MONTANA CHILDRENS HOME AND HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MONTANA CHILDRENS HOME AND HOSPITAL (EIN 81-0231789)
- Tax period
- 2011-06-01 to 2012-05-31
- Filed
- 2013-02-15
- IRS object ID
- 201300499349300525
- Schema version
- 2011v1.2
- 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 E
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-15T15:34:01-06:00 | Timestamp |
| Tax Period End Date | 2012-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810272932 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALUSHA HIGGINS & GALUSHA PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1699 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 596241699 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810231789 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA CHILDREN'S HOME AND HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONT | NameControl |
| Phone | 4064447500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5539 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN P CASEY | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 4064447500 | Phone |
| Date Signed | 2013-02-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NATHAN D MCCARTHY CPA | Name |
| PTIN | P00368408 | PTIN |
| Phone | 4064425520 | Phone |
| Date Prepared | 2013-02-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN P CASEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5539 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21376340 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SHODAIRHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | PSYCHIATRIC, GENETIC AND OTHER SERVICES FOR CHILDREN IN A HOSPITAL SETTING AT COST, BELOW COST, OR NO CHARGE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 376 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2908272 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2915290 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19930919 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18411092 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 27662 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21760 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28198 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22866853 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21376340 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13359567 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13967754 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9745472 | OtherExpensePriorYear |
| Other Expenses Current Year | 6473039 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23105039 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20440793 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -238186 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 935547 | RevenuesLessExpensesCY |
| Total Assets BOY | 20266964 | TotalAssetsBOY |
| Total Assets EOY | 21032806 | TotalAssetsEOY |
| Total Liabilities BOY | 9297035 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9127330 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10969929 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11905476 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SHODAIR CHILDREN'S HOSPITAL IS A NON-PROFIT, MONTANA CORPORATION WHOSE PURPOSES SHALL BE:TO ESTABLISH AND MAINTAIN A HOSPITAL AND OTHER APPROPRIATE FACILITIES FOR CARE AND TREATMENT OF CHILDREN SUFFERING FROM ILLNESSES, DISEASES, DEFECTS AND OTHER PHYSICAL, MENTAL, AND EMOTIONAL ABNORMALITIES WHICH IMPAIR THE HEALTH AND WELL-BEING OF CHILDREN WHICH MAY BE JUSTIFIED BY THE FACILITY'S PERSONNEL, FUNCTIONS, OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE. TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED. TO PARTICIPATE SO FAR AS CIRCUMSTANCES MAY WARRANT IN ANY ACTIVITY DESIGNATED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3583097 | Expense |
| Revenue | 8060220 | Revenue |
| Description | THE ACUTE CARE UNIT ACCOMMODATES UP TO 20 CHILDREN FROM AGES 3 TO 18. THE ACUTE PSYCHIATRIC INPATIENT PROGRAM WAS DESIGNATED IN 2008 AS A MODEL PROGRAM USING DR. GREENE'S APPROACH TO SOLVING PROBLEMS COLLABORATIVELY AS DESCRIBED IN HIS BOOKS "THE EXPLOSIVE CHILD" AND "LOST AT SCHOOL". THE PROGRAM OFFERS INTENSIVE SERVICES FOR EMOTIONALLY AND BEHAVIORALLY IMPAIRED CHILDREN AND THEIR FAMILIES WHO ARE IN CRISIS. AT SHODAIR, CHILDREN AND FAMILIES INTERACT WITH A TEAM OF SPECIALISTS, INCLUDING NURSES, DOCTORS, THERAPISTS, AND TEACHERS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6866521 | Expense |
| Revenue | 7488462 | Revenue |
| Description | SHODAIR CHILDREN'S HOSPITAL PROVIDES THREE DEVELOPMENTALLY SPECIFIC RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN OF ALL AGES. EACH PROGRAM PROVIDES A THERAPEUTIC AND NURTURING ENVIRONMENT TO PROMOTE POSITIVE CHANGE.THE CHILDREN'S RESIDENTIAL PROGRAM USES DR. GREENE'S APPROACH TO SOLVING PROBLEMS COLLABORATIVELY AS DESCRIBED IN HIS BOOKS AND PROVIDES DEVELOPMENTALLY APPROPRIATE RESIDENTIAL PSYCHIATRIC CARE FOR UP TO 20 CHILDREN (AGES 4 TO 9). THE 20 BED MIDDLE SCHOOL RESIDENTIAL PROGRAM PROVIDES PSYCHIATRIC TREATMENT FOR MIDDLE SCHOOL-AGED YOUTH (AGES 10 TO 13) THE ADOLESCENT UNIT (AGES 14 TO 18) HAS A CAPACITY TO PROVIDE CARE FOR UP TO 24 ADOLESCENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2911531 | Expense |
