CMC MISSOULA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CMC MISSOULA INC (EIN 81-0247705)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201431349349302278
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T09:50:55-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810247705 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 4067284100 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID RICHHART | Name |
| Title | VP - FISCAL SERVICES | Title |
| Phone | 4067284100 | Phone |
| Date Signed | 2014-04-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT E SCHILE | Name |
| PTIN | P00369682 | PTIN |
| Phone | 6123764500 | 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 | STEVE CARLSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 167760436 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COMMUNITYMED.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1948 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | YOUR HEALTH - OUR COMMITEMENT TO YOU, FROM DAY ONE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1393 | TotalNbrEmployees |
| Total Nbr Volunteers | 131 | TotalNbrVolunteers |
| Total Gross UBI | 2704763 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -729352 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1504029 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1075030 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 148440839 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 156421696 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 498118 | InvestmentIncomePriorYear |
| Investment Income Current Year | 715839 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2292684 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8780714 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 152735670 | TotalRevenuePriorYear |
| Total Revenue Current Year | 166993279 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 147928 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 193440 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71932249 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 76495493 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2264 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 72330762 | OtherExpensePriorYear |
| Other Expenses Current Year | 83990426 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 144410939 | TotalExpensesPriorYear |
| Total Expenses Current Year | 160679359 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8324731 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6313920 | RevenuesLessExpensesCY |
| Total Assets BOY | 149194755 | TotalAssetsBOY |
| Total Assets EOY | 153399701 | TotalAssetsEOY |
| Total Liabilities BOY | 61708913 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 60360743 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 87485842 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 93038958 | NetAssetsOrFundBalancesEOY |
| Mission Description | YOUR HEALTH - OUR COMMITMENT TO YOU, FROM DAY ONE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 126211886 | Expense |
| Grants | 193440 | Grants |
| Revenue | 156421696 | Revenue |
| Description | CMC PROVIDES DAILY PATIENT SERVICES, PROFESSIONAL AND TECHNICAL SERVICES, AND REHABILITATION SERVICES FOR PATIENT CARE. 5,175 INPATIENTS ARE ADMITTED TO CMC EACH YEAR. 133,150 OUTPATIENT SERVICES ARE PROVIDED ANNUALLY. 101,675 VISITS ARE MADE TO OUR PHYSICIANS. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY POLICY AGGREGATED APPROXIMATELY $4,462,592 FOR THE YEAR ENDED JUNE 30, 2013. | Description |
| Total Program Service Expense | 126211886 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | 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 | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 164 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1393 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID RICHHART | NamePerson |
| Telephone Number | 4063274004 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SCOTT STEARNS | ||||||||
| BOARD CHAIR | 1.50 | X | X | 0 | 0 | 0 | ||
| SCOTT HACKER | ||||||||
| 1ST VICE CHAIR | 1.50 | X | X | 0 | 0 | 0 | ||
| JAN PARKS | ||||||||
| 2ND VICE CHAIR | 1.50 | X | X | 0 | 0 | 0 | ||
| JOHN VANSTRYDONCK | ||||||||
| SECRETARY/TREASURER | 1.50 | X | X | 0 | 0 | 0 | ||
| TANYA ASK | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| FRANK D'ANGELO | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| MARK GARNAAS MD | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| BILL JOHNSTON | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| ROBERT PHILLIPS | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| SUZANNE PETERSON | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| THOMAS LOWDER MD | ||||||||
| BOARD MEMBER/EMPLOYED PHYSICIAN | 40.00 | X | 175325 | 0 | 27984 | |||
| MICHAEL STEWART MD | ||||||||
| BOARD MEMBER | 1.50 | X | 0 | 0 | 0 | |||
