FRANCES MAHON DEACONESS HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FRANCES MAHON DEACONESS HOSPITAL (EIN 81-0231786)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-11
- IRS object ID
- 202621319349302782
- Schema version
- 2024v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
- Averaging Attachment
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-11T12:53:24-04:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 272643480 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HEALTH GROUP PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 FOURTH AVENUE NORTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810231786 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCES MAHON DEACONESS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRAN | BusinessNameControlTxt |
| Phone | 4062283500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 3RD STREET SOUTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAMI KALINSKI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4062283660 | PhoneNum |
| Signature | 2026-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DANIEL GREEN | PreparerPersonNm |
| PTIN | P01311679 | PTIN |
| Phone | 4062632615 | PhoneNum |
| Preparation | 2026-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAMI KALINSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 3RD STREET SOUTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,955,419 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMDH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | TO ADVANCE THE COORDINATED DELIVERY OF HEALTH SERVICES, GUIDED WITH RESPECT FOR THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEREBY IMPROVING THE HEALTH OF OUR REGIONAL COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 345 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $228,301 | TotalGrossUBIAmt |
| PY Contributions Grants | $157,125 | PYContributionsGrantsAmt |
| CY Contributions Grants | $103,073 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $43,794,354 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,239,462 | CYProgramServiceRevenueAmt |
| PY Investment Income | $709,291 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,399,929 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,064 | PYOtherRevenueAmt |
| CY Other Revenue | $212,955 | CYOtherRevenueAmt |
| PY Total Revenue | $44,710,834 | PYTotalRevenueAmt |
| CY Total Revenue | $51,955,419 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $330,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $330,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,986,917 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,521,130 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $47,590 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,694,281 | PYOtherExpensesAmt |
| CY Other Expenses | $23,037,603 | CYOtherExpensesAmt |
| PY Total Expenses | $40,011,198 | PYTotalExpensesAmt |
| CY Total Expenses | $43,888,733 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,699,636 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,066,686 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $86,877,161 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,161,982 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,161,877 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,639,961 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $80,715,284 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $88,522,021 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ADVANCE THE COORDINATED DELIVERY OF HEALTH SERVICES, GUIDED WITH RESPECT FOR THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEREBY IMPROVING THE HEALTH OF OUR REGIONAL COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $34,505,140 | ExpenseAmt |
| Grant | $330,000 | GrantAmt |
| Revenue | $49,239,462 | RevenueAmt |
| Desc | PROVIDE QUALITY MEDICAL CARE TO PATIENTS. | Desc |
| Total Program Service Expenses | $34,505,140 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 345 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAMI KALINSKI | PersonNm |
| Phone | 4062283660 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 3RD ST S | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| MAYA SANCHEZ-ROTUNNO | ||||||||
| MD | 27.00 | Yes (X) | $511,665 | $0 | $29,865 | |||
| AMY HOPSTAD | ||||||||
| MD | 27.00 | Yes (X) | $490,477 | $0 | $34,069 | |||
| KEVIN ROSS | ||||||||
| MD | 31.00 | Yes (X) | $463,190 | $0 | $33,511 | 9.00 | ||
| DAVID KNIERIM | ||||||||
| MD | 31.00 | Yes (X) | $446,332 | $0 | $24,617 | 9.00 | ||
| TYSON COCHRAN | ||||||||
| MD | 29.00 | Yes (X) | $388,932 | $0 | $27,374 | 11.00 | ||
| NICKOLAS DIRKES | ||||||||
| CEO | $276,261 | $0 | $21,966 | 40.00 | Yes (X) | Yes (X) | ||
| DAVID NIXDORF | ||||||||
| COO | $190,764 | $0 | $26,989 | 40.00 | Yes (X) | |||
| CAMI KALINSKI | ||||||||
| CFO | $181,057 | $0 | $9,262 | 40.00 | Yes (X) | |||
| BRIANNE CAPDEVILLE | ||||||||
| SECRETARY/TR | $755 | $0 | $0 | 1.00 | Yes (X) | |||
| STAN OZARK | ||||||||
| TRUSTEE | $731 | $0 | $0 | 1.00 | Yes (X) | |||
