BENEFIS COMMUNITY HOSPITALS INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BENEFIS COMMUNITY HOSPITALS INC (EIN 47-3448483)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202423189349309922
- Schema version
- 2023v5.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T16:00:59-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY SUITE 1400 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 98205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473448483 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENEFIS COMMUNITY HOSPITALS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BENE | BusinessNameControlTxt |
| Phone | 4064552544 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 26TH STREET SOUTH | AddressLine1Txt |
| City | GREAT FALLS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59405 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAYN GINNATY | PersonNm |
| Person Title | PRESIDENT, GREAT FALLS HOSPITALS | PersonTitleTxt |
| Phone | 4064552544 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYN GINNATY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 26TH STREET SOUTH | AddressLine1Txt |
| City | GREAT FALLS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,952,672 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.BENEFIS.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | WE PROVIDE EXCELLENT CARE FOR ALL, HEALING BODY, MIND AND SPIRIT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 133 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $401,380 | PYContributionsGrantsAmt |
| CY Contributions Grants | $109,488 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,668,289 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,831,444 | CYProgramServiceRevenueAmt |
| PY Investment Income | $284 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,392 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,794 | PYOtherRevenueAmt |
| CY Other Revenue | $10,348 | CYOtherRevenueAmt |
| PY Total Revenue | $9,077,747 | PYTotalRevenueAmt |
| CY Total Revenue | $13,952,672 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,550 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,705 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,635,490 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,012,385 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,539,949 | PYOtherExpensesAmt |
| CY Other Expenses | $8,612,658 | CYOtherExpensesAmt |
| PY Total Expenses | $9,178,989 | PYTotalExpensesAmt |
| CY Total Expenses | $15,628,748 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$101,242 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,676,076 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,113,203 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,164,584 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,673,526 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,938,005 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,560,323 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,226,579 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BENEFIS COMMUNITY HOSPITALS, INC. (BCH) PROVIDES MEDICAL CARE AND SERVES AS AN ECONOMIC PILLAR IN RURAL MONTANA COMMUNITIES BY SUPPORTING THE ROLE OF CRITICAL ACCESS HOSPITALS. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,063,385 | ExpenseAmt |
| Grant | $3,705 | GrantAmt |
| Revenue | $13,800,257 | RevenueAmt |
| Desc | OPERATES TWO 25-BED CRITICAL ACCESS HOSPITALS, PROVIDES EMERGENCY SERVICES, OPERATES AN OUTPATIENT CLINIC, ACUTE CARE SERVICES AND ANCILLARY SERVICES INCLUDING: PHYSICAL THERAPY, LABORATORY, RADIOLOGY, ECHOCARDIOGRAPHY, CAROTID ULTRASOUND, MAMMOGRAM, BONE DENSITY (DEXA SCAN), CAT SCAN, OCCUPATIONAL THERAPY, LONG TERM CARE AND SWING BED SERVICES. | Desc |
| Total Program Service Expenses | $12,063,385 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 133 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRUCE HOULIHAN | PersonNm |
| Phone | 4064555479 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 26TH STREET SOUTH | AddressLine1Txt |
| City | GREAT FALLS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59405 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LOUIE KING | |||||||
| PRESIDENT | 50.00 | Yes (X) | Yes (X) | $253,188 | $0 | $40,085 | |
| SUSAN MURPHY | |||||||
| CHIEF OPERATING OFFICER | 50.00 | $123,130 | $0 | $25,881 | Yes (X) | ||
| RON DAUWALDER | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DALE HANSON | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAN LINDSETH | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAN LANNEN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN MCCOLLOM | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JERE LONG | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $376,318 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $65,966 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MONTANA HEALTH NETWORK INC | |||||
