ROSEBUD COMMUNITY HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ROSEBUD COMMUNITY HOSPITAL INC (EIN 81-0405434)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202521359349305797
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T11:05:52-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 N RADNOR-CHESTER RD SUITE 200 | AddressLine1Txt |
| City | RADNOR | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19087 | 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 | 810405434 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSEBUD COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROSE | BusinessNameControlTxt |
| Phone | 4063462161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 383 N 17TH AVENUE | AddressLine1Txt |
| City | FORSYTH | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59327 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MINDY PRICE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4063462161 | PhoneNum |
| Signature | 2025-05-15 | 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 | SOLOMON MARDAKHAEV | PreparerPersonNm |
| PTIN | P01806552 | PTIN |
| Phone | 6105653930 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSEBUD HEALTH CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MINDY PRICE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 383 N 17TH AVENUE | AddressLine1Txt |
| City | FORSYTH | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59327 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,103,095 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ROSEBUDHCC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | THE FACILITY PROVIDES EMERGENCY ROOM, IN-PATIENT SKILLED CARE, LABORATORY SERVICES, RADIOLOGY (INCLUDING ULTRASOUND AND CT), RESPITE CARE, PHYSICAL THERAPY, LONG TERM CARE, AND OUT-PATIENT CLINIC SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $984,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $30,251 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,438,033 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,064,209 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,533 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,635 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,432,053 | PYTotalRevenueAmt |
| CY Total Revenue | $11,103,095 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,175,418 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,594,062 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,804,192 | PYOtherExpensesAmt |
| CY Other Expenses | $4,761,420 | CYOtherExpensesAmt |
| PY Total Expenses | $10,979,610 | PYTotalExpensesAmt |
| CY Total Expenses | $11,355,482 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $452,443 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$252,387 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,836,732 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,625,768 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,705,543 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,746,966 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,131,189 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,878,802 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EMPLOYEES OF RHCC ARE COMMITTED TO HIGH QUALITY, EFFICIENT AND PATIENT-CENTERED CARE FOR OUR FAMILY, FRIENDS AND COMMUNITY. IN FULFILLMENT OF THIS MISSION, ROSEBUD HEALTH CARE CENTER:-WILL PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES IN ADDITION TO EXTENDED AND RESPITE CARE.-WILL PROMOTE THE OVERALL WELL BEING OF THE AREA RESIDENTS BY WORKING WITH AREA ORGANIZATIONS AND AGENCIES TO ENSURE THAT THE PUBLIC'S NEEDS ARE MET IN HEALTH RELATED SERVICES AND EDUCATION PROGRAMS.-RECOGNIZE EVERY INDIVIDUAL'S DIGNITY AND VALUE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, DISABILITY, CREED OR SOCIAL STATUS.-WILL SERVE ALL INDIVIDUALS THAT SEEK CARE REGARDLESS OF ABILITY TO PAY.-WILL MAINTAIN A DEDICATED, PROFESSIONAL STAFF THROUGH CONTINUING EDUCATION, IN-SERVICE TRAINING, COMPETITIVE WAGES AND OTHER MEANS OF RECOGNITION TO PROMOTE GROWTH AND SATISFACTION WITH THE STAFF. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,680,007 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,064,209 | RevenueAmt |