| GORDON BELL | ||||||||
| VICE PRESIDE | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| DON FAST | ||||||||
| TRUSTEE | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| CAMI GRAHAM | ||||||||
| TRUSTEE | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| DIRK MARKLE | ||||||||
| TRUSTEE | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| PATRICK MENGE | ||||||||
| PRESIDENT | $0 | $0 | $0 | 2.00 | Yes (X) | |||
| MARISA SATHER | ||||||||
| TRUSTEE | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,950,164 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $207,653 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SYNERGY SURGICALISTS PC | |||||
| 280 W KAGY BLVD STE D 320 | BOZEMAN | MT | 59715 | CONTRACT STAFF | $3,626,559 |
| CERECORE | |||||
| MSC 30225 PO BOX 41500 | NASHVILLE | TN | 372415000 | WEBSITE HOSTING | $616,381 |
| ALL STAR RECRUITING LOCUMS LLC | |||||
| PO BOX 936725 | ATLANTA | GA | 311936725 | CONTRACT STAFF | $557,966 |
| MEDICAL INFORMATION TECHNOLOGY INC | |||||
| PO BOX 74569 | CHICAGO | IL | 60696 | DATA PROCESSING | $307,169 |
| VIRTUAL RADIOLOGIC CORPORATION | |||||
| 11995 SINGLETREE LANE STE 500 | EDEN PRAIRIE | MN | 55344 | RADIOLOGY SVCS | $281,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $18,542 | RelatedOrganizationsAmt |
| Government Grants | $82,159 | GovernmentGrantsAmt |
| All Other Contributions | $2,372 | AllOtherContributionsAmt |
| Total Contributions | $103,073 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | $48,923,359 | $48,923,359 | |
| GLASGOW CLINIC RENT | 531120 | $228,301 | $228,301 | |
| OTHER RENTAL INCOME | 531120 | $87,802 | $87,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,239,462 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,399,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,399,929 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PARTNERSHIP INCOME | 900099 | $178,179 | $178,179 |
| COUNTY CONTRIBUTION | 900099 | $34,776 | $34,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $212,955 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,955,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,624,045 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $228,301 | UnrelatedBusinessRevenueAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,000 | TotalAmt |
| Program Services | $330,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,159 | TotalAmt |
| Management And General | $682,159 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,116,088 | TotalAmt |
| Program Services | $12,837,712 | ProgramServicesAmt |
| Management And General | $3,246,808 | ManagementAndGeneralAmt |
| Fundraising | $31,568 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,448 | TotalAmt |
| Program Services | $472,315 | ProgramServicesAmt |
| Management And General | $164,485 | ManagementAndGeneralAmt |
| Fundraising | $1,648 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,779,194 | TotalAmt |
| Program Services | $1,363,625 | ProgramServicesAmt |
| Management And General | $410,937 | ManagementAndGeneralAmt |
| Fundraising | $4,632 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,305,241 | TotalAmt |
| Program Services | $1,016,751 | ProgramServicesAmt |
| Management And General | $285,952 | ManagementAndGeneralAmt |
| Fundraising | $2,538 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,570 | TotalAmt |
| Management And General | $247,570 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,581 | TotalAmt |
| Management And General | $73,581 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,681,154 | TotalAmt |
| Program Services | $2,322,790 | ProgramServicesAmt |
| Management And General | $1,358,253 | ManagementAndGeneralAmt |
| Fundraising | $111 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,068 | TotalAmt |
| Management And General | $304,068 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,384,761 | TotalAmt |
| Program Services | $564,791 | ProgramServicesAmt |
| Management And General | $819,638 | ManagementAndGeneralAmt |
| Fundraising | $332 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,144 | TotalAmt |
| Program Services | $305,664 | ProgramServicesAmt |
| Management And General | $119,004 | ManagementAndGeneralAmt |
| Fundraising | $476 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,035 | TotalAmt |
| Program Services | $149,191 | ProgramServicesAmt |
| Management And General | $42,349 | ManagementAndGeneralAmt |
| Fundraising | $1,495 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,491 | TotalAmt |
| Program Services | $89,371 | ProgramServicesAmt |
| Management And General | $27,810 | ManagementAndGeneralAmt |
| Fundraising | $310 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819 | TotalAmt |
| Management And General | $819 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,219,843 | TotalAmt |
| Program Services | $1,847,128 | ProgramServicesAmt |
| Management And General | $369,835 | ManagementAndGeneralAmt |
| Fundraising | $2,880 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,060 | TotalAmt |
