SIDNEY HEALTH CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SIDNEY HEALTH CENTER (EIN 81-0233499)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202521339349303807
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T10:40:15-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10700 NORTHUP WAY SUITE 200	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810233499	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIDNEY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SIDN	BusinessNameControlTxt
Phone	4064882100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	216 14TH AVENUE SW	AddressLine1Txt
City	SIDNEY	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59270	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TINA MONTGOMERY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4064882100	PhoneNum
Signature	2025-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION CPA	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	4252506100	PhoneNum
Preparation	2025-05-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEN DOTY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	216 14TH AVENUE SW	AddressLine1Txt
City	SIDNEY	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59270	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$123,628,600	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SIDNEYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH BY PROVIDING QUALITY MEDICAL CARE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	677	TotalEmployeeCnt
Total Volunteers	128	TotalVolunteersCnt
Total Gross UBI	$2,211,597	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$534,582	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$756,153	PYContributionsGrantsAmt
CY Contributions Grants	$3,033,295	CYContributionsGrantsAmt
PY Program Service Revenue	$99,789,025	PYProgramServiceRevenueAmt
CY Program Service Revenue	$114,515,101	CYProgramServiceRevenueAmt
PY Investment Income	$1,329,030	PYInvestmentIncomeAmt
CY Investment Income	$2,654,029	CYInvestmentIncomeAmt
PY Other Revenue	$1,077,020	PYOtherRevenueAmt
CY Other Revenue	$1,134,042	CYOtherRevenueAmt
PY Total Revenue	$102,951,228	PYTotalRevenueAmt
CY Total Revenue	$121,336,467	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,498	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,910,021	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$41,754,755	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,572,363	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$410,590	CYTotalFundraisingExpenseAmt
PY Other Expenses	$60,312,451	PYOtherExpensesAmt
CY Other Expenses	$63,794,694	CYOtherExpensesAmt
PY Total Expenses	$102,102,704	PYTotalExpensesAmt
CY Total Expenses	$111,277,078	CYTotalExpensesAmt
PY Revenues Less Expenses	$848,524	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,059,389	CYRevenuesLessExpensesAmt
Total Assets BOY	$98,690,761	TotalAssetsBOYAmt
Total Assets EOY	$104,554,765	TotalAssetsEOYAmt
Total Liabilities BOY	$31,032,626	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,445,146	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$67,658,135	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$78,109,619	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH AND WELL-BEING.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$100,435,351	ExpenseAmt
Grant	$1,910,021	GrantAmt
Revenue	$111,748,570	RevenueAmt
Desc	SIDNEY HEALTH CENTER IS A NOT-FOR-PROFIT COMMUNITY-BASED MEDICAL CENTER THAT HAS BEEN SERVING PEOPLE IN THE MONDAK REGION FOR MORE THAN 100 YEARS. OUR PASSION FOR CARING IS SHARED BY THE DOCTORS, NURSES, AND SEVERAL HUNDRED EMPLOYEES AND VOLUNTEERS. THIS COMMITMENT TO CARING IS OUR ALLEGIANCE TO THE COMMUNITY AS WE STRIVE TO PROVIDE "EXCEPTIONAL CARE FOR LIFE."LOCATED IN THE HEART OF RICHLAND COUNTY, THE ATTRACTIVE EASTERN MONTANA CAMPUS INCLUDES AN ACUTE CARE HOSPITAL, CLINIC, CANCER CARE, RETAIL PHARMACY AND AN EXTENDED CARE FACILITY OFFERING A COMPLETE RANGE OF SERVICES FROM BIRTH THROUGH END-OF-LIFE, WHICH IS COMPLEMENTED BY AN ARRAY OF OUTREACH SERVICES. THIS CONTINUUM OR SUCCESSION OF SERVICES IS NOT TYPICAL OF RURAL HEALTHCARE ORGANIZATIONS, BUT SIDNEY HEALTH CENTER IS NOT TYPICAL. A STRONG COMPLEMENT OF PRIMARY CARE PHYSICIANS AND A UNIQUE SELECTION OF SURGICAL SPECIALISTS, COMBINED WITH A MODERN FACILITY AND UP-TO-DATE MEDICAL EQUIPMENT, MAKES SIDNEY HEALTH CENTER A SPECIAL PLACE TO WORK, RECEIVE CARE AND PRACTICE MEDICINE.SIDNEY HEALTH CENTER ALSO PROVIDES VARIOUS COMMUNITY BENEFIT PROGRAMS FOR THE INDIVIDUALS IN OUR SERVICE REGION.RICHLAND COUNTY TRANSPORTATION - THIS PROGRAM GIVES OPPORTUNITIES FOR THOSE WHO CANNOT DRIVE THE OPTION OF A RIDE. SIDNEY HEALTH CENTER PROVIDES A DRIVER AND HELPS PAY FOR BUSSES. SINCE ITS CONCEPTION, WE HAVE GONE FROM ONE BUS AND ONE DRIVER FOR THE FULL PROGRAM TO MULTIPLE BUSSES AND DRIVERS. WE WORK WITH THE HEALTH DEPARTMENT, RICHLAND COUNTY AND THE LODGE.MILES CITY NURSING PROGRAM - WE PROVIDE THE FACILITY AND PROGRAM COSTS TO HAVE MILES CITY COMMUNITY COLLEGE RUN A SATELLITE SCHOOL HERE IN SIDNEY. THIS PROMOTES NURSING AS A PROFESSION AND KEEPS THOSE WHO ARE INTERESTED IN OUR COMMUNITY AS POSSIBLE EMPLOYEES LATER.OUTREACH CLINIC - SOME OF THE OUTLYING COMMUNITIES DO NOT HAVE ACCESS TO SPECIALTY SERVICES. SIDNEY HEALTH CENTER SENDS PROVIDERS TO THESE NEIGHBORING COMMUNITIES SO PATIENTS DO NOT HAVE TO TRAVEL. SHC ALSO HOSTS SPECIALISTS FROM LARGER FACILITIES TO OFFER QUALITY AND CONVENIENT CARE WE ARE UNABLE TO PROVIDE TO PATIENTS IN AND AROUND RICHLAND COUNTY.HEALTH SCREENINGS, EDUCATION AND MAINTENANCE SIDNEY HEALTH CENTER SUPPORTS A VARIETY OF EVENTS WHERE OUR COMMUNITY CAN BE EDUCATION ON HEALTH ISSUES. OUR CANCER CENTER SPONSORS THE "TOUGH ENOUGH TO WEAR PINK" DAY THE COUNTY FAIR; SUPPORTS "PINK NIGHTS" AT AREA SCHOOLS FOR VOLLEYBALL AND FOOTBALL DURING THE MONTH OF OCTOBER; AND HOLDS ANNUAL MENS HEALTH SCREENINGS. THE MENS SCREENING PROVIDES FREE PSA TESTS AND DRE EXAMS. IN OCTOBER, THE RADIOLOGY DEPARTMENT EXTENDS ITS HOURS TO OFFER MAMMOGRAMS A FEW EVENINGS DURING THE MONTH. SIDNEY HEALTH CENTER PROMOTES PREVENTATIVE CARE, DIABETES EDUCATION, LAB SCREENINGS AND MANY OTHER TOPICS. SIDNEY HEALTH CENTER OFTEN PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT, COALITION ON AGING, FIRE, POLICE AND MENTAL HEALTH PROFESSIONS, JUST TO NAME A FEW. SIDNEY HEALTH CENTER ALSO PARTICIPATES IN SUPPORTIVE HEALTH MAINTENANCE GROUPS, INCLUDING COMMUNITIES IN ACTION GROUPS.RICHLAND COUNTY FAIR & RODEO - SIDNEY HEALTH CENTER IS THE DAY SPONSOR AT THE COUNTY FAIR (DAILY ATTENDANCE OF AROUND 5,000), WHERE PEOPLE CAN HAVE THEIR BLOOD PRESSURE CHECKED AND RECEIVE A FREE COLD LEMONADE OR WATER DURING THE HOT AUGUST FAIR.GRIEF RECOVERY SUPPORT GROUPS - SIDNEY HEALTH CENTER ASSISTS INDIVIDUALS IN CONNECTING WITH LOCAL BEREAVEMENT SUPPORT GROUPS AND INDIVIDUAL COUNSELING AS REQUESTED OR WHEN A NEED IS IDENTIFIED. IN ADDITION, THE HOSPITAL'S BEREAVEMENT PROGRAM PROVIDES FAMILIES WITH MATERIALS AND RESOURCES FOLLOWING THE LOSS OF A LOVED ONE WHO RECEIVED CARE IN OUR FACILITY. BIRTHDAY HEALTH FAIR - PATIENTS WHO SIGN UP CAN GET AN ANNUAL HEALTH SCREEN AT A DISCOUNTED RATE DURING THEIR BIRTHDAY MONTH. THE LAB SCREENING INCLUDES A CHEMISTRY PANEL THAT EVALUATES KIDNEY AND LIVER FUNCTION, BLOOD SUGAR AND ELECTROLYES, A BLOOD COUNT WITH IDENTIFIES ANEMIA OR INFECTION AS WELL AS LIPIS (CHOLESTROL) PANEL.VISITING NURSE SERVICE - INITIAL NURSE VISIT AND POST DISCHARGE MEDICATION RECONCILIATION ALONG WITH ONGOING MEDICATION SETUPS TO THOSE IN NEED.MEDICATION ASSISTANCE THE MEDICATION ASSISTANCE PROGRAM OFFERS A 30-DAY SUPPLY OF SOME MEDICATIONS PRESCRIBED BY SIDNEY HEALTH CENTER PHYSICIANS AND ADVANCED PRACTICE PROVIDERS FREE OF CHARGE TO THOSE WHO QUALIFY. THIS PROGRAM WORKS WITH PATIENTS WHO ARE UNINSURED OR UNDERINSURED TO SECURE ONGOING COVERAGE FOR MEDICATIONS. THE PROGRAM WAS EXPANDED IN 2020 TO INCLUDE THE LIFELINE SERVICES FOR THOSE WHO FIT WITHIN THE 200% FPG. RX BOXES - PHARMACY SETS UP PILLS IN MEDICATION BOXES SO THAT GROUP HOME RESIDENTS GET THE CORRECT PILLS FOR EACH ADMINISTRATION TIME.CHAMBER OF COMMERCE - VARIOUS DONATIONS FOR COMMUNITY AND CHAMBER FUNCTIONS.CHILDBIRTH CLASSES - CLASSES OFFERED ON A QUARTERLY BASIS TO THE COMMUNITY.INTERACTIVE TOUR FOR ELEMENTARY STUDENTS - AS REQUESTED, LOCAL ELEMENTARY CLASSES PARTICIPATE IN INTERACTIVE STATIONS THAT ARE HOSTED BY VARIOUS SIDNEY HEALTH CENTER DEPARTMENTS.REACH TOUR - EVERY OTHER YEAR, SIDNEY HEALTH CENTER HOSTS R.E.A.C.H. (RESEARCH AND EXPLORE AWESOME CAREERS IN HEALTHCARE) TOUR THROUGH AHEC FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTHCARE CAREERS. STUDENTS SPEND THE DAY AT SIDNEY HEALTH CENTER PARTICIPATING IN INTERACTIVE DEMONSTRATIONS, VISITING WITH HEALTHCARE PROFESSIONALS AND MORE.FITNESS CENTER - SIDNEY HEALTH CENTER PARTNERED WITH HEALTHWORKS FITNESS CENTER TO SUBSIDIZE MEMBERSHIPS TO LOW INCOME INDIVIDUALS WITH DOCTOR ORDERED FITNESS REGIMENS.COVID-19 VACCINATION CLINICS - SIDNEY HEALTH CENTER PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT TO VACCINATE INDIVIDUALS AGAINST COVID-19 ACCORDING THE STATE DISTRIBUTION PLAN. COVID-19 DRIVE-THRU TESTING SIDNEY HEALTH CENTER OFFERS FREE COVID-19 TESTS TO SYMPTOMATIC INDIVIDUALS MONDAY THROUGH FRIDAY BY APPOINTMENT. TEST RESULTS ARE SHARED VIA MY CHART WITHIN A FEW HOURS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,130,838	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$854,934	RevenueAmt
Desc	SIDNEY HEALTH CENTER CARE FLIGHT OFFERS HIGH QUALITY, AFFORDABLE, AIR MEDICAL TRANSPORTATION FOR PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE THAT IS NOT PROVIDED LOCALLY. APPROXIMATELY 24 PATIENTS ARE FLOWN OUT EACH MONTH FOR CRITICAL MEDICAL CONDITIONS INCLUDING HEART, STROKE, TRAUMA AND PEDIATRIC NEEDS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$101,566,189	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	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	Yes (1)	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	137	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	677	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TINA MONTGOMERY CFO	PersonNm
Phone	4064882117	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	216 14TH AVE SW	AddressLine1Txt
City	SIDNEY	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59270	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
RAJOHN KARANJAI MD
TRUSTEE/CMO	39.00	1.00	Yes (X)	$1,299,401	$0	$0
LESZEK JASZCZAK MD
FORMER TRUSTEE/CMO	39.00	1.00		$652,328	$0	$33,438	Yes (X)
ERIC SIGMOND MD
PHYSICIAN	35.00	0.00		$604,296	$0	$46,215		Yes (X)
MALUA TAMBI MD
CHIEF OF MEDICAL STAFF	39.00	1.00	Yes (X)	$560,346	$0	$45,532			Yes (X)
JEROME KESSLER MD
PHYSICIAN	40.00	0.00		$567,048	$0	$37,338		Yes (X)
JOHN MORGAN MD
PHYSICIAN	35.00	0.00		$576,842	$0	$14,308		Yes (X)
PETER DEVEAUX MD
PHYSICIAN	40.00	0.00		$538,051	$0	$48,582		Yes (X)
CHAD PEDERSON MD
PHYSICIAN	40.00	0.00		$499,733	$0	$27,069		Yes (X)
HERVE NGUEWOUN MD
VICE CHIEF OF STAFF	40.00	1.00	Yes (X)	$506,522	$0	$11,849
JEN DOTY
CEO	39.00	1.00	Yes (X)	$328,744	$0	$34,809
TINA MONTGOMERY
CFO	39.00	1.00	Yes (X)	$200,379	$0	$26,425
ROBERT BURNISON
PRESIDENT	1.00	1.00	Yes (X)	$0	$0	$0			Yes (X)
LANCE AVERETT
VICE PRESIDENT	1.00	1.00	Yes (X)	$0	$0	$0			Yes (X)
REBECCA BRADLEY
SECRETARY/TREASURER	1.00	1.00	Yes (X)	$0	$0	$0			Yes (X)
ERIC BEENKEN
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)
SUSAN DUFFEY
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)
RANDY JOHNSON
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)
STEPHANIE LIVERS
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)
CHERYL VANEVERY
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)
MIKE WEBER
TRUSTEE	1.00	1.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,333,690	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$325,565	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	70	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BRETT BENNION
214 14TH AVE SW	SIDNEY	MT	59270	MEDICAL PROVIDER	$2,592,061
MEDIKAR PC
1398 14TH ST SW	SIDNEY	MT	59270	MEDICAL PROVIDER	$1,299,401
ROBERT ANDREWS
815 W E ST APT 1	BASIN	WY	82410	MEDICAL PROVIDER	$465,680
DEBORAH HARRIS
PO BOX 164	ALFORD	FL	32420	MEDICAL PROVIDER	$405,565
MCCARTNEY TANNER MEDICAL SERVICES
1153 BERGEN PKY STE I-409	EVERGREEN	CO	80439	MEDICAL PROVIDER	$385,995

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,602,167	RelatedOrganizationsAmt
All Other Contributions	$431,128	AllOtherContributionsAmt
Total Contributions	$3,033,295	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES	621500	$102,300,403	$102,300,403
CLINIC PHARMACY	456110	$9,922,657	$8,195,062	$1,727,595
OTHER PATIENT CARE	621500	$1,700,850	$1,700,850
JOINT VENTURE	900002	$591,191	$407,189	$184,002

Field	Value	IRS element (for citing)
Total Program Service Revenue	$114,515,101	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$950,562	TotalRevenueColumnAmt
Exclusion	$950,562	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,968	TotalRevenueColumnAmt