| Desc | ROSEBUD HEALTH CARE CENTER IS A COMBINED CRITICAL ACCESS HOSPITAL, LONG TERM CARE FACILITY, AND CLINIC PROVIDING QUALITY HEALTH CARE, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND EDUCATION. IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, THE FOLLOWING WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. FREE CARE AND/OR SUBSIDIZED CARE (CHARITY CARE) CHARGES OF $37,845.86 THROUGH JUNE 30, 2024; CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, FREE HEALTH FAIRS, LOW COST LAB HEALTH FAIRS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. RHCC PROVIDED 6750 DAYS OF HOSPITAL/SWING BED SERVICES, 4973 DAYS OF NURSING HOME CARE, AND 5507 RURAL HEALTH CLINIC VISITS DURING THE YEAR ENDED JUNE 30, 2024. | Desc |
| Total Program Service Expenses | $7,680,007 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 146 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINDY PRICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4063462161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 383 N 17TH AVENUE | AddressLine1Txt |
| City | FORSYTH | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59327 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 |
|---|---|---|---|---|---|---|---|
| MINDY PRICE | |||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $150,835 | $0 | $31,611 | |
| DR HUNTER CROSE | |||||||
| MEDICAL DIRECTOR | 2.00 | Yes (X) | $36,000 | $0 | $0 | ||
| DR GERALD KILLEN | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GAYLE HOLLAND | |||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROB JOHNSTONE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BOB LEE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY NILE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLAY REDDING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CELESTE ROHRICH | |||||||
| DIRECTOR (THRU MAY 2024) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHERYL SCHWARZKOPH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHELLEY RICKETT | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $142,026 | $0 | $24,650 | Yes (X) | ||
| JEANNE MACIAG | |||||||
| DIRECTOR OF NURSING | 40.00 | $131,107 | $0 | $20,094 | Yes (X) | ||
| CHERYL ALLISON | |||||||
| REGISTERED NURSE | 40.00 | $136,218 | $0 | $1,747 | Yes (X) | ||
| KRISTINA KLEINOW | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $120,720 | $0 | $12,515 | Yes (X) | ||
| CYNTHIA DONOVAN | |||||||
| REGISTERED NURSE | 40.00 | $107,138 | $0 | $9,422 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $824,044 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $100,039 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| TREASURE STATE TRAVEL | |||||
| 1118 MINUTEMAN STREET | BILLINGS | MT | 59105 | TRAVEL STAFF NURSES AND CNAS | $481,988 |
| TRUBRIDGE | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352466448 | EHR | $269,690 |
| 406 NURSING LLC | |||||
| 78 STADEL LANE | COLUMBUS | MT | 59109 | TRAVEL STAFF NURSES AND CNAS | $227,325 |
| PRN STAFFING SOLUTIONS | |||||
| 173 AUSTRIAN ROAD | VIDA | MT | 59274 | TRAVEL STAFF NURSES AND CNAS | $165,157 |
| ANDERS GROUP LLC | |||||
| PO BOX 650823 | DALLAS | TX | 75265 | TRAVEL STAFF RADIOLOGY TECH | $144,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $28,240 | GovernmentGrantsAmt |
| All Other Contributions | $2,011 | AllOtherContributionsAmt |
| Total Contributions | $30,251 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $10,326,920 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,326,920 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $737,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $737,289 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,064,209 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,635 | TotalRevenueColumnAmt |
