GLENDIVE MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GLENDIVE MEDICAL CENTER INC (EIN 81-6016016)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349305854
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T15:58:49-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 816016016 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendive Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GLEN | NameControl |
| Phone | 4063653306 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 Prospect Drive | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara Markham | Name |
| Title | CFO | Title |
| Phone | 4063653306 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kim Hunwardsen CPA | Name |
| Phone | 6122536500 | Phone |
| Date Prepared | 2012-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Scott Duke | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 Prospect Drive | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34809457 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.gmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | Committed to caring, healing, and a healthier community through the procurement of health services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 565 | TotalNbrEmployees |
| Total Nbr Volunteers | 322 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 161471 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 77432 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32287439 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 34213352 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 219394 | InvestmentIncomePriorYear |
| Investment Income Current Year | 440603 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 30800 | OtherRevenuePriorYear |
| Other Revenue Current Year | 78070 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 32699104 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34809457 | 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 | 16311283 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19513534 | 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 | 15142385 | OtherExpensePriorYear |
| Other Expenses Current Year | 15924427 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31453668 | TotalExpensesPriorYear |
| Total Expenses Current Year | 35437961 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1245436 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -628504 | RevenuesLessExpensesCY |
| Total Assets BOY | 59068667 | TotalAssetsBOY |
| Total Assets EOY | 58364600 | TotalAssetsEOY |
| Total Liabilities BOY | 34957684 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34882121 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24110983 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23482479 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | We are committed to caring, healing, and a healthier community. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 25835569 | Expense |
| Revenue | 34213352 | Revenue |
| Description | Glendive Medical Center, Inc.(GMC) is a totally integrated medical center with a 25-bed Critical Access Hospital providing all primary care services to the community of Glendive and the surrounding rural service area. The Medical Center also is comprised of 151 nursing home beds, a 13-suite Assisted Living Facility, Home Health, Durable Medical Equipment and Hospice services. A clinic with Rural Health Clinic designation and pharmacy services is attached. GMC is very committed to meeting the needs of the service area they serve. IRS requirements of the community benefit standard for tax-exempt organizations are integral to GMC's charitable mission of being committed to caring, healing and a healthier community. GMC is governed by an independent board with a representative composition by gender, rural/urban, professional/non-professional and geography. The Board has a history of acting with the highest integrity and proactively adopting governance best practices to ensure the organization operates with the highest of integrity for the benefit of the community they serve. During this year, the Board continued to actively oversee critical functions of the organization. During the past year:1. The Compensation Committee, which included only no interest members, retained an outside firm to review and provide recommendations to the full Board for the Chief Executive Officer and the executive team.2. The annual compliance reports and education was provided to the Board as part of their mandatory education.3. Board members reviewed and signed the required annual conflict of interest statement.GMC makes medical care accessible to the entire area it serves. They operate a 24 hour emergency room, providing care regardless of the ability to pay. GMC had over 4,000 emergency room visits during the past year. GMC provides clinical services including onsite providers needed to operate the Emergency Department.In addition, GMC, through its integrated group of providers and visiting specialists, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare, Medicaid and the Veterans Administration and by offering financial assistance in various ways to those who are unable to pay.GMC's Uncompensated Care policy provides discounted and free services to patients who do not have the resources to be fully responsible for the medical care they receive. GMC's policy is structured to provide various options of financial assistance depending upon the patient's needs. The applications and policies for the various financial assistance options and uncompensated care are available on the organization's website, gmc.org. GMC