Exclusion	$5,968	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$300,000	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Personal	$300,000	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$300,000	TotalRevenueColumnAmt
Unrelated Business Revenue	$300,000	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,940,005	SecuritiesAmt
Other	$500,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,729,422	SecuritiesAmt
Other	$7,116	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,210,583	SecuritiesAmt
Other	$492,884	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,703,467	TotalRevenueColumnAmt
Exclusion	$1,703,467	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$595,306	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$555,595	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,711	TotalRevenueColumnAmt
Exclusion	$39,711	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MEAL INCOME	900099	$408,632	$408,632
MISCELLANEOUS REVENUE	900099	$379,731	$379,731

Field	Value	IRS element (for citing)
Other Revenue Total	$788,363	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$121,336,467	TotalRevenueColumnAmt
Related Or Exempt Func Income	$112,603,504	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,211,597	UnrelatedBusinessRevenueAmt
Exclusion	$3,488,071	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$23,590	TotalAmt
Program Services	$23,590	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,886,431	TotalAmt
Program Services	$1,886,431	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,198,369	TotalAmt
Program Services	$1,666,507	ProgramServicesAmt
Management And General	$483,709	ManagementAndGeneralAmt
Fundraising	$48,153	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$34,849,846	TotalAmt
Program Services	$32,320,035	ProgramServicesAmt
Management And General	$2,351,256	ManagementAndGeneralAmt
Fundraising	$178,555	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$700,341	TotalAmt
Program Services	$641,775	ProgramServicesAmt
Management And General	$53,788	ManagementAndGeneralAmt
Fundraising	$4,778	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,349,842	TotalAmt
Program Services	$4,845,673	ProgramServicesAmt
Management And General	$456,056	ManagementAndGeneralAmt
Fundraising	$48,113	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,473,965	TotalAmt
Program Services	$2,263,204	ProgramServicesAmt
Management And General	$194,545	ManagementAndGeneralAmt
Fundraising	$16,216	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$41,716	TotalAmt
Management And General	$41,716	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$169,347	TotalAmt
Program Services	$23,822	ProgramServicesAmt
Management And General	$144,525	ManagementAndGeneralAmt
Fundraising	$1,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$138,731	TotalAmt
Management And General	$138,731	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,612,752	TotalAmt
Program Services	$20,578,207	ProgramServicesAmt
Management And General	$2,006,751	ManagementAndGeneralAmt
Fundraising	$27,794	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$720,651	TotalAmt
Program Services	$445,340	ProgramServicesAmt
Management And General	$257,429	ManagementAndGeneralAmt
Fundraising	$17,882	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,366,600	TotalAmt
Program Services	$2,596,573	ProgramServicesAmt
Management And General	$736,597	ManagementAndGeneralAmt
Fundraising	$33,430	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$934,368	TotalAmt
Program Services	$955	ProgramServicesAmt
Management And General	$933,413	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$984,154	TotalAmt
Program Services	$970,895	ProgramServicesAmt
Management And General	$6,108	ManagementAndGeneralAmt
Fundraising	$7,151	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$663,533	TotalAmt
Program Services	$638,311	ProgramServicesAmt
Management And General	$24,951	ManagementAndGeneralAmt
Fundraising	$271	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$507,715	TotalAmt
Program Services	$482,051	ProgramServicesAmt
Management And General	$25,664	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,772,356	TotalAmt
Program Services	$4,471,343	ProgramServicesAmt
Management And General	$281,031	ManagementAndGeneralAmt
Fundraising	$19,982	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,477,946	TotalAmt
Program Services	$1,477,946	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
UBI TAXES	$30,271	$30,271
PHARMACY/LAB EXPENSE	$20,797,893	$20,797,850	$43
BAD DEBT	$3,326,663	$3,326,663
OTHER EXPENSES	$2,814,722	$1,643,471	$1,163,986	$7,265

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$435,276	TotalAmt
Program Services	$435,276	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,277,078	TotalAmt
Program Services	$101,566,189	ProgramServicesAmt
Management And General	$9,300,299	ManagementAndGeneralAmt
Fundraising	$410,590	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,678,011	BOYAmt
EOY	$9,356,736	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,569	BOYAmt
EOY	$16,856	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,085,684	BOYAmt
EOY	$22,588,815	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,799,612	BOYAmt
EOY	$3,529,926	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,347,566	BOYAmt
EOY	$1,224,544	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$94,291,664	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,030,949	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$34,498,642	BOYAmt
EOY	$34,260,715	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$25,758,903	BOYAmt
EOY	$29,224,648	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$939,164	BOYAmt
EOY	$744,559	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,022,868	BOYAmt
EOY	$1,472,512	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,545,742	BOYAmt
EOY	$2,135,454	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,690,761	BOYAmt
EOY	$104,554,765	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,045,216	BOYAmt
EOY	$7,745,768	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$800,000	BOYAmt
EOY	$600,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,792,702	BOYAmt
EOY	$15,112,366	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$14,569	BOYAmt
EOY	$16,856	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,450,394	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,929,745	BOYAmt
EOY	$2,970,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,032,626	BOYAmt
EOY	$26,445,146	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	$66,446,585	BOYAmt