| Exclusion | $8,635 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,103,095 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,064,209 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,635 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,433 | TotalAmt |
| Program Services | $170,452 | ProgramServicesAmt |
| Management And General | $63,981 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,280,777 | TotalAmt |
| Program Services | $3,906,946 | ProgramServicesAmt |
| Management And General | $1,373,831 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,852 | TotalAmt |
| Program Services | $770,575 | ProgramServicesAmt |
| Management And General | $308,277 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,298 | TotalAmt |
| Program Services | $1,516,154 | ProgramServicesAmt |
| Management And General | $624,144 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,243 | TotalAmt |
| Management And General | $6,243 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,757 | TotalAmt |
| Program Services | $53,499 | ProgramServicesAmt |
| Management And General | $174,258 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,722 | TotalAmt |
| Program Services | $52,787 | ProgramServicesAmt |
| Management And General | $28,935 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,992 | TotalAmt |
| Program Services | $52,653 | ProgramServicesAmt |
| Management And General | $3,339 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,288 | TotalAmt |
| Program Services | $608,288 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,649 | TotalAmt |
| Program Services | $100 | ProgramServicesAmt |
| Management And General | $231,549 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,144,146 | $394,675 | $749,471 |
| TAXES AND LICENSES | $137,705 | $131,400 | $6,305 |
| REPAIRS | $39,566 | $14,140 | $25,426 |
| DUES AND SUBSCRIPTIONS | $35,111 | $5,738 | $29,373 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,943 | TotalAmt |
| Program Services | $2,600 | ProgramServicesAmt |
| Management And General | $50,343 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,355,482 | TotalAmt |
| Program Services | $7,680,007 | ProgramServicesAmt |
| Management And General | $3,675,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,199,753 | BOYAmt |
| EOY | $2,872,813 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,859,635 | BOYAmt |
| EOY | $426,814 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,966 | BOYAmt |
| EOY | $141,942 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,750,795 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,067,846 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,101,144 | BOYAmt |
| EOY | $2,682,949 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,234 | BOYAmt |
| EOY | $501,250 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,836,732 | BOYAmt |
| EOY | $6,625,768 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $875,498 | BOYAmt |
| EOY | $994,622 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,588,309 | BOYAmt |
| EOY | $1,526,133 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,924 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,812 | BOYAmt |
| EOY | $226,211 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,705,543 | BOYAmt |
| EOY | $2,746,966 | 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 | $4,081,833 | BOYAmt |
| EOY | $3,829,446 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,356 | BOYAmt |
| EOY | $49,356 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,131,189 | BOYAmt |
| EOY | $3,878,802 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,836,732 | BOYAmt |
| EOY | $6,625,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$252,387 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | 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 D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,123,842 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,440,893 | DepreciationAmt |
