GLENDIVE MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GLENDIVE MEDICAL CENTER INC (EIN 81-6016016)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349304094
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 J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T11:10:06-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	450250958	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1
City	Minneapolis	City
State	MN	State
ZIP Code	554027033	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	816016016	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Glendive Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GLEN	NameControl
Phone	4063653306	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	202 Prospect Drive	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	593301999	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Barbara Markham	Name
Title	CFO	Title
Phone	4063653306	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kim Hunwardsen CPA	Name
PTIN	P00484560	PTIN
Phone	6122536500	Phone
Date Prepared	2014-05-15	DatePrepared

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	Parker Powell	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	202 Prospect Drive	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	593301999	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	36126761	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.gmc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1964	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	Committed to caring, healing, and a healthier community through the procurement of health services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	544	TotalNbrEmployees
Total Nbr Volunteers	270	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	578737	ContributionsGrantsPriorYear
Contributions Grants Current Year	114918	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	33733025	ProgramServiceRevenuePriorYear
Program Service Revenue CY	35432565	ProgramServiceRevenueCY
Investment Income Prior Year	168559	InvestmentIncomePriorYear
Investment Income Current Year	211435	InvestmentIncomeCurrentYear
Other Revenue Prior Year	77210	OtherRevenuePriorYear
Other Revenue Current Year	312940	OtherRevenueCurrentYear
Total Revenue Prior Year	34557531	TotalRevenuePriorYear
Total Revenue Current Year	36071858	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	18976309	SalariesEtcPriorYear
Salaries Etc Current Year	19209233	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	16603239	OtherExpensePriorYear
Other Expenses Current Year	16937548	OtherExpensesCurrentYear
Total Expenses Prior Year	35579548	TotalExpensesPriorYear
Total Expenses Current Year	36146781	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1022017	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-74923	RevenuesLessExpensesCY
Total Assets BOY	55908463	TotalAssetsBOY
Total Assets EOY	54573811	TotalAssetsEOY
Total Liabilities BOY	33448001	TotalLiabilitiesBOY
Total Liabilities EOY	32187320	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	22460462	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	22386491	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	We are committed to caring, healing, and a healthier community.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	28539199	Expense
Revenue	35665914	Revenue
Description	Glendive Medical Center, Inc. (GMC) is a totally integrated medical center with a 25-bed Critical Access Hospital providing all primary care services to the community of Glendive and the surrounding rural service area. The Medical Center also is comprised of 151 nursing home beds, 13-suite Assisted Living Facility, Home Health, Durable Medical Equipment and Hospice services. A clinic with Rural Health Clinic designation and pharmacy services is attached. GMC is very committed to meeting the needs of the service area they serve. IRS requirements of the community benefit standard for tax-exempt organizations are integral to GMC's charitable mission of being committed to caring, healing and a healthier community. GMC is governed by an independent board with a representative composition by gender, rural/urban, professional/non-professional and geography. The Board has a history of acting with the highest integrity and proactively adopting governance best practices to ensure the organization operates with the highest of integrity for the benefit of the community they serve. During this year, the Board continued to actively oversee critical functions of the organization. During the past year:1. The annual compliance reports and education was provided to the Board as part of their mandatory education.2. Board members reviewed and signed the required annual conflict of interest statement.GMC makes medical care accessible to the entire area it serves. They operate a 24 hour emergency room, providing care regardless of the ability to pay. GMC had 4,524 emergency room visits during the past year. GMC provides clinical services including onsite providers needed to operate the Emergency Department.In addition, GMC, through its integrated group of providers and visiting specialists, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare, Medicaid, and Veterans Administration and by offering financial assistance in various ways to those who are unable to pay.GMC's Uncompensated Care policy provides discounted and free services to patients who do not have the resources to be fully responsible for the medical care they receive. GMC's policy is structured to provide various options of financial assistance depending upon the patient's needs. The applications and policies for the various financial assistance options and uncompensated care are available on the organization's website, gmc.org. GMC maintains records to identify and monitor the care provided under the uncompensated care policies. During the past year, GMC's costs for charity care, based on the amount of charges foregone, was $632,210 serving 154 members in their service area.GMC through the annual board approved strategic plan strives to meet the community needs. Some of the objectives in this plan that were completed during the past year were:1. Quality Reporting - GMC is part of the Health Engagement Network(HEN) project reporting on Catheter Assisted Urinary Tract Infections, Surgical Site Infections, Pressure Ulcers/Skin Assessments and Preventable Readmissions during 2013. GMC's efforts in these areas have resulted in meeting GMC's goal in reduction of harm to our patients.2. Efficiency Projects - GMC continues to work on various projects on an ongoing basis to improve consistency in care processes and reducing costs to patients. During the upcoming year, GMC's goal is providing Lean Six Sigma education to 100% of the employees.3. Patient Representation - During the past year, the Board Quality Committee has continued to work toward patient representation on various committees to enhance the patient's experience. The current project is expected to be the patient's navigation of the billing process. At least two community members are being invited to be part of that committee.Further information about the services provided by GMC to the community it serves including their annual Community Benefit Report is available on their official website, gmc.org.	Description
