Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
EIN 20-0323896 • 501(c)3 • Kalispell, MT
Profile
To promote and improve the health of the medically underserved population in the service area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Liabilities / Revenue
46th percentile
Higher debt load relative to revenue than 46% of similar nonprofits.
Net Margin
49th percentile
Higher net margin than 49% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
84th percentile
Faster asset growth than 84% of similar nonprofits.
Revenue Growth
42nd percentile
Faster revenue growth than 42% of similar nonprofits.
Assets
Up$16,274,398
Up $3,211,759 (+25%) from 2023
Liabilities
Up$4,830,224
Up $2,166,807 (+81%) from 2023
Net Assets
Up$11,444,174
Up $1,044,952 (+10%) from 2023
Revenue
Up$24,910,981
Up $911,122 (+3.8%) from 2023
Expenses
Up$23,866,029
Up $1,419,818 (+6.3%) from 2023
Net Income
Down$1,044,952
Down $508,696 (-33%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To promote and improve the health of the medically underserved population in the service area.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,391,410 | $9,858,527 | ▲ $3,467,117 |
| Cash and Non-Interest-Bearing Accounts | $1,786,397 | $2,458,491 | ▲ $672,094 |
| Accounts Receivable | $1,715,391 | $1,347,062 | ▼ $368,329 |
| Inventories for Sale or Use | $945,024 | $823,212 | ▼ $121,812 |
| Intangible Assets | $783,058 | $685,175 | ▼ $97,883 |
| Pledges and Grants Receivable | $155,722 | $151,327 | ▼ $4,395 |
| Prepaid Expenses and Deferred Charges | $86,552 | $49,215 | ▼ $37,337 |
| Other Notes and Loans Receivable, Net | $35,419 | $36,720 | ▲ $1,301 |
| Total Assets | $13,062,639 | $16,274,398 | ▲ $3,211,759 |
| Other Assets Total | $1,163,666 | $864,669 | ▼ $298,997 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,083,786 | $2,128,127 | ▲ $1,044,341 |
| Unsecured Notes Loans Payable | $415,965 | $1,837,428 | ▲ $1,421,463 |
| Other Liabilities | $1,163,666 | $864,669 | ▼ $298,997 |
| Total Liabilities | $2,663,417 | $4,830,224 | ▲ $2,166,807 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $10,399,222 | $11,444,174 | ▲ $1,044,952 |
| Total Net Assets Fund Balance | $10,399,222 | $11,444,174 | ▲ $1,044,952 |
| Total Liabilities and Net Assets / Fund Balance | $13,062,639 | $16,274,398 | ▲ $3,211,759 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $9,023,644 | - | $9,023,644 |
| Equipment | $125,148 | $358,634 | $483,782 |
| Buildings | $427,643 | $32,601 | $460,244 |
| Land | $278,751 | - | $278,751 |
| Leasehold Improvements | $3,341 | $1,865 | $5,206 |
| Other Assets Org | $864,669 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Timothy Nuce | Medical Dire | FT | $256,023 | $16,092 | $272,115 |
| Timothy Nuce | Medical Director | - | $254,803 | $17,312 | $272,115 |
| Mary Sterhan | CEO | FT | $200,383 | $15,964 | $216,347 |
| Kimberly Currie | Dental Direc | FT | $194,635 | $12,930 | $207,565 |
| Kimberly Currie | Dental Director | - | $192,215 | $15,350 | $207,565 |
| Luke Green | Dentist | FT | $160,222 | $12,257 | $172,479 |
| Danielle Perry | Pharmacist | FT | $134,231 | $19,514 | $153,745 |