| Book Value | $2,682,949 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,626,953 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,626,953 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,682,949 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $476,567 |
| RIGHT OF USE ASSETS | $24,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $501,250 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| BILLINGS CLINIC LIABILITY | $200,228 |
| RIGHT OF USE LIABILITY | $25,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $226,211 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,103,095 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,103,095 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,103,095 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,355,482 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,355,482 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,355,482 | TotalExpensesPerForm990Amt |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $38,083 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $663,344 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $334,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $328,798 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02900 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $701,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $334,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $366,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $442,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $201,308 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $241,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,482,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,490,126 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,925,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,691,434 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $241,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,626,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,025,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $608,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,682,896 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,655,069 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$972,173 | 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 | ROSEBUD COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 383 N 17TH AVENUE | AddressLine1Txt |
| City | FORSYTH | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59327 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ROSEBUDHCC.ORG | WebsiteAddressTxt |
| State License | 13096 | 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 | ROSEBUD COMMUNITY HOSPITAL | 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, SEC B, LINE 7D: | 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 | ROSEBUDHCC.ORG/COMMUNITY-HEALTH-SURVEY/ | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 | SEE PART V, PAGE 8, 16J | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8, 16J | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8, 16J | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| 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 Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ROSEBUD COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: ROSEBUD HEALTH CARE CENTER PROVIDED A LIST OF OUTPATIENT AND INPATIENT ADMISSIONS. THOSE ZIP CODES WITH THE GREATEST NUMBER OF ADMISSIONS WERE SELECTED TO BE INCLUDED IN THE SURVEY. A RANDOM LIST OF 800 RESIDENTS WAS THEN SELECTED WITH THE ASSISTANCE OF THE MSU HELPS LAB. RESIDENCE WAS STRATIFIED IN THE INITIAL SAMPLE SELECTION SO THAT EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVED POPULATION AND THE PROPORTION OF PAST ADMISSIONS. TEN KEY INFORMANT INTERVIEW WERE CONDUCTED TO IDENTIFY IMPORTANT LOCAL HEALTHCARE ISSUES, HOW TO IMPROVE THE HEALTH OF THE COMMUNITY AND GAPS IN HEALTH SERVICES. IT WAS INTENDED THAT THIS RESEARCH WOULD HELP DETERMINE THE AWARENESS OF LOCAL PROGRAMS AND SERVICES, AS WELL AS THE LEVEL OF SATISFACTION WITH LOCAL SERVICES, PROVIDERS, AND FACILITIES. |