| Program Services | $372,181 | ProgramServicesAmt |
| Management And General | $88,343 | ManagementAndGeneralAmt |
| Fundraising | $536 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $10,176,018 | $10,176,018 | ||
| REPAIRS & MAINTENANCE | $2,813,688 | $2,312,623 | $500,572 | $493 |
| PROPERTY TAXES | $505,902 | $505,902 | ||
| FOOD & DIETARY SUPPLIES | $325,752 | $253,336 | $71,861 | $555 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,717 | TotalAmt |
| Program Services | $91,644 | ProgramServicesAmt |
| Management And General | $16,057 | ManagementAndGeneralAmt |
| Fundraising | $16 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,888,733 | TotalAmt |
| Program Services | $34,505,140 | ProgramServicesAmt |
| Management And General | $9,336,003 | ManagementAndGeneralAmt |
| Fundraising | $47,590 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,502,060 | BOYAmt |
| EOY | $10,957,782 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,483,464 | BOYAmt |
| EOY | $8,609,549 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,630,755 | BOYAmt |
| EOY | $2,440,957 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,594,730 | BOYAmt |
| EOY | $1,560,598 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,463,088 | BOYAmt |
| EOY | $1,616,715 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,680,016 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,426,350 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,695,160 | BOYAmt |
| EOY | $14,253,666 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,375,108 | BOYAmt |
| EOY | $51,091,763 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132,796 | BOYAmt |
| EOY | $6,630,952 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,877,161 | BOYAmt |
| EOY | $97,161,982 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,149,237 | BOYAmt |
| EOY | $4,424,047 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,012,640 | BOYAmt |
| EOY | $4,215,914 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,161,877 | BOYAmt |
| EOY | $8,639,961 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,715,284 | BOYAmt |
| EOY | $88,522,021 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,715,284 | BOYAmt |
| EOY | $88,522,021 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,877,161 | BOYAmt |
| EOY | $97,161,982 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,066,686 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,998,607 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,258,556 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,552 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,552 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $43,834,591 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $43,841,143 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $4,213 | CurrentYearMinus3Amt |
| Current Year Minus2 | $4,063 | CurrentYearMinus2Amt |
| Current Year Minus1 | $5,147 | CurrentYearMinus1Amt |
| Current Year | $6,552 | CurrentYearAmt |
| Total | $19,975 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A | FormAndLineReferenceDesc |
| Explanation | FOR TAX YEAR 2024 THERE WERE NOT ANY GRASSROOTS LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $166,264 | OtherCostOrOtherBasisAmt |
| Book Value | $166,264 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,607,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,165,658 | DepreciationAmt |
| Book Value | $10,441,410 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,906,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,260,692 | DepreciationAmt |
| Book Value | $3,645,992 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,253,666 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS | $19,982,698 | F |
| CORPORATE DEBT SECURITIES | $16,796,400 | F |
| EQUITIES | $13,322,665 | F |
| BANK CERTIFICATES OF DEPOSIT | $500,000 | C |
| BROKERED CERTIFICATES OF DEPOSIT | $490,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $51,091,763 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENTS IN JOINT VENTURES | $3,116,866 |
| INTERCOMPANY AND OTHER RECEIVABLES | $1,797,837 |
| INTEREST IN FMDH FOUNDATION | $957,134 |
| MEDICARE/MEDICAID RECEIVABLES | $759,115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,630,952 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE & MEDICAID PAYABLES | $4,102,000 |
| LEASE PAYBLE | $113,914 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,215,914 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $53,954,026 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,998,607 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,998,607 | RevenueNotReportedAmt |