| Philip Bertelsen | Pharmacist | FT | $132,125 | $8,502 | $140,627 |
| Rose Doepker | Pharmacist | FT | $125,243 | $12,398 | $137,641 |
| Name | Title |
|---|---|
| Bob Lopp | President |
| JULEEN O'NEAL | Board Member |
| Lawrence Iwersen | Board Member |
| Maura Fields | Board Member |
| Perry Birky | Board Member |
| Bruce Meyer | Secretary |
| Bill Burg | Treasurer |
| Bruce Gibson | Vice Preside |
| Line Item | Amount |
|---|---|
| Other Expenses | $13,697,281 |
| Salaries, Compensation, and Employee Benefits | $10,168,748 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $6,177,069 | $1,459,890 | - | $7,636,959 |
| Other Employee Benefits | $782,498 | $336,688 | - | $1,119,186 |
| Payroll Taxes | $525,383 | $141,743 | - | $667,126 |
| Occupancy | $378,343 | $122,934 | - | $501,277 |
| Current Officers, Directors, Trustees, and Key Employees | $272,115 | $216,347 | - | $488,462 |
| Fees for Services Other | $269,280 | $140,397 | - | $409,677 |
| Information Technology | $137,898 | $271,348 | - | $409,246 |
| Office Expenses | $96,523 | $192,526 | - | $289,049 |
| Pension Plan Contributions | $209,203 | $47,812 | - | $257,015 |
| Depreciation Depletion | $148,155 | $33,012 | - | $181,167 |
| Insurance | $4,245 | $122,296 | - | $126,541 |
| Interest | $68,792 | - | - | $68,792 |
| All Other Expenses | $15,233 | $50,249 | - | $65,482 |
| Other Expenses | $19,156 | $25,107 | - | $44,263 |
| Conferences and Meetings | $33,925 | $3,958 | - | $37,883 |
| Fees for Services Accounting | - | $35,000 | - | $35,000 |
| Advertising | $5,120 | $25,557 | - | $30,677 |
| Travel | $1,458 | $9,201 | - | $10,659 |
| Fees for Services Legal | - | $9,085 | - | $9,085 |
| Total Functional Expenses | $20,537,220 | $3,328,809 | $0 | $23,866,029 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $23,866,029 |
| Total Expenses per Audited Statements | $23,866,029 |
| Total Expenses per Form 990 | $23,866,029 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease Liabilities | $864,669 |
“The center contracts with community link consulting (clc) for management services and utilizes an employee of clc as its chief financial officer.”
“A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the board of directors who then approve the 990. Once management is satisfied with the 990, the ceo signs the form 8879-te authorizing the preparer to e-file the return.”
“Members of the board of directors annually complete a conflict of interest form affirming the policy and declaring conflicts, if any. Should a conflict of interest occur, the individual(s) may excuse themself from discussions and/or determinations. The board of directors, through the senior management is accountable for implementation, enforcement, monitoring, oversight, and communication of the organizations conflict of interest policy.”
“Ceo compensation is determined by the executive committee of the board and ratified by the board. The compensation level is determined by performance within the context of the budget, benchmarking with other montana community health centers and utilizing the champs bi-annual compensation survey.”
“See 990, part vi, line 15a.”