Total Program Service Expense	28539199	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	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	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	0	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	32	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	544	NumberOfEmployees
Employment Tax Returns Filed	1	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
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	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	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	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	4063453301	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	608 Regal	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	59330	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
David Linn
Chairperson	2.00	0.00	X	X	0	0	0
Laura Glueckert
Vice Chairperson	1.00	0.00	X	X	0	0	0
Troy Myers OD
Secretary	1.00	0.00	X	X	0	0	0
Steve Scheitlin
Treasurer	1.00	0.00	X	X	0	0	0
Charles Deisher
Director (July-May)	1.00	0.00	X		0	0	0
Sandra Cargill
Director (July-December)	1.00	0.00	X		0	0	0
Holly Micheletto
Director	1.00	0.00	X		0	0	0
Jackie Schultz
Director	1.00	0.00	X		0	0	0
Kyle Voss DVM
Director	1.00	0.00	X		0	0	0
Arthur K Fink DO
Director (July-February)	40.00	0.00	X		241410	0	53778
Bruce Swarny MD
Director/Physician	40.00	0.00	X		202341	0	18540
Kevin Maxwell MD
Director/Chief of Staff	40.00	1.00	X		549000	0	92354
Scott Duke
CEO (July-April)	49.00	1.00		X	482784	0	46446
Parker Powell - VP of Strategy
(July-April)/Interim CEO (May-June)	49.00	1.00		X	66233	0	8145
Barbara Markham
CFO	49.00	1.00		X	144544	0	15229
Judy Courtney
VP Patient Care Services	50.00	0.00			179158	0	12616	X
Dale Adishian MD
Physician	40.00	0.00			362077	0	109291		X
Joseph Leal MD
Physician	40.00	0.00			283599	0	34177		X
Mark Nichols MD
Physician	40.00	0.00			287308	0	19083		X
Richard Wells DO
Physician	40.00	0.00			184999	0	10510		X
Sally Reichert CRNA
CRNA	40.00	0.00			178659	0	16936		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3162112	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	437105	TotalOtherCompensation
Number Individuals GT100 K	24	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
Sodexo Inc & Affiliates
10 Earhart Drive	Williamville	NY	14221	Dietary Mgmt Services	975587
MT Health Network Inc
11 S 7th St 160	Miles City	MT	59301	Contract Nursing Labor	960745
Staff Care Inc
PO Box 281923	Atlanta	GA	303841923	Contract Nursing Labor	316952
Priority Inc
PO Box 1051	Spearfish	SD	57783	Contract Nursing Labor	160821
CompHealth Medical Staffing
PO Box 972670	Dallas	TX	753972670	Contract Nursing Labor	142548

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Membership Dues	2014	MembershipDues
Related Organizations	53462	RelatedOrganizations
Government Grants	24700	GovernmentGrants
All Other Contributions	34742	AllOtherContributions
Total Contributions	114918	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenue	621110	33918246	33918246
Other Revenue	900099	1545563	1545563
HealthNet, LLC K-1 Income	900099	-31244	-31244

Field	Value	IRS element (for citing)
Total Program Service Revenue	35432565	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	207215	TotalRevenueColumn
Exclusion	$207,215	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	90570	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	10979	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	79591	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	79591	TotalRevenueColumn
Exclusion	$79,591	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	4220	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	4220	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4220	TotalRevenueColumn
Exclusion	$4,220	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	277273	GrossSalesOfInventory
Cost Of Goods Sold	43924	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	233349	TotalRevenueColumn
Related Or Exempt Function Income	233349	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	36071858	TotalRevenueColumn
Related Or Exempt Function Income	35665914	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$291,026	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1611357	Total
Program Services	887562	ProgramServices
Management And General	723795	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14643111	Total
Program Services	12497733	ProgramServices
Management And General	2145378	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	165873	Total
Program Services	104747	ProgramServices
Management And General	61126	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1762889	Total
Program Services	1201414	ProgramServices
Management And General	561475	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1026003	Total
Program Services	840356	ProgramServices
Management And General	185647	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	47373	Total
Management And General	47373	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	32925	Total
Management And General	32925	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2101038	Total
Program Services	1331403	ProgramServices
Management And General	769635	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	52910	Total
Program Services	2914	ProgramServices
Management And General	49996	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1597675	Total
Program Services	1340956	ProgramServices
Management And General	256719	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	197063	Total
Management And General	197063	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	668207	Total
Program Services	192384	ProgramServices
Management And General	475823	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	78608	Total
Program Services	63341	ProgramServices
Management And General	15267	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8	Total
Program Services	8	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	1370996	Total
Management And General	1370996	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3094063	Total
Program Services	3031752	ProgramServices
Management And General	62311	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	474436	Total
Program Services	323644	ProgramServices
Management And General	150792	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Bad Debt Expense	3487471	3487471