| RON PREMUROSO | ||||||||
| BOARD MEMBER (FORMER) | 1.50 | X | 0 | 0 | 0 | |||
| ROGER MUNRO | ||||||||
| BOARD MEMBER (FORMER) | 1.50 | X | 0 | 0 | 0 | |||
| STEVE CARLSON | ||||||||
| PRESIDENT & CEO | 40.00 | X | 377833 | 0 | 33551 | |||
| STAN MOSER | ||||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | X | 89971 | 0 | 0 | |||
| DAVID LECHNER | ||||||||
| PRESIDENT, CPG | 40.00 | 235454 | 0 | 17924 | X | |||
| DAVID RICHHART | ||||||||
| VP - FISCAL SERVICES | 40.00 | 192309 | 0 | 18965 | X | |||
| JONATHAN WEISUL | ||||||||
| CHEIF MEDICAL OFFICER | 40.00 | 294015 | 0 | 29473 | X | |||
| DAVID JINICH MD | ||||||||
| PHYSICIAN | 40.00 | 706473 | 0 | 14149 | X | |||
| GREGORY UTTER MD | ||||||||
| PHYSICIAN | 40.00 | 384025 | 0 | 42003 | X | |||
| ELIZABETH SUH MD | ||||||||
| PHYSICIAN | 40.00 | 289445 | 0 | 5047 | X | |||
| BONNIE STEPHENS MD | ||||||||
| PHYSICIAN | 40.00 | 280342 | 0 | 28167 | X | |||
| PHILLIP HOLMAN MD | ||||||||
| PHYSICIAN | 40.00 | 275806 | 0 | 33767 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3300998 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 251030 | TotalOtherCompensation |
| Number Individuals GT100 K | 83 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MT HEART ANGIO LAB LLC | |||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 59804 | CARDIOLOGY SERVICES | 1837082 |
| MT CANCER SPECIALISTS | |||||
| PO BOX 7877 | MISSOULA | MT | 59807 | ONCOLOGY SERVICES | 1826338 |
| BILLINGS CLINIC | |||||
| PO BOX 30977 | BILLINGS | MT | 59107 | MEDICAL SERVICES | 1267250 |
| SOUND INPATIENT | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | HOSPITALIST | 964640 |
| MAYO COLLABORATIVE | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | LAB SERVICES | 641288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 905432 | RelatedOrganizations |
| Government Grants | 145000 | GovernmentGrants |
| All Other Contributions | 24598 | AllOtherContributions |
| Total Contributions | 1075030 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621500 | 153108767 | 150404004 | 2704763 |
| JV ANCILLARY REVENUE | 621500 | 3396662 | 3396662 | |
| HEART LAB REVENUE | 621500 | -83733 | -83733 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 156421696 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 653066 | TotalRevenueColumn |
| Exclusion | $653,066 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 540695 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 540695 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 540695 | TotalRevenueColumn |
| Exclusion | $540,695 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 829930 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 767157 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 62773 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62773 | TotalRevenueColumn |
| Exclusion | $62,773 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | 5967518 | $5,967,518 |
| MEANINGFUL USE REVENUE | 900099 | 2272501 | $2,272,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 8240019 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 166993279 | TotalRevenueColumn |
| Related Or Exempt Function Income | 153716933 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2704763 | UnrelatedBusinessRevenue |
| Exclusion | $9,496,553 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193440 | Total |
| Program Services | 193440 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1543988 | Total |
| Management And General | 1543988 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60456888 | Total |
| Program Services | 47217494 | ProgramServices |
| Management And General | 13239394 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2222957 | Total |
| Program Services | 1697869 | ProgramServices |
| Management And General | 525088 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7933908 | Total |
| Program Services | 6905783 | ProgramServices |
| Management And General | 1028125 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4337752 | Total |
| Program Services | 3313125 | ProgramServices |
| Management And General | 1024627 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91342 | Total |
| Management And General | 91342 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78038 | Total |
| Management And General | 78038 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21431251 | Total |
| Program Services | 15981708 | ProgramServices |
| Management And General | 5449098 | ManagementAndGeneral |
| Fundraising | 445 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3076494 | Total |
| Program Services | 1455911 | ProgramServices |
| Management And General | 1620583 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2864114 | Total |
| Program Services | 1222301 | ProgramServices |
| Management And General | 1640130 | ManagementAndGeneral |