| ROSEBUD COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: THE 2023 CHNA WAS CONDUCTED WITH ROSEBUD COUNTY PUBLIC HEALTH DEPARTMENT. |
| ROSEBUD COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: WWW.ROSEBUDHCC.ORG/WP-CONTENT/UPLOADS/2023/06/FORSYTH_2023_FINAL-CHNA-REPORT.PDF |
| ROSEBUD COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: CANCER TREATMENT - PROVIDING SERVICES FOR CANCER TREATMENT IS CURRENTLY BEYOND THE AVAILABLE RESOURCES OF ROSEBUD HEALTH CARE CENTER. ALCOHOL/SUBSTANCE ABUSE - A FOCUS ON ALCOHOL AND SUBSTANCE ABUSE IS CURRENTLY BEYOND THE CAPACITY OF THE HOSPITAL AND OTHER COMMUNITY RESOURCES ARE BETTER SUITED TO ADDRESS THESE ISSUES AT THIS TIME. CARDIAC STRESS TESTS/CARDIAC REHABILITATION SERVICES - IT IS NOT FEASIBLE FOR ROSEBUD HEALTH CARE CENTER TO PROVIDE CARDIAC REHABILITATION BECAUSE THE CURRENT DEMAND WOULD NOT SUPPORT THE SERVICE AND IT WOULD NOT BE SUSTAINABLE. UPDATED. RHCC HAS RECEIVED A GRANT TO PURCHASE A 32 SLICE CT SCANNER THAT WILL INCREASE THE CAPIBILITY TO PROVIDE CARDIAC PROCEDURES. ADDITIONALLY, WORKING ON A PROJECT THROUGH MHN TO IMPROVE AWARENESS ON MENTAL HEALTH SERVICES AND EXPLORING THE OPPORTUNITY OF INTEGRATED BEHAVIORAL HEALTH. |
| ROSEBUD COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16J: FAP URL: HTTPS://WWW.ROSEBUDHCC.ORG/WP-CONTENT/UPLOADS/2017/02/FINANCIAL-ASSISTANCE-BO-201-3-UPDATED-1-16-19.PDFFAP APPLICATION URL: HTTPS://WWW.ROSEBUDHCC.ORG/WP-CONTENT/UPLOADS/2017/02/FINANCIAL-ASSISTANCE-APP-JAN-2019.PDFFAP PLAIN LANGUAGE SUMMARY URL: HTTPS://WWW.ROSEBUDHCC.ORG/WP-CONTENT/UPLOADS/2019/04/FINANCIAL-ASSISTANCE-BROCHURE-2019-REV-2.PDF |
| 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 - ROSEBUD COMMUNITY HOSPITAL | ||||
| 383 N 17TH AVENUE | FORSYTH | MT | 59327 | SKILLED NURSING FACILITY |
| 2 - ROSEBUD COMMUNITY HOSPITAL | ||||
| 383 N 17TH AVENUE | FORSYTH | MT | 59327 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST-TO-CHARGE RATIO USED WAS DERIVED BASED ON THE RATIO OF PATIENT CARE COST-TO-CHARGES WORKSHEET. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDE PHYSICIAN CLINIC COSTS. THE PHYSICIAN CLINIC TOTAL COMMUNITY BENEFIT EXPENSE IS $1,348,330, THE DIRECT OFFSETTING REVENUE IS $864,632 AND THE NET COMMUNITY BENEFIT EXPENSE IS $483,698. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ROSEBUD COMMUNITY HOSPITAL HAS A HEALTH FAIR PROMOTION THAT PROVIDES LAB TESTS AT REDUCED RATES TO PEOPLE; THEY PARTICIPATE IN THE RESOURCE FAIR OFFERED WITHIN THE COMMUNITY, PROVIDING HEALTH AND MEDICAL INFORMATION; THEY PARTICIPATE IN THE MONTANA BREAST AND CERVICAL HEALTH PROGRAM, OFFERING FREE MAMMOGRAMS AND PAP TESTS FOR UNINSURED PATIENTS; THEY CONTINUE TO OFFER A CONCUSSION PROGRAM, PROVIDING SCREENING FOR YOUNG ATHLETES IN OUR COMMUNITY; THEY PROVIDE A COLON SCREENING PROGRAM; THEY PARTICIPATE IN AND PROMOTE HEALTHY MONTANA KIDS, A PROGRAM OFFERING HEALTH CARE "INSURANCE" TO UNINSURED, LOW INCOME CHILDREN; THEY OFFER A HEALTHY LIFESTYLES PROGRAM TO COMMUNITY MEMBERS, A PROGRAM FOCUSING ON EXERCISE AND GOOD NUTRITION AND WEIGHT LOSS; THEY ARE HELPING FUND WAGES FOR THE STARTUP OF A DAYCARE THAT IS NEEDED IN THE COMMUNITY.DUE TO THE DIFFICULTY IN TRACKING COSTS TO THESE SPECIFIC COMMUNITY BUILDING ACTIVITIES, THE FACILITY DOES NOT CURRENTLY TRACK THESE COSTS. HOWEVER, THE FACILITY DOES INCUR COSTS FOR THESE COMMUNITY BUILDING ACTIVITIES AND PLANS TO TRACK THE COSTS IN FUTURE YEARS TO BE REPORTED ON SCHEDULE H, PART II. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED TO DETERMINE THE COST OF BAD DEBT IS BASED ON THE FACILITY'S CALCULATED COST-TO-CHARGE RATIO. |