maintains records to identify and monitor the care provided under the uncompensated care policies. During the past year, GMC's costs for charity care, based on the amount of charges foregone, was $914,000 serving 402 members in their service area.GMC through the annual board approved strategic plan strives to meet the community needs. Some of the objectives in this plan that were completed during the past year were:1. GMC assisted a GMC physician in obtaining a specialty in Psychiatry. With his return to the community and this facility, GMC was able to offer Behavior Health Services to Eastern Montana and Western North Dakota.2. As the area is a Health Professional Shortage Area(HPSA), a Hospitalist program was put in place during the past year to address the community need of health providers. This program has provided the needed coverage throughout the Medical Center to better serve their patients.3. After years of planning and two years of construction, the relocation and modernization of the surgery suites and expansion of the emergency department was completed. These changes have resulted in better access, security and privacy for their patients in the emergency room and surgery department.Further information about the services provided by GMC to the community it serves including their annual Community Benefit Report is available on their official website, gmc.org. | Description |
| Total Program Service Expense | 25835569 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| 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 | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 565 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barbara Markham | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4063453301 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 608 Regal | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| David Linn | ||||||||
| Chairperson | 2.00 | X | X | 0 | 0 | 0 | ||
| Laura Glueckert | ||||||||
| Vice Chairperson | 1.00 | X | X | 0 | 0 | 0 | ||
| Sandra Cargill | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| John Kevin Maxwell MD | ||||||||
| Chief of Staff | 40.00 | X | 548200 | 0 | 88961 | |||
| Melonie Beeler | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Sandy Burt | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Troy Myers OD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jackie Schultz | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Kyle Voss DVM | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Arthur K Fink DO | ||||||||
| Director | 40.00 | X | 252785 | 0 | 55271 | |||
| Scott Duke | ||||||||
| CEO | 50.00 | X | 272494 | 0 | 125074 | |||
| Barbara Markham | ||||||||
| CFO | 50.00 | X | 100049 | 0 | 15039 | |||
| Judy Courtney | ||||||||
| VP Patient Care Services | 50.00 | 189064 | 0 | 18037 | X | |||
| Dale Adishian MD | ||||||||
| Physician | 40.00 | 596739 | 0 | 88390 | X | |||
| Joseph Leal MD | ||||||||
| Physician | 40.00 | 249999 | 0 | 8982 | X | |||
| Sonja Samsoondar Labrie MD | ||||||||
| Physician | 40.00 | 301120 | 0 | 26428 | X | |||
| Robert Ruth MD | ||||||||
| Physician | 40.00 | 301562 | 0 | 20391 | X | |||
| Sally Reichert CRNA | ||||||||
| CRNA | 40.00 | 164166 | 0 | 19378 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2976178 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 465951 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| High Tech Construction | |||||
| PO Box 31511 | Billings | MT | 59107 | Construction Services | 4902941 |
| Sodexo Inc & Affiliates | |||||
| 10 Earhart Drive | Williamville | NY | 14221 | Dietary Management Services | 935280 |
| MT Health Network Inc | |||||
| 11 S 7th St 160 | Miles City | MT | 59301 | Contract Nursing Labor | 735231 |
| CompHealth Medical Staffing | |||||
| PO Box 972670 | Dallas | TX | 75397 | Contract Clinical Labor | 322234 |
| Imaging Solutions Inc | |||||
| 2829 S University Drive | Fargo | ND | 58103 | MRI Equipment Leasing | 198300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 53486 | RelatedOrganizations |
| All Other Contributions | 23946 | AllOtherContributions |
| Total Contributions | 77432 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenu | 621110 | 32799771 | 32799771 |
| Other Revenue | 900099 | 1413581 | 1413581 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 34213352 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 439296 | TotalRevenueColumn |
| Exclusion | $439,296 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 78070 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 78070 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78070 | TotalRevenueColumn |
| Exclusion | $78,070 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1307 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1307 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1307 | TotalRevenueColumn |
| Exclusion | $1,307 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34809457 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34213352 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $518,673 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1715940 | Total |
| Program Services | 861477 | ProgramServices |
| Management And General | 854463 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14891431 | Total |
| Program Services | 12368780 | ProgramServices |
| Management And General | 2522651 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 326330 | Total |
| Program Services | 253983 | ProgramServices |
| Management And General | 72347 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1549403 | Total |
| Program Services | 1257295 | ProgramServices |