| Revenue | 1280338 | Revenue |
| Description | THE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO MEET GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION. THIS PROGRAM IS MEDICALLY ORIENTED AND OFFERS A BROAD RANGE OF SERVICES TO INDIVIDUALS AND FAMILIES WITH BIRTH DEFECTS, GENETIC AND HEREDITARY CONDITIONS WITH OR WITHOUT MENTAL RETARDATION. SERVICES INCLUDE PATIENT EVALUATIONS, GENETIC COUNSELING, AND EDUCATION. SERVICE MAY BE FOR DIAGNOSIS, PROGNOSIS, NATURAL HISTORY, RECURRENCE RISK INFORMATION, PSYCHOLOGICAL SUPPORT, PRENATAL DIAGNOSIS, FETAL DEATH EVALUATION, MOLECULAR GENETIC AND OTHER SPECIAL TESTING OR FOR A VARIETY OF OTHER REASONS. AN IMPORTANT PART OF THE SERVICE MANDATE IS TO EDUCATE LAY AND PROFESSIONAL MONTANANS ABOUT GENETICS AND GENETIC CONDITIONS SO THEY ARE AWARE OF WHAT SERVICES MAY BENEFIT THEM. THE PROGRAM IS DIVIDED INTO TWO PRIMARY SERVICE UNITS: CLINICAL AND LABORATORY. AN ADMINISTRATIVE DIRECTOR IS RESPONSIBLE FOR MANAGEMENT OF PROGRAM FUNCTIONS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2181603 | Expense |
| Revenue | 1582072 | Revenue |
| Description | OTHER PROGRAM SERVICES INCLUDE PHARMACY, MEDICAL RECORDS, AND MEDICAL LIBRARY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2181603 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1582072 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 15542752 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 1 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 81 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 376 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MT | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN P CASEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4064447500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2755 COLONIAL DRIVE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RED MENAHAN | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| BOB LEMM | |||||||
| 1ST VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| CYNTHIA MELTON | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| RITA GOWEN | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| JOE SHEVLIN | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| ED TINSLEY | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MOE WOSEPKA | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DAVID LEMM | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DR BILL HASQUET | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JANET HEDGES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GALEN HOLLENBAUGH | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JOEL MAES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DAN SHEA | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| EDWARD SURBRUGG | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JOHN JACK CASEY | |||||||
| ADMINISTRATOR | 40.00 | X | 287286 | 0 | 48443 | ||
| RONALD J WIENS | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 127315 | 0 | 30879 | ||
| KEITH FOSTER | |||||||
| MEDICAL DIRECTOR, PSYCHIAT | 40.00 | 249463 | 0 | 38425 | X | ||
| HEATHER ZALUSKI | |||||||
| STAFF PSYCHIATRIST | 40.00 | 203671 | 0 | 35235 | X | ||
| KATHERINE RAPPAPORT | |||||||
| STAFF PSYCHIATRIST | 40.00 | 218347 | 0 | 22216 | X | ||
| JOHN JOHNSON | |||||||
| MEDICAL DIRECTOR, GENETICS | 40.00 | 204725 | 0 | 45675 | X | ||
| JAMES REYNOLDS | |||||||
| STAFF GENETICIST | 40.00 | 187784 | 0 | 34810 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1478591 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 255683 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOCUMTENENSCOM | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2655 NORTHWINDS PARKWAY | AddressLine1 |
| City | ALPHARETTA | City |
| State | GA | State |
| ZIP Code | 30009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PHYSICIAN RECRUITMENT | DescriptionOfServices |
| Compensation | 368491 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 1468044 | GovernmentGrants |
| All Other Contributions | 1447246 | AllOtherContributions |
| Total Contributions | 2915290 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ACUTE SERVICES | 623990 | 8060220 | 8060220 |
| RESIDENTIAL TREATMENT | 623990 | 7488462 | 7488462 |
| PHARMACY | 623990 | 1514409 | 1514409 |
| GENETICS SERVICES | 621500 | 1280338 | 1280338 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67663 | TotalRevenueColumn |
| Related Or Exempt Function Income | 67663 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18411092 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21760 | TotalRevenueColumn |
| Exclusion | $21,760 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA SALES | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 28198 | TotalRevenueColumn |
| Exclusion | $28,198 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28198 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21376340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18411092 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $49,958 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492434 | Total |
| Management And General | 492434 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11398053 | Total |