| 519 PLEASANT STREET | MILES CITY | MT | 59301 | CONTRACT NURSING | $539,272 |
| SUPPLEMENTAL HEALTH CARE | |||||
| PO BOX 677896 | DALLAS | TX | 752677896 | CONTRACT NURSING | $382,233 |
| PRAIRIE TRAVELERS INC | |||||
| 41 1ST ST N | GLASGOW | MT | 59230 | CONTRACT NURSING | $304,609 |
| MEDICAL SOLUTIONS INC | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | CONTRACT NURSING | $179,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,687 | GovernmentGrantsAmt |
| All Other Contributions | $93,801 | AllOtherContributionsAmt |
| Total Contributions | $109,488 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $13,557,027 | $13,557,027 | |
| OTHER PROGRAM REVENUE | 621990 | $243,230 | $243,230 | |
| CAFETERIA | 722513 | $31,187 | $31,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,831,444 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,392 | TotalRevenueColumnAmt |
| Exclusion | $1,392 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,348 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,348 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,348 | TotalRevenueColumnAmt |
| Exclusion | $10,348 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,952,672 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,800,257 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $42,927 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,705 | TotalAmt |
| Program Services | $3,705 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,272 | TotalAmt |
| Management And General | $293,272 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,467,502 | TotalAmt |
| Program Services | $5,372,878 | ProgramServicesAmt |
| Management And General | $94,624 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,481 | TotalAmt |
| Program Services | $182,074 | ProgramServicesAmt |
| Management And General | $25,407 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,273 | TotalAmt |
| Program Services | $463,749 | ProgramServicesAmt |
| Management And General | $180,524 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,857 | TotalAmt |
| Program Services | $317,512 | ProgramServicesAmt |
| Management And General | $82,345 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,969,479 | TotalAmt |
| Management And General | $1,969,479 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,876 | TotalAmt |
| Program Services | $271,747 | ProgramServicesAmt |
| Management And General | $83,129 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,252 | TotalAmt |
| Program Services | $3,381 | ProgramServicesAmt |
| Management And General | $25,871 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,001 | TotalAmt |
| Program Services | $125,352 | ProgramServicesAmt |
| Management And General | $52,649 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,276 | TotalAmt |
| Program Services | $23,370 | ProgramServicesAmt |
| Management And General | $2,906 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,056 | TotalAmt |
| Program Services | $20,757 | ProgramServicesAmt |
| Management And General | $153,299 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,879 | TotalAmt |
| Program Services | $4,994 | ProgramServicesAmt |
| Management And General | $2,885 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,451 | TotalAmt |
| Program Services | $535,451 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $1,918,840 | $1,576,590 | $342,250 |
| PROVIDER CONTRACT SERVI | $1,305,934 | $1,305,934 | |
| MEDICAL SUPPLIES | $795,298 | $783,283 | $12,015 |
| BAD DEBT EXPENSE | $359,074 | $359,074 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,242 | TotalAmt |
| Program Services | $713,534 | ProgramServicesAmt |
| Management And General | $244,708 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,628,748 | TotalAmt |
| Program Services | $12,063,385 | ProgramServicesAmt |
| Management And General | $3,565,363 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,105,361 | BOYAmt |
| EOY | $1,071,301 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,905,925 | BOYAmt |
| EOY | $22,891,167 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,544 | BOYAmt |
| EOY | $294,538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,406 | BOYAmt |
| EOY | $35,009 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,548,770 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,676,201 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,967 | BOYAmt |
| EOY | $8,872,569 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,113,203 | BOYAmt |
| EOY | $33,164,584 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,673,526 | BOYAmt |
| EOY | $28,938,005 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,673,526 | BOYAmt |
| EOY | $28,938,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,560,323 | BOYAmt |
| EOY | $4,226,579 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,560,323 | BOYAmt |