“The center makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“The center is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. Accordingly, no provision for income tax is necessary. The center evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of december 31, 2024 and 2023, the center had no uncertain tax positions requiring accrual.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1083786 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2128127 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1715391 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1347062 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROMOTE AND IMPROVE THE HEALTH OF THE MEDICALLY UNDERSERVED POPULATION IN THE SERVICE AREA. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 25557 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 5120 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 30677 |
| IRS990/AllOtherContributionsAmt | 0 | 178605 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 50249 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 15233 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 65482 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MARY STERHAN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4066074900 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1035 1ST AVE WEST STE 210 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | KALISPELL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59901 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1786397 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2458491 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 216347 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 272115 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 488462 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3958 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 33925 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 37883 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2011390 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 13697281 |
| IRS990/CYOtherRevenueAmt | 0 | 66720 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 22832871 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1044952 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 10168748 |
| IRS990/CYTotalExpensesAmt | 0 | 23866029 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 24910981 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 33012 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 148155 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 181167 |
| IRS990/Desc | 0 | GREATER VALLEY HEALTH CENTER (THE CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS IN THE COMMUNITY. DURING THE YEAR, THE CENTER PROVIDED 22,526 MEDICAL ENCOUNTERS THROUGH CLINICS LOCATED IN KALISPELL AND HUNGRY HORSE, MT; 9,599 BEHAVIORAL ENCOUNTERS THROUGH CLINICS LOCATED IN KALISPELL AND SIX PUBLIC SCHOOLS IN THE FLATHEAD VALLEY; AND 7,096 DENTAL ENCOUNTERS THROUGH CLINICS LOCATED IN KALISPELL AND A SATELLITE LOCATION IN HUNGRY HORSE. THE CENTER PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE AND SLIDING FEE DISCOUNTS TO THESE PATIENTS WAS 568,372 DURING THE YEAR. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | GREATER VALLEY HEALTH CENTER |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 167 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 20537220 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 35000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 35000 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 9085 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 9085 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 140397 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 269280 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 409677 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 16092 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 14024 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 12930 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 11037 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 17574 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 8502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 12398 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | TIMOTHY NUCE |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KIMBERLY CURRIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LUKE GREEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DANIELLE PERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | PHILIP BERTELSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROSE DOEPKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BOB LOPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | BRUCE GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BRUCE MEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | BILL BURG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JULEEN O'NEAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PERRY BIRKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MAURA FIELDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LAWRENCE IWERSEN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 256023 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 202323 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 194635 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 161442 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 136171 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 132125 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 125243 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | MEDICAL DIRE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DENTAL DIREC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2003 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 1832785 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 24910981 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 52800 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 19 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 271348 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 137898 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 409246 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 122296 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 4245 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 126541 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 783058 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 685175 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 68792 |
| IRS990/InterestGrp/TotalAmt | 0 | 68792 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 945024 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 823212 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 393100 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6391410 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 9858527 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10251627 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROMOTE AND IMPROVE THE HEALTH OF THE MEDICALLY UNDERSERVED POPULATION IN THE SERVICE AREA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 10399222 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 11444174 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 52800 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 52800 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 10399222 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11444174 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 122934 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 378343 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 501277 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 192526 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 96523 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 289049 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1163666 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 864669 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 336688 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 782498 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1119186 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 85659 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 25107 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 11379355 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 13469 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 19156 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 11379355 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 99128 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 44263 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1163666 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 864669 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 13920 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 13920 |
| IRS990/OtherRevenueTotalAmt | 0 | 13920 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1459890 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 6177069 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7636959 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 35419 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 36720 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 141743 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 525383 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 667126 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 47812 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 209203 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 257015 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 155722 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 151327 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 86552 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 49215 |
| IRS990/PrincipalOfficerNm | 0 | MARY STERHAN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 624100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT CARE SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | VACCINE PROGRAM |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 22618803 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 214068 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 22618803 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 214068 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 2473165 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 359 |
| IRS990/PYOtherExpensesAmt | 0 | 13930092 |
| IRS990/PYOtherRevenueAmt | 0 | 50859 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 21475476 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1553648 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8516119 |
| IRS990/PYTotalExpensesAmt | 0 | 22446211 |
| IRS990/PYTotalRevenueAmt | 0 | 23999859 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1044952 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 52800 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 22832871 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | OTHER INCOME 48,938 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART III, LINE 12 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 2011390 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2473165 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2704391 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1588481 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 8777427 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 52800 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 42683 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 500 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 95983 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 22832871 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 21475476 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 15324835 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3561365 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 63194547 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 52800 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 42683 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 500 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 95983 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 13920 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 8176 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 15722 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 11120 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 48938 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99800 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99830 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 71971974 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 24844261 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 23948641 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 18029226 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 5149846 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 71971974 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 24910981 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 23999500 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 18045448 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 5160966 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 72116895 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 427643 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 32601 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 460244 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 125148 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 358634 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 483782 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 23866029 |
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