONS OF THE POLICY. THIS CERTIFICATION REQUIRES THAT THEY UPDATE THEIR CONFLICT OF INTEREST FORM SHOULD ANY NEW CONFLICTS DEVELOP. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MAY NOT VOTE, INFLUENCE, OR PARTICIPATE IN ANY WAY ON ANY MATTER THAT THEY, OR THEIR RELATIVES, HAVE A SUBSTANTIAL INTEREST. THE ANNUAL CONFLICT OF INTEREST FORMS ARE MONITORED BY THE CEO'S ASSISTANT. |
| FORM 990, PART VI, SECTION B, LINE 15 | WE HIRED AN INDEPENDENT SERVICE (INTEGRATED HEALTHCARE STRATEGIES) TO DO AN EXECUTIVE COMPENSATION SURVEY. THIS SURVEY WAS CONDUCTED FOR THE TOP 12 COMPENSATED EMPLOYEES OF THE HOSPITAL. THE DATA WAS PRESENTED TO THE BOARD OF DIRECTORS, AND SALARY ADJUSTMENTS (IF ANY) WERE DETERMINED. THE SURVEY INCLUDED REGIONAL AND NATIONAL COMPARISONS TO INSTITUTIONS OF A SIMILAR SIZE AND REVENUE GENERATION TO MAKE THE RESULTS COMPARABLE. AS MENTIONED ABOVE, THE SAME PROCESS THAT WAS USED FOR THE CEO, WAS USED TO COMPARE THE SALARIES OF OTHER KEY EXECUTIVES. THE LAST COMPENSATION ANALYSIS WAS PERFORMED IN 2011. |
| FORM 990, PART VI, SECTION C, LINE 18 | IN ADDITION TO BEING AVAILABLE UPON REQUEST, CMC'S FORM 990 IS ALSO AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 18,660,792. MANAGEMENT AND GENERAL EXPENSES 5,404,354. FUNDRAISING EXPENSES 10,122. TOTAL EXPENSES 24,075,268. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 488,584. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,584. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST OF CMC FOUNDATION 709,025. CHANGE IN BENEFICIAL INTEREST OF PIHC 615,116. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2825 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363627205 | EIN |
| Primary Activities | TO PROVIDE FUNDING TO COMMUNITY MEDICAL CENTER HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA HEART ANGIO LAB LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1 |
| City | MISSOULA | City |
| State | MT | State |
| ZIP Code | 59804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810542065 | EIN |
| Primary Activities | CATH LAB | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,853,244 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,192,708 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.92900 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CMC FOUNDATION | ||
| C | $86,645 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| A | $94,428 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| D | $161,573 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| J | $97,428 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| K | $56,070 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| L | $117,616 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| M | $1,684,218 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| O | $847,775 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| Q | $1,867,133 | FMV |