| EOY | $4,226,579 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,113,203 | BOYAmt |
| EOY | $33,164,584 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,676,076 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $7,462,978 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $242,477 | OtherCostOrOtherBasisAmt |
| Book Value | $242,477 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,650,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $752,617 | DepreciationAmt |
| Book Value | $6,898,110 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,638,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,923,584 | DepreciationAmt |
| Book Value | $1,715,351 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,631 | OtherCostOrOtherBasisAmt |
| Book Value | $16,631 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,872,569 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 OR 2022. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,767 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,767 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,821,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,301,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $520,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,837,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,301,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $536,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03510 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,520 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,829 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,520 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,909,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,316,968 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $592,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03870 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $359,074 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,064,776 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,510,081 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$445,305 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENEFIS TETON MEDICAL CENTER | ||||||||||||
| 1 | 915 FOURTH ST NW | CHOTEAU | MT | 59422 | WEBSITE: SEE PART VI SUPPLEMENTAL INFO | 12766 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | INCLUDING EXTENDED CARE LIVING & RURAL HEALTH CLINIC | A |
| BENEFIS MISSOURI RIVER MEDICAL CENTER | ||||||||||||
| 2 | 1501 ST CHARLES STREET | FORT BENTON | MT | 59442 | WEBSITE: SEE PART VI SUPPLEMENTAL INFO | 000000074 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | INCLUDING EXTENDED CARE LIVING & RURAL HEALTH CLINIC | B |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Report To Credit AgencyPermitReportToCreditAgencyInd | Permit Legal Judicial ProcessPermitLegalJudicialProcessInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENEFIS TETON MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 23 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | WWW.TETONCOMT.ORG | Yes (X) | Yes (1) | 20 | Yes (1) | SEE PART V, PAGE 8 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| BENEFIS MISSOURI RIVER MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 23 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (1) | 23 | Yes (1) | SEE PART V, PAGE 8 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: BENEFIS TETON MEDICAL CENTER |
| BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 5: | BENEFIS TETON MEDICAL CENTER COLLABORATED WITH TETON COUNTY PUBLIC HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEYS WERE DISTRIBUTED TO TETON COUNTY KEY INFORMANTS WHICH INCLUDED COMMUNITY LEADERS, COUNTY HIGH SCHOOL TEACHERS AND STAFF, SCHOOL ADMINISTRATORS, HEALTHCARE PROFESSIONALS, AND FAITH COMMUNITY LEADERS. SURVEYS WERE PLACED ON SOCIAL MEDIA OUTLETS WHICH INCLUDED QR CODES. POSTERS WHICH INCLUDED THE QR CODES WERE DISTRIBUTED TO PUBLIC BULLETIN BOARDS THROUGHOUT TETON COUNTY AS WELL AS POSTED IN COUNTY HEALTHCARE FACILITIES. A TOTAL OF 212 SURVEYS WERE RETURNED FROM THE KEY INFORMANTS GROUP AND 202 SURVEYS WERE RETURNED FROM THE COMMUNITY SURVEYS. BENEFIS TETON MEDICAL CENTER AND THE TETON COUNTY HEALTH DEPARTMENT CONDUCTED A SERIES OF 7 FOCUS GROUP DISCUSSIONS WITH MEMBERS OF TARGETED POPULATIONS IN THE COMMUNITY: HIGH SCHOOL STUDENTS, LOW INCOME FAMILIES, BEHAVIORAL HEALTH PATIENTS, INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS, AND SENIOR CITIZENS. A TOTAL OF 40 COMMUNITY MEMBERS PARTICIPATED IN GROUPS RANGING IN SIZE FROM THREE TO ELEVEN. EACH GROUP WAS ASKED 7 QUESTIONS WHICH AIMED TO ASSESS QUALITY OF LIFE IN TETON COUNTY, ACCESS TO CARE IN THE AREA, QUALITY OF LOCAL CARE PROVIDED, AND ADDITIONAL HEALTH SERVICES NEEDED. DATA WAS COMPILED FROM THE FOCUS GROUPS DISCUSSIONS AND ANSWERS. FOCUS GROUP PARTICIPANTS WERE PROMISED ANONYMITY.THE FOLLOWING COMMUNITY PARTNERS AND