| Management And General | 292108 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1030430 | Total |
| Program Services | 851676 | ProgramServices |
| Management And General | 178754 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4309 | Total |
| Management And General | 4309 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38449 | Total |
| Management And General | 38449 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1554613 | Total |
| Program Services | 957996 | ProgramServices |
| Management And General | 596617 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54512 | Total |
| Program Services | 1258 | ProgramServices |
| Management And General | 53254 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4894584 | Total |
| Program Services | 4586814 | ProgramServices |
| Management And General | 307770 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150714 | Total |
| Management And General | 150714 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 660053 | Total |
| Program Services | 114934 | ProgramServices |
| Management And General | 545119 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112396 | Total |
| Program Services | 78864 | ProgramServices |
| Management And General | 33532 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114 | Total |
| Program Services | 114 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1446212 | Total |
| Management And General | 1446212 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3241291 | Total |
| Program Services | 3179278 | ProgramServices |
| Management And General | 62013 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332811 | Total |
| Program Services | 332811 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Bad Debt Expense | 1801198 | 1801198 | |
| Food | 562350 | 562350 | |
| Bed Tax | 464415 | 180027 | 284388 |
| Recruitment | 205206 | 205206 | |
| Auxiliary | 49976 | 49976 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351224 | Total |
| Program Services | 93575 | ProgramServices |
| Management And General | 257649 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35437961 | Total |
| Program Services | 25835569 | ProgramServices |
| Management And General | 9602392 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 840146 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5203055 | BOY |
| EOY | 1259474 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8350414 | BOY |
| EOY | 9337063 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 206087 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2597538 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 240230 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1517465 | BOY |
| EOY | 1420591 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174011 | BOY |
| EOY | 117538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 59190893 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 27189453 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31724184 | BOY |
| EOY | 32001440 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1886010 | BOY |
| EOY | 6604398 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2198045 | BOY |
| EOY | 2763735 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4337569 | BOY |
| EOY | 4654274 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59068667 | BOY |
| EOY | 58364600 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5268313 | BOY |
| EOY | 4290732 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 839832 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29689371 | BOY |
| EOY | 29081300 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 96930 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 500000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 73327 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34957684 | BOY |
| EOY | 34882121 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24110983 | BOY |
| EOY | 23482479 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24110983 | BOY |
| EOY | 23482479 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59068667 | BOY |
| EOY | 58364600 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -628504 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,298 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 2298 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 139683 | OtherCostOrOtherBasis |
| Book Value | 139683 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40566166 | OtherCostOrOtherBasis |
| Depreciation | 15780147 | Depreciation |
| Book Value | 24786019 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14258246 | OtherCostOrOtherBasis |
| Depreciation | 10690657 | Depreciation |
| Book Value | 3567589 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4226798 | OtherCostOrOtherBasis |
| Depreciation | 718649 | Depreciation |
| Book Value | 3508149 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 32001440 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Estimated Third Party Payor Receivable | 675516 |
| Deferred Financing Costs, Net | 924797 |
| Accrued Interest Receivable | 28317 |
| Physician and Clinic Receivables | 3025644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4654274 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Capitalized Lease Obligations | Description |
| Amount | $73,327 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 73327 | TotalOfAmounts |
| Total Revenue | 34809457 | TotalRevenue |
| Total Expenses | 35437961 | TotalExpenses |