| Revenue Subtotal | $51,955,419 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $51,955,419 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $43,888,733 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $43,888,733 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $43,888,733 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE COMPANY FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $747,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $747,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $747,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $747,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $182,775 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $180,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,301,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,394,852 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,906,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $334,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $334,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,818,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,397,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,421,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,565,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,397,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,168,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07220 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $17,655,959 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,737,788 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$81,829 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCES MAHON DEACONESS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 3RD ST S | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FMDH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCES MAHON DEACONESS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FMDH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FMDH.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FMDH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.FMDH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.FMDH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 3E | "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY BASED ON THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 5 | TO SOLICIT INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS AND SENT TO A LIST OF RECOMMENDED PARTICIPANTS INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PRACTITIONERS AND A VARIETY OF OTHER COMMUNITY LEADERS. ALSO, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. THE PARTICIPANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 45 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THE INPUT WAS GATHERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. ON BEHALF OF FRANCES MAHON DEACONESS HOSPITAL IN THE SPRING OF 2025. |
| FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 6B | VALLEY COUNTY PUBLIC HEALTH DEPARTMENT |
| FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 11 | THE ONLINE KEY INFORMANT SURVEY PRESENTED THE PARTICIPANTS WITH VARIOUS HEALTH TOPICS AND WERE ASKED TO RATE EACH AS A MAJOR PROBLEM, MODERATE PROBLEM, MINOR PROBLEM, OR NOT A PROBLEM AT ALL IN THEIR OWN COMMUNITY. THESE RESULTS WERE SUMMARIZED AND THROUGH A MEETING WITH INTERNAL TEAM MEMBERS AND COMMUNITY STAKEHOLDERS, PRIORITIZATION WAS ACCOMPLISHED USING A PRIORITIZATION EXERCISE THAT GAUGED THE SCOPE & SEVERITY OF THE ISSUES AS WELL AS THE ABILITY OF FRANCES MAHON DEACONESS HOSPITAL TO HAVE SIGNIFICANT IMPACT ON EACH ISSUE. THROUGH DISCUSSION, A CONSENSUS WAS REACHED TO ESTABLISH THE FOLLOWING AS PRIORITIES FOR FRANCES MAHON DEACONESS HOSPITAL TO ADDRESS IN ITS IMPLEMENTATION STRATEGY IN THE COMING YEARS: MENTAL HEALTH, HEART DISEASE & STROKE, AND DIABETES. THE FIRST HEALTHCARE ISSUE IS TO EXPAND ACCESS TO MENTAL HEALTH CARE AND STRENGTHEN PREVENTION, EARLY INTERVENTION, AND ONGOING SUPPORT. THE GOALS ARE TO REDUCE STIGMA AND INCREASE COMMUNITY AWARENESS OF AVAILABLE MENTAL HEALTH RESOURCES AND BUILD AND RETAIN A QUALIFIED MENTAL HEALTH WORKFORCE THROUGH SIX STRATEGIES WHICH ARE SERVICE AWARENESS AND ACCESS, INCREASE AWARENESS OF SELF REFERRAL OPTIONS, COMMUNITY STIGMA REDUCTION CAMPAIGN, MENTAL HEALTH AWARENESS WALK, SLASH THE STIGMA ICE HOCKEY TOURNAMENT, AND STEPPING ON FALLS PREVENTION CLASS. THE SECOND HEALTHCARE ISSUE IS TO REDUCE CARDIOVASCULAR EVENTS THROUGH BLOOD PRESSURE CONTROL, RAPID EMERGENCY RECOGNITION, AND STRONG REHABILITATION SUPPORT. THE GOALS ARE TO INCREASE DETECTION AND CONTROL HYPERTENSION AND OTHER RISK FACTORS, IMPROVE QUALITY OF ACUTE CARDIAC AND STROKE CARE, AND ENHANCE ADHERENCE TO CARDIAC REHAB AND LIFESTYLE CHANGE PROGRAMS THROUGH FOUR STRATEGIES WHICH ARE COMMUNITY BLOOD PRESSURE CLINICS, WEEKLY CORE COMPONENT CLASSES, SUPPORT PERSON MODEL IN CARDIAC REHAB, AND CCM REFERRAL REVIEW FOR REHAB ENROLLMENT. THE THIRD HEALTHCARE ISSUE IS TO PREVENT TYPE 2 DIABETES AND IMPROVE MANAGEMENT AMONG DIAGNOSED PATIENTS THROUGH LIFESTYLE CHANGE, EDUCATION, AND COORDINATED CARE. THE GOALS ARE TO INCREASE EARLY IDENTIFICATION OF PRE-DIABETES AND DIABETES AND IMPROVE SELF MANAGEMENT AND A1C CONTROL THROUGH THREE STRATEGIES WHICH ARE LIFESTYLE & NUTRITION EDUCATION, WEEKLY CORE COMPONENT CLASSES, AND SCHOOL & YOUTH PREVENTION INITIATIVE. THE FOLLOWING ELEVEN SIGNIFICANT HEALTH NEEDS THAT EMERGED FROM THE CHNA PROCESS WILL NOT BE ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY, BUT FMDH IS ALREADY PROVIDING CERTAIN SERVICES AND RESOURCES RELATED TO THESE NEEDS WHICH ARE LISTED AFTER EACH HEALTH NEED BELOW. 