STAKEHOLDERS PROVIDED VALUABLE INPUT TOWARDS UNDERSTANDING THE HEALTH STATUS OF TETON COUNTY:3 RIVERS COMMUNICATIONSALLUVION HEALTHBENEFIS TETON MEDICAL CENTER FOUNDATIONBETHANY CHRISTIAN SERVICESBIG SKY SPECIAL NEEDS COOPERATIVECOURAGE COUNSELINGDPHHS CHILD AND FAMILY SERVICES DIVISIONDUTTON/BRADY SCHOOL DISTRICTEASTERN FRONT COUNSELINGFAIRFIELD ELEMENTARY SCHOOL DISTRICTFAIRFIELD PUBLIC SCHOOLSFIRST BANK OF MONTANAFRONT RANGE CASA/GALFRONT RANGE FAMILY PSYCHIATRY, LLCFRONTIER FAMILY PRACTICEGREENFIELD SCHOOL DISTRICTHEART AND MIND COUNSELINGLIFE ALLIANCE FOR YOUTHLIVING THE WORDMONTANA FISH, WILDLIFE, & PARKSMONTANA STATE UNIVERSITY EXTENSION SERVICEMOUNTAIN FRONT FAMILY VISION CENTERNEIGHBORS HELPING NEIGHBORSPOWER PUBLIC SCHOOLSSAINT JOSEPH'S CATHOLIC CHURCHSKYLINE LODGE APARTMENTSSUN RIVER ELECTRIC COOPERATIVETETON COUNTY AGRICULTURETETON COUNTY BOARD OF HEALTHTETON COUNTY COMMISSIONERSTETON COUNTY CONSERVATION DISTRICTTETON COUNTY COUNCIL ON AGINGTETON COUNTY EMS/ AMBULANCE SERVICESTETON COUNTY FOOD PANTRYTETON COUNTY HEALTH DEPARTMENTTETON COUNTY SEARCH AND RESCUETETON COUNTY SHERIFF'S OFFICETETON COUNTY SUPERINTENDENT OF SCHOOLSTETON PASS SKI AREATHE ALLEY CAT BAR & BOWLINGTHE EDGE SALONTHE TETON COUNTY ABSTRACT COMPANYTOWN OF FAIRFIELDTRINITY LUTHERAN CHURCHTRUE NORTH COUNSELINGUSDA FORESTRY SERVICESWEIST FARMSWHOLLY AUTHENTIC LIFE, LLCZION LUTHERAN CHURCH |
| BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 6B: | TETON COUNTY HEALTH DEPARTMENT |
| BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 11: | BENEFIS TETON MEDICAL CENTER (BTMC) AS A FOLLOW-UP TO THE CHNA PROCESS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS OVER THE NEXT THREE YEARS. BTMC IDENTIFIED THE AVAILABLE COMMUNITY PARTNERS TO BE A PART OF THE IMPLEMENTATION PLAN. THE COMMUNITY HEALTH NEED FOCUS AREAS WERE SELECTED BECAUSE THEY WERE SEEN TO ALIGN WITH THE MEDICAL CENTER'S CLINICAL MISSION AND THE MEDICAL CENTER HAS RESOURCES AVAILABLE TO CARRY OUT AN ACTION PLAN FOR EACH. BTMC IDENTIFIED THE FOUR TOP AREAS TO FOCUS ON AFTER CAREFUL CONSIDERATION OF ALL NEEDS IDENTIFIED IN THE CHNA. THESE FOUR ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT, NOT DEEMED SIGNIFICANT, MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURCE CONSTRAINTS PREVENT BTMC FROM DIRECTLY ADDRESSING THESE INITIATIVES. THE FOUR TOP AREAS TO FOCUS ON ARE ACCESS TO SPECIALTY AND PEDIATRIC CARE, MENTAL HEALTH, ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES, AND COMMUNITY HEALTH EDUCATION.IN ADDRESSING THE PRIORITY AREA OF ACCESS TO SPECIALTY AND PEDIATRIC CARE OUR OBJECTIVE INCLUDES: - BRINGING IN OUTSIDE PROVIDERS THAT PROVIDE SPECIALTIES AND MAKE ACCESS TO SPECIALISTS MORE WIDELY KNOWN.IN ADDRESSING THE PRIORITY OF MENTAL HEALTH OUR OBJECTIVE INCLUDES: - EMPOWER THE CURRENTLY AVAILABLE RESOURCES AND USE TECHNOLOGY FOR A NEW ACCESS POINT FOR MENTAL HEALTH RESOURCES.IN ADDRESSING THE PRIORITY OF ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES OUR OBJECTIVE INCLUDES: - REESTABLISH PREVIOUS HEALTH AND WELLNESS PROGRAMS.- USE EXISTING CARE COORDINATION TO TRACK PATIENTS FROM INITIAL CHECK-IN TO SUBSEQUENT FOLLOW-UP VISITS.IN ADDRESSING THE PRIORITY AREA OF COMMUNITY HEALTH EDUCATION OUR OBJECTIVE INCLUDES: - IMPROVING THE LEVEL OF HEALTH EDUCATION TO VARIOUS GROUPS, INCLUDING WHAT SERVICES ARE ALREADY AVAILABLE, AND LAUNCHING A NEW WEBSITE WITH INFORMATION/SERVICES AVAILABLE IN THE COUNTY. |
| BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 13H: | - HOMELESS- DECEASED WITH NO ESTATE- MENTALLY INCAPACITATED WITH NO ONE TO ACT ON HIS OR HER BEHALF- MEDICAID ELIGIBLE, BUT NOT ON THE DATE OF SERVICE OR FOR NON-COVERED SERVICES- ENROLLED IN ONE OR MORE GOVERNMENTAL PROGRAMS FOR LOW-INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES - INCARCERATION IN A PENAL INSTITUTION |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 2: BENEFIS MISSOURI RIVER MEDICAL CENTER |
| BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 2: | DETAILS OF ACQUISITION: JULY 1, 2023 |
| BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 5: | BENEFIS MISSOURI RIVER MEDICAL CENTER COLLABORATED WITH CHOUTEAU PUBLIC COUNTY HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEYS WERE DISTRIBUTED TO CHOUTEAU COUNTY KEY INFORMANTS WHICH INCLUDED SENIOR CITIZENS, RELIGIOUS GROUPS, SCHOOL ADMINISTRATORS, HEALTHCARE/BUSINESS LEADERS AND DISTRICT BOARD MEMBERS. SURVEYS WERE PLACED ON SOCIAL MEDIA OUTLETS WHICH INCLUDED QR CODES. POSTERS WHICH INCLUDED THE QR CODES WERE DISTRIBUTED TO PUBLIC BULLETIN BOARDS THROUGHOUT CHOUTEAU COUNTY AS WELL AS POSTED IN COUNTY HEALTHCARE FACILITIES. A TOTAL OF 112 SURVEYS WERE RETURNED FROM THE COMMUNITY SURVEYS. BENEFIS MISSOURI RIVER MEDICAL CENTER AND THE CHOUTEAU COUNTY DEPARTMENT OF PUBLIC HEALTH CONDUCTED A SERIES OF THREE FOCUS GROUP DISCUSSIONS WITH MEMBERS OF THE COMMUNITY REPRESENTING KEY DEMOGRAPHIC COHORTS (I.E., SENIOR