DANIELS MEMORIAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DANIELS MEMORIAL HOSPITAL (EIN 81-6016920)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-03-17
IRS object ID: 201420769349300727
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-17T14:00:41-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	810272932	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GALUSHA HIGGINS AND GALUSHA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 1530	AddressLine1
City	HAVRE	City
State	MT	State
ZIP Code	59501	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	816016920	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DANIELS MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DANI	NameControl
Phone	4064875331	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 400	AddressLine1
City	SCOBEY	City
State	MT	State
ZIP Code	59263	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVE HUBBARD	Name
Title	ADMINISTRATOR	Title
Phone	4064875331	Phone
Date Signed	2014-03-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00647883	PTIN
Phone	4062653201	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVE HUBBARD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 400	AddressLine1
City	SCOBEY	City
State	MT	State
ZIP Code	59263	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	7438223	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Association	X	TypeOfOrganizationAssociation
Year Formation	1956	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE THE GENERAL HEALTH CARE OF THE COMMUNITY THROUGH PROVIDING HIGH QUALITY HEALTH CARE AND A HOME FOR THE AGED AND INFIRM.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	119	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	196001	ContributionsGrantsPriorYear
Contributions Grants Current Year	391858	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6025450	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7043006	ProgramServiceRevenueCY
Investment Income Prior Year	0	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	68323	OtherRevenuePriorYear
Other Revenue Current Year	3359	OtherRevenueCurrentYear
Total Revenue Prior Year	6289774	TotalRevenuePriorYear
Total Revenue Current Year	7438223	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4006871	SalariesEtcPriorYear
Salaries Etc Current Year	4082653	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2307084	OtherExpensePriorYear
Other Expenses Current Year	2736777	OtherExpensesCurrentYear
Total Expenses Prior Year	6313955	TotalExpensesPriorYear
Total Expenses Current Year	6819430	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-24181	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	618793	RevenuesLessExpensesCY
Total Assets BOY	3467917	TotalAssetsBOY
Total Assets EOY	3818775	TotalAssetsEOY
Total Liabilities BOY	932796	TotalLiabilitiesBOY
Total Liabilities EOY	664861	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2535121	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3153914	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE A HEALTH CARE SYSTEM WITH CLINIC, ACUTE INPATIENT, EMERGENCY, OUTPATIENT, AND LONG-TERM CARE SERVICES	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3782792	Expense
Revenue	6201590	Revenue
Description	PROFESSIONAL CARE - PRIMARY, ACUTE AND LONG TERM CARE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	838510	Expense
Revenue	844775	Revenue
Description	CLINIC SERVICES FOR OUTPATIENT CLIENTS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	476814	Expense
Description	HOUSEKEEPING, LAUNDRY, LINEN & PLANT SERVICES - PROVIDE FOR THE HOUSEKEEPING AND BUILDING MAINTENANCE OF THE FACILTIY.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	DescriptionDescription
495577	DIETARY SERVICES FOR ACUTE AND LONG TERM CARE PATIENTS.
	MEDICAL RECORDS

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	495577	TotalOfOtherProgramServiceExp
Total Program Service Expense	5593693	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	4	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	119	NumberOfEmployees
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MT	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DANIELS MEMORIAL HOSPITAL ASSOCIATI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4064872296	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	105 5TH AVENUE EAST	AddressLine1
City	SCOBEY	City
State	MT	State
ZIP Code	59263	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee
TOM HAGAN
CHAIR	3.00	X	0	0	0
BEV LINDSEY
TREASURER	2.00	X	0	0	0
PERRY WOLFE
SECRETARY	2.00	X	0	0	0
CARTER JENSEN
DIRECTOR	2.00	X	0	0	0
SCOTT SUSAG
DIRECTOR	1.50	X	0	0	0
DERRICK MOTTERN
DIRECTOR	2.00	X	0	0	0
MIKE BJARKO
DIRECTOR	1.50	X	0	0	0
KATHY WICOXON
DIRECTOR	2.00	X	0	0	0
KAREN TANDE
DIRECTOR	2.00	X	0	0	0
ANA BRENDEN
DIRECTOR	1.50	X	0	0	0
DR DONALD SAWDEY
DO	40.00		380084	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	380084	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

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

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2800 10TH AVE NORTH	AddressLine1
City	BILLINGS	City
State	MT	State
ZIP Code	59107	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	MANAGEMENT SERVICES	DescriptionOfServices
Compensation	469356	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	391858	AllOtherContributions
Total Contributions	391858	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	623000	6790470	6790470
OTHER OPERATING REVENU	623000	252536	252536