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT (RANKED 6TH) - THE ADVISORY COMMITTEE BELIEVES INITIATIVES OUTLINED FOR HEART DISEASE & STROKE AND DIABETES WILL ALSO DRIVE IMPROVEMENTS IN DIET, ACTIVITY, AND WEIGHT. CREATING A SEPARATE PROGRAM WOULD DUPLICATE EFFORT AND STRAIN LIMITED STAFF AND FISCAL RESOURCES. FMDH SPONSORED HEALTHY MENU TIPS IN THE GLASGOW COURIER, MONTHLY DANCES AND COMMUNITY GARDEN AT PRAIRIE RIDGE VILLAGE, AND THE SCHOOL FRESH FRUIT AND VEGGIE PROGRAM. ALSO, WE PROVIDED FREE BLOOD PRESSURE CLINICS SIX TIMES PER MONTH AND DONATED TO THE CITY OF GLASGOW'S RECREATION DEPARTMENT. 2. SUBSTANCE ABUSE (RANKED 2ND) - SUBSTANCE USE TREATMENT AND PREVENTION IN OUR REGION ARE LED BY THE VALLEY COUNTY HEALTH DEPARTMENT AND EASTERN MT COMMUNITY MENTAL HEALTH CENTER. GIVEN FMDH'S LACK OF INPATIENT DETOX OR MAT SERVICES AND THE AVAILABILITY OF EXISTING COMMUNITY RESOURCES, THE ADVISORY COMMITTEE RANKED THIS A LOWER PRIORITY FOR DIRECT HOSPITAL ACTION. FMDH OFFERED FREE NARCAN TRAININGS DURING THE FISCAL YEAR. 3. CANCER (RANKED 5TH) - REGIONAL ONCOLOGY SERVICES ALREADY PROVIDE SCREENING, INFUSION, AND NAVIGATION. ADVISORY COMMITTEE MEMBERS AGREED THAT, RELATIVE TO OTHER AREAS OF OPPORTUNITY, CANCER PRESENTED A LOWER GAP FMDH COULD UNIQUELY FILL WITH CURRENT RESOURCES. FMDH CONTINUES TO PROVIDE MAMMOGRAPHY SERVICES, A CHEMOTHERAPY DEPARTMENT (SUBSIDIZED SERVICES), AND WE STAFF GENERAL SURGEONS. WE ALSO BRING IN AN ONCOLOGIST IN THE OUTREACH CLINIC ON A MONTHLY BASIS. THESE SERVICES HELP WITH EARLY DETECTION AND TREATMENT. 4. ACCESS TO HEALTH CARE SERVICES (RANKED 12TH) - ACCESS BARRIERS (INSURANCE, TRANSPORTATION, WORKFORCE) ARE BEING TACKLED THROUGH ONGOING INITIATIVES. THE COMMITTEE FELT DESIGNATING AN ADDITIONAL, STAND-ALONE OBJECTIVE WOULD DILUTE EFFORT WITHOUT ADDING MEASURABLE BENEFIT. FMDH OFFERED CPR/AED/FIRST AID TRAINING AND PROVIDED EMT CLASSES TO THE COMMUNITY. WE HAD 24/7 COVERAGE FOR SPECIALTY CARE (OBGYN, ORTHO, AND GENERAL SURGERY) INCLUDING OUTREACH CLINICS IN BOTH MALTA AND WOLF POINT. WE SPONSORED THE CAMP MED PROGRAM, BLOOD DRIVES, SAIL AND STEPPING ON CLASSES, AND THE VALLEY COUNTY BACKPACK PROGRAM. ALTHOUGH THE COMMUNITY INTEGRATED HEALTH PROGRAM WITH THE STATE OF MONTANA ENDED DURING THE PRIOR FISCAL YEAR, OUR ORGANIZATION CONTINUED TO PROVIDE AN EMERGING FIELD IN HEALTHCARE TO NORTHEAST MONTANA. IN THIS FIELD EMTS OPERATE IN EXPANDED ROLES TO CONNECT UNDERUTILIZED RESOURCES WITH UNDERSERVED POPULATIONS OR GAPS IN CARE IN A COMMUNITY. EMPHASIS IS PLACED ON CHRONIC DISEASE MANAGEMENT INCLUDING DIABETES, HEART DISEASE, AND ASTHMA. 5. INFANT HEALTH & FAMILY PLANNING (RANKED 11TH) - VALLEY COUNTY, WIC, VCHD, AND TRIBAL PUBLIC HEALTH PROGRAMS ALREADY LEAD PRENATAL, POSTPARTUM, AND FAMILY PLANNING SERVICES. FMDH WILL CONTINUE TO REFER PATIENTS BUT LACKS THE CAPACITY TO LAUNCH NEW, HOSPITAL-LED PROGRAMMING IN THIS AREA DURING THE CURRENT CYCLE. FMDH OFFERED SIX CHILDBIRTH EDUCATION CLASSES AND MONTHLY OB/NEWBORN PRE-REGISTRATION OPPORTUNITIES. WE PROVIDED THE NURTURING NOOK AT THE NEMT FAIR TO ALLOW FOR A PRIVATE, CLEAN & COOL PLACE FOR MOTHERS TO NURSE OR PARENTS TO CHANGE DIAPERS. ALSO, WE PROVIDED CHILD SEAT SAFETY CHECKS AND DISTRIBUTED FREE CAR SEATS/BOOSTER SEATS TO ELIGIBLE FAMILIES VIA A 2024 AAA CHILD PASSENGER SAFETY GRANT. 6. TOBACCO USE (RANKED 3RD) - EXISTING TUPP, QUIT LINE, AND SCHOOL PROGRAMS ALREADY COVER CESSATION AND PREVENTION; WITH LIMITED ADDITIONAL CAPACITY, THE ADVISORY COMMITTEE PLACED THIS BELOW OUR SELECTED PRIORITIES. FMDH CONTINUES TO HAVE A RESPIRATORY REHAB PROGRAM THAT INCLUDES SMOKING CESSATION AND IS ALSO INCLUDED IN SUBSIDIZED HEALTH SERVICES. WE ALSO OFFERED FREE NARCAN TRAINING BUT NO ONE PARTICIPATED. 7. RESPIRATORY DISEASE (RANKED 14TH) - COPD/ASTHMA HOSPITALIZATION RATES IN THE SERVICE AREA ARE LOWER THAN STATE AVERAGES, AND MAJOR DRIVERS (TOBACCO, AIR QUALITY) OVERLAP WITH OTHER PRIORITES. LIMITED RESOURCES AND LOWER RELATIVE BURDEN LED THE COMMITTEE TO DEFER FOCUSED RESPIRATORY-DISEASE INIATIVES. FMDH CONTINUES TO OFFER A RESPIRATORY REHAB PROGRAM THAT INCLUDES SMOKING CESSATION WHICH IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. 8. SEXUAL HEALTH (RANKED 10TH) - SEXUAL HEALTH EDUCATION AND STI SERVICES ARE COORDINATED BY COUNTY PUBLIC HEALTH NURSES AND TRIBAL CLINICS. CULTURAL CONSIDERATIONS AND THE AVAILABILITY OF SPECIALIZED PROGRAMS INDICATE A LOW INCREMENTAL IMPACT FROM HOSPITAL LED EFFORTS IN THE CURRENT PLAN. TWO PRACTITIONERS FROM FMDH GAVE TALKS ON HYGIENE AND PUBERTY TO THE 5TH GRADERS AT IRLE SCHOOL, AND THEY DISTRIBUTED HYGIENE KITS. 9. INJURY & VIOLENCE (RANKED 13TH) - THE ADVISORY COMMITTEE DETERMINED THAT PRIMARY PREVENTION OF INJURY AND VIOLENCE IS BEST ADDRESSED BY LAW ENFORCEMENT AND COMMUNITY COALITIONS. FMDH'S ROLE REMAINS CLINICAL TREATMENT; LIMITED RESOURCES AND LOW ABILITY TO INFLUENCE UPSTREAM FACTORS PRECLUDE A DEDICATED HOSPITAL INITIATIVE. FMDH CONTINUES TO COORDINATE RESPONSE EFFORTS WITH THE LOCAL LAW ENFORCEMENT ENTITIES THROUGH AN ANNUAL DRILL. THE PEDIATRIC WELLNESS EXAMS INCLUDE QUESTIONS ABOUT FIREARMS IN THE HOME. WELLNESS EXAMS INCLUDE VIOLENCE RELATED QUESTIONS REGARDING IF THE PATIENT FEELS SAFE IN THEIR HOME AND WE WILL MAKE THE NECESSARY REFERRALS BASED ON THE RESPONSE. THE WELLNESS EXAMS ALSO INCLUDE SCREENINGS OF SEATBELT/RESTRAINT USE FROM NEWBORNS TO THE ELDERLY. WE ALSO HELD A SHRED SAFE SAFETY EVENT TO DISCUSS DIFFERENT TYPES OF SAFETY GEAR AND FACILITATE HELMET SAFETY CHECKS. 