CITIZENS, RELIGIOUS GROUPS, SCHOOL ADMINISTRATORS, HEALTHCARE/BUSINESS LEADERS, AND DISTRICT BOARD MEMBERS). ELEVEN INDIVIDUALS PARTICIPATED IN DISCUSSION GROUPS RANGING IN SIZE FROM THREE TO FIVE. EACH GROUP WAS ASKED AROUND 10 QUESTIONS WHICH AIMED TO ASSESS THE MOST SERIOUS HEALTH ISSUES IN CHOUTEAU COUNTY, ACCESS TO CARE IN THE AREA, QUALITY OF LOCAL CARE PROVIDED, REASONS FOR HEALTHCARE OUTMIGRATION, AND ADDITIONAL HEALTH SERVICES NEEDED. DATA WAS COMPILED FROM THE FOCUS GROUPS' DISCUSSIONS AND ANSWERS.THE FOLLOWING COMMUNITY PARTNERS AND STAKEHOLDERS PROVIDED VALUABLE INPUT TOWARDS UNDERSTANDING THE HEALTH STATUS OF CHOTEAU COUNTY:BEEHIVE HOMES OF CHOTEAUCHOTEAU & VICINITY SOROPTIMISTCHOTEAU ACE HARDWARECHOTEAU ACTIVITIESCHOTEAU CHAMBER OF COMMERCECHOTEAU ELEMENTARY SCHOOLCHOTEAU LIONS CLUBCHOTEAU PUBLIC SCHOOLSCHOTEAU ROXY THEATRECHOTEAU SENIOR CITIZENS CENTERCHOTEAU VOLUNTEER FIRE COMPANYCHOTEAU/TETON PUBLIC LIBRARYCITY OF CHOTEAUFIT CHOTEAU |
| BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 6B: | CHOUTEAU PUBLIC COUNTY HEALTH DEPARTMENT |
| BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 11: | BENEFIS MISSOURI RIVER MEDICAL CENTER (BMRMC) AS A FOLLOW-UP TO THE CHNA PROCESS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS OVER THE NEXT THREE YEARS. BMRMC IDENTIFIED THE AVAILABLE COMMUNITY PARTNERS TO BE A PART OF THE IMPLEMENTATION PLAN. THE COMMUNITY HEALTH NEED FOCUS AREAS WERE SELECTED BECAUSE THEY WERE SEEN TO ALIGN WITH THE MEDICAL CENTER'S CLINICAL MISSION AND THE MEDICAL CENTER HAS RESOURCES AVAILABLE TO CARRY OUT AN ACTION PLAN FOR EACH. BMRMC IDENTIFIED THE FOUR TOP AREAS TO FOCUS ON AFTER CAREFUL CONSIDERATION OF ALL NEEDS IDENTIFIED IN THE CHNA. THESE FOUR ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT, NOT DEEMED SIGNIFICANT, MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURCE CONSTRAINTS PREVENT BMRMC FROM DIRECTLY ADDRESSING THESE INITIATIVES. THE FOUR TOP AREAS TO FOCUS ON ARE ACCESS TO SPECIALTY AND PEDIATRIC CARE, MENTAL HEALTH, ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES, AND COMMUNITY HEALTH EDUCATION. IN ADDRESSING THE PRIORITY AREA OF ACCESS TO SPECIALTY AND PEDIATRIC CARE OUR OBJECTIVE INCLUDES: - BRINGING IN OUTSIDE PROVIDERS THAT PROVIDE SPECIALTIES AND MAKE ACCESS TO SPECIALISTS MORE WIDELY KNOWN. - MAKING ACCESS TO HEALTHCARE MORE AFFORDABLE BY ADOPTING A NEW FINANCIAL ASSISTANCE POLICY THAT WILL IMPACT A LARGER PERCENTAGE OF THE COMMUNITY AS RELATES TO FREE AND DISCOUNTED CARE.IN ADDRESSING THE PRIORITY OF MENTAL HEALTH OUR OBJECTIVE INCLUDES: - EMPOWER THE CURRENTLY AVAILABLE RESOURCES AND USE TECHNOLOGY FOR A NEW ACCESS POINT FOR MENTAL HEALTH RESOURCES.IN ADDRESSING THE PRIORITY OF ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES OUR OBJECTIVE INCLUDES: - REESTABLISH PREVIOUS HEALTH AND WELLNESS PROGRAMS.- USE EXISTING CARE COORDINATION TO TRACK PATIENTS FROM INITIAL CHECK-IN TO SUBSEQUENT FOLLOW-UP VISITS.IN ADDRESSING THE COMMUNITY HEALTH EDUCATION OUR OBJECTIVE INCLUDES: - IMPROVING THE LEVEL OF HEALTH EDUCATION TO VARIOUS GROUPS, INCLUDING WHAT SERVICES ARE ALREADY AVAILABLE, AND LAUNCHING A NEW WEBSITE WITH INFORMATION/SERVICES AVAILABLE IN THE COUNTY. |
| BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 13H: | - HOMELESS- DECEASED WITH NO ESTATE- MENTALLY INCAPACITATED WITH NO ONE TO ACT ON HIS OR HER BEHALF- MEDICAID ELIGIBLE, BUT NOT ON THE DATE OF SERVICE OR FOR NON-COVERED SERVICES- ENROLLED IN ONE OR MORE GOVERNMENTAL PROGRAMS FOR LOW-INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES - INCARCERATION IN A PENAL INSTITUTION |
| BENEFIS TETON MEDICAL CENTER | PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSBENEFIS TETON MEDICAL CENTERPART V, LINE 10A, IMPLEMENTATION PLAN WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTHE IMPLEMENTATION STRATEGY FOR THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED IN 2024.BENEFIS TETON MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16I: THERE IS NO LIMITED ENGLISH PROFICIENCY POPULATIONS THAT MAKE UP 10% OR MORE OF THE COMMUNITY SERVED BY THE ORGANIZATION. |
| BENEFIS MISSOURI RIVER MEDICAL CENTER | PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 10A, IMPLEMENTATION PLAN WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSAS A FOLLOW-UP TO THE CHNA PROCESS, BENEFIS MISSOURI RIVER MEDICAL CENTER DEVELOPED AN IMPLEMENTATION PLAN IN 2023 TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS. THIS PLAN WAS APPROVED BY THE BOARD AND ADOPTED IN EARLY 2024.BENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16I: THERE IS NO LIMITED ENGLISH PROFICIENCY POPULATIONS THAT MAKE UP 10% OR MORE OF THE COMMUNITY SERVED BY THE ORGANIZATION. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGE RATIO IS USED TO CALCULATE THE TOTAL COMMUNITY BENEFIT EXPENSE. |