Medical supplies	1950104	1950104
Food	601927	601927
Bed Tax	478518	478518

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	704226	Total
Program Services	202965	ProgramServices
Management And General	501261	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	36146781	Total
Program Services	28539199	ProgramServices
Management And General	7607582	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	609362	BOY
EOY	1268094	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8586239	BOY
EOY	7433781	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	35766	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1402659	BOY
EOY	1386210	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	154376	BOY
EOY	141476	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	60706871	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	31933052	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	31195697	BOY
EOY	28773819	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6084649	BOY
EOY	5771466	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2268193	BOY
EOY	8046358	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5571522	BOY
EOY	1752607	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	55908463	BOY
EOY	54573811	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3768031	BOY
EOY	3893340	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	898197	BOY
EOY	366705	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	28368540	BOY
EOY	27620375	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	103938	BOY
EOY	103986	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	300000	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9295	BOY
EOY	202914	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	33448001	BOY
EOY	32187320	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22460462	BOY
EOY	22386491	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	22460462	BOY
EOY	22386491	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	55908463	BOY
EOY	54573811	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-74923	ReconcilationRevenueExpenses
Reconcilation Other Changes	952	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	$1,957	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1957	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	Included in dues paid to Montana Hospital Association, American Hospital Association and Leading Age was a portion for lobbying purposes totaling $1,957.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	139683	OtherCostOrOtherBasis
Book Value	139683	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	833978	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	42232979	OtherCostOrOtherBasis
Depreciation	19706732	Depreciation
Book Value	23360225	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14163451	OtherCostOrOtherBasis
Depreciation	10878476	Depreciation
Book Value	3284975	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3336780	OtherCostOrOtherBasis
Depreciation	1347844	Depreciation
Book Value	1988936	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	28773819	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
HeathNet, LLC	87904	C
GMC Other Investments - Clinic	7958454	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	8046358	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Capitalized Lease Obligations	$3,876
Estimated Third Party Payor Payable	$199,038

Field	Value	IRS element (for citing)
Total Of Amounts	202914	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	32475280	TotRevenueEtcAuditedFinclStmt
Other Revenues	-3682725	OtherRevenues
Revenue Not Rptd F990	-3682725	RevenueNotRptdF990
Revenue Subtotal	36158005	RevenueSubtotal
Other Revenues Not Included	-86147	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-86147	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	36071858	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	32549249	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	67203	OtherExpensesIncluded
Expenses Not Rptd F990	67203	ExpensesNotRptdF990
Expenses Subtotal	32482046	ExpensesSubtotal
Other Expenses Not Included	3664735	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3664735	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	36146781	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part IV, Line 2b:	Upon written authorization of residents of GMC Extended Care and EMVH Extended Care, the Organization holds, safeguards, manages and accounts for the personal funds of those residents that have been deposited in the two trust accounts.
Part X, Line 2:	Glendive Medical Center, the Auxiliary, and Properties LLC are organized and have been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Glendive Medical Center (combined with the Auxiliary and Properties LLC) is annually required to file a Return of Organization Exempt fromm Income Tax (Form 990) with the IRS. The Organization has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.	Description of Uncertain Tax Positions Under FIN 48:
	Provision for Bad Debts included in Revenues on Financial Statements -3,487,471. HealthNet, LLC Book Income -30,290. Operating Expenses included in Revenues on Financial Statements -99,715. Off-site Residence Expenses included in Revenues on Financial Statements -77,549. Intercompany Rental included in Revenues on Financial Statements 12,300.	Part XI, Line 2d - Other Adjustments:
	HealthNet, LLC Tax Income -31,244. Rental Expenses included in Expenses on Financial Statements -10,979. COGS included in Expenses on Financial Statements -43,924.	Part XI, Line 4b - Other Adjustments:
	Intercompany Rental included in Expenses on Financial Statements 12,300. COGS included in Expenses on Financial Statements 43,924. Rental Expenses included in Expenses on Financial Statements 10,979.	Part XII, Line 2d - Other Adjustments:
	Provision for Bad Debts included in Revenues on Financial Statements 3,487,471. Off-site Residence Expenses included in Revenues on Financial Statements 77,549. Operating Expenses included in Revenues on Financial Statements 99,715.	Part XII, Line 4b - Other Adjustments:

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
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	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	154	PersonsServed
Total Community Benefit Expense	387418	TotalCommunityBenefitExpense
Net Community Benefit Expense	387418	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	327	PersonsServed
Total Community Benefit Expense	2693914	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3229830	DirectOffsettingRevenue
Net Community Benefit Expense	-535916	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	319	PersonsServed
Total Community Benefit Expense	341703	TotalCommunityBenefitExpense