| Excess Or Deficit For Year | -628504 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -628504 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 35223660 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 414203 | OtherRevenues |
| Revenue Not Rptd F990 | 414203 | RevenueNotRptdF990 |
| Revenue Subtotal | 34809457 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34809457 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 35852164 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 414203 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 414203 | ExpensesNotRptdF990 |
| Expenses Subtotal | 35437961 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 35437961 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | Upon written authorization of residents of GMC Extended Care and EMVH Extended Care, the Organization holds, safeguards, manages and accounts for the personal funds of those residents that have been deposited in the two trust accounts. | |
| Part X: | The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. | Description of Uncertain Tax Positions Under FIN 48: |
| Eliminating Journal Entries- GMC Revenue Received from Auxiliary per Audited Financial Statements 263,198. Eliminating Journal Entries- GMC Revenue Received from EMVH per Audited Financial Statements 151,005. | Part XII, Line 2d - Other Adjustments: | |
| Eliminating Journal Entries- GMC with Auxiliary 263,198. Eliminating Journal Entries- GMC with EMVH 151,005. | Part XIII, Line 2d - Other Adjustments: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| 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) |
|---|---|---|
| Persons Served | 402 | PersonsServed |
| Total Community Benefit Expense | 607810 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 607810 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 532 | PersonsServed |
| Total Community Benefit Expense | 3748583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4049644 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -301061 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 42 | PersonsServed |
| Total Community Benefit Expense | 29716 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36024 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -6308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 976 | PersonsServed |
| Total Community Benefit Expense | 4386109 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4085668 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 300441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 12865 | PersonsServed |
| Total Community Benefit Expense | 101812 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 246 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 101566 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 7 | PersonsServed |
| Total Community Benefit Expense | 26909 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 26909 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 2724 | PersonsServed |
| Total Community Benefit Expense | 8472999 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6559205 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1913794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05700 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 5044 | PersonsServed |
| Total Community Benefit Expense | 70217 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 70217 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 20640 | PersonsServed |
| Total Community Benefit Expense | 8671937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6559451 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2112486 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 21616 | PersonsServed |
| Total Community Benefit Expense | 13058046 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10645119 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2412927 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08100 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4337 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4337 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4337 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4337 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $945,104 | BadDebtExpenseAmount |
| Amount Attributable To | 118843 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8036625 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7976983 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 59642 | 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 | Glendive Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 Prospect Drive | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Glendive Medical Center Nursing Home | ||||
| 202 Prospect Drive | Glendive | MT | 59330 | 71 bed skilled nursing home |
| Glendive Medical Center Home Health | ||||
| 202 Prospect Drive | Glendive | MT | 59330 | Home health for Dawson, Wibaux, McCone and Prairie Counties |
| Eastern Montana Veterans Home | ||||
| 2000 Montana Avenue | Glendive | MT | 59330 | 80 bed Veterans skilled nursing home |
| The Heritage on Merrill Avenue | ||||
| 1313 North Merrill Avenue | Glendive | MT | 59330 | 13 suite assisted living center |
| Glendive Medical Center Hospice | ||||
| 202 Prospect Drive | Glendive | MT | 59330 | Hospice for Dawson and Wibaux Counties |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: Currently, GMC is filing a community benefit report with the State of Montana, in conjunction with other requested information for the State of Montana's report on issues and facts related to the charitable purposes of our hospitals and the protection of Montana's consumers. | ||