| PART I, LINE 7, COLUMN (F) | THE BAD DEBT OF $359,074 IS INCLUDED ON FORM 990 PART IX, LINE 24(D) BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| PART III, LINE 2: | THE METHODOLOGY UTILIZED TO CALCULATE THE COST OF THE ORGANIZATION'S BAD DEBT EXPENSE IS A COST TO CHARGE RATIO. |
| PART III, LINE 4: | SEE NOTE 2 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE ORGANIZATION DOES NOT BELIEVE THAT ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT.THE ORGANIZATION USED ITS COST TO CHARGE RATIO TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED IN PART III, SECTION B. THE ORGANIZATION HAS A CONSIDERABLE POPULATION OF MEDICARE PATIENTS. |
| PART III, LINE 9B: | PERSONS DETERMINED TO BE ELIGIBLE FOR 100% CHARITY CARE SHALL NOT RECEIVEA BILL FOR SERVICES OR BE SUBJECT TO COLLECTION PROCEDURES. PERSONS DETERMINED TO BE ELIGIBLE FOR A REDUCTION OF A PERCENTAGE OF CHARGES UNDER THE CHARITY CARE PROGRAM LESS THAN 100% SHALL NOT BE BILLEDOR SUBJECT TO COLLECTION PROCEDURES FOR THE PORTION OF THE BILL THAT ISREDUCED UNDER THE SLIDING FEE SCALE, ONLY THE OUT OF POCKET RESPONSIBILITY. |
| PART V, SECTION A. BENEFIS TETON MEDICAL CENTER WEBSITE: | HTTPS://WWW.BENEFIS.ORG/LOCATIONS/PROFILE/BENEFIS-TETON-MEDICAL-CENTER/ |
| PART V, SECTION A. BENEFIS MISSOURI RIVER MEDICAL CENTER WEBSITE: | HTTPS://WWW.BENEFIS.ORG/LOCATIONS/PROFILE/BENEFIS-MISSOURI-RIVER-MEDICAL-CENTER/ |
| PART VI, LINE 2: | HISTORICALLY, BENEFIS COMMUNITY HOSPITALS, INC. HAS ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WITHIN ITS SERVICE AREA THROUGH DIRECT OBSERVATION AND EXPERIENCE, AS WELL AS THROUGH THE USE OF CERTAIN SECONDARY DATA COMPILED BY INDEPENDENT SOURCES. BENEFIS TETON MEDICAL CENTERIN 2023, BENEFIS COMMUNITY HOSPITALS, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ITS SERVICE AREA IN TETON COUNTY, MONTANA, AS CONTEMPLATED BY IRC SECTION 501(R). THE ORGANIZATION WORKED COLLABORATIVELY WITH THE TETON COUNTY HEALTH DEPARTMENT TO IDENTIFY THE NEEDS OF ITS COMMUNITY THROUGH STAKEHOLDER SURVEYS, COMMUNITY FOCUS GROUPS, AND RESEARCH USING REGIONAL AND STATE HEALTH DATA. SIGNIFICANT HEALTH NEEDS OF TETON COUNTY AREA RESIDENTS WERE IDENTIFIED AND PRIORITIZED THROUGH THE SURVEY PROCESS AND DATA ANALYSIS. ALL COLLECTED INFORMATION HAS BEEN COMPILED INTO A CHNA REPORT. AFTER THE REPORT'S PUBLIC PRESENTATION, THE ORGANIZATION DEVELOPED AN IMPLEMENTATION STRATEGY FOR EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT. BOTH THE ORGANIZATION'S CHNA REPORT AND ITS IMPLEMENTATION PLAN ARE AVAILABLE FREE OF CHARGE TO THE PUBLIC AS WELL AS DIGITALLY ON ITS WEBSITE AT THE FOLLOWING ADDRESS WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.BENEFIS MISSOURI RIVER MEDICAL CENTER IN 2023, BENEFIS COMMUNITY HOSPITALS, INC. ACQUIRED MISSOURI RIVER MEDICAL CENTER, AND CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ITS SERVICE AREA IN CHOUTEAU COUNTY, MONTANA, AS CONTEMPLATED BY IRC SECTION 501(R). THE ORGANIZATION WORKED COLLABORATIVE WITH CHOUTEAU COUNTY PUBLIC HEALTH DEPARTMENT TO IDENTIFY THE NEEDS OF ITS COMMUNITY THROUGH STAKEHOLDER SURVEYS, COMMUNITY FOCUS GROUPS, AND RESEARCH USING REGIONAL AND STATE HEALTH DATA. SIGNIFICANT HEALTH NEEDS OF CHOUTEAU COUNTY AREA RESIDENTS WERE IDENTIFIED AND PRIORITIZED THROUGH THE SURVEY PROCESS AND DATA ANALYSIS. ALL COLLECTED INFORMATION HAS BEEN COMPILED INTO A CHNA REPORT. AFTER THE REPORT'S PUBLIC PRESENTATION, THE ORGANIZATION DEVELOPED AN IMPLEMENTATION STRATEGY FOR EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT. BOTH THE ORGANIZATION'S CHNA REPORT AND ITS IMPLEMENTATION PLAN ARE AVAILABLE FREE OF CHARGE TO THE PUBLIC AS WELL AS DIGITALLY ON ITS WEBSITE AT THE FOLLOWING ADDRESS WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. |
| PART VI, LINE 3: | THE ORGANIZATION HAS POSTED IN REGISTRATION AREAS, EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE AREAS A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ALONG WITH BROCHURES THAT DEFINE THE POLICY. THE POLICY AND APPLICATION IS AVAILABLE ONLINE AT WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE AND IS MAILED TO EACH PATIENT ALONG WITH THEIR BILLING STATEMENT. |
| PART VI, LINE 4: | BENEFIS TETON MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN CHOTEAU, TETON COUNTY, MT. THE HOSPITALS' SERVICE AREA IS 2,272 SQUARE MILES. TETON COUNTY IS A FRONTIER COMMUNITY LOCATED ALONG THE ROCKY MOUNTAIN FRONT WITH A POPULATION DENSITY OF 2.8/SQUARE MILE. THE POPULATION OF TETON COUNTY IS 6,430. 13.2% OF THE RESIDENTS LIVE IN POVERTY. TETON COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. DATA IS BASED ON U.S. CENSUS BUREAU 2023 ESTIMATES.BENEFIS MISSOURI RIVER MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN FORT BENTON, CHOUTEAU COUNTY, MT. THE HOSPITALS' SERVICE AREA IS 3,973 SQUARE MILES WITH A POPULATION DENSITY OF 1.5/SQUARE MILE. THE POPULATION OF CHOUTEAU COUNTY IS 5,847. 15.9% OF THE RESIDENTS LIVE IN POVERTY. CHOUTEAU COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. DATA IS BASED ON U.S. CENSUS BUREAU 2023 ESTIMATES. |