| Program Services | 9525164 | ProgramServices |
| Management And General | 1872889 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541117 | Total |
| Program Services | 448968 | ProgramServices |
| Management And General | 92149 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 556395 | Total |
| Program Services | 434925 | ProgramServices |
| Management And General | 121470 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 979755 | Total |
| Program Services | 795683 | ProgramServices |
| Management And General | 184072 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51636 | Total |
| Program Services | 185 | ProgramServices |
| Management And General | 51451 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72379 | Total |
| Management And General | 72379 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 546097 | Total |
| Program Services | 394474 | ProgramServices |
| Management And General | 151623 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129355 | Total |
| Program Services | 26922 | ProgramServices |
| Management And General | 102433 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481380 | Total |
| Program Services | 89984 | ProgramServices |
| Management And General | 391396 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175472 | Total |
| Program Services | 127331 | ProgramServices |
| Management And General | 48141 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9201 | Total |
| Management And General | 9201 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 367884 | Total |
| Management And General | 367884 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 913084 | Total |
| Program Services | 761612 | ProgramServices |
| Management And General | 151472 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421934 | Total |
| Program Services | 384938 | ProgramServices |
| Management And General | 36996 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAID UTILIZATION FE | 862800 | 862800 | |
| SUPPLIES - OTHER | 470018 | 470018 | |
| GENERAL SERVICES SUPPLI | 390814 | 390814 | |
| SUPPLIES - GENETICS | 332804 | 332804 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248181 | Total |
| Program Services | 886944 | ProgramServices |
| Management And General | 361237 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20440793 | Total |
| Program Services | 15542752 | ProgramServices |
| Management And General | 4898041 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3205593 | BOY |
| EOY | 3803959 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1155966 | BOY |
| EOY | 1149085 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4356304 | BOY |
| EOY | 4835118 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195039 | BOY |
| EOY | 194864 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255205 | BOY |
| EOY | 291341 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18074664 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7837103 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10509623 | BOY |
| EOY | 10237561 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60747 | BOY |
| EOY | 900 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 528487 | BOY |
| EOY | 519978 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20266964 | BOY |
| EOY | 21032806 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2490812 | BOY |
| EOY | 2327330 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6800000 | BOY |
| EOY | 6800000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6223 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9297035 | BOY |
| EOY | 9127330 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10909929 | BOY |
| EOY | 11375183 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60000 | BOY |
| EOY | 530293 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10969929 | BOY |
| EOY | 11905476 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20266964 | BOY |
| EOY | 21032806 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 935547 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 858 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 858 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 20439092 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 20439950 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 999523 | CurrentYearMinus3 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 2999523 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,499,285 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 23470 | CurrentYearMinus3 |
| Current Year Minus1 | 43660 | CurrentYearMinus1 |
| Current Year | 858 | CurrentYear |
| Total | 67988 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 249881 | CurrentYearMinus3 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 749881 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,124,822 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1944065 | OtherCostOrOtherBasis |
| Book Value | 1944065 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12914792 | OtherCostOrOtherBasis |
| Depreciation | 5446139 | Depreciation |
| Book Value | 7468653 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3215807 | OtherCostOrOtherBasis |
| Depreciation | 2390964 | Depreciation |
