DANIELS MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: DANIELS MEMORIAL HOSPITAL (EIN 81-6016920)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201121369349302492
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:12:31-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	816016920	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Daniels Memorial Hospital Association	BusinessNameLine1

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Dave Hubbard	Name
Title	Administrator	Title
Phone	4064875331	Phone
Date Signed	2011-05-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Thomas M Rygg CPA	Name
Phone	4062653201	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dave Hubbard	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	6346696	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	n/a	WebSite
Type Of Organization Association	X	TypeOfOrganizationAssociation
Year Formation	1956	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE THE GENERAL HEALTH CARE OF THE COMMUNITY THROUGH PROVIDING HIGH QUALITY HEALTH CARE AND A HOME FOR THE AGED AND INFIRM.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	16	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	412976	ContributionsGrantsPriorYear
Contributions Grants Current Year	493847	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5189250	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5840842	ProgramServiceRevenueCY
Investment Income Prior Year	6000	InvestmentIncomePriorYear
Investment Income Current Year	10627	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1405	OtherRevenuePriorYear
Other Revenue Current Year	1380	OtherRevenueCurrentYear
Total Revenue Prior Year	5609631	TotalRevenuePriorYear
Total Revenue Current Year	6346696	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3225584	SalariesEtcPriorYear
Salaries Etc Current Year	3449825	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2198890	OtherExpensePriorYear
Other Expenses Current Year	2347532	OtherExpensesCurrentYear
Total Expenses Prior Year	5424474	TotalExpensesPriorYear
Total Expenses Current Year	5797357	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	185157	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	549339	RevenuesLessExpensesCY
Total Assets BOY	2992925	TotalAssetsBOY
Total Assets EOY	3381138	TotalAssetsEOY
Total Liabilities BOY	1586583	TotalLiabilitiesBOY
Total Liabilities EOY	1425457	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1406342	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1955681	NetAssetsOrFundBalancesEOY
Mission Description	To provide a health care system with clinic, acute inpatient, emergency, outpatient, and long-term care services	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3336565	Expense
Revenue	5356027	Revenue
Description	PROFESSIONAL CARE - PRIMARY, ACUTE AND LONG TERM CARE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	752341	Expense
Revenue	484815	Revenue
Description	CLINIC SERVICES FOR OUTPATIENT CLIENTS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	443821	Expense
Revenue	0	Revenue
Description	HOUSEKEEPING, LAUNDRY, LINEN & PLANT SERVICES - PROVIDE FOR THE HOUSEKEEPING AND BUILDING MAINTENANCE OF THE FACILTIY.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
396555	0	DIETARY SERVICES FOR ACUTE AND LONG TERM CARE PATIENTS.
		MEDICAL RECORDS

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	396555	TotalOfOtherProgramServiceExp
Total Program Service Expense	4929282	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	119	NumberW2GIncluded
Number Of Employees	0	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
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Tom Hagan
Chair	3.00	X	0	0	0
Bev Lindsay
Treasurer	2.00	X	0	0	0
Perry Wolfe
Secretary	2.00	X	0	0	0
Judy States
Director	1.50	X	0	0	0
Carter Jensen
Director	2.00	X	0	0	0
Scott Susag
Director	1.50	X	0	0	0
Derrick Mottern
Director	2.00	X	0	0	0
Richard Hood
Director	1.50	X	0	0	0
Lee Humbert
Director	2.00	X	0	0	0
Ana Brenden
Director	1.50	X	0	0	0
Dr Donald Sawdey
DO	40.00		288936	0	0	X	X
Larry Masterson
PA	40.00		114352	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	403288	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

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

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2800 10th Ave North	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59107	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Management Services	DescriptionOfServices
Compensation	343632	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	493847	AllOtherContributions
Total Contributions	493847	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu	623000	5669543	5669543
Other operating revenu	623000	171299	171299

Field	Value	IRS element (for citing)
Total Program Service Revenue	5840842	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10627	TotalRevenueColumn
Exclusion	$10,627	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1380	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1380	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1380	TotalRevenueColumn
Exclusion	$1,380	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6346696	TotalRevenueColumn
Related Or Exempt Function Income	5840842	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$12,007	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	288936	Total
Program Services	288936	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2532696	Total
Program Services	2403716	ProgramServices
Management And General	128980	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	35768	Total
Program Services	34074	ProgramServices
Management And General	1694	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	389872	Total
Program Services	361461	ProgramServices
Management And General	28411	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	202553	Total
Program Services	180331	ProgramServices
Management And General	22222	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	148256	Total
Management And General	148256	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	39235	Total
Management And General	39235	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	29853	Total
Program Services	11630	ProgramServices
Management And General	18223	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	27059	Total
Program Services	13310	ProgramServices
Management And General	13749	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8597	Total
Program Services	3441	ProgramServices
Management And General	5156	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	62541	Total
Management And General	62541	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	37519	Total
Program Services	35116	ProgramServices
Management And General	2403	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	46297	Total
Program Services	28739	ProgramServices
Management And General	17558	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	39384	Total
Management And General	39384	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	143160	Total
Program Services	143160	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	115123	Total
Program Services	1084	ProgramServices
Management And General	114039	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Contractual Services	613436	595259	18177
Supplies	552821	530213	22608
Bad Debt	126068		126068
Taxes and Licenses	113952	108419	5533
Repairs and Maintenance	102334	91850	10484