| Fundraising | 1683 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 677016 | Total |
| Program Services | 413056 | ProgramServices |
| Management And General | 263960 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1490743 | Total |
| Program Services | 1490743 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8377011 | Total |
| Program Services | 8350351 | ProgramServices |
| Management And General | 26660 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1326634 | Total |
| Program Services | 1326634 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES/DRUGS | 22357853 | 22357853 | |
| BAD DEBT | 8896739 | 8896739 | |
| REPAIRS & MAINTENANCE | 7149666 | 836481 | 6313185 |
| LICENSE & FEES | 1314498 | 1302045 | 12453 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4859027 | Total |
| Program Services | 3250353 | ProgramServices |
| Management And General | 1608538 | ManagementAndGeneral |
| Fundraising | 136 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160679359 | Total |
| Program Services | 126211886 | ProgramServices |
| Management And General | 34465209 | ManagementAndGeneral |
| Fundraising | 2264 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17084983 | BOY |
| EOY | 14906384 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21681565 | BOY |
| EOY | 10937099 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20999168 | BOY |
| EOY | 25960108 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3855003 | BOY |
| EOY | 3877121 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3097534 | BOY |
| EOY | 3414286 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1114186 | BOY |
| EOY | 1084495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 138676742 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 69476606 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62307258 | BOY |
| EOY | 69200136 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10026066 | BOY |
| EOY | 15101689 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3423001 | BOY |
| EOY | 3773064 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889946 | BOY |
| EOY | 827029 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4716045 | BOY |
| EOY | 4318290 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149194755 | BOY |
| EOY | 153399701 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17349578 | BOY |
| EOY | 20570213 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30812 | BOY |
| EOY | 31932 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24428532 | BOY |
| EOY | 24447509 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11858882 | BOY |
| EOY | 10321822 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945429 | BOY |
| EOY | 355034 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7095680 | BOY |
| EOY | 4634233 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61708913 | BOY |
| EOY | 60360743 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82901610 | BOY |
| EOY | 88813900 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1490082 | BOY |
| EOY | 1125361 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3094150 | BOY |
| EOY | 3099697 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87485842 | BOY |
| EOY | 93038958 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149194755 | BOY |
| EOY | 153399701 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6313920 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -368237 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -392567 | ReconcilationOtherChanges |
| 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 Consolidated | X | FinancialStatementConsolidated |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $7,426 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7426 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | COMMUNITY MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND MONTANA HOSPITAL ASSOCIATION. THESE ORGANIZATION PARTICIPATE IN LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3822091 | BeginningOfYearBalance |
| Contributions | 11831 | Contributions |
| Investment Earnings Or Losses | 202604 | InvestmentEarningsOrLosses |
| Other Expenditures | 943702 | OtherExpenditures |
| End Of Year Balance | 3092824 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3756462 | BeginningOfYearBalance |
| Contributions | 41273 | Contributions |
| Investment Earnings Or Losses | 24356 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3822091 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3054980 | BeginningOfYearBalance |
| Contributions | 49499 | Contributions |
| Investment Earnings Or Losses | 651983 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3756462 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2356624 | BeginningOfYearBalance |
| Contributions | 38678 | Contributions |