| Book Value | 824843 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10237561 | TotalOfBookValueLandBuildings |
| Total Revenue | 21376340 | TotalRevenue |
| Total Expenses | 20440793 | TotalExpenses |
| Excess Or Deficit For Year | 935547 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 935547 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21376340 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 21376340 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 21376340 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20440793 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20440793 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20440793 | TotalExpensesPerForm990 |
Schedule E IRS990ScheduleE
| Field | Value | IRS element (for citing) |
|---|---|---|
| Nondiscriminatory Policy Stmt | 1 | NondiscriminatoryPolicyStmt |
| Policy Statement In Brochures Etc | 0 | PolicyStatementInBrochuresEtc |
| Policy Publ Via Broadcast Media | 0 | PolicyPublViaBroadcastMedia |
| Maint Racial Composition Records | 1 | MaintRacialCompositionRecords |
| Maint Scholarships Records | 0 | MaintScholarshipsRecords |
| Maint Copies Of Brochures Etc | 0 | MaintCopiesOfBrochuresEtc |
| Maint Copies Of All Solicitations | 0 | MaintCopiesOfAllSolicitations |
| Discriminate Race Students Rights | 0 | DiscriminateRaceStudentsRights |
| Discriminate Race Admiss Policies | 0 | DiscriminateRaceAdmissPolicies |
| Discriminate Race Emplmn Faculty | 0 | DiscriminateRaceEmplmnFaculty |
| Discriminate Race Scholarships | 0 | DiscriminateRaceScholarships |
| Discriminate Race Educ Policies | 0 | DiscriminateRaceEducPolicies |
| Discriminate Race Use Of Fclts | 0 | DiscriminateRaceUseOfFclts |
| Discriminate Race Athletic Prog | 0 | DiscriminateRaceAthleticProg |
| Discriminate Race Other Acty | 0 | DiscriminateRaceOtherActy |
| Government Financial Aid Received | 1 | GovernmentFinancialAidReceived |
| Government Financial Aid Revoked | 0 | GovernmentFinancialAidRevoked |
| Compliance With Rev Proc7550 | 1 | ComplianceWithRevProc7550 |
Form990 Schedule E Part II Form990ScheduleEPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION OF DOCUMENT RETENTION | SCHEDULE E, PART I, LINE 4 | THE PART 4 QUESTIONS ANSWERED NO ARE NOT APPLICABLE TO THIS ORGANIZATION. |
| EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE | SCHEDULE E, PART I, LINE 6 | THE ORGANIZATION RECEIVED ASSISTANCE FROM THE OFFICE OF PUBLIC INSTRUCTION. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 49633 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59292 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -9659 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13155377 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11692650 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1462727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13205010 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11751942 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1453068 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07240 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7113 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25795 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 25795 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1692721 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1146031 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 546690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02710 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3300 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1728929 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1146031 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 582898 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02900 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14933939 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12897973 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2035966 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10140 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3711 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3711 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3711 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3711 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $148,119 | BadDebtExpenseAmount |
| Amount Attributable To | 88900 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 50928 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 149431 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -98503 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHODAIR CHILDREN'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5539 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Childrens Hospital | X | ChildrensHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHODAIR CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: THE HOSPITAL USES THE COST TO CHARGE RATIO METHOD. | |
| PART I, LINE 7G: THE HOSPITAL SUBSIDIZES THE STATEWIDE GENETICS PROGRAM. | |
| 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 $ 242760. | |
| PART II: THE HOSPITAL'S DOCTORS ARE ON THE BOARDS OF SEVERAL ORGANIZATIONS WHICH PROMOTE THE HEALTH OF THE COMMUNITY. | |