| PART III, LINE 3: | THE FACILITY TOOK A SAMPLE OF PATIENT ACCOUNTS TO DETERMINE WHAT PERCENTAGE OF THE BAD DEBT REPORTED AT COST WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FACILITY'S CHARITY CARE POLICY. THE CALCULATED PERCENTAGE WAS APPLIED TO THE BAD DEBT AT COST TO DETERMINE THE COST ATTRIBUTABLE TO ELIGIBLE PATIENTS. |
| PART III, LINE 8: | THE FACILITY'S JUNE 30, 2024 MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT OF MEDICARE SHORTFALL REPORTED. ROSEBUD COMMUNITY HOSPITAL IS A DESIGNATED CRITICAL ACCESS HOSPITAL AND THEREFORE REIMBURSED FROM MEDICARE ON A COST BASIS. THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE HOSPITAL IS REIMBURSED ON MEDICARE ALLOWABLE COSTS. THE MEDICARE ALLOWABLE COSTS WE DEFINED BY MEDICARE AND DO NOT NECESSARILY CAPTURE ALL COSTS OF THE HOSPITAL PROVIDING SERVICES TO THE COMMUNITY. |
| PART III, LINE 9B: | PATIENTS UNABLE TO MEET PAYMENT PLAN REQUIREMENTS WILL BE ASKED TO COMPLETE A FINANCIAL WORK SHEET TO DETERMINE ALTERNATE PAYMENT OPTIONS. PATIENTS MAY BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND/OR OTHER RELATED FORMS IN ORDER TO QUALIFY FOR ASSISTANCE UNDER THIS POLICY. THE PATIENT OR AUTHORIZED REPRESENTATIVE MAY BE REQUESTED TO APPLY FOR MEDICAID OR OTHER PUBLIC ASSISTANCE PROGRAMS AND TAKE REASONABLE ACTIONS NECESSARY TO OBTAIN SUCH ASSISTANCE. IF PATIENTS ARE FOUND TO BE ELIGIBLE FOR BENEFITS FROM MEDICAID OR OTHER GOVERNMENT SPONSORED FUNDING, ALL EFFORTS TO COLLECT FROM THAT PATIENT WILL CEASE AT THE TIME DETERMINATION IS MADE. FINANCIAL ASSISTANCE OUTLINED IN THIS POLICY SHALL NOT APPLY. |
| PART VI, LINE 2: | ROSEBUD HEALTH CARE CENTER IS OPEN TO HEARING THE NEEDS OF THE COMMUNITY THROUGH VARIOUS WAYS OTHER THAN WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. AS THE COMMUNITY UTILIZES THE FACILITY FOR SHORT TERM RECOVERY OR LONGER TERM CARE, THEY USUALLY GIVE SUGGESTIONS AS TO WHAT SERVICES COULD BE ADDED OR WHAT SERVICES NEED TO BE ADDRESSED. RHCC ALSO SENDS OUT CONTINUAL SURVEYS TO PATIENTS BEING DISCHARGED FROM EITHER THE HOSPITAL OR OUTPATIENT SERVICES INCLUDING CLINIC AND OUTPATIENT VISITS. THESE FOLLOW UP SURVEYS ALSO PROVIDE GUIDANCE IN THE DIRECTION AND NEEDED SERVICES THE COMMUNITY IS SUGGESTING. |
| PART VI, LINE 3: | THE FACILITY HAS ONE FULL TIME BUSINESS OFFICE REPRESENTATIVE ASSIGNED TO SELF-PAY ACCOUNTS AND HAS ESTABLISHED A PROCEDURE FOR IMMEDIATE CONTACT WITH ALL SELF-PAY PATIENTS. FOLDERS HAVE BEEN PUT TOGETHER THAT INCLUDE OUR POLICIES AND INFORMATION ON FINANCIAL ASSISTANCE, HELP LOANS, PAYMENT PLANS AND CHARITY CARE. THESE FOLDERS ARE AT THE REGISTRATION DESK IN THE CLINIC AND AT THE NURSES STATION IN THE HOSPITAL TO BE DISCUSSED WITH AND DISTRIBUTED TO ANY SELF PAY PATIENTS THAT COME IN FOR TREATMENT. ADDITIONALLY, THE BUSINESS OFFICE REPRESENTATIVE FOLLOWS UP WITH EACH PATIENT THAT RECEIVED THE INFORMATION VIA TELEPHONE AND A LETTER. STATEMENTS ARE SENT OUT MONTHLY WITH A LETTER FOR THOSE SELF-PAY ACCOUNTS THAT CONTACT HAS NOT BEEN MADE PERSONALLY BY THE BUSINESS OFFICE REPRESENTATIVE ADVISING OF THE OPTIONS WE HAVE AVAILABLE TO ASSIST WITH FINANCIAL NEEDS. FOLLOW UP CALLS ARE ALSO MADE ON A REGULAR BASIS. WE WORK CLOSELY WITH THE SOCIAL SERVICES DIRECTOR IN ASSISTING PATIENTS COMPLETE PAPERWORK TO DETERMINE IF THEY QUALIFY FOR ANY FEDERAL, STATE OR LOCAL GOVERNMENT POLICIES. THE SOCIAL SERVICES DIRECTOR ASSISTS WITH THE NURSING HOME AND/OR POTENTIAL NURSING HOME RESIDENTS AND THE BUSINESS OFFICE REPRESENTATIVE ASSISTS WITH THE NON- NURSING HOME PATIENTS. |