Direct Offsetting Revenue	345088	DirectOffsettingRevenue
Net Community Benefit Expense	-3385	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	800	PersonsServed
Total Community Benefit Expense	3423035	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3574918	DirectOffsettingRevenue
Net Community Benefit Expense	-151883	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	14532	PersonsServed
Total Community Benefit Expense	150517	TotalCommunityBenefitExpense
Net Community Benefit Expense	150517	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	25	PersonsServed
Total Community Benefit Expense	107233	TotalCommunityBenefitExpense
Net Community Benefit Expense	107233	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	3243	PersonsServed
Total Community Benefit Expense	9466309	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7547370	DirectOffsettingRevenue
Net Community Benefit Expense	1918939	NetCommunityBenefitExpense
Percent Of Total Expense	0.05880	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	3224	PersonsServed
Total Community Benefit Expense	42906	TotalCommunityBenefitExpense
Net Community Benefit Expense	42906	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	21024	PersonsServed
Total Community Benefit Expense	9766965	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7547370	DirectOffsettingRevenue
Net Community Benefit Expense	2219595	NetCommunityBenefitExpense
Percent Of Total Expense	0.06800	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	21824	PersonsServed
Total Community Benefit Expense	13190000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11122288	DirectOffsettingRevenue
Net Community Benefit Expense	2067712	NetCommunityBenefitExpense
Percent Of Total Expense	0.07990	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Building Expense	6339	TotalCommunityBuildingExpense
Net Community Building Expense	6339	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Building Expense	6339	TotalCommunityBuildingExpense
Net Community Building Expense	6339	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,487,471	BadDebtExpenseAmount
Amount Attributable To	227818	AmountAttributableTo
Amount Reimbursed By Medicare	6335722	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6288172	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	47550	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

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	Glendive Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	202 Prospect Drive	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	59330	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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Glendive 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	12	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
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
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	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
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
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	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Glendive Medical Center Nursing Home
202 Prospect Drive	Glendive	MT	59330	71 bed skilled nursing home
Glendive Medical Center Home Health
202 Prospect Drive	Glendive	MT	59330	Home health for Dawson, Wibaux, McCone and Prairie Counties
Eastern Montana Veterans Home
2000 Montana Avenue	Glendive	MT	59330	80 bed Veterans skilled nursing home
The Heritage on Merrill Avenue
1313 North Merrill Avenue	Glendive	MT	59330	13 suite assisted living center
Glendive Medical Center Hospice
202 Prospect Drive	Glendive	MT	59330	Hospice for Dawson and Wibaux Counties

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: Currently, GMC is filing a community benefit report with the State of Montana, in conjunction with other requested information for the State of Montana's report on issues and facts related to the charitable purposes of hospitals and the protection of Montana's consumers.GMC mails to all service area households either a community benefit report or a post card detailing where to go on the gmc.org website to access the community report. GMC's community benefit reports are available at all times on the gmc.org website.
Part I, Line 7: The cost to charge ratio from Worksheet 2 was utilized for charity care. Unreimbursed Medicaid and other means-tested government programs were calculated using actual amounts captured from internal logs for charges and receipts. Subsidized health services was calculated using actual direct costs and receipts of each department. A step down allocation of the 2013 annual cost report was applied to correctly allocate overhead to each department. These allocations are necessary, as they directly affect the Medicare and Medicaid reimbursement. All others were based off of actual expenses.
Part I, L7 Col(f): Bad debt expense of $3,487,471 included on Form 990, Part IX, line 25, column (a) has been subtracted for purposes of calculating the percentage in this column.
Part II: The amount reported in Part II for Community Building Activities represents assistance provided by GMC leaders to develop and maintain an active Economic Development Committee (EDC) formed to assist in projects to enhance the health, safety and well being of the community of Glendive.The initial activity of the EDC during the past several years was obtaining funds and building low income housing for seniors in the community which has been completed. This was a community benefit providing safe housing for those seniors in an area of housing shortages.EDC is made up of community leaders and has the support of the community. It is currently working to bring new businesses to the area, which will create additional employment opportunities for the area's population. Also, these new businesses will provide additional services helping enhance the ability to recruit healthcare providers and professionals. Due to Glendive's remote rural location, this is always a challenge as shown by the Dawson County's designation as a HSPA area which was discussed in Item 4.
Part III, Line 4: Bad debt expense is reported at charges as recorded by the organization.The amount of bad debt shown to be attributable to patients eligible for charity care was based on applications submitted without the necessary information or paperwork to enable the completion of the application. The information was not obtained even though the the collection department aggressively worked with the parties through letters, telephone calls, and meetings. Therefore, as shown in Schedule H, Part III, Line 3, with the education and assistance provided, the amount reported is appropriate and should be considered a community benefit.Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 9 and 10 of the attached audit report.
Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by CMS. In addition to hospital services, Home Health, Hospice, and Skilled Nursing Facility are also included in the Organization's cost report. All of these activities are subsidized health services shown on line 7 or Part I. Therefore, the Medicare piece related to these activities is shown on Part I, Line 7. As noted in the Schedule H instructions, the cost report does not reflect certain programs which GMC provides - Durable Medical Equipment, Medicare Part C, Medicare Part D, and Provider Based Services - Emergency Room Providers, Certified Nurse Anesthetists, and Radiologists. Since GMC is in a very rural area, to have 24 hour coverage by these providers for our service area is definitely a quality and safety issue, and therefore, a community benefit.Due to utilizing the allowable Medicare cost from the cost report, Part III does not reflect the fact that there is Medicare shortfall to this facility, due to a number of factors such as the following:1. Any non patient revenue received for reimbursable departments must be offset against expenses. But at the same time, it is not allowed to offset revenue against expenses of non-reimbursable departments. This results in substantial shifting of a substantial amount of administrative expenses to the non-reimbursable areas due to allocation of the administrative costs being based on total expense without the offset of revenue on the non-reimbursable departments.2. Allocating administrative expense based on the percent of total expense also shifts an excess of costs to areas such as GMC's retail pharmacy due to high cost of drugs again resulting in overstating administrative expenses in a non-reimbursable department which in turn lowers reimbursement to Medicare reimbursable departments.3. Medicare Advantage (Part C) plans are creating additional cost and shortfall and are not currently reported in Part III.4. Medicare Part D - With two nursing homes, being in a very rural area with no other area pharmacies providing Unit Dose dispensing which is required for the safety of our residents, GMC again is seeing a shortfall which is not being reported while providing the necessary services to our local residents and is definitely a benefit to the resident and their families.
Part III, Line 9b: For those that are known to qualify for financial assistance, the portion that is identified as charity care is written off to charity care. The Hospital policy states if there is a portion of the patient account that does not qualify for free care the remaining unpaid portion falls under the same collection policy as the accounts that do not qualify for financial assistance.
Part V, Section B, Line 3: A. Needs Assessment Steering Committee Members - 1. Dawson County Health Department Director - Public Health Focus 2. Dawson County Superintendent of Schools 3. Glendive Economic Development Executive Director 4. Dawson County Commissioner - Population Consultation Focus 5. Glendive Police Department Officers (2) - Population Consultation Focus6. Glendive Medical Center - CEO, DFO, Community Relations coordinator, Marketing Coordinator, GMC Foundation Director, Executive AssistantB. Focus Groups - Population: Seniors 1. Richey MT Senior Center 2. Glendive MT Senior Center 3. Wibaux MT Senior CenterC. Survey - Mailing to Service Area	Glendive Medical Center
Part V, Section B, Line 5c: The hospital Community Health Needs Assessment can be found at: http://www.gmc.org/getpage.php?name=home_tab_communityIt is also available at Glendive's Public Library.	Glendive Medical Center
Part V, Section B, Line 6i: The hospital Community Health Needs Assessment can be found at: http://www.gmc.org/getpage.php?name=home_tab_community	Glendive Medical Center
Part V, Section B, Line 14g: GMC's Credit Department sends the policy and application to patients/guarantors who have made no effort to complete an application or make arrangements for payments at the time the account becomes past due. In addition to providing the full policy upon request, a summary of the policy is posted in the emergency rooms, waiting rooms, admissions office and provided upon admission.	Glendive Medical Center
Part V, Section B, Line 18e: At the time the patient/guarantor receives their final notice of nonpayment, the financial assistance application is again sent to them and contact persons are provided who can assist them in completing their application.	Glendive Medical Center
Part V, Section B, Line 20d: GMC calculates the amount based on the average of all negotiated commercial insurance rates.	Glendive Medical Center
Part VI, Line 2: 1. Over the past years, GMC has identified and prioritized community needs through a variety of community surveys in collaboration with various organizations including the City of Glendive and Dawson County.2. Public meetings were held by GMC at various times to receive community input.3. Strategic Planning sessions are held by GMC to plan and prioritize the needs of the community on an annual basis. These sessions include the Board of Directors, the Foundation's Board of Directors, Physicians and other Medical Providers and the Administration of GMC. Areas identified and services implemented from the prior community surveys included the need for Hospice, Assisted Living and Behavior Health Services.4. Planning for a Community Assessment survey was completed with the Dawson County Public Health Department in April 2013.A review and the implementation plan based on the results of the survey were completed in June 2013. Monthly meetings to review the progress and update the plan are in place and will continue during the upcoming months.