| PART III, LINE 4: ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, LESS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS, AND OTHER CIRCUMSTANCES, WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF FULL PRINCIPAL PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE CONTRACTUAL TERMS. IT IS THE HOSPITAL'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED. THE HOSPITAL USES A COST TO CHARGE RATIO. | |
| PART III, LINE 9B: FOR THE ACCOUNTS RECEIVABLE POLICY, SEE SUPPLEMENTAL INFORMATION PROVIDED FOR PART III, LINE 4. ADDITIONAL INFORMATION: CHARITY DISCOUNT IS APPROVED AND GRANTED PRIOR TO A PATIENT BEING ADMITTED TO SHODAIR CHILDREN'S HOSPITAL. THE CHARITY DISCOUNT MAY BE FOR THE ENTIRE ACCOUNT OR A PORTION OF AN INSURED ACCOUNT WHERE THE PAYMENT OF THE CO-PAY INSURANCE AND OR DEDUCTIBLE WOULD CREATE A FINANCIAL HARDSHIP FOR THE FAMILY OR THE CHILD OR ADOLESCENT PATIENT. THE GRANTING OF A CHARITY DISCOUNT IS DEPENDENT ON APPLICATION AND MEETING THE INCOME TEST OF THE CHARITY DISCOUNT POLICY AS ESTABLISHED. | |
| PART V, SECTION B, LINE 19D: 10% DISCOUNT, WHICH IS SIMILAR TO DISCOUNTS NEGOTIATED WITH COMMERICIAL INSURANCE CARRIERS. | SHODAIR CHILDREN'S HOSPITAL |
| PART VI, LINE 2: SHODAIR CHILDREN'S HOSPITAL IS LOCATED IN HELENA, MONTANA. ITS FACILITY TOTALS 90,000 SQUARE FEET AND INCLUDES THE RESIDENTIAL AND ACUTE PSYCHIATRIC TREATMENT CENTERS FOR CHILDREN AND ADOLESCENTS, THE MEDICAL GENETICS PROGRAM, ADMINISTRATIVE OFFICES, AND THE MARKETING/COMMUNITY RELATIONS AND FOUNDATION OFFICES. SHODAIR CHILDREN'S HOSPITAL IS THE ONLY FACILITY IN THE STATE OF MONTANA TO OFFER BOTH ACUTE AND RESIDENTIAL TREATMENT SERVICES FOR CHILDREN AND ADOLESCENTS. SHODAIR CHILDREN'S HOSPITAL PROVIDES THREE DEVELOPMENTALLY SPECIFIC RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN OF ALL AGES. EACH PROGRAM PROVIDES A THERAPEUTIC AND NURTURING ENVIRONMENT TO PROMOTE POSITIVE CHANGE. THE SCHOOL AT SHODAIR IS ACCREDITED BY THE NORTHWEST ASSOCIATION OF ACCREDITED SCHOOLS AND IS SCHEDULED YEAR-ROUND. THIS ALLOWS STUDENTS AN OPPORTUNITY TO WORK IN ACADEMIC AREAS AS NEEDED OR TO MAKE UP MISSED CREDITS. THE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO MEET GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION. | |
| PART VI, LINE 3: FINANCIAL ASSISTANCE WILL BE PROVIDED TO THE HOSPITAL'S PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERA AND REQUEST SUCH ASSISTANCE. | |
| PART VI, LINE 4: SHODAIR CHILDREN'S HOSPITAL BEGAN ITS OPERATIONS IN HELENA, MONTANA. THE HOSPITAL SERVES PATIENTS FROM ACROSS THE COUNTRY, AS IT PROVIDES SPECIALIZED SERVICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN JACK CASEY | |||||||||||||
| 287286 | 0 | 0 | 0 | 0 | 0 | 16908 | 0 | 31535 | 0 | 335729 | 0 | 0 | 0 |
| RONALD J WIENS | |||||||||||||
| 127315 | 0 | 0 | 0 | 0 | 0 | 7729 | 0 | 23150 | 0 | 158194 | 0 | 0 | 0 |
| KEITH FOSTER | |||||||||||||
| 249463 | 0 | 0 | 0 | 0 | 0 | 15037 | 0 | 23388 | 0 | 287888 | 0 | 0 | 0 |
| HEATHER ZALUSKI | |||||||||||||
| 203671 | 0 | 0 | 0 | 0 | 0 | 12498 | 0 | 22737 | 0 | 238906 | 0 | 0 | 0 |
| KATHERINE RAPPAPORT | |||||||||||||
| 218347 | 0 | 0 | 0 | 0 | 0 | 13070 | 0 | 9146 | 0 | 240563 | 0 | 0 | 0 |
| JOHN JOHNSON | |||||||||||||
| 204725 | 0 | 0 | 0 | 0 | 0 | 12181 | 0 | 33494 | 0 | 250400 | 0 | 0 | 0 |
| JAMES REYNOLDS | |||||||||||||
| 187784 | 0 | 0 | 0 | 0 | 0 | 11268 | 0 | 23542 | 0 | 222594 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | US BANK NATIONAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2005-04-01 | DateIssued |
| Issue Price | 9720000 | IssuePrice |
| Description Of Purpose | TO FINANCE COSTS OF IMPROVEMENTS TO THE HOSPITAL | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOB LEMM, 1ST VICE CHAIR, IS THE FATHER OF DAVID LEMM, TRUSTEE |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL ATTORNEY ATTENDS EACH BOARD MEETING AND MONITORS ADHERENCE TO THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | DUE TO THE NATURE OF THE SPECIALTY OF THIS HOSPITAL, A COMPANY SPECIALIZING IN COMPENSATION PACKAGES IS CONTRACTED TO REVIEW THE ADMINISTRATOR'S COMPENSATION. OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED UTILIZING THE MONTANA HOSPITAL ASSOCIATION'S ANNUAL COMPENSATION SURVEY. IF THE SPECIALTY HAS A LIMITED NUMBER OF PROFESSIONALS IN MONTANA THE REGIONAL OR NATIONAL COMPENSATION DATA IS UTILIZED. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE ON FILE WITH THE STATE OF MONTANA AND AVAILABLE TO THE PUBLIC IF REQUESTED FROM THE STATE. CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE NOT MADE READILY AVAILABLE TO THE GENERAL PUBLIC BUT ARE DISTRIBUTED TO THE BOARD OF TRUSTEES WHO ARE REPRESENTATION OF THE PUBLIC. |
| THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA CHILDREN'S FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5539 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810365625 | EIN |
| Primary Activities | TO PROMOTE AND FURTHER OPERATIONS OF MONTANA CHILDREN'S HOME AND HOSPITAL | PrimaryActivities |
| Legal Domicile State | MT | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 509(A)(3) | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA CHILDREN'S FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 915528 | AmountInvolved |
| Method Of Amt Determination | CASH RECEIVED | MethodOfAmtDetermination |
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