Field	Value	IRS element (for citing)
Total Program Service Revenue	7043006	TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER UNRESTRICTED INC	623000	5378	5378
REAILIZED/UNREALIZED I	623000	-2019	-2019

Field	Value	IRS element (for citing)
Total Other Revenue	3359	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7438223	TotalRevenueColumn
Related Or Exempt Function Income	7046365	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	380084	Total
Program Services	380084	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2816232	Total
Program Services	2557999	ProgramServices
Management And General	258233	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	34038	Total
Program Services	34562	ProgramServices
Management And General	-524	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	615505	Total
Program Services	517782	ProgramServices
Management And General	97723	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	236794	Total
Program Services	201283	ProgramServices
Management And General	35511	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	83038	Total
Program Services	17043	ProgramServices
Management And General	65995	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	20000	Total
Management And General	20000	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	34966	Total
Program Services	4431	ProgramServices
Management And General	30535	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11143	Total
Program Services	4399	ProgramServices
Management And General	6744	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	44952	Total
Program Services	37812	ProgramServices
Management And General	7140	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	59600	Total
Program Services	22548	ProgramServices
Management And General	37052	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8338	Total
Management And General	8338	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	297003	Total
Program Services	297003	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	123091	Total
Program Services	3004	ProgramServices
Management And General	120087	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CONTRACTUAL SERVICES	811470	505247	306223
SUPPLIES	330323	303765	26558
MEDICAL SUPPLIES AND PH	308455	308455
REPAIRS AND MAINTENANCE	172683	168727	3956