| Part I, Line 7: The cost to charge ratio from Worksheet 2 was utilized for charity care. Unreimbursed Medicaid and other means-tested government programs was calculated using actual amounts captured from internal logs for charges and receipts. Subsidized health services was calculated using actual direct costs and receipts of each department. A step down allocation of the 2011 annual cost report was applied to correctly allocate overhead to each department. These allocations are necessary, as they directly affect the Medicare and Medicaid reimbursement.All others were based off of actual expenses. | ||
| Part I, L7 Col(f): Bad debt expense of $1,801,198 included on Form 990, Part IX, line 25, column (a) has been subtracted for purposes of calculating the percentage in this column. | ||
| Part II: The amount reported in Part II for Community Building Activities represents assistance provided by GMC leaders to develop and maintain an active Economic Development Committee formed to assist in projects to enhance the health, safety and well being of the community of Glendive.The initial activity of this committee during the past several years was obtaining funds and building low income housing for seniors in the community which has been completed. This was a community benefit providing safe housing for those seniors in an area of housing shortages.This committee is made up of community leaders and has the support of this community. It is currently working to bring new businesses to the area which will create additional employment opportunities for the area's population. Also, these new businesses will provide additional services which will enhance the ability to recruit healthcare providers and professionals to this community. Due to Glendive's setting in a remote rural area, this is always a challenge as shown by the Dawson County's designation as a HSPA area which was discussed in Item 4. | ||
| Part III, Line 4: Bad debt expense was determined by taking the actual dollar balance of each account transferred to collection agencies and including amount written off due to bankruptcies. These were offset by all bad debt recoveries (the total amount the person paid to the collection agencies against their bad debt accounts or paid directly to the Medical Center). The cost to charge ratio from Worksheet 2 was then applied to the net amount.The amount shown to be attributable to patients eligible for charity care was based on applications submitted without the necessary information or paperwork to enable the completion of the application. The information was not obtained even though the the collection department aggressively worked with the parties through letters, telephone calls, and meetings. Therefore, as shown in Schedule H, Part III, Line 3, with the education and assistance provided, the amount reported is appropriate and should be considered a community benefit.Footnote from Financial Statements:Management reviews patient and resident receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients and residents due to bad debts. Management considers historical write off and recovery information in determining the bad debt provision. | ||
| Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by CMS. In addition to hospital services, Home Health, Hospice, and Skilled Nursing Facility are also included in the Organization's cost report. All of these activities are subsidized health services shown on line 7 or Part I. Therefore, the Medicare piece related to these activities is shown on this line. As noted in the Schedule H instructions, the cost report does not reflect certain programs which GMC provides - Durable Medical Equipment, Medicare Part C, Medicare Part D, and Provider Based Services - Emergency Room Providers, Certified Nurse Anesthetists, and Radiologists. Since GMC is in a very rural area, to have 24 hour coverage by these providers for our service area is definitely a quality and safety issue, and therefore, a community benefit.Due to utilizing the allowable Medicare cost from the cost report, Part III does not reflect the fact that there is Medicare shortfall to this facility, due to a number of factors such as the following -1. Any non patient revenue received for reimbursable departments must be offset against expenses. But at the same time, it is not allowed to offset revenue again expenses of non-reimbursable departments. This results in substantial shifting of a substantial amount of administrative expenses to the non reimbursable areas due to allocation of the administrative costs being based on total expense without the offset of revenue on the non reimbursable departments.2. Allocating administrative expense based on the percent of total expense also shifts an excess of costs to areas such as GMC's retail pharmacy due to high cost of drugs again resulting in overstating administrative expenses in a non reimbursable department which in turn lowers reimbursement to Medicare reimbursable departments.3. Medicare Advantage (Part C) plans are creating additional cost and shortfall and are not currently reported in Part III.4. Medicare Part D - With two nursing homes, being in a very rural area with no other area pharmacies providing Unit Dose dispensing which is required for the safety of our residents, GMC again is seeing a shortfall which is not being reported while providing the necessary services to our local residents and is definitely a benefit to the resident and their families. | ||