10. DISABLING CONDITIONS (RANKED 8TH) - LONG TERM MANAGEMENT OF DISABLING HINGES ON SOCIAL SERVICE NETWORKS, HOUSING, AND STATE POLICY. WITH LIMITED RESOURCES AND MINIMAL LEVERAGE OVER THESE DETERMINTS, THE COMMITTEE CONCLUDED FMDH HAS A LOW CAPACITY TO EFFECT CHANGE IN THIS AREA DURING THIS CYCLE. 11. ORAL HEALTH (RANKED 7TH) - FMDH DOES NOT PROVIDE DENTAL SERVICES, AND PRIVATE DENTISTS/PUBLIC HEALTH DENTAL PROGRAMS SERVE THE COMMUNITY. ADVISORY COMMITTEE MEMBERS RATED ORAL HEALTH A LOWER PRIORITY RELATIVE TO MENTAL HEALTH, HEART DISEASE, AND DIABETES GIVEN LIMITED HOSPITAL CAPACITY TO INTERVENE DIRECTLY. DURING PEDIATRIC WELLNESS EXAMS AT FMDH, THERE ARE CONVERSATIONS ABOUT FLUORIDE SUPPLEMENTS AND DENTAL CARE, AND WE WILL REFER TO THE VALLEY COUNTY HEALTH DEPARTMENT FOR FLUORIDE VARNISH WHEN APPROPRIATE. |
| FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 24 | SOME SERVICES PROVIDED BY THE HOSPITAL ARE CONSIDERED ELECTIVE. ELECTIVE SERVICES ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE THUS A PERSON QUALIFYING FOR A DISCOUNT FOR MEDICALLY NECESSARY SERVICES MAY NEED TO PAY FULL PRICE FOR ELECTIVE SERVICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLASGOW CLINIC INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 THIRD STREET SOUTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | THERE IS NO COST OF BAD DEBT TO REMOVE FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C. |
| SCHEDULE H, PART I, LINE 7 | USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. |
| SCHEDULE H, PART III, LINE 2 | THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT EXPENSE, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE IS APPLIED TO GROSS BAD DEBT CHARGES, NOT INCLUDING IMPLICIT PRICE CONCESSIONS, TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS AND IMPLICIT PRICE CONCESSIONS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF IMPLICIT PRICE CONCESSIONS OR BAD DEBT, WHICH REDUCE IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. PATIENT OBLIGATIONS WHICH QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT RECORDED AS IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 4 | THERE WERE NO BAD DEBT EXPENSES RECORDED AND THEREFORE NO RELATED FOOTNOTE AFTER ADOPTING THE NEW REVENUE RECOGNITION GUIDANCE IN FASB ASU 2014- 09. MOST TRANSACTIONS WHICH PREVIOUSLY WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE ARE CLASSIFIED AS IMPLICIT PRICE CONCESSIONS WHICH ARE RECORDED AS REDUCTIONS IN REVENUE VERSUS BAD DEBT EXPENSE. NOTE 4 OF THE AUDITED FINANCIAL STATEMENTS DISCUSSES IMPLICIT PRICE CONCESSIONS ON PAGE 18. |
| SCHEDULE H, PART III, LINE 8 | THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE, LESS THE 2 PERCENT SEQUESTRATION ADJUSTMENT. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT. |
| SCHEDULE H, PART III, LINE 9B | THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, COMBINED WITH AN ASSET TEST AND A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS FINANCIAL ASSISTANCE. FOR PATIENTS THAT HAVE HAD A PORTION OF THEIR ACCOUNT WRITTEN OFF AS FINANCIAL ASSISTANCE AND THAT LATER DEFAULT ON THE PORTION THAT WAS DETERMINED TO BE THEIR RESPONSIBILITY, AND THEREFORE IS NOT CONSIDERED FINANACIAL ASSISTANCE, THE ORGAINIZATION DOES ATTEMPT TO COLLECT THIS BALANCE. |
| SCHEDULE H, PART VI, LINE 2 | PURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, FRANCES MAHON DEACONESS HOSPITAL COMPLETED A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION PLAN DURING FISCAL YEARS 2019, 2022, & 2025 (TAX YEARS 2018, 2021, & 2024). THESE ASSESSMENTS ARE LOCATED ON THE ENTITY'S WEBSITE. HOWEVER, FRANCES MAHON DEACONESS HOSPITAL (FMDH) HAS TRADITIONALLY INCLUDED COMMUNITY NEEDS ASSESSMENTS IN ITS PLANNING FOR MANY YEARS AND UTILIZES MANY METHODS OF ASSESSING THE PATIENT SERVICES NEEDS FOR OUR SERVICE AREA. THESE INCLUDE BUT ARE NOT LIMITED TO: ANALYSIS OF OUTMIGRATION STATISTICS OBTAINED THROUGH ACCESS TO THE COMPDATA DATABASE PROVIDED THROUGH THE MONTANA HOSPITAL ASSOCIATION AND MODELING OF PATIENT TO POPULATION RATIOS TO IDENTIFY AND PLAN FOR THE APPROPRIATE PHYSICIAN/PRACTITIONER MIX TO SERVE THE COMMUNITY. IN ADDITION, FMDH PARTICIPATED IN AN AREA HEALTH EDUCATION CENTER LEAD COMMUNITY HEALTH SERVICES DEVELOPMENT ASSESSMENT. IDEAS GENERATED OUT OF EACH OF THESE EFFORTS ARE THEN EVALUATED AS TO THE CAPABILITIES OF OUR ORGANIZATION TO DEVELOP IDENTIFIED SERVICES. MINIMUM CRITERIA FOR DEVELOPMENT OF NEW OR MODIFICATION OF EXISTING SERVICES ARE: THE NEW OR MODIFIED SERVICE CAN REASONABLY FINANCIALLY SUPPORT ITS OPERATION; WE HAVE OR CAN ACQUIRE THE NECESSARY PERSONNEL WITH THE CREDENTIALS TO DELIVER THE SERVICE AND RETAIN ENOUGH PERSONNEL WITH THE REQUIRED SKILL SETS TO AVOID INTERRUPTION OF SERVICE DELIVERY IF SAID PERSONNEL TURN OVER; THE SERVICES CAN BE DELIVERED IN A MANNER THAT ACHIEVES APPROPRIATELY HIGH LEVELS OF PATIENT SATISFACTION. |