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	431715	Total
Program Services	229549	ProgramServices
Management And General	202166	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6819430	Total
Program Services	5593693	ProgramServices
Management And General	1225737	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	768400	BOY
EOY	801078	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	311171	BOY
EOY	311911	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	624557	BOY
EOY	1012256	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	45000	BOY
EOY	50000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	175397	BOY
EOY	206875	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	40509	BOY
EOY	46740	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5325638	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3935764	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1501816	BOY
EOY	1389874	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1067	BOY
EOY	41	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3467917	BOY
EOY	3818775	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	673118	BOY
EOY	541385	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	258611	BOY
EOY	123435	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1067	BOY
EOY	41	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	932796	BOY
EOY	664861	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2535121	BOY
EOY	3153914	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2535121	BOY
EOY	3153914	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3467917	BOY
EOY	3818775	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	618793	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34837	OtherCostOrOtherBasis
Book Value	34837	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3622664	OtherCostOrOtherBasis
Depreciation	2836998	Depreciation
Book Value	785666	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1668137	OtherCostOrOtherBasis
Depreciation	1098766	Depreciation
Book Value	569371	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1389874	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RESIDENT TRUST FUND	Description
Amount	$41	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	41	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	6903676	TotRevenueEtcAuditedFinclStmt
Other Revenues	-139330	OtherRevenues
Revenue Not Rptd F990	-139330	RevenueNotRptdF990
Revenue Subtotal	7043006	RevenueSubtotal
Other Revenues Not Included	395217	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	395217	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	7438223	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6680100	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6680100	ExpensesSubtotal
Other Expenses Not Included	139330	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	139330	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6819430	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT
PART XI, LINE 4B - OTHER ADJUSTMENTS:	OTHER REVENUES
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT
	THE RECONCILIATION FOR REVENUES AND EXPENSES PER AUDITED FINANCIAL STATMENTS COMPARED TO THE TAX RETURN CONTAINS ADJUSTMENTS DO TO A PROVISION FOR BAD DEBT EXPENSE AND OTHER REVENUES INCLUDING CONTRIBUTION INCOME AND HOSPITAL DISTRICT TAX REVENUES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51584	TotalCommunityBenefitExpense
Net Community Benefit Expense	51584	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51584	TotalCommunityBenefitExpense
Net Community Benefit Expense	51584	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21106	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2000	DirectOffsettingRevenue
Net Community Benefit Expense	19106	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	104680	TotalCommunityBenefitExpense
Direct Offsetting Revenue	76391	DirectOffsettingRevenue
Net Community Benefit Expense	28289	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	125786	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78391	DirectOffsettingRevenue
Net Community Benefit Expense	47395	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	177370	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78391	DirectOffsettingRevenue
Net Community Benefit Expense	98979	NetCommunityBenefitExpense
Percent Of Total Expense	0.01480	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	12737	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3920	DirectOffsettingRevenue
Net Community Building Expense	8817	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	12737	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3920	DirectOffsettingRevenue
Net Community Building Expense	8817	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$139,330	BadDebtExpenseAmount
Amount Attributable To	41799	AmountAttributableTo
Amount Reimbursed By Medicare	1223188	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	1223188	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DANIELS MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	PO BOX 400	AddressLine1
City	SCOBEY	City
State	MT	State
ZIP Code	59263	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Other	LONG-TERM CARE FACILITY; RURAL HEALTH CLINIC; HOME CARE & HOSPICE	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DANIELS MEMORIAL HEALTH CARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	150.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	0	IncludesPublicityMeasures
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 139330.
PART V, SECTION B, LINE 3: THE DANIELS COUNTY PUBLIC NURSE MARY NYPHUS IS THE PERSON WHO REPRESENTED THE COMMUNITY AND WHOM WHICH THE HOSPITAL CONSULTED WITH. A FEW OF THE SURVEY QUESTIONS WERE MODIFIED AND ADDITIONAL QUESTIONS WERE ADDED TO THE COMMUNITY ASSESSMENT THAT PERTAINED TO PUBLIC HEALTH, ISSUES RELATED TO SMOKING, ALCOHOL CONUSMPTION, HEALTHY LIFESTYLES AND CANCER SCREENING.	DANIELS MEMORIAL HEALTH CARE CENTER
PART V, SECTION B, LINE 5C: PUBLICIZED IN LOCAL NEWSPAPER.	DANIELS MEMORIAL HEALTH CARE CENTER
PART V, SECTION B, LINE 7: THE HOSPITAL IS STILL IN THE PROCESS OF ADDRESSING ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED NEEDS ASSESSMENT.	DANIELS MEMORIAL HEALTH CARE CENTER
PART VI, LINE 2: PUBLIC HEALTH NURSING SERVICE REQUESTS ALL PARTICIPANTS: BUSINESS, CIVIC, RELIGIOUS, HEALTHCARE, PUBLIC AND WE IDENTIFY ISSUES THAT MAY ASSIST THE COMMUNITY. I.E. HEALTHCARE, HOUSING, ROADS, INFRASTRUCTURE.
PART VI, LINE 3: WE INFORM THE PUBLIC ABOUT PROGRAMS, I.E. MEDICARE/MEDICAID. ADVERTISEMENT IN PRINT AND RADIO, PHAMPLETS IN THE WAITING ROOM, AND SOCIAL SERVICE VISITS WITH PATIENTS.
PART VI, LINE 4: WE ARE DESIGNATED A FRONTIER CAH, >6 PEOPLE PER SQ MILE, TOWN HAS 960 PEOPLE, COUNTY HAS 1406 PEOPLE, WE ARE 5 HOURS AWAY FROM A TERTIARY HOSPITAL, AND 3 HOURS AWAY FROM A SECONDARY HOSPITAL.
PART VI, LINE 5: THROUGH THE TELEMEDICINE NETWORK, PATIENTS CAN SEE SPECIALISTS 5 HOURS AWAY RIGHT HERE. SEVERAL FREE TELEMEDICINE NETWORK SERVICES ARE OFFERED: CARDIOLOGY, DIABETES, BABY SITTING CLASSES WITH DIPOLMA, MENTAL HEALTH, CHEMICAL DEPENDENCY ARE ALL FREE TO THE PUBLIC AND GROUPS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	DR DONALD SAWDEY	NamePerson
Title	DO	Title
Base Compensation Filing Org	380084	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	0	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	0	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	0	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	0	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	380084	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org	0	CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs	0	CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3	DANIELS MEMORIAL HOSPITAL CONTRACTS WITH THE BILLINGS CLINIC FOR MANAGEMENT, IT, AND ACCOUNTING SERVICES.
FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS AVAILABLE FOR REVIEW BY THE BOARD AFTER APPROVAL BY THE CEO.
FORM 990, PART VI, SECTION B, LINE 12C	AT THE ANNUAL MEETING, CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND SIGNED BY ALL TRUSTEES AND THE CEO. THE BOARD CHAIR AND CEO MONITOR THE STATUS OF ALL TRUSTEES THROUGHOUT THE YEAR FOR CHANGES THAT COULD LEAD TO A NEW SITUATION REQUIRING DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF TRUSTEES REVIEW AND MAKE DECISIONS ON THE COMPENSATION PACKAGE FOR THE CEO. THE CEO COMPENSATION IS PART OF THE MANAGEMENT CONTRACT PAID TO THE OUTSIDE MANAGEMENT COMPANY. ALL MANAGERS REPORT TO THE CEO AND THE CEO REVIEWS AND MAKES DECISIONS ON THE MANAGERS COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	ALL GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST STATEMENT AND THE FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
	THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE FINANCE COMMITTEE AND THEN REFERRED TO THE OVERALL BOARD. THE BOARD VOTES TO ACCEPT THE AUDITED FINANCIAL STATEMENTS.