EOY	$77,700,494	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,211,550	BOYAmt
EOY	$409,125	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$67,658,135	BOYAmt
EOY	$78,109,619	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$98,690,761	BOYAmt
EOY	$104,554,765	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,059,389	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,421,070	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,028,975	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$6,819	OtherActivitiesAmt
Total Lobbying Expenditures	$6,819	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE MEMBERSHIP DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND LEADINGAGE ARE USED FOR LOBBYING. THESE ARE ALLOCATED ON A PERCENTAGE BASIS TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$268,261	OtherCostOrOtherBasisAmt
Book Value	$268,261	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,974,042	OtherCostOrOtherBasisAmt
Depreciation	$37,985,856	DepreciationAmt
Book Value	$22,988,186	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,006,116	OtherCostOrOtherBasisAmt
Depreciation	$1,265,083	DepreciationAmt
Book Value	$741,033	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,920,305	OtherCostOrOtherBasisAmt
Depreciation	$20,780,010	DepreciationAmt
Book Value	$10,140,295	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,940	OtherCostOrOtherBasisAmt
Book Value	$122,940	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$34,260,715	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR PAYABLES	$2,262,189
OPERATING LEASE LIABILITY	$185,716
FINANCING LEASE LIABILITY	$522,251

Field	Value	IRS element (for citing)
Total Liability	$2,970,156	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$119,046,170	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,421,070	NetUnrealizedGainsInvstAmt
Other Revenue	$1,873,941	OtherRevenueAmt
Revenue Not Reported	$3,295,011	RevenueNotReportedAmt
Revenue Subtotal	$115,751,159	RevenueSubtotalAmt
Investment Expenses Not Incld	$138,731	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$5,446,577	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,585,308	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$121,336,467	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$107,812,834	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,887,581	OtherExpensesIncludedAmt
Expenses Not Reported	$1,887,581	ExpensesNotReportedAmt
Expenses Subtotal	$105,925,253	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$138,731	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$5,213,094	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,351,825	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$111,277,078	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	RESIDENT TRUST ACCOUNT: THIS IS THE EXTENDED CARE RESIDENT TRUST ACCOUNT, WHICH IS MADE UP OF THE RESIDENTS' MONEY THAT SIDNEY HEALTH CENTER HOLDS ON THEIR BEHALF. THESE MONIES ARE KEPT IN A SEPARATE BANK ACCOUNT FROM THE ORGANIZATION'S FUNDS AND ARE DUE BACK TO THE RESIDENTS UPON LEAVING THE FACILITY.
PART X, LINE 2:	THE IRS HAS DETERMINED THAT THE HEALTH CENTER IS A TAX-EXEMPT, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE IRC. THE HEALTH CENTER FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. THE HEALTH CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 555,595. LONE TREE REVENUE PER CONSOLIDATED AFS 1,537,666. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -219,320.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 3,326,663. CHARITY CARE 1,886,431. CHANGE IN VALUE OF FAIR VALUE SWAP 233,483.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 555,595. LONE TREE EXPENSES PER CONSOLIDATED AFS 1,551,306. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -219,320.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 3,326,663. CHARITY CARE 1,886,431.

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	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$773,929	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$773,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,608,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,742,009	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,381,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,742,009	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$773,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,892	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$143,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,258,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,952,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,305,412	NetCommunityBenefitExpnsAmt
Total Expense	0.12330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,422,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,952,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,470,104	NetCommunityBenefitExpnsAmt
Total Expense	0.12480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,804,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,694,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,244,033	NetCommunityBenefitExpnsAmt
Total Expense	0.13200	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,326,663	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,219,700	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,313,859	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$94,159	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIDNEY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	216 14TH AVENUE SW	AddressLine1Txt
City	SIDNEY	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59270	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SIDNEYHEALTH.ORG	WebsiteAddressTxt
State License	12709	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SIDNEY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SIDNEYHEALTH.ORG/BILLING	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SIDNEYHEALTH.ORG/BILLING	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SIDNEYHEALTH.ORG/BILLING	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SIDNEY HEALTH CENTER	PART V, SECTION B, LINE 5: IN MARCH 2022, SURVEYS WERE MAILED OUT TO A RANDOM SAMPLE OF 800 RESIDENTS OF RICHLAND COUNTY, MONTANA, THE HOSPITAL'S COMMUNITY. 65 COMPLETED SURVEYS WERE RETURNED. IN ADDITION, 3 FOCUS GROUP INTERVIEWS WERE CONDUCTED.
SIDNEY HEALTH CENTER	PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE MONTANA OFFICE OF RURAL HEALTH.
SIDNEY HEALTH CENTER	PART V, SECTION B, LINE 7D: THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN.