| Part III, Line 9b: The following are excerpts from GMC's financial assistance policy and bad debt policy:Bad Debt Policy:PROCEDURES: All accounts, including Medicare and Medicaid, will be processed in a consistent manner before transferring said accounts to a collection agency.1. Statements on self pay balances will be sent monthly.2. Uncompensated Care information will be provided to all patients.3. A final notice stating the account will be turned over to a collection agency within ten days will be sent after the designated number of statements, set in the billing parameters of the Information System, has been sent showing that no payments have been received.4. Accounts can be returned from the collection agency if it has been determined the account qualifies for uncompensated care.5. After twelve months, if no payments have been received by the collection agency, accounts may be returned to GMC.For those that are known to qualify for financial assistance, the portion that is identified as charity care is written off to charity care. The Hospital policy states if there is a portion of the patient account that does not qualify for free care the remaining unpaid portion falls under the same collection policy as the accounts that do not qualify for financial assistance. | ||
| Part VI, Line 2: 1. Over the past years, Glendive Medical Center has identified and prioritized community needs through a variety of community surveys in collaboration with various organizations including the City of Glendive and Dawson County.2. Public meetings were held by Glendive Medicare Center at various times to receive community input.3. Strategic Planning sessions are held by GMC to plan and prioritize the needs of the community on an annual basis. These sessions include the Board of Directors, Foundation Board of Directors, Physicians and other Medical Providers and the Administration of GMC. Over the past years, areas identified and services implemented from the community's surveys included the need for Hospice, Assisted Living and Behavior Health Services.4. Another Community Survey is planned during calendar years 2012-2013. Meetings have begun with the county public health department to work on this assessment. | ||
| Part VI, Line 3: Glendive Medical Center(GMC) provides information and education concerning assistance through various programs and the organization's charity care policy in a variety of ways. Some of those are:1. Through our social services department, patient financial services and other areas, assistance is offered and given to all patients and their families about available programs.2. GMC's website, www.gmc.org, provides charity care and other financial assistance policies and procedures, including applications.3. Signage is posted throughout the facilities in admissions areas, the emergency room and waiting rooms. The signage provides information concerning charity care and other financial assistance available throughout GMC.4. A Guest Information Book for the patient and their family's use is in each patient's room and other areas providing various information including financial assistance information that is available which includes charity care and the appropriate personnel to contact if they have not been contacted. Contact information for our social services department if the person needs assistance or has questions about the various government and other programs available in the area is also provided in the information book.5. GMC's monthly statement provides information for the person(s) to contact if financial assistance is needed. At the same time, with all collection letters, our credit and collection department mails financial assistance information which includes an application and the contact person at GMC who can assist them.6. GMC employees are aware of the financial assistance programs and are able to provide direction to patients or their families in their departments concerning charity care. Quarterly at the CEO forums, the employees are provided with the amount of charity care provided by the facility while expressing the importance of providing the free care for people that are in need. | ||
| Part VI, Line 4: GMC's primary service area is Dawson County on the eastern edge of Montana. GMC's secondary service areas are surrounding counties, McCone, Richland, Fallon, Prairie and Wibaux.Projections by the National Planning Association Data Services, Inc. show that Dawson County will experience a decrease in population from the 2000 Census until after 2020 when a slow and steady growth pattern is projected. The population aged 65 and over in Dawson County decreased by 4.4% from the 2000 census to 2006 but is projected to increase approximately 10% by 2010 and an additional 20% by 2020. The population of Dawson County was estimated to be 8,520 in 2010. Approximately 12,000 persons are in the total area GMC serves. The projected increase in population and area health care services is related to the increase in the senior population and energy-related services in the area.Glendive is a medical, retail and agricultural trade center for the county and the surrounding communities within a 30-60 mile radius. Glendive's economic base is closely tied to agriculture and the transportation industry, particularly rail services. GMC is the largest employer in Glendive. Other significant employers in the GMC's service area are state, county and city governments, Burlington Northern Santa Fe Railway, Glendive Public Schools, Dawson County Community College and Williston Basin Interstate Pipeline.Dawson County is designated as a Health Professional Shortage Area (HPSA) with shortages of primary medical care and mental health providers.Beginning July, 2010 GMC has a psychiatrist on staff, the only one east of Billings, MT, 200 miles to the west. The Behavior Care Unit opened in July, 