| Investment Earnings Or Losses | 659678 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3054980 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2952845 | BeginningOfYearBalance |
| Contributions | 11855 | Contributions |
| Investment Earnings Or Losses | -608076 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2356624 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 209682 | OtherCostOrOtherBasis |
| Book Value | 209682 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 62536099 | OtherCostOrOtherBasis |
| Depreciation | 26989018 | Depreciation |
| Book Value | 35547081 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1333889 | OtherCostOrOtherBasis |
| Depreciation | 336075 | Depreciation |
| Book Value | 997814 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68051604 | OtherCostOrOtherBasis |
| Depreciation | 42151513 | Depreciation |
| Book Value | 25900091 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6545468 | OtherCostOrOtherBasis |
| Book Value | 6545468 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 69200136 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MORTGAGE BACKED GOVERNMENT SECURITIES | Description |
| Book Value | 15101689 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 15101689 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD PARTY PAYABLE | Description |
| Amount | $4,634,233 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4634233 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2200058 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2177558 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01360 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27508720 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22840083 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4668637 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29708778 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22862583 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6846195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1465232 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1465232 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 319476 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 319476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22329750 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13476873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8852877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05510 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 201421 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 201421 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24315879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13476873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10839006 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54024657 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36339456 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17685201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11020 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,896,739 | BadDebtExpenseAmount |
| Amount Attributable To | 35000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 24623250 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 32594693 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7971443 | MedicareSurplusOrShortfall |
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 | COMMUNITY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL 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 | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| 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 | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 20 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (20 entries)
| Address Line1Address/AddressLine1 | Address Line2Address/AddressLine2 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|---|
| 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 | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: THE COSTING METHOD USED WAS THE COST TO CHARGE RATIO DERIVED FROM USING WORKSHEET 2. | |
| PART I, LINE 7G: $5,970,507 OF SUBSIDIZED HEALTH SERVICES IS ATTRIBUTABLE TO PHYSICIAN CLINICS. | |
| PART I, L7 COL(F): WHEN CALCULATING CHARITY-CARE PERCENTAGE OF TOTAL EXPENSES (SCHEDULE H, PART I, LINE 7, COLUMN F), THE HOSPITAL ELIMINATED $8,896,739 OF BAD DEBT EXPENSE. | |
| PART II: 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 4: 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 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 5C: THE CHNA WAS POSTED ON THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT WEBSITE, THE COMMUNITY MEDICAL CENTER WEBSITE, AND THE PROVIDENCE ST. PATRICK HOSPITAL WEBSITE, AS WELL AS BEING APPROVED BY THE BOARD OF HEALTH. | 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. | COMMUNITY MEDICAL CENTER |
| PART VI, LINE 2: CMC ASSESSES THE NEEDS OF THE COMMUNITY ALONG WITH OUR PARTNER ORGANIZATIONS 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) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | |||||||