SIDNEY HEALTH CENTER	PART V, SECTION B, LINE 11: SIDNEY HEALTH CENTER (SHC) IS DEDICATED TO ENHANCING THE HEALTH AND WELL-BEING OF RICHLAND COUNTY AND ITS NEIGHBORING COMMUNITIES. THIS REPORT SUMMARIZES THE PROGRESS MADE DURING FISCAL YEAR 2024 (JULY 1, 2023, THROUGH JUNE 30, 2024) TOWARD THE GOALS ESTABLISHED IN THE 2022-2025 COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN, FOCUSING ON HEALTHCARE ACCESS, BEHAVIORAL HEALTH, AND COMMUNITY ENGAGEMENT.GOAL 1: ENHANCE ACCESS TO HEALTHCARE SERVICES PRIMARY AND SPECIALTY CARE EXPANSIONIN FY2024, SHC RECRUITED ADDITIONAL MEDICAL PROVIDERS, INCLUDING:O CHLOE SENN, FNP JOINED THE TELEUROLOGY AND SAME-DAY CLINIC. THE ADDITION OF TELEUROLOGY EXPANDED TELEHEALTH SERVICES, IMPROVING ACCESS TO SPECIALTY CARE.O AMIE SCHILLINGER, PA-C BEGAN SERVING IN THE ORTHOPEDIC CLINIC, ENSURING TIMELY AND PERSONALIZED TREATMENT FOR MUSCULOSKELETAL CONDITIONS.O DR. AARON FRANKE JOINED THE CANCER CARE TEAM IN AUGUST 2023 AS A LOCUM PHYSICIAN, ADDING A SECOND MEDICAL ONCOLOGIST AS WELL AS A FAMILY NURSE PRACTITIONER TO ACCOMMODATE NEW PATIENTS AND SURVIVOR CHECK-UPS. THIS EXPANSION RESULTED IN 735 MORE CANCER CARE CLINIC VISITS AND TREATMENTS COMPARED TO FY2023.O THE SAME-DAY CLINIC'S EXPANDED AVAILABILITY LED TO 1,331 MORE APPOINTMENTS IN FY2024 THAN THE PREVIOUS YEAR, REDUCING WAIT TIMES AND INCREASING PATIENT ACCESS. EMERGENCY DEPARTMENT RENOVATIONIN OCTOBER 2023, SHC COMPLETED A $4.8 MILLION RENOVATION OF THE EMERGENCY DEPARTMENT. KEY FEATURES INCLUDED A REDESIGNED LAYOUT FOR EFFICIENT PATIENT FLOW, LARGER ROOMS WITH ENHANCED PRIVACY MEASURES, AND STATE-OF-THE-ART INFECTIOUS DISEASE PROTECTIONS. THESE IMPROVEMENTS SUPPORT BETTER PATIENT CARE AND SAFETY, ACCOMMODATING OVER 6,000 PATIENTS TREATED IN FY2024. PREVENTIVE SERVICES ACCESSSHC INCREASED COMMUNITY ACCESS TO PREVENTIVE SERVICES:O MEN'S HEALTH SCREENING (MARCH 2024): 33 MEN PARTICIPATED, INCLUDING 16 RETURNING CLIENTS AND 17 NEW PARTICIPANTS. FOLLOW-UPS INCLUDED FIVE SCHEDULED COLONOSCOPIES AND SEVEN FIT KITS FOR COLORECTAL CANCER SCREENING.O SUN BUS SCREENING (AUGUST 2024): IN PARTNERSHIP WITH THE RICHLAND COUNTY HEALTH DEPARTMENT AND FOUNDATION FOR COMMUNITY CARE, SHC HOSTED A TWO-DAY EVENT PROVIDING FREE SKIN SCREENINGS FOR 98 PARTICIPANTS, WITH 35 REFERRED FOR FURTHER EVALUATION. SHC ALSO SPONSORED THE EVENT WITH A $2,000 CONTRIBUTION.GOAL 2: STRENGTHEN BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH INTEGRATIONSHC REFINED ITS BEHAVIORAL HEALTH INTEGRATION WITHIN PRIMARY CARE, IMPROVING MENTAL HEALTH SCREENING AND REFERRAL PROCESSES. TELEHEALTH PSYCHIATRY SERVICESTELEHEALTH REMAINED CRUCIAL FOR PROVIDING PSYCHIATRIC CARE. PARTNERSHIPS WITH INTERMOUNTAIN HEALTHCARE AND ARRAY BEHAVIORAL HEALTH ENABLED 24/7 CRISIS EVALUATIONS IN THE ER, ADDRESSING CONDITIONS LIKE SEVERE DEPRESSION, ANXIETY, AND SUBSTANCE-RELATED CRISES. COMMUNITY EDUCATION AND TRAININGSHC SUPPORTED BEHAVIORAL HEALTH EDUCATION, INCLUDING QPR (QUESTION, PERSUADE, AND REFER) TRAINING FOR SUICIDE PREVENTION. THE TRAINING, INTRODUCED IN APRIL 2024, BECAME A QUARTERLY OFFERING, WITH 345 EMPLOYEES TRAINED TO RECOGNIZE AND RESPOND TO MENTAL HEALTH CRISES.GOAL 3: ENHANCE COMMUNITY ENGAGEMENT AND COLLABORATION COMMUNITY PARTNERSHIPSSHC STAFF ACTIVELY PARTICIPATED IN LOCAL COALITIONS, INCLUDING THOSE FOR CHRONIC DISEASE MANAGEMENT, CANCER PREVENTION, AND INJURY PREVENTION. THE HOME AND COMMUNITY CARE SERVICES CONTINUED TO COLLABORATE WITH ST. JOHN'S UNITED TO EXPAND SENIOR HOME-BASED SERVICES. HEALTH EDUCATION OUTREACHSHC CONDUCTED MULTIPLE OUTREACH EVENTS ON TOPICS SUCH AS MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE. DIABETES EDUCATION SERVICES WERE REINTRODUCED IN NOVEMBER 2023, OFFERING INDIVIDUALIZED EDUCATION AND SUPPORT TO HELP PATIENTS MANAGE THEIR DIABETES. THE PROGRAM'S GOAL IS TO LOWER PATIENTS' A1C LEVELS AND IMPROVE OVERALL HEALTH. PATIENT AND FAMILY ADVISORY COUNCIL (PFAC)THE PFAC, ESTABLISHED IN FY2022, IMPROVED SHC'S RESPONSIVENESS TO COMMUNITY NEEDS. BI-MONTHLY MEETINGS ALLOWED MEMBERS TO REVIEW MATERIALS, PROVIDE FACILITY FEEDBACK, AND MEET WITH DEPARTMENT LEADERS TO ADDRESS ANY QUESTIONS AND CONCERNS.OUTCOMES AND IMPACT INCREASED UTILIZATION OF SERVICESSIGNIFICANT INCREASES WERE SEEN IN PRIMARY AND SPECIALTY CARE VISITS, PREVENTIVE SCREENINGS, AND WELLNESS PROGRAM PARTICIPATION. IMPROVED HEALTH OUTCOMESPOSITIVE TRENDS EMERGED IN METRICS SUCH AS ER SATISFACTION, WHILE THE USE OF TELEHEALTH PSYCHIATRY EXCEEDED PROJECTIONS. COMMUNITY SATISFACTION SCORES CLINIC SERVICES IMPROVED AS INDICATED WITH THE ADDITION OF TEXT ENABLED SURVEYS; GOING FROM AN AVERAGE 3-STAR RATING TO A 4.8 STAR RATING ON GOOGLE REVIEWS. ENHANCED COMMUNITY AWARENESSSURVEY DATA INDICATED AN INCREASE IN COMMUNITY KNOWLEDGE OF AVAILABLE HEALTHCARE SERVICES, REFLECTING THE SUCCESS OF SHC'S ONGOING EDUCATION AND OUTREACH EFFORTS.LOOKING FORWARDIN FISCAL YEAR 2025, SHC WILL CONTINUE TO PRIORITIZE IMPROVEMENTS IN HEALTHCARE ACCESS, BEHAVIORAL HEALTH INTEGRATION, AND COMMUNITY ENGAGEMENT TO MEET THE EVOLVING HEALTH NEEDS OF THE REGION.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SIDNEY HEALTH CENTER EXTENDED CARE
216 14TH AVE SW	SIDNEY	MT	59270	NURSING HOME
2 - THE LODGE AT LONE TREE
1015 7TH AVE SW	SIDNEY	MT	59270	ASSISTED LIVING COMPLEX

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE ONLY. PRIOR TO QUALIFYING FOR FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST (A) RECEIVE QUALIFYING MEDICAL SERVICES FROM SIDNEY HEALTH CENTER; (B) EXHAUST ALL ALTERNATIVE PAYMENT RESOURCES INCLUDING THIRD-PARTY AND FEDERAL AND STATE PROGRAMS; AND (C) SUBMIT A COMPLETED APPLICATION WITH THE REQUIRED SUPPORTING DOCUMENTATION.