| PART VI, LINE 4: | ROSEBUD HEALTH CARE CENTER PROVIDES SERVICES FOR RESIDENTS IN BOTH ROSEBUD COUNTY AS WELL AS TREASURE COUNTY. THESE COUNTIES INCLUDE THE TOWNS OF FORSYTH, COLSTRIP, LAME DEER, ROSEBUD, ASHLAND, INGOMAR, ANGELA AND HYSHAM. TOTAL INDIVIDUALS SERVED: 9,383ROSEBUD HEALTH CARE CENTER, IS THE ONLY HOSPITAL AND NURSING HOME IN ROSEBUD AND TREASURE COUNTY. RHCC HAS BEEN SERVING THE MEDICAL NEEDS OF ROSEBUD AND TREASURE COUNTIES DATING BACK TO THE EARLY 1920S, UTILIZING THE THREE FACILITIES THAT PROVIDE HOSPITAL CARE, EXTENDED CARE, AND CLINICAL OUTPATIENT CARE. THROUGHOUT THESE 95 YEARS, THERE HAS BEEN GROWTH, CHANGES, DEVELOPMENTS AND DISCOVERIES WITHIN MEDICAL SERVICES IN RHCC AS WELL AS IN THE UNITED STATES.ROSEBUD HEALTH CARE CENTER IS A PRIMARY CARE MEDICAL FACILITY THAT IS OPERATED AND MANAGED BY THE PEOPLE IT SERVES WITHIN ROSEBUD AND TREASURE COUNTIES. FORSYTH IS THE COUNTY SEAT AND IS HOME TO SEVERAL COAL MINERS, RAILROAD EMPLOYEES, WORKERS (COLSTRIP POWER PLANTS), CONSTRUCTION WORKERS, SMALL BUSINESS OWNERS, EDUCATORS, AND A GROWING NUMBER OF RETIRED RESIDENTS. |
| PART VI, LINE 5: | ROSEBUD HEALTH CARE CENTER'S BOARD OF DIRECTORS IS COMPRISED OF AN 11 PERSON SELF-APPOINTED BOARD. 8 MEMBERS ARE FROM THE COMMUNITY RHCC SERVES AND 3 ARE HOSPITAL EMPLOYEES, CEO, DON AND MEDICAL DIRECTOR. EXCEPT FOR THE CEO AND MEDICAL DIRECTOR, EACH PERSON IS ON A 3 YEAR ROTATION WITH THE OPTION TO BE REAPPOINTED OR STEP DOWN AFTER THE END OF THE 3 YEARS.RHCC AND ROSEBUD PUBLIC HEALTH HAVE A VERY GOOD WORKING RELATIONSHIP. PUBLIC HEALTH OCCUPIES A BUILDING THAT IS CONNECTED TO RHCC. THIS RELATIONSHIP HAS PROVIDED FOR OUR PROVIDERS TO SEE PATIENTS AT NO COST IN THE PUBLIC HEALTH SETTING WHICH PROVIDES FOR HEALTHCARE AT NO COST TO THE PATIENT. OUR PROVIDERS ARE PARTNERS WITH THE PUBLIC HEALTH TO PROVIDE SERVICES TO OUR FEMALE POPULATION UNDER TITLE X.ANOTHER BENEFIT RHCC PROVIDES TO OUR COMMUNITY IS TO THE ELDERLY WHO NEED NURSING HOME CARE BUT CANNOT AFFORD THE SERVICES. RHCC IS A MEDICAID PROVIDER FOR NURSING HOME SERVICES. MEDICAID'S REIMBURSEMENT FOR THESE SERVICES IS ABOUT 80% OF THE ACTUAL COST TO CARE FOR A PERSON IN THE NURSING HOME. |
| PART VI, LINE 6: | ROSEBUD HEALTH CARE CENTER IS NOT AN AFFILIATE OF ANY OTHER HEALTH CARE SYSTEM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MINDY PRICE | ||||||||||||||
| CEO | $141,519 | $0 | $2,292 | $0 | $7,024 | $0 | $4,848 | $0 | $26,763 | $0 | $182,446 | $0 | $0 | $0 |
| SHELLEY RICKETT | ||||||||||||||
| PHYSICIAN ASSISTANT | $138,227 | $0 | $1,868 | $0 | $1,931 | $0 | $4,584 | $0 | $20,066 | $0 | $166,676 | $0 | $0 | $0 |
| JEANNE MACIAG | ||||||||||||||
| DIRECTOR OF NURSING | $120,699 | $0 | $2,445 | $0 | $7,963 | $0 | $4,045 | $0 | $16,049 | $0 | $151,201 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | WE NOW HAVE A PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER AND ARE NOW ABLE TO PROVIDER MENTAL HEALTH SERVICES SUCH AS DIAGNOSING AND TREATING MENTAL HEALTH DISORDERS, PRESCRIBE AND MONITOR THE USE OF PSYCHOTROPIC MEDICATIONS AND COUNSELING. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE FORM 990 IS PROVIDED TO THE CEO FOR REVIEW PRIOR TO FILING AND THE DRAFT COPY WAS GIVEN TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FACILITY HAS A YEARLY READING AND SIGNATURE OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. WE ALSO MONITOR VOTING MEMBERS WHERE ANY CONFLICT COULD EXIST. THE CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS, BOARD MEMBERS, AND EMPLOYEES. IF A CONFLICT EXISTS, THE FOLLOWING WILL OCCUR: THE CONFLICTING INTEREST IS FULLY DISCLOSED; THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS; A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND THE BOARD OR DULY CONSTITUTED COMMITTEE THEREOF WILL DETERMINE IF THE TRANSACTION IS IN THE BEST INTERESTS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT CONSULTING FIRM WITHOUT CONFLICT WAS CONTRACTED TO PERFORM COMPENSATION ANALYSIS OF COMPARABLE REGIONS AND FACILITIES. UPON PRESENTATION OF RESULTS, THE BOARD OF DIRECTORS VOTED ON ACCEPTANCE/REJECTION OF THE PROPOSED COMPENSATION PROGRAM, WHICH WAS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,331,973. MANAGEMENT AND GENERAL EXPENSES 280,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,612,015. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 184,181. MANAGEMENT AND GENERAL EXPENSES 344,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,283. |