| 320 B EAST MAIN ST | MISSOULA | MT | 59802 | 135613797 | 501(C)(3) | 22083 | SUPPORT OF MISSION |
| MISSOULA ECONOMIC PARTNERSHIP | |||||||
| PO BOX 7457 | MISSOULA | MT | 59807 | 273994460 | 501(C)(6) | 20000 | SUPPORT OF MISSION |
| CMC FOUNDATION | |||||||
| 2827 FORT MISSOULA ROAD | MISSOULA | MT | 29804 | 363627205 | 501(C)(3) | 11500 | SUPPORT OF MISSION |
| UNITED WAY OF MISSOULA COUNTY | |||||||
| PO BOX 7395 | MISSOULA | MT | 59806 | 810287854 | 505(C)(3) | 10305 | SUPPORT OF MISSION |
| MISSOULA FAMILY YMCA | |||||||
| 3000 S RUSSELL ST | MISSOULA | MT | 59801 | 810300829 | 501(C)(3) | 10000 | SUPPORT OF MISSION |
| MISSOULA CHAMBER COMMERCE | |||||||
| PO BOX 7577 | MISSOULA | MT | 59807 | 810167990 | 501(C)(6) | 7625 | SUPPORT OF MISSION |
| MISSOULA DOWNTOWN ASSOCIATION | |||||||
| 218 EAST MAIN STREET | MISSOULA | MT | 59802 | 810403474 | 501(C)(6) | 5100 | SUPPORT OF MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS LOWDER MD | ||||||||||||||
| BOARD MEMBER/EMPLOYED PHYSICIAN | 172994 | 0 | 1750 | 0 | 581 | 0 | 2810 | 0 | 25174 | 0 | 203309 | 0 | 0 | 0 |
| STEVE CARLSON | ||||||||||||||
| PRESIDENT & CEO | 376591 | 0 | 0 | 0 | 1242 | 0 | 18131 | 0 | 15420 | 0 | 411384 | 0 | 0 | 0 |
| STAN MOSER | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | 89971 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 89971 | 0 | 0 | 0 |
| DAVID LECHNER | ||||||||||||||
| PRESIDENT, CPG | 234212 | 0 | 0 | 0 | 1242 | 0 | 3212 | 0 | 14712 | 0 | 253378 | 0 | 0 | 0 |
| DAVID RICHHART | ||||||||||||||
| VP - FISCAL SERVICES | 190147 | 0 | 0 | 0 | 2162 | 0 | 9119 | 0 | 9846 | 0 | 211274 | 0 | 0 | 0 |
| JONATHAN WEISUL | ||||||||||||||
| CHEIF MEDICAL OFFICER | 294015 | 0 | 0 | 0 | 0 | 0 | 13251 | 0 | 16222 | 0 | 323488 | 0 | 0 | 0 |
| DAVID JINICH MD | ||||||||||||||
| PHYSICIAN | 615406 | 0 | 89825 | 0 | 1242 | 0 | 5173 | 0 | 8976 | 0 | 720622 | 0 | 0 | 0 |
| GREGORY UTTER MD | ||||||||||||||
| PHYSICIAN | 381703 | 0 | 0 | 0 | 2322 | 0 | 18380 | 0 | 23623 | 0 | 426028 | 0 | 0 | 0 |
| ELIZABETH SUH MD | ||||||||||||||
| PHYSICIAN | 287159 | 0 | 2286 | 0 | 0 | 0 | 1356 | 0 | 3691 | 0 | 294492 | 0 | 0 | 0 |
| BONNIE STEPHENS MD | ||||||||||||||
| PHYSICIAN | 279856 | 0 | 0 | 0 | 486 | 0 | 5564 | 0 | 22603 | 0 | 308509 | 0 | 0 | 0 |
| PHILLIP HOLMAN MD | ||||||||||||||
| PHYSICIAN | 273351 | 0 | 0 | 0 | 2455 | 0 | 9324 | 0 | 24443 | 0 | 309573 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | CMC PAID COUNTRY CLUB DUES ON BEHALF OF STEVE CARLSON, CEO IN THE AMOUNT OF $2,837. THIS AMOUNT WAS NOT INCLUDED IN STEVE'S TAXABLE COMPENSATION. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| A | 364615155 | 612043JA3 | 2010-12-29 | 24400067 | CONSTRUCTION/FACILITY EXPANSION OF WOMEN'S, NEWBORN CARE, & ONCOLOGY CENTER | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| B | 364615155 | 2010-06-29 | 14525000 | REFINANCE 1988, 1996, AND 2001 BONDS | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 24146299 | 2141930 | 2254310 | 565765 | 15777834 | 3390922 | 0 | 0 | 0 | 1 | ||
| B | 14345948 | 178052 | 0 | 1 | 1 | 1 | 12740000 | 2001 |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART II, LINE 3 | Identifier |
| Return Reference | TOTAL PROCEEDS OF ISSUE | ReturnReference |
| 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 15,981,708. MANAGEMENT AND GENERAL EXPENSES 5,449,098. FUNDRAISING EXPENSES 445. TOTAL EXPENSES 21,431,251. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST OF CMC FOUNDATION -392,567. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| 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 | 363627205 | EIN |
| Primary Activities | TO PROVIDE FUNDING TO COMMUNITY MEDICAL CENTER HOSPITAL | PrimaryActivities |
| Legal Domicile State | MT | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 7 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA HEART ANGIO LAB LLC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | CATH LAB | PrimaryActivity |
| Legal Domicile State | MT | LegalDomicileState |
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 | PredominantIncomeType |
| Share Of Total Income | 2356353 | ShareOfTotalIncome |
| Share Of EOY Assets | 1850933 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.92900 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MONTANA HEART ANGIO LAB LLC | ||
| A | 95518 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| D | 240071 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| J | 95518 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| K | 54748 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| L | 117616 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| M | 1833160 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| O | 783197 | FMV |
| MONTANA HEART ANGIO LAB LLC | ||
| Q | 1947072 | FMV |