PART I, LINE 7:	IN ORDER TO CALCULATE THE OVERALL HOSPITAL'S COST TO CHARGE RATIO USED FOR PART I, LINE 7, THE HOSPITAL FIRST DETERMINED A COST-TO-CHARGE RATIO BASED ON THE JUNE 30, 2024 FILED MEDICARE COST REPORT SEPARATELY FOR INPATIENT SERVICES, OUTPATIENT SERVICES, AND TOTAL SERVICES. TO CALCULATE THE COSTS INCLUDED ON LINES 7A AND 7B, THE HOSPITAL TOOK EACH OF THE SEPARATE COST-TO-CHARGE RATIOS DESCRIBED IN THE PRECEEDING PARAGRAPH AND APPLIED THEM ONLY TO THE RELATED CHARGES BY SERVICE TYPE. THE AMOUNTS IN LINES 7E-7I ARE BASED ON ACTUAL COST.
PART I, LINE 7G:	THE FOLLOWING SUBSIDIZED HEALTH SERVICES WERE INCLUDED IN PART I, LINE 7G:OBSERVATION, NURSERY, SPEECH PATHOLOGY, AUDIOLOGY, CARDIAC REHAB, MEDICAL ONCOLOGY, CLINIC FACILITY, EMERGENCY ROOM, AMBULANCE SERVICES, ENT/RADIOLOGY/ONCOLOGY CLINIC, AND PROVIDER-BASED CLINIC. $19,601,034 OF COMMUNITY BENEFIT EXPENSES AND $10,759,194 OF DIRECT OFFSETTING REVENUES WERE ATTRIBUTABLE TO CLINICS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,326,663.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE HEALTH CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE.
PART III, LINE 3:	THE HEALTH CENTER IS UNABLE TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF THEY WERE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION.
PART III, LINE 4:	SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 (PAGE 12) OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 IS DERIVED FROM USING THE JUNE 30, 2024 FILED MEDICARE COST REPORT. THE SHORTFALL OCCURS DUE TO VARIOUS EXPENSES INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED, IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY.
PART III, LINE 9B:	IF THE PATIENT INDICATES THEIR INABILITY TO PAY ACCORDING TO THE HOSPITAL CREDIT TERMS THEY WILL BE ASKED TO FILL OUT A FINANCIAL STATEMENT. THE HOSPITAL MAY PULL A CREDIT REPORT TO CONFIRM OR SUPPLEMENT INFORMATION PROVIDED TO THE HOSPITAL ON THE FINANCIAL STATEMENT. THE PATIENT CAN THEN BE EVALUATED TO DETERMINE WHETHER THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR AN EXTENDED PAYMENT PROGRAM.IF THE FINANCIAL STATEMENT SHOWS THAT THE PATIENT HAS ASSETS OR POTENTIAL SOURCES OF INCOME THAT WOULD ENABLE THEM TO PAY THE HOSPITAL BILL WITHIN A YEAR, THEY WILL BE DENIED THE EXTENDED PAYMENT WAIVER. IF A PATIENT REFUSES TO FURNISH A COMPLETED FINANCIAL STATEMENT, THEIR ACCOUNT WILL BE DEEMED DELINQUENT AND FURTHER COLLECTION ACTION WILL BE TAKEN. PRIOR TO ADMISSION, AT THE TIME OF ADMISSION, OR AS SOON AS POSSIBLE THEREAFTER, THE HOSPITAL WILL MAKE AN INITIAL ASSESSMENT OF POTENTIAL ELIGIBILITY BASED ON THE VERBAL APPLICATION FOR FINANCIAL ASSISTANCE. IF POTENTIAL ASSISTANCE IS INDICATED WITH INITIAL ASSESSMENT, THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR DEPOSITS PENDING THE RECEIPT OF THE COMPLETED APPLICATION AND FINAL ELIGIBILITY DETERMINATION. THE RESPONSIBLE PARTY MUST BE COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A DETERMINATION OF ELIGIBILITY WITH OTHER ASSISTANCE PROGRAMS AND TO VALIDATE THE INFORMATION NEEDED.SIDNEY HEALTH CENTER WILL MAKE A CONCERTED EFFORT TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE. EDUCATIONAL MATERIALS ABOUT THE PROGRAM WILL BE AVAILABLE TO PATIENTS THROUGH THE ADMISSIONS PROCESS. AS SOON AS A PATIENT EVIDENCES INABILITY TO PAY HE OR SHE WILL BE REFERRED TO THE PATIENT FINANCIAL SERVICES COUNSELOR FOR AN APPLICATION. APPLICATIONS ARE ALSO AVAILABLE AT THE ADMISSIONS AREA, AND THROUGH SOCIAL SERVICES.
PART VI, LINE 2:	THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE YEAR ENDED JUNE 30, 2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN.
PART VI, LINE 3:	SIDNEY HEALTH CENTER HAS NOTICES LOCATED AT THE ADMISSIONS OFFICE INFORMING PATIENTS ABOUT THEIR FINANCIAL ASSISTANCE POLICY. THE PROGRAM IS ALSO STATED ON THE ORGANIZATION'S WEBSITE AND INCLUDED IN THE PATIENT'S PACKET UPON DISCHARGE FROM THE FACILITY.