| SCHEDULE H, PART VI, LINE 3 | FRANCES MAHON DEACONESS HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO HAS THE SOLE RESPONSIBILITY TO WORK WITH PATIENTS TO NAVIGATE OUR FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS ARE SENT INFORMATION AT THE INITIAL BILLING FOR DELIVERED PATIENT SERVICES THAT DESCRIBES OUR FINANCIAL ASSISTANCE PROGRAM. OUR WEBSITE HAS INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM ALONG WITH ACCESS TO THE APPLICATION. FRANCES MAHON DEACONESS HOSPITAL ALSO EMPLOYS A STAFF MEMBER THAT IS A CERTIFIED APPLICATION COUNSELOR THAT HELPS COMMUNITY MEMBERS WITH APPLYING FOR INSURANCE AND MEDICAID ON THE MARKETPLACE. |
| SCHEDULE H, PART VI, LINE 4 | FRANCES MAHON DEACONESS HOSPITAL IS LOCATED IN GLASGOW MONTANA WHICH IS OVER FOUR HOURS HIGHWAY TRAVEL TIME AWAY FROM ANY TERTIARY MEDICAL CENTER. WHILE OUR PRIMARY SERVICE AREA CONSISTS OF GLASGOW MONTANA AND VALLEY COUNTY, OUR FACILITY AND SPECIALTY SERVICES ALSO DRAW FROM PORTIONS OF THE SURROUNDING COUNTIES OF DANIELS, ROOSEVELT, AND PHILLIPS. THE AREA IS PRIMARILY AGRICULTURAL BASED WITH LOW POPULATION DENSITIES WHICH HOUSES A TOTAL POPULATION OF 24,119 RESIDENTS OVER 13,847.41 SQUARE MILES. THE DIFFERENT AGE GROUPS OF THE SERVICE AREA ARE AS FOLLOWS: 27.4% ARE INFANTS, CHILDREN OR ADOLESCENTS AGES 0-17; ANOTHER 54.2% ARE AGES 18 TO 64, WHILE 18.5% ARE AGES 65 AND OLDER. THE POPULATION IS MOSTLY WHITE, BUT PORTIONS OF OUR EXTENDED SERVICE AREA HAVE HIGH POPULATIONS OF NATIVE AMERICAN ANCESTRY (30.9% IN THE TOTAL SERVICE AREA) TO WHICH WE PROVIDE SERVICES. THE STATISTICS PROVIDED ABOVE ARE BASED ON THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES (2018-2022). |
| SCHEDULE H, PART VI, LINE 5 | FRANCES MAHON DEACONESS HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. WE ARE GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY PERSONS REPRESENTING MOST OF THE INDIVIDUAL TOWNS OR GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. FOR NONELECTIVE SERVICES, WE TREAT PATIENTS WITHOUT REGARD TO ABILITY TO PAY, CONSISTENT WITH OUR ORIGINS AS A HILL BURTON FUNDED FACILITY. ALTHOUGH OUR HILL BURTON OBLIGATION WAS SATISFIED MANY YEARS AGO, WE STILL ADHERE TO THE PRINCIPLES INHERENT IN THAT OBLIGATION. SURPLUS FUNDS ARE RETAINED WITHIN THE ORGANIZATION TO ASSURE FULFILLMENT OF OUR CHARITABLE MISSION BOTH IN THE PRESENT AND IN THE FUTURE. |
| SCHEDULE H, PART VI, LINE 6 | FRANCES MAHON DEACONESS HOSPITAL PROVIDES HOSPITAL INPATIENT AND OUTPATIENT SERVICES. GLASGOW CLINIC INC PROVIDES PROFESSIONAL PRIMARY CARE PHYSICIAN, MIDLEVEL PRACTITIONER, SPECIALTY PHYSICIAN, AND RETAIL PHARMACY SERVICES. |
| SCHEDULE H, PART VI | PART I, LINE 6A: THE FORM 990 SCHEDULE H IS CONSIDERED AN ANNUAL COMMUNITY BENEFIT REPORT AND IT IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE. PART 1, LINE 7E: FMDH CONDUCTED A NEW CHNA, HELD CPR/AED/FIRST AID CLASSES FOR THE GENERAL PUBLIC, CONTRIBUTED TO THE VALLEY COUNTY SCHOOL SNACK PROGRAM, SPONSORED A HEALTHY MENU TIP WEEKLY IN THE GLASGOW COURIER, AND HELD FREE BLOOD PRESSURE SCREENINGS. WE OFFERED EMT CLASSES, SAIL AND STEPPING ON CLASSES, CAR SEAT SAFETY CHECKS, AND HYGIENE & PUBERTY TALKS. WE SPONSORED A DISPLAY AT THE CHILDREN'S MUSEUM, A SUICIDE PREVENTION HOCKEY TOURNAMENT, A MENTAL HEALTH AWARENESS WALK, BLOOD DRIVES, VALLEY COUNTY BACKPACK PROGRAM, AND CAMP MED PROGRAM. WE RAN ADS FOR SHRED SAFE, WIC ELIGIBILITY, NARCAN TRAINING, OB PRE-REGISTRATION, PRENATAL CLASSES, AND VALLEY COUNTY POOL CAMPAIGN. WE SPONSORED DANCES AND A COMMUNITY GARDEN AT PRAIRIE RIDGE, SKATEBOARDS, UPKEEP FOR THE WIX WEBSITE, COMMUNITY INTEGRATED HEALTH VISITS, AND STANDBY EVENTS. PART I, LINE 7I: FMDH CONTRIBUTED TO VALLEY VIEW HOME, CITY OF GLASGOW'S RECREATION DEPARTMENT, AND THE VALLEY COUNTY POOL CAMPAIGN. PART V: GLASGOW CLINIC INC IS A SEPARATE ORGANIZATION THAT IS A RURAL HEALTH CLINIC WHICH INCLUDES SPECIALTY PHYSICIAN PRACTICES AND A RETAIL PHARMACY. FMDH WHOLLY OWNS AND MANAGES THIS ENTITY AND SUBSIDIZES THE PHYSICIAN PRACTICES AS NEEDED TO ASSURE ACCESS TO AS FULL OF A SCOPE OF SERVICES AS IS APPROPRIATE GIVEN THE NEEDS OF THE COMMUNITY WE SERVE. GLASGOW CLINIC'S REVENUES AND EXPENSES ARE NOT INCLUDED ON FMDH'S FORM 990. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| VALLEY VIEW HOME | |||||||
| 1225 PERRY LANE | GLASGOW | MT | 59230 | 810295816 | 501C3 | $300,000 | SUPPORT OF OPERATION |
| CITY OF GLASGOW | |||||||
| 319 3RD STREET SOUTH | GLASGOW | MT | 59230 | 816001267 | GOV | $30,000 | SUPPORT OF OPERATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROVIDED FINANCIAL ASSISTANCE TO VALLEY VIEW HOME FOR THE PURPOSE OF SUPPORTING THEIR OPERATIONS SO THAT THEY CAN CONTINUE TO PROVIDE QUALITY EXTENDED CARE SERVICES TO THEIR RESIDENTS. PROVIDED FINANCIAL ASSISTANCE TO THE CITY OF GLASGOW'S RECREATION DEPARTMENT FOR THE PURPOSE OF SUPPORTING THEIR OPERATIONS SO THAT THEY CAN CONTINUE TO OFFER VARIOUS PHYSICAL ACTIVITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| MAYA SANCHEZ-ROTUNNO | ||||