| PART VI, LINE 5: | THE ORGANIZATION HELPS DEVELOP THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY LEADERSHIP ACTIVITIES, IMPROVED HEALTH ADVOCACY WITH COMMUNITY CLINICS, HEALTH FAIRS AND SUPPORT OF GENERAL HEALTH CLINICS. THE ORGANIZATION PROVIDES SUPPORT TO INDIAN HEALTH FACILITY CLINICS AND PROVIDES ECONOMIC FUNDING FOR COMMUNITY HEALTH CLINICS TO PROVIDE LOCUM DOCTORS TO COME DURING PLANNED AND UNPLANNED ABSENCES. BENEFIS HOSPITALS, INC. PROMOTES THE HEALTH OF PERSONS RESIDING THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, AND PARTICIPATES IN GOVERNMENT SPONSORED HEALTHCARE PAYMENT PROGRAMS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES AND PROVIDE EDUCATION. THE HOSPITAL'S BOARD OF DIRECTORS (AND THAT OF BENEFIS HEALTH SYSTEM, ITS SOLE CORPORATE MEMBER) CONSISTS PRIMARILY OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES, AND REGULATIONS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). |
| PART VI, LINE 6: | THE ORGANIZATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AND AS SUCH COORDINATES EFFORTS BETWEEN ALL SYSTEM ENTITIES TO REDUCE DUPLICATION AND PROMOTE THE BROADEST OFFERING OF SERVICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOUIE KING | PersonNm |
| Title | PRESIDENT | TitleTxt |
| Base Compensation Filing Org | $192,430 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $26,771 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $33,987 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $13,145 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $26,940 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $293,273 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM OF BENEFIS COMMUNITY HOSPITALS, INC. WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. |
| PART I, LINE 4B | BENEFIS HEALTH SYSTEM, INC. PROVIDES A SECTION 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR MR. KING, WHO MET THE REQUIREMENTS. MR. KING RECEIVED A PAYOUT FROM THE PLAN IN 2023. |
| PART I, LINE 7 | BENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAMS. PAYMENTS PURSUANT TO THE INCENTIVE PLAN ARE SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. THE SYSTEM HAS ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, AND FINANCE/OPERATIONS. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF EACH EXECUTIVE'S AND MANAGER'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | BENEFIS COMMUNITY HOSPITALS, INC. ACQUIRED MISSOURI RIVER MEDICAL CENTER (MRMC) IN 2023. MRMC PROVIDES EMERGENCY SERVICES, OPERATES AN OUTPATIENT CLINIC, AND PROVIDES ANCILLARY SERVICES INCLUDING: PHYSICAL THERAPY, LABORATORY, RADIOLOGY, ECHOCARDIOGRAPHY, CAROTID ULTRASOUND, MAMMOGRAM, OCCUPATIONAL THERAPY, AND LONG TERM CARE. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE ORGANIZATION IS AN AFFILIATE OF BENEFIS HEALTH SYSTEM, INC. (BHS), A TAX EXEMPT MONTANA NONPROFIT CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF PERSONS THROUGHOUT NORTH CENTRAL MONTANA. AS THE CORPORATE MEMBER OF THE ORGANIZATION, BHS HOLDS VARIOUS RESERVED POWERS IN RELATION TO THE ORGANIZATION, INCLUDING THE AUTHORITY TO APPROVE THE ELECTION OF INDIVIDUALS TO ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF THE ORGANIZATION INCLUDES CERTAIN INDIVIDUALS WHO ARE EMPLOYED BY THE ORGANIZATION OR ITS AFFILIATES, AND WHO MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, AS ACKNOWLEDGED BY THE IRS IN ITS "CPE TEXT FOR FISCAL YEAR 1997", IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE OWN BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF BHS, AND BHS' OWN GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF. |
| FORM 990, PART VI, SECTION A, LINE 3 | PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ITS PARENT ENTITY, BENEFIS HEALTH SYSTEM, INC. (BHS). BHS, AS THE PARENT AND SYSTEM ENTITY, PROVIDES THE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT NON-PROFIT CORPORATE ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING: - MANAGEMENT OF HUMAN RESOURCES INCLUDING POLICIES AND PRACTICES AND BENEFITS - MANAGEMENT, PLANNING, BUDGETING AND REPORTING OF FINANCIAL OPERATIONS - MANAGEMENT OF BILLING AND COLLECTIONS POLICIES AND FUNCTIONS - MANAGEMENT OF INFORMATION TECHNOLOGY SERVICES - OVERSIGHT OF QUALITY STANDARDS, COMPLIANCE AND RISK MANAGEMENT - MANAGEMENT OF REGIONAL, COMMUNITY AND GOVERNMENT RELATIONS AND MARKETING - MANAGEMENT OF GRANTS DEVELOPMENT |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION ACQUIRED MISSOURI RIVER MEDICAL CENTER IN 2023. PURSUANT TO THE ACQUISITION AGREEMENT, EFFECTIVE JULY 1, 2023, THE CORPORATION AMENDED AND RESTATED ITS BYLAWS ACCORDINGLY. THE AMENDED BYLAWS PROVIDE FOR TWO SEPARATE ADVISORY BOARD COMMITTEES (I) THE BENEFIS TETON MEDICAL CENTER ADVISORY BOARD, AND (II) THE BENEFIS MISSOURI RIVER MEDICAL CENTER ADVISORY BOARD. EACH ADVISORY BOARD COMMITTEE SHALL EXERCISE AUTHORITY OF THE