PART VI, LINE 4:	LOCATED IN THE HEART OF RICHLAND COUNTY, SIDNEY HEALTH CENTER SERVES PEOPLE IN ALL OF THE MONDAK REGION.
PART VI, LINE 5:	THE HEALTH CENTER DEFINES AND MEASURES THEIR INVESTMENT IN AND PARTNERSHIP WITH THE COMMUNITY PRIMARILY THROUGH VARIOUS COMMUNITY-BASED SERVICES PROGRAMS, PROVIDING HEALTH EQUIPMENT IN AREA SCHOOLS, AND COMMUNITY PROGRAMS AND EDUCATION. A NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIDNEY CHAMBER OF COMMERCE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	909 S CENTRAL AVE	AddressLine1Txt
City	SIDNEY	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59270	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	810214807	RecipientEIN
IRC Section	501(C)(6)	IRCSectionDesc
Cash Grant	$5,250	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CHARITY CARE	GrantTypeTxt
Recipient	506	RecipientCnt
Cash Grant	$1,886,431	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	SIDNEY HEALTH CENTER CONFIRMS THAT EACH RECIPIENT ORGANIZATION IS A QUALIFIED GOVERNMENT OR CHARITY ORGANIZATION. CONTRIBUTED FUNDS ARE INTENDED FOR GENERAL OPERATING SUPPORT, SO SIDNEY HEALTH CENTER DOES NOT CONDUCT ANY FOLLOW-UP MONITORING ACTIVITIES. SIDNEY HEALTH CENTER DOES NOT PROVIDE CASH ASSISTANCE TO INDIVIDUALS. RATHER THAN GIVING CASH OR NON-CASH ITEMS TO INDIVIDUALS, SIDNEY HEALTH CENTER PROVIDES DISCOUNTS ON ITS SERVICES, IN THE FORM OF CHARITY CARE, TO INDIVIDUALS WHO MEET SPECIFIED ELIGIBILITY CRITERIA. SIDNEY HEALTH CENTER PROVIDES CARE, WITHOUT CHARGE, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A PATIENT'S DEMONSTRATED INABILITY TO PAY BASED ON FAMILY SIZE AND HOUSEHOLD INCOME RELATED TO FEDERAL INCOME POVERTY GUIDELINES. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR FREE CARE TO THOSE RANGING UP TO AND EXCEEDING 200% OF THE FEDERAL POVERTY LEVEL. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR REDUCED-COST CARE FOR THOSE RANGING FROM 201 % TO 399% OF THE FEDERAL POVERTY LEVEL. PATIENTS WITH INCOME OVER 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR INTEREST FREE PAYMENTS FOR UP TO 36 MONTHS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAJOHN KARANJAI MD
TRUSTEE/CMO	$1,299,401	$0	$0	$0	$0	$0	$0	$0	$0	$0	$1,299,401	$0	$0	$0
LESZEK JASZCZAK MD
FORMER TRUSTEE/CMO	$652,328	$0	$0	$0	$0	$0	$6,000	$0	$27,438	$0	$685,766	$0	$0	$0
ERIC SIGMOND MD
PHYSICIAN	$604,246	$0	$50	$0	$0	$0	$9,900	$0	$36,315	$0	$650,511	$0	$0	$0
MALUA TAMBI MD
CHIEF OF MEDICAL STAFF	$540,346	$0	$20,000	$0	$0	$0	$9,900	$0	$35,632	$0	$605,878	$0	$0	$0
JEROME KESSLER MD
PHYSICIAN	$556,898	$0	$10,150	$0	$0	$0	$9,900	$0	$27,438	$0	$604,386	$0	$0	$0
JOHN MORGAN MD
PHYSICIAN	$576,842	$0	$0	$0	$0	$0	$9,900	$0	$4,408	$0	$591,150	$0	$0	$0
PETER DEVEAUX MD
PHYSICIAN	$538,026	$0	$25	$0	$0	$0	$9,900	$0	$38,682	$0	$586,633	$0	$0	$0
CHAD PEDERSON MD
PHYSICIAN	$499,633	$0	$100	$0	$0	$0	$9,900	$0	$17,169	$0	$526,802	$0	$0	$0
HERVE NGUEWOUN MD
VICE CHIEF OF STAFF	$486,522	$0	$20,000	$0	$0	$0	$9,900	$0	$1,949	$0	$518,371	$0	$0	$0
JEN DOTY
CEO	$328,494	$0	$250	$0	$0	$0	$9,900	$0	$24,909	$0	$363,553	$0	$0	$0
TINA MONTGOMERY
CFO	$200,129	$0	$250	$0	$0	$0	$6,155	$0	$20,270	$0	$226,804	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	ERIC SIGMOND RECEIVED A HOUSING ALLOWANCE OF $14,400. JOHN MORGAN RECEIVED A HOUSING ALLOWANCE OF $30,840. THESE AMOUNTS WERE INCLUDED IN TAXABLE INCOME.
PART I, LINE 5	PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS. PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES.
PART I, LINE 6	FOR THE EXECUTIVES, ANNUAL RAISES ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
RICHLAND COUNTY
A	816001419	2011-09-15	$24,370,000	REDEEMING AND RETIRING PREVIOUSLY ISSUED DEBT (2006, 2007A AND 2007B)	0	0	0
RICHLAND COUNTY
B	816001419	2018-01-09	$5,700,000	HOSPITAL CAPITAL IMPROVEMENTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$12,630,000	$24,370,000	$233,683	$137,747	$23,998,570	2012	Yes (1)	0	Yes (1)	Yes (1)
B	$2,287,000	$5,700,000				2018	0	0	Yes (1)	Yes (1)	$5,700,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	0	0	0	0	0	0
B	Yes (1)	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	Yes (1)	0	0	0	0	0	0
US BANK
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	3.800000000000	0	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	FormAndLineReferenceDesc
Explanation	ISSUER NAME: RICHLAND COUNTY, MT DATE THE REBATE COMPUTATION WAS PERFORMED: 12/23/2022	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ROBERT MONTGOMERY
SPOUSE OF TINA MONTGOMERY, CFO	$57,426	EMPLOYEE COMPENSATION	0
SEAN MONTGOMERY
CHILD OF TINA MONTGOMERY, CFO	$50,750	EMPLOYEE COMPENSATION	0
SCOTT DOTY
SPOUSE OF JEN DOTY, CEO	$86,793	EMPLOYEE COMPENSATION	0
NANCY STEFFAN
MOTHER OF JEN DOTY, CEO	$42,046	EMPLOYEE COMPENSATION	0
TIFFANY STEFFAN
SISTER-IN-LAW OF JEN DOTY, CEO	$69,726	EMPLOYEE COMPENSATION	0
SUSAN VANEVERY
DAUGHTER-IN-LAW OF CHERYL VANEVERY	$22,784	EMPLOYEE COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	1. UROLOGY-SIDNEY HEALTH CENTER HAS PARTNERED WITH VIRTUCARE, TO IMPROVE ACCESS TO PREMIER UROLOGIC CARE FOR RESIDENTS LIVING IN THE MONDAK REGION. 2. HYPERBARIC CHAMBER/WOUND CARE DEPARTMENT. 3. PELVIC THERAPY THROUGH PHYSICAL THERAPY.