Part VI, Line 3: GMC provides information and education concerning assistance through various programs and the organization's charity care policy in a variety of ways including:1. Through the social services department, patient financial services and other areas, assistance is offered and given to all patients and their families about available programs. Beginning in fiscal year 2012, a Patient Advocate Liaison (PAL) was added to assist patients throughout the organization. The PAL's role is to assist all patients and provide them with information on available programs, etc. Beginning in January 2014 Emergency Department Specialists will be available seven days a week after the patient has been treated to assist patients and their families to provide the financial assistance information including the charity care program and assist them with applying for these programs if appropriate.2. GMC's website, www.gmc.org, provides charity care and other financial assistance policies and procedures, including applications.3. Signage is posted throughout the facilities in admissions areas, the emergency room and waiting rooms. The signage provides information concerning charity care and other financial assistance available throughout GMC.4. A Guest Information Book for the patient and their family's use is in each patient's room and other areas providing various information including financial assistance information that is available and the appropriate personnel to contact if they have not been contacted. Contact information for the social services department is included in the information book if the patient needs assistance or has questions about various government and other programs available in the area. 5. GMC's monthly statement provides information for the person(s) to contact if financial assistance is needed. The credit and collection department includes financial assistance information including an application and the contact person at GMC who can assist them with all collection letters.6. GMC employees are aware of the financial assistance programs and are able to provide direction to patients or their families in their departments concerning charity care. Quarterly, at the CEO forums, the employees are provided with the amount of charity care provided by the facility while expressing the importance of providing the free care for people that are in need.
Part VI, Line 4: GMC's primary service area is Dawson County on the eastern edge of Montana. GMC's secondary service areas are surrounding counties, McCone, Richland, Fallon, Prairie and Wibaux.Projections by the National Planning Association Data Services, Inc. projected that Dawson County would experience a decrease in population from the 2000 Census until after 2020 when a slow and steady growth pattern was projected. Instead, the population of Dawson County based on the 2010 census increased to 8,966, compared to the projected population of 8,520. By 2013 Dawson County population has grown to 9,445, an increase of 5.3% since 2010. At the same time the State of Montana as a whole showed an increase of 2.6%. Approximately 22,000 persons are now in the area GMC serves. The increase in population and area's health care services is related to the increase in the senior population and the energy-related services which continue to show strong growth. Based on the current trends, Dawson County will continue to see growth due to the outlying energy related services.Glendive is a medical, retail and agricultural trade center for the county and the surrounding communities within a 30-60 mile radius. Glendive's economic base continues to be closely tied to agriculture and the transportation industry, particularly rail services. GMC is the largest employer in Glendive. Other significant employers in the GMC's service area are state, county and city governments, Burlington Northern Santa Fe Railway, Glendive Public Schools, Dawson County Community College and Williston Basin Interstate Pipeline.Dawson County is designated as a Health Professional Shortage Area (HPSA) with shortages of mental health providers. Beginning in July of 2010 GMC has a psychiatrist on staff, the only one east of Billings, MT, 200 miles to the west. The Behavior Care Unit opened in July, 2010 as part of the Critical Access Hospital to provide a needed service throughout Eastern Montana and Western North Dakota.The service area residents see GMC and its providers as a place to come to receive treatment, without regard to whether they have insurance or are uninsured, knowing they will be treated and cared for in a respectful and caring manner.GMC also provides outreach in various ways to the very small critical access frontier facilities as small as one bed facilities in neighboring counties and to four counties in the service area for home care services in sparsely populated areas.There are no other providers in GMC's primary service area. Sidney Health Center, a critical access hospital located 50 miles north of Glendive, and Holy Rosary Medical Center, a critical access hospital located 70 miles south of Glendive, are the closest facilities.