2010 as part of the Critical Access Hospital to provide a needed service throughout Eastern Montana and Western North Dakota.The service area residents see GMC and their providers as a place to come to receive treatment, without regard to whether they have insurance or are uninsured, knowing they will be treated and cared for in a respectful and caring manner.GMC also provides outreach in various ways to the very small critical access frontier facilities as small as one bed facilities in neighboring counties and to four counties in the service area for home care services in sparsely populated areas.There are no other providers in the GMC's primary service area. Sidney Health Center, a critical access hospital located 50 miles north of Glendive, and Holy Rosary Medical Center, a critical access hospital located 70 miles south of Glendive, are the closest facilities. | ||
| Part VI, Line 6: GMC Board of DirectorsThe governing body of the GMC is its Board of Directors (the "Board"), which consists of eleven members. The Board includes the Chief of the Medical Staff and one member of GMC's active medical staff. Other members are selected to promote a representative composition of the Board by gender, rural/urban, professional/non-professional and geography. Board members are selected from the GMC's service area by the Board's nominating committee and approved by the existing Board members. The members of the Board serve in a voluntary capacity and receive no compensation for their services.Members of the Board have various relationships with services or products, who may, from time to time, have dealings with the GMC, but these relationships are not considered to be material. The Chief of Staff and member of the medical staff are employed by the GMC as physicians and medical advisors. The Board has an established conflict of interest policy to detect and manage such relationships.GMC Medical StaffThe active medical staff of GMC is comprised of eleven (11) physicians and thirteen (13) allied health professionals. These providers are all employed by GMC and provide services at all of GMC facilities, including the attached for profit clinic, Gabert Medical Services, and two of the frontier critical access hospitals in McCone and Prairie County. Ten (10) of the eleven (11) physicians who are members of the active medical staff are board certified.A Specialty Clinic at GMC is utilized by physicians from Billings, MT. and Bismarck, ND to provide services that are not available by the GMC Medical Staff. The patients are able to stay at home in Glendive and have the services provided by the out of town physician locally without traveling great distances.GMC extends medical staff privileges to all qualified physicians in the area. GMC also extends those privileges to the qualified specialty physicians who provide services through the Specialty Clinic.GMC Surplus FundsAll funds in excess of expenses are utilized in the following ways:1. Utilized for the facilities' debt service payments on the 2008 $30,000,000 bond issue obtained to provide a much needed expansion and renovation of the Surgery Suite, an additional nursing home wing and expansion and renovation of the emergency department.2. A substantial amount of funds are needed each year and utilized for the ongoing capital needs of the facility to insure the appropriate equipment is available to meet the needs of our community. All departments have a three to five year plan in place to forecast these needs.3. Continued assistance to providers and professional staff for education to maintain GMC's standards to provide the care needed to our community.4. To increase reserve funds to insure the ability to continue meeting the above obligations in future years when surplus funds are not available. | ||
| MT | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 (9 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 Kevin Maxwell MD | |||||||||||||
| 548200 | 0 | 0 | 0 | 0 | 0 | 71667 | 0 | 17974 | 0 | 637841 | 0 | 0 | 0 |
| Arthur K Fink DO | |||||||||||||
| 246535 | 0 | 6250 | 0 | 0 | 0 | 40742 | 0 | 15234 | 0 | 308761 | 0 | 0 | 0 |
| Scott Duke | |||||||||||||
| 181209 | 0 | 42479 | 0 | 48806 | 0 | 107153 | 0 | 18677 | 0 | 398324 | 0 | 0 | 0 |
| Judy Courtney | |||||||||||||
| 164798 | 0 | 22998 | 0 | 1268 | 0 | 11821 | 0 | 6947 | 0 | 207832 | 0 | 0 | 0 |
| Dale Adishian MD | |||||||||||||
| 596739 | 0 | 0 | 0 | 0 | 0 | 68538 | 0 | 20532 | 0 | 685809 | 0 | 0 | 0 |
| Joseph Leal MD | |||||||||||||
| 249999 | 0 | 0 | 0 | 0 | 0 | 2450 | 0 | 7213 | 0 | 259662 | 0 | 0 | 0 |
| Sonja Samsoondar Labrie MD | |||||||||||||
| 259286 | 0 | 41834 | 0 | 0 | 0 | 13388 | 0 | 13774 | 0 | 328282 | 0 | 0 | 0 |
| Robert Ruth MD | |||||||||||||
| 268619 | 0 | 32943 | 0 | 0 | 0 | 3870 | 0 | 17273 | 0 | 322705 | 0 | 0 | 0 |
| Sally Reichert CRNA | |||||||||||||
| 164166 | 0 | 0 | 0 | 0 | 0 | 5204 | 0 | 14854 | 0 | 184224 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montana Facility Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 364615155 | IssuerEIN |
| CUSIP Number | 612043GD5 | CUSIPNumber |
| Date Issued | 2008-07-01 | DateIssued |
| Issue Price | 29716927 | IssuePrice |
| Description Of Purpose | Various Capital Projects | 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) |
|---|---|---|
| Amount Retired | 825000 | AmountRetired |
| Total Proceeds | 30693884 | TotalProceeds |
| Amount In Reserve Fund | 2098390 | AmountInReserveFund |
| Capitalized Interest | 1887501 | CapitalizedInterest |
| Issuance Costs From Proceeds | 594338 | IssuanceCostsFromProceeds |
| Capital Expenditures | 22965838 | CapitalExpenditures |