ORGANIZATION'S BOARD WITH RESPECT TO APPOINTMENT AND CREDENTIALING OF THE HOSPITAL'S MEDICAL STAFF AND ANY OTHER AUTHORITY THAT IS EXPRESSLY DELEGATED BY THE BCH BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BENEFIS HEALTH SYSTEM, INC., A MONTANA NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN RECOGNIZED BY THE IRS AS DESCRIBED IN IRC SECTION 501(C)(3). |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. (ACTING THROUGH ITS OWN GOVERNING BODY) ELECTS THE BOARD OF DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. RETAINS CERTAIN RESERVED POWERS WITH RESPECT TO THE ORGANIZATION, INCLUDING AUTHORITY OVER MATTERS SUCH AS (WITHOUT LIMITATION) THE ORGANIZATION'S MISSION AND VISION STATEMENTS, STRATEGIC AND LONG-TERM PLANS, ELECTION OF ITS DIRECTORS AND OFFICERS, ANNUAL CAPITAL AND OPERATING BUDGETS, CHARITY CARE AND COMMUNITY BENEFIT POLICIES, AND ANY AMENDMENTS TO ITS ARTICLES OF INCORPORATION AND BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THIS FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF BENEFIS HEALTH SYSTEM, INC. IN COLLABORATION WITH ITS ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 WAS PRESENTED TO THE BENEFIS HEALTH SYSTEM, INC. BOARD BY THE ACCOUNTING FIRM. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ANNUALLY COMPLETE A FORM TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IN ADDITION, AT THE START OF EACH BOARD MEETING, MEMBERS ARE ASKED TO INDICATE WHETHER THEY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY ITEMS ON THE AGENDA FOR THE MEETING. CONSISTENT WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, BOARD MEMBERS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND VOTING ON ANY MATTERS AS TO WHICH THEY HAVE A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES AND OTHER KEY EMPLOYEES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEES AND MANAGERS WAS SET BY THEIR RESPECTIVE SUPERVISORY EXECUTIVES IN CONSULTATION WITH BENEFIS HEALTH SYSTEM, INC.'S HUMAN RESOURCES DEPARTMENT AND EXECUTIVE LEADERSHIP, BASED ON A REVIEW OF INDEPENDENT DATA AS TO AMOUNTS PAID BY SIMILAR SITUATED ORGANIZATIONS FOR PERSONS PERFORMING COMPARABLE SERVICES. |
| FORM 990, PART VI, SECTION C, LINE 19 | BENEFIS COMMUNITY HOSPITALS, INC. PROVIDES COPIES OF THE FORM 990 TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS. |
| FORM 990, PART XI, LINE 9: | CONTRIBUTION ON ACQUISITION 7,462,978. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| BENEFIS CASCADE RIDGE LLC | |||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 274602798 | REAL ESTATE | MT | BENEFIS HEALTH SYSTEM INC |
| BENEFIS HEALTH SYSTEM FOUNDATION PROPERTIES LLC | |||||||
| PO BOX 7008 | GREAT FALLS | MT | 59406 | 272514629 | HOLDS REAL ESTATE PROPERTY DONATED TO THE FOUNDATION | MT | BENEFIS HEALTH SYSTEM FOUNDATION |
| WALK IN EXPRESS LLC | |||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 320481028 | OUTPATIENT CLINIC | MT | BENEFIS HEALTH SYSTEM INC |
| HELENA AMBULATORY CENTER LLC | |||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 263538104 | INACTIVE | MT | BENEFIS HEALTH SYSTEM INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BENEFIS COMMUNITY CARE INC | ||||||||||
| 1411 9TH STREET SOUTH | GREAT FALLS | MT | 59405 | 810431871 | HOME HEALTH AND RELATED PRODUCTS | MT | 501(C)(3) | LINE 10 | BENEFIS HEALTH SYSTEM INC | 0 |
| BENEFIS HEALTH SYSTEM FOUNDATION INC | ||||||||||
| PO BOX 7008 | GREAT FALLS | MT | 59406 | 810480587 | FOUNDATION | MT | 501(C)(3) | LINE 7 | BENEFIS HEALTH SYSTEM INC | 0 |
| BENEFIS HEALTH SYSTEM INC | ||||||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 263538104 | MANAGEMENT AND SUPPORT SERVICES | MT | 501(C)(3) | LINE 12C, III-FI | 0 | |
| BENEFIS MEDICAL GROUP INC | ||||||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 263538192 | PHYSICIAN SERVICES | MT | 501(C)(3) | LINE 3 | BENEFIS HEALTH SYSTEM INC | 0 |
| BENEFIS HOSPITALS INC | ||||||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 810232122 | HOSPITAL | MT | 501(C)(3) | LINE 3 | BENEFIS HEALTH SYSTEM INC | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| GREAT FALLS ATHLETIC CLUB LLC | |||||||||
| 1800 BENEFIS COURT | GREAT FALLS | MT | 59405 | 912081505 | FITNESS CLUB | MT | N/A | 0 | 0 |
| TREASURE STATE HEALTHCARE NETWORK LLC | |||||||||
| 500 15TH AVENUE SOUTH | GREAT FALLS | MT | 59405 | 810534714 | HEALTHCARE SERVICES | MT | N/A | 0 | 0 |
| OLIVET HOUSING LLC | |||||||||
| 101 E FRONT ST STE 304 | MISSOULA | MT | 59802 | 881547771 | HOUSING RENTALS | MT | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BHS 2017 TRUST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 HOWARD STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 306559361 | EIN |
| Primary Activities | INVESTMENT TRUST | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | T | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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