Part VI, Line 5: GMC Board of Directors:The governing body of GMC is its Board of Directors (the "Board"), which consists of nine members. The Board includes the Chief of Medical Staff and one member of GMC's active medical staff. Other members are selected to promote a representative composition of the Board by gender, rural/urban, professional/non-professional and geography. Board members are selected from GMC's service area by the Board's nominating committee and approved by the existing Board members. The members of the Board serve in a voluntary capacity and receive no compensation for their services. Members of the Board have various relationships with services or products, who may, from time to time, have dealings with the GMC, but these relationships are not considered to be material. The Chief of Staff and member of the medical staff are employed by the GMC as physicians and medical advisors. The Board has an established conflict of interest policy to detect and manage such relationships.GMC Medical Staff:The active medical staff of GMC currently is comprised of nine (9) physicians and thirteen (13) allied health professionals. These providers are all employed by GMC and provide services at all of GMC facilities, including the attached for profit clinic, Gabert Medical Services, and two of the frontier critical access hospitals in McCone and Prairie County. Eight (8) of the nine (9) physicians are board certified. An additional internist, family practitioner and orthopedic surgeon are being recruited and will be in place during next fiscal year.A Specialty Clinic at GMC is utilized by physicians from Billings, MT and Bismarck, ND to provide services that are not available by the GMC Medical Staff. The patients are able to stay at home in Glendive and have the services provided by out of town physicians locally without traveling great distances.Tele Health is also utilized by GMC providers and providers in Billings and other locations. This allows the patients to have follow up visits with providers via video conferencing instead of traveling great distances to see the providers.GMC extends medical staff privileges to all qualified physicians in the area. GMC also extends those privileges to the qualified specialty physicians who provide services through the Specialty Clinic.GMC Surplus Funds:All funds in excess of expenses are utilized in the following ways:1. The facilities' debt service payments on the 2008 $30,000,000 bond issue obtained to provide a much needed expansion and renovation of the Surgery Suite, an additional nursing home wing and expansion and renovation of the emergency department.2. A substantial amount of funds are needed each year and utilized for the ongoing capital needs of the facility to ensure the appropriate equipment is available to meet the needs of the community. All departments have a three to five year plan in place to forecast these needs.3. Continued assistance to providers and professional staff for education to maintain GMC's standards to provide the care needed in the community.4. To increase reserve funds to ensure the ability to continue meeting the above obligations in future years when surplus funds are not available.
Part VI, Line 6: After careful evaluation, GMC decided to move forward with an affiliation with Billings Clinic. An agreement has been agreed upon and will be signed in September 2013.This affiliation will provide resources to Glendive Medical Center which should assist in retaining providers and staff which will assist us to continue to provide quality care to our community.
MT	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	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
Arthur K Fink DO
Director (July-February)	222660	0	18750	0	0	0	37493	0	17006	0	295909	0	0	0
Bruce Swarny MD
Director/Physician	200000	0	0	0	2341	0	392	0	18796	0	221529	0	0	0
Kevin Maxwell MD
Director/Chief of Staff	549000	0	0	0	0	0	77985	0	15017	0	642002	0	0	0
Scott Duke
CEO (July-April)	457558	0	24126	0	1100	0	26752	0	20396	0	529932	0	200000	0
Barbara Markham
CFO	130892	0	13652	0	0	0	8470	0	7427	0	160441	0	0	0
Judy Courtney
VP Patient Care Services	156498	0	22660	0	0	0	8573	0	4490	0	192221	0	0	0
Dale Adishian MD
Physician	362077	0	0	0	0	0	95224	0	14515	0	471816	0	0	0
Joseph Leal MD
Physician	283599	0	0	0	0	0	27344	0	7481	0	318424	0	0	0
Mark Nichols MD
Physician	287308	0	0	0	0	0	5224	0	14506	0	307038	0	0	0
Richard Wells DO
Physician	184999	0	0	0	0	0	3651	0	7507	0	196157	0	0	0
Sally Reichert CRNA
CRNA	178659	0	0	0	0	0	3036	0	14563	0	196258	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 4b	ReturnReference
Explanation	Scott Duke, Keven J Maxwell, Arthur Fink, Dale Adishian, Barbara Markham and Judy Courtney participated in a nonqualified retirement plan under 457(f). Amounts from their base wages were deferred into the plan at their discretion. The organization contributed into the plan on behalf of Scott Duke, $4,647, Arthur Fink, $12,500, Kevin J Maxwell, $50,000; Barbara Markham $2,500; Judy Courtney $1,667. Approved withdrawal and payments made during the fiscal year were to Scott Duke $308,859; Arthur Fink $149,533; Dale Adishian $78,134 and Barbara Markham $28,282. The calendar year payments are properly reflected in Schedule J, column f. During the calendar year 2012, there was $28,058 forfeited from Judy Courtney's 457(f) plan. This amount was reported in prior years as deferred compensation.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Montana Facility Finance Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	364615155	IssuerEIN
CUSIP Number	612043GD5	CUSIPNumber
Date Issued	2008-07-01	DateIssued
Issue Price	29716927	IssuePrice
Description Of Purpose	Various Capital Projects	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	2175000	AmountRetired
Total Proceeds	30745739	TotalProceeds
Amount In Reserve Fund	2150243	AmountInReserveFund
Capitalized Interest	1887501	CapitalizedInterest
Issuance Costs From Proceeds	594338	IssuanceCostsFromProceeds
Capital Expenditures	23222376	CapitalExpenditures
Other Spent Proceeds	2891299	OtherSpentProceeds
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

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
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	1	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	GE Funding Capital	BusinessNameLine1
Business Name Line2	Market Services	BusinessNameLine2

Field	Value	IRS element (for citing)
Term Of GIC	25.000000000000	TermOfGIC
Regulatory Safe Harbor Satisfied	1	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Part II, Line 3:	Identifier
Explanation	The difference between the issue price (Part I, Column (e)) and the total proceeds of the issue (Part II, Line 3, Column (B)) is investment interest during construction and on reserve funds.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Changes in Program Services	Form 990, Part III, line 3	Effective January 1, 2013, the Nuclear Medicine department was closed due to the decision not to purchase the needed equipment at this time in order to provide the quality of procedures performed for this department.