| Other Spent Proceeds | 2891299 | OtherSpentProceeds |
| Amount Unspent | 256518 | AmountUnspent |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | 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 |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | 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 L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Robert Ruth MD | ||||||
| Home Purchase | X | $177,794 | 170653 | 0 | 1 | 1 |
| Robert Ruth MD | ||||||
| Education Loans | X | $43,372 | 35434 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 206087 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | Behavioral Health Inpatient Services were opened in July 2010, providing the only Psychiatrist between Billings, MT and Bismarck ND. The Hospitalist Program for Acute Care services began August, 2010. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee is comprised of the Board President, Vice-President, Secretary, Treasurer and the immediate Past Chair. The Executive Committee will, in the interim between meetings of the Board of Trustees, exercise the powers of that body necessary for efficient operation of the Hospital in accordance with the general policy of the Hospital and the Board of Trustees. The committee shall be empowered to act in only those areas of responsibility as the Board of Trustees authorizes. It shall not have the power to amend the bylaws nor adopt or amend the Hospital's annual budget or long range plan and with the understanding that all matters of major importance will be referred to the governing board. | |
| Form 990, Part VI, Section B, line 11 | A copy of the 990 was reviewed by the CFO and distributed to the Board for review. | |
| Form 990, Part VI, Section B, line 12c | Any director, officer, key employee or committee member having an interest in a contract or other transaction presented to the Board of Directors or a committee thereof for authorization, approval or ratification shall make a prompt, full and frank disclosure of his interest to the board or committee prior to its acting on such contract or transaction. The body to which such disclosure is made shall thereupon determine, by majority vote, whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict is deemed to exist, such person shall not vote on, nor use his personal influence on, nor participate in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted up. The minutes of the meeting shall reflect the disclosure made, the vote thereon and where applicable, the abstention from voting and participation, and whether a quorum was present. A statement from directors and officers and key members of the medical staff is completed and signed annually. Conflict of Interest is normally handled at the executive or board level. In the majority of the cases, no vote is necessary since the Board member or GMC staff voluntarily excuses themselves. But, the Board Chair and the CEO monitors proposed or ongoing transactions of the organization for conflicts of interest and discloses them to the Board and staff, as appropriate. | |
| Form 990, Part VI, Section B, line 15a | Compensation for all positions is reviewed annually utilizing the MHA survey and other information such as the 990 and MGMA information during the budget process. This includes all officers and key personnel. The CEO compensation is reviewed biannually prior to the contract renewal. This is normally done by the Executive Committee utilizing various market surveys. The last review was in May - July, 2011. For the 2011 review, a Board appointed board members to a compensation committee. The committee contracted with an outside consultant. They also utilized area market surveys and 990 information to complete their review of the CEO and the other four members of the leadership team. This information was used for setting the compensation in the 2011-2013 CEO contract and the wage adjustments for the other leadership members for budget year 2011-2012. | |
| Form 990, Part VI, Section C, line 19 | Governing documents, conflict of interest policy and financial statements are kept at the Hospital and are available upon request. The annual Community Benefit report includes annual audited consolidated income statements and is mailed to all service area households. It is also posted on the GMC website. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendive Medical Center Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 Prospect Drive | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810440518 | EIN |
| Primary Activities | Raising Funds for Glendive Medical Center and Community Medical Needs | PrimaryActivities |
| Legal Domicile State | MT | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 7 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendive Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gabert Medical Clinic Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 Dilworth | AddressLine1 |
| City | Glendive | City |
| State | MT | State |
| ZIP Code | 59330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810477745 | EIN |
| Primary Activity | Provides Comprehensive Medical Care and Related Services | PrimaryActivity |
| Legal Domicile State | MT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendive Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 4601890 | ShareOfTotalIncome |
| Share Of EOY Assets | 2170865 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 | Glendive Medical Center Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 53486 | AmountInvolved |
| Method Of Amt Determination | Actual | MethodOfAmtDetermination |
Comments