| MD | $511,665 | $16,618 | $13,247 | $541,530 |
| AMY HOPSTAD | ||||
| MD | $490,477 | $17,250 | $16,819 | $524,546 |
| KEVIN ROSS | ||||
| MD | $463,190 | $16,692 | $16,819 | $496,701 |
| DAVID KNIERIM | ||||
| MD | $446,332 | $15,916 | $8,701 | $470,949 |
| TYSON COCHRAN | ||||
| MD | $388,932 | $13,355 | $14,019 | $416,306 |
| NICKOLAS DIRKES | ||||
| CEO | $276,261 | $13,264 | $8,702 | $298,227 |
| DAVID NIXDORF | ||||
| COO | $190,764 | $10,170 | $16,819 | $217,753 |
| CAMI KALINSKI | ||||
| CFO | $181,057 | $9,213 | $49 | $190,319 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | A PERCENTAGE OF THE COMPENSATION PAID TO KEVIN ROSS, M.D. (78%), DAVID KNIERIM, M.D. (78%), TYSON COCHRAN, M.D. (72%), MAYA SANCHEZ- ROTUNNO, M.D. (100%), AND AMY HOPSTAD, M.D. (100%) IS AN EXPENSE OF GLASGOW CLINIC INC, A RELATED COMPANY. THE COMPENSATION WAS PAID THROUGH FRANCES MAHON DEACONESS HOSPITAL AS A COMMON PAYMASTER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | BOARD MEMBERS AND EMTS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | MEMBERSHIP IN THE FRANCES MAHON DEACONESS HOSPITAL CORPORATION (FMDH) IS ACHIEVED BY VIRTUE OF DONATING AT LEAST 100 TO FMDH, TO THE FRANCES MAHON DEACONESS HOSPITAL FOUNDATION (ALTHOUGH THE FOUNDATION IS A SEPARATE CHARITABLE ENTITY AND NOT CONTROLLED BY THE FMDH CORPORATION, ITS STATED PURPOSE IS TO SUPPORT FMDH AND THE DELIVERY OF HEALTHCARE SERVICES IN VALLEY COUNTY, MONTANA, THROUGH CHARITABLE DONATIONS SUPPORTING SERVICES DEVELOPMENT AND EQUIPMENT PURCHASES), AND LUKE'S 100 (ANOTHER LOCAL CHARITABLE ORGANIZATION SEPARATE FROM FMDH BUT WHICH SUPPORTS FMDH THROUGH ANNUAL DONATIONS). THERE ARE NO DISTINCT CLASSES OF MEMBERS; ALL MEMBERS ARE PART OF A SINGLE MEMBERSHIP CLASS. FMDH CORPORATION MEMBERS EXERCISE NO GOVERNANCE CONTROL OVER FMDH WITH THE EXCEPTION OF THE ABILITY TO BRING CHARGES AGAINST A BOARD MEMBER FOR MALFEASANCE OR NONFEASANCE OF THE DUTIES AND RESPONSIBILITIES OF THE ENTITY WHICH, THROUGH A DUE PROCESS, CORPORATE MEMBERS CAN VOTE A BOARD MEMBER OUT WITH A VOTE OF 2/3 OF CORPORATE MEMBERS PRESENT AND CORPORATE MEMBERS TOTAL AT LEAST 50 MEMBERS OR 5% OF THE TOTAL CORPORATE MEMBERS, WHICHEVER IS FEWER. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THERE ARE NO DISTINCT CLASSES OF MEMBERS; ALL MEMBERS ARE PART OF A SINGLE MEMBERSHIP CLASS. THE MEMBERS ELECT ALL MEMBERS OF THE FMDH BOARD OF TRUSTEES. ELECTION OF THE GOVERNING BOARD IS GRANTED TO THE FMDH BOARD OF TRUSTEES. HOWEVER, THE FMDH CORPORATION MEMBERS MAY VOTE OUT A TRUSTEE UPON DUE PROCESS. THEY EXERCISE NO OTHER GOVERNANCE OR CONTROL OVER FMDH. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE CEO AND CFO AND IS MADE AVAILABLE FOR THE BOARD'S REVIEW PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICTS OF INTEREST ARE REQUIRED TO BE REPORTED AT THE FIRST MEETING OF EACH CALENDAR YEAR. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE REQUIRED TO LEAVE THE BOARD MEETING WHILE THE BUSINESS IS BEING DISCUSSED OR ACTED UPON. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF TRUSTEES APPROVES THE CEO'S COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF TRUSTEES APPROVES THE COMPENSATION FOR ALL PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND OTHER PRACTITIONERS EMPLOYED AND CONTRACTED BY FMDH. THE CEO APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL WRITTEN POLICIES ARE KEPT IN THE OFFICE OF THE CFO AND ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CONTRIBUTED CAPITAL TO GLASGOW CLINIC INC -2,258,556 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FMDH FOUNDATION | ||||||||||
| 621 3RD STREET SOUTH | GLASGOW | MT | 59230 | 810406872 | SUPPORT | MT | 501C3 | 7 | NA | false |
| PRAIRIE RIDGE VILLAGE LLP | ||||||||||
| 521 4TH AVE S | GLASGOW | MT | 59230 | 810515202 | ASSTLIVING | MT | 501C3 | 10 | NA | false |
| NE MT STAT AIR AMBULANCE COOPERATIV | ||||||||||
| 81 AIRPORT ROAD | GLASGOW | MT | 59230 | 204748673 | AIR AMBULA | MT | 501C3 | 12B | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLASGOW CLINIC INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 THIRD STREET SOUTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810341714 | EIN |
| Primary Activities | CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FMDH FOUNDATION | ||
| O | $39,108 | STAFF & OTHER ITEMS |
| GLASGOW CLINIC INC | ||
| A | $228,301 | RENTAL INCOME |
| PRAIRIE RIDGE VILLAGE LLP | ||
| D | $2,438,894 | LOAN BALANCE |
| PRAIRIE RIDGE VILLAGE LLP | ||
| A | $131,617 | INTEREST RECEIVED ON LOAN |
| FMDH FOUNDATION | ||
| C | $18,542 | SUPPORT |
| GLASGOW CLINIC INC | ||
| B | $2,258,556 | CONTRIBUTED CAPITAL |
Averaging Attachment AveragingAttachment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | FOR TAX YEAR 2024 THERE WERE NOT ANY GRASSROOTS LOBBYING EXPENDITURES. | ExplanationTxt |