	Form 990, Part VI, Section A, line 1	The Executive Committee is comprised of the Board President, Vice-President, Secretary, Treasurer and the immediate Past Chair. The Executive Committee will, in the interim between meetings of the Board of Directors, exercise the powers of that body necessary for efficient operation of the Hospital in accordance with the general policy of the Hospital and the Board of Directors. The committee shall be empowered to act in only those areas of responsibility as the Board of Directors authorizes. It shall not have the power to amend the bylaws nor adopt or amend the Hospital's annual budget or long range plan and with the understanding that all matters of major importance will be referred to the governing board.
	Form 990, Part VI, Section B, line 11	A copy of the 990 was reviewed by the CFO and distributed to the Board prior to filing with the IRS.
	Form 990, Part VI, Section B, line 12c	Any director, officer, key employee or committee member having an interest in a contract or other transaction presented to the Board of Directors or a committee thereof for authorization, approval or ratification shall make a prompt, full and frank disclosure of his interest to the board or committee prior to its acting on such contract or transaction. The body to which such disclosure is made shall thereupon determine, by majority vote, whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict is deemed to exist, such person shall not vote on, nor use his personal influence on, nor participate in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted up. The minutes of the meeting shall reflect the disclosure made, the vote thereon and where applicable, the abstention from voting and participation, and whether a quorum was present. A statement from directors and officers and key members of the medical staff is completed and signed annually. Conflict of Interest is normally handled at the executive or board level. In the majority of the cases, no vote is necessary since the Board member or GMC staff voluntarily excuses themselves. But, the Board Chair and the CEO monitors proposed or ongoing transactions of the organization for conflicts of interest and discloses them to the Board and staff, as appropriate.
	Form 990, Part VI, Section B, line 15a	Compensation for all positions is reviewed annually utilizing the MHA survey and other information such as the 990 and MGMA information during the budget process. This includes all officers and key personnel. The CEO compensation is reviewed biannually prior to the contract renewal. This is normally done by the Executive Committee utilizing various market surveys. The last review was in May - July, 2012. For the 2012 review, the Board appointed board members to a compensation committee. They utilized area market surveys and Form 990 information to complete their review of the CEO and the other four members of the leadership team. This information was used for reviewing the compensation adjustment for the CEO for the 2012-13 contract based on the 2011-2012 contract requirements and the wage adjustments for the other leadership members for budget year 2012-13. The CFO compensation is reviewed and approved by the CEO.
	Form 990, Part VI, Section C, line 19	Governing documents, conflict of interest policy and financial statements are kept at the Hospital and are available upon request. The annual Community Benefit report includes a consolidated financial statement for Glendive Medical Center and its Affiliates and is mailed to all service area households. It is also posted on the Hospital website.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	Book/Tax Difference - HealthNet, LLC 952.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	GMC Properties LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	202 Prospect Drive	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	593301999	ZIPCode

Field	Value	IRS element (for citing)
Primary Activities	Apartment Rental Management	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Total Income	11390	TotalIncome
EOY Assets	12192	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Glendive Medical Center	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Glendive Medical Center Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	202 Prospect Drive	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	59330	ZIPCode

Field	Value	IRS element (for citing)
EIN	810440518	EIN
Primary Activities	Raising Funds for Glendive Medical Center and Community Medical Needs	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Exempt Code Section	501(c)(3)	ExemptCodeSection
Public Charity Status	Line 7	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Glendive Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	1	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	11 South 7th Street Suite 241	AddressLine1
City	Miles City	City
State	MT	State
ZIP Code	59301	ZIPCode

Field	Value	IRS element (for citing)
EIN	810506005	EIN
Primary Activity	Operating integrated computer and software	PrimaryActivity
Legal Domicile State	MT	LegalDomicileState
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	-31244	ShareOfTotalIncome
Share Of EOY Assets	87904	ShareOfEOYAssets
Disproportionate Allocations	1	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Gabert Medical Services Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	107 Dilworth	AddressLine1
City	Glendive	City
State	MT	State
ZIP Code	59330	ZIPCode

Field	Value	IRS element (for citing)
EIN	810477745	EIN
Primary Activity	Provides Comprehensive Medical Care and Related Services	PrimaryActivity
Legal Domicile State	MT	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Glendive Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	3680519	ShareOfTotalIncome
Share Of EOY Assets	1135681	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	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	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	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 (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Glendive Medical Center Foundation
C	53462	Actual
Gabert Medical Services Inc
A	79180	Actual
Gabert Medical Services Inc
Q	3537649	Actual