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	141897	Total
Program Services	98543	ProgramServices
Management And General	43354	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5797357	Total
Program Services	4929282	ProgramServices
Management And General	868075	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	276254	BOY
EOY	249329	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	743404	BOY
EOY	889993	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	776927	BOY
EOY	820307	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	167000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	155429	BOY
EOY	164999	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	36390	BOY
EOY	40253	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4282070	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3232813	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1004521	BOY
EOY	1049257	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2992925	BOY
EOY	3381138	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	745608	BOY
EOY	774562	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	840975	BOY
EOY	650895	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1586583	BOY
EOY	1425457	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1405399	BOY
EOY	1955681	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	943	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1406342	BOY
EOY	1955681	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2992925	BOY
EOY	3381138	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13500	OtherCostOrOtherBasis
Book Value	13500	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3345756	OtherCostOrOtherBasis
Depreciation	2637869	Depreciation
Book Value	707887	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	874315	OtherCostOrOtherBasis
Depreciation	594944	Depreciation
Book Value	279371	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48499	OtherCostOrOtherBasis
Book Value	48499	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1049257	TotalOfBookValueLandBuildings
Total Revenue	6346696	TotalRevenue
Total Expenses	5797357	TotalExpenses
Excess Or Deficit For Year	549339	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	549339	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6346696	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6346696	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6346696	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5797357	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	5797357	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	5797357	TotalExpensesPerForm990

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	128428	TotalCommunityBenefitExpense
Net Community Benefit Expense	128428	NetCommunityBenefitExpense
Percent Of Total Expense	0.02260	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1270613	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1225514	DirectOffsettingRevenue
Net Community Benefit Expense	45099	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1399041	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1225514	DirectOffsettingRevenue
Net Community Benefit Expense	173527	NetCommunityBenefitExpense
Percent Of Total Expense	0.03060	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46296	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27658	DirectOffsettingRevenue
Net Community Benefit Expense	18638	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	126155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	87458	DirectOffsettingRevenue
Net Community Benefit Expense	38697	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	172451	TotalCommunityBenefitExpense
Direct Offsetting Revenue	115116	DirectOffsettingRevenue
Net Community Benefit Expense	57335	NetCommunityBenefitExpense
Percent Of Total Expense	0.01010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1571492	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1340630	DirectOffsettingRevenue
Net Community Benefit Expense	230862	NetCommunityBenefitExpense
Percent Of Total Expense	0.04070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$126,068	BadDebtExpenseAmount
Amount Attributable To	56731	AmountAttributableTo
Amount Reimbursed By Medicare	1552030	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	1548296	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	3734	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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Daniels Memorial Hospital Association	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Other	Long-Term care facility; Rural health clinic; Home care & hospice	Other

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Needs Assessment	Part VI, Line 2: Public Health Nursing service requests all participants: business, civic, religious, healthcare, public and we identify issues that may assist the community. i.e. healthcare, housing, roads, infrastructure.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: We inform the public about programs, i.e. Medicare/Medicaid. Advertisement in print and radio, phamplets in the waiting room, and social service visits with patients.	PatientEducationAssistance
Community Information	Part VI, Line 4: We are designated a frontier CAH, >6 people per sq mile, town has 960 people, county has 1406 people, we are 5 hours away from a tertiary hospital, and 3 hours away from a secondary hospital.	CommunityInformation
Other Information	Part VI, Line 6: Through the Telemedicine Network, patients can see specialists 5 hours away right here. Several free telemedicine network services are offered: cardiology, diabetes, baby sitting classes with dipolma, mental health, chemical dependency are all free to the public and groups.	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (2 entries)

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
Dr Donald Sawdey
288936	0	0	0	0	0	0	0	0	0	288936	0	0	0
Larry Masterson
114352	0	0	0	0	0	0	0	0	0	114352	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 3	Daniels Memorial Hospital contracts with the Billings Clinic for management, IT, and accounting services.
Form 990, Part VI, Section B, line 11	The 990 is available for review by the Board after approval by the CEO.
Form 990, Part VI, Section B, line 12c	At the annual meeting, conflict of interest statements are reviewed and signed by all trustees and the CEO. The board chair and CEO monitor the status of all trustees throughout the year for changes that could lead to a new situation requiring disclosure.
Form 990, Part VI, Section B, line 15a	The board of trustees review and make decisions on the compensation package for the CEO. The CEO compensation is part of the management contract paid to the outside management company. All managers report to the CEO and the CEO reviews and makes decisions on the managers compensation.
Form 990, Part VI, Section C, line 19	All governing documents, including the conflict of interest statement and the financial statements, are available to the public upon request.
	The process by which the audit is reviewed has not changed from the prior year.