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND ONE OTHER MEMBER OF THE BOARD APPOINTED BY THE PRESIDENT. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE ARTICLES OF INCORPORATION, BYLAWS AND STATE POLICIES. ANY OFFICIAL ACTION TAKEN BY THE EXECUTIVE COMMITTEE IS SUBMITTED TO THE BOARD FOR RATIFICATION AT THE NEXT BOARD MEETING.
FORM 990, PART VI, SECTION A, LINE 6	NATURAL PERSONS, CORPORATIONS, OR UNINCORPORATED ASSOCIATIONS MAY BECOME MEMBERS OF SIDNEY HEALTH CENTER BY: A. PAYMENT TO SIDNEY HEALTH CENTER A SUM OF NOT LESS THAN $100 CASH OR BY AN EQUIVALENT CONTRIBUTION OR METHOD AS APPROVED BY THE BOARD; B. RESIDING IN OR HAVING ITS PRINCIPAL PLACES OF BUSINESS IN THE SERVICE AREA OF SIDNEY HEALTH CENTER; AND C. AGREEING TO BE BOUND BY THE BYLAWS OF SIDNEY HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTION OF DIRECTORS IS HELD AT THE ANNUAL MEETING OF THE MEMBERS BY WRITTEN BALLOT LISTING THE CANDIDATES NOMINATED BY THE NOMINATING COMMITTEE OF THE MEMBERS. EACH MEMBER OF SIDNEY HEALTH CENTER, PRESENT IN PERSON OR BY PROXY, IS ENTITLED TO VOTE FOR ONE CANDIDATE FOR EACH DIRECTOR VACANCY TO BE FILLED. THE CANDIDATES RECEIVING THE HIGHEST NUMBER OF VOTES AT THE MEETING ARE CONSIDERED ELECTED AS DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	ANY PROPOSED AMENDMENTS APPROVED BY THE BOARD OR BY VERIFIED PETITION TO THE ARTICLES OF INCORPORATION OR BYLAWS SHALL BE SUBMITTED FOR VOTE BY THE MEMBERS AT THE NEXT SPECIAL OR ANNUAL MEMBERSHIP MEETING.
FORM 990, PART VI, SECTION B, LINE 11B	BEFORE IT WAS FILED, THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR, CFO AND CEO. THE CEO AND CFO WILL REVIEW THE COMPLETED FORM 990 WITH THE BOARD OF DIRECTORS AT THEIR NEXT SCHEDULED MEETING AFTER THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE POLICY OF THE CORPORATION IS TO REQUIRE THAT EACH INDIVIDUAL SUBJECT TO THIS POLICY STATEMENT PROMPTLY AND FULLY DISCLOSE ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST, AND THAT THE CORPORATION WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION, OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS (ACTING AT A DULY CONSTITUTED MEETING THEREOF) DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF THE CORPORATION HAVE BEEN IMPLEMENTED. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED ANNUALLY TO ALL INTERESTED PERSONS (BOARD MEMBERS, OFFICERS, AND COMMITTEE MEMBERS). AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. "DISCLOSURE" MEANS PROMPTLY PROVIDING A WRITTEN DESCRIPTION OF THE MATERIAL FACTS OF THE ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST TO THE EXECUTIVE COMMITTEE ON THE CONFLICTS-OF-INTEREST QUESTIONNAIRE. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. AT ANY TIME THAT AN ACTUAL, APPARENT, OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE EXECUTIVE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE EXECUTIVE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. THE EXECUTIVE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION FROM ALL REASONABLE SOURCES AND MAY INVOLVE THE GENERAL COUNSEL IN ITS DELIBERATIONS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, EXECUTIVE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. ONCE THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS HAVE DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: (I) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, SHALL APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT. (II) IN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT, THE BOARD OF DIRECTORS MAY APPROVE SUCH A CONTRACT, TRANSACTION, OR ARRANGEMENT ONLY IF THE DISINTERESTED DIRECTORS DETERMINE BY A MAJORITY VOTE THAT: (A) THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTERESTS AND FOR THE CORPORATION'S OWN BENEFIT; AND (B) THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. (III) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS DISCUSSED. THE INTERESTED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON AND ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS DETERMINES SALARIES USING THE MHA SALARY SURVEY FOR MARKET INFORMATION AND ALSO PERFORMS A WRITTEN EVALUATION ANNUALLY. ADDITIONALLY, THE CEO USES MHA MANAGEMENT SURVEY, AS WELL AS OTHER COMPENSATION SURVEYS, TO DETERMINE ANNUAL PAY INCREASES FOR ADMINISTRATION. A WRITTEN EVALUATION IS PERFORMED. ALL ESTIMATED ANNUAL INCREASES ARE INCLUDED IN THE BUDGET, WHICH IS APPROVED BY THE BOARD OF DIRECTORS. THIS PROCEDURE WAS LAST PERFORMED IN JUNE OF 2024.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 20,578,207. MANAGEMENT AND GENERAL EXPENSES 2,006,751. FUNDRAISING EXPENSES 27,794. TOTAL EXPENSES 22,612,752.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION -795,492. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -233,483.
FORM 990, PART XII, LINE 2C:	THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
LONE TREE SENIOR LIVING
1015 7TH AVE SW	SIDNEY	MT	59270	810518821	ASSISTED LIVING	MT	501(C)(3)	LINE 10	SIDNEY HEALTH CENTER	Yes (1)
FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY
221 2ND ST NW	SIDNEY	MT	59270	810417465	FUNDRAISING	MT	501(C)(3)	LINE 12A, I	SIDNEY HEALTH CENTER	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SHC 2021 LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1429 KINGS VIEW DRIVE	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58201	ZIPCd

Field	Value	IRS element (for citing)
EIN	863920806	EIN
Primary Activities	AIR AMBULANCE	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$828,701	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,253,253	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$184,002	UBICodeVAmt
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.49000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LONE TREE SENIOR LIVING
A	$34,984	CONTRACTED INTEREST RATE
FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY
C	$2,602,167	CASH
LONE TREE SENIOR LIVING
L	$184,336	FAIR MARKET VALUE