Civic Intelligence

Central Montana Medical Facilities Inc

EIN 23-7169043 • 501(c)3 • Lewistown, MT

Profile

The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare.

Refreshing map…

408 Wendell AvenueLewistown, MT 59457

www.cmmccares.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

43rd percentile

0.18x

Higher debt load relative to assets than 43% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.19x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

68th percentile

13%

Higher net margin than 68% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

72nd percentile

$553,788

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

76th percentile

14%

Faster asset growth than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

41st percentile

5.0%

Faster revenue growth than 41% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$47,226,831

Up $4,023,506 (+9.3%) from 2020

Liabilities

Down

$13,155,913

Down $10,014,647 (-43%) from 2020

Net Assets

Up

$34,070,918

Up $14,038,153 (+70%) from 2020

Revenue

Up

$56,345,229

Up $18,259,382 (+48%) from 2020

Expenses

Up

$43,355,030

Up $1,985,185 (+4.8%) from 2020

Net Income

Up

$12,990,199

Up $16,274,197 (+496%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $19,912,767Liabilities 2010: $4,917,200Net Assets 2010: $14,995,5672010Assets 2011: $20,642,912Liabilities 2011: $5,536,887Net Assets 2011: $15,106,0252011Assets 2012: $20,497,551Liabilities 2012: $4,926,941Net Assets 2012: $15,570,6102012Assets 2013: $21,345,794Liabilities 2013: $4,944,209Net Assets 2013: $16,401,5852013Assets 2014: $25,851,619Liabilities 2014: $9,384,973Net Assets 2014: $16,466,6462014Assets 2015: $26,821,656Liabilities 2015: $8,883,571Net Assets 2015: $17,938,0852015Assets 2016: $26,234,871Liabilities 2016: $8,834,368Net Assets 2016: $17,400,5032016Assets 2017: $28,178,401Liabilities 2017: $8,697,132Net Assets 2017: $19,481,2692017Assets 2018: $28,669,061Liabilities 2018: $8,080,990Net Assets 2018: $20,588,0712018Assets 2020: $43,203,325Liabilities 2020: $23,170,560Net Assets 2020: $20,032,7652020Assets 2021: $47,226,831Liabilities 2021: $13,155,913Net Assets 2021: $34,070,9182021

Highlighted filing

2021

Assets$47,226,831
Liabilities$13,155,913
Net Assets$34,070,918

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $25,100,3212010Expenses 2011: $25,307,7762011Expenses 2012: $26,304,7622012Expenses 2013: $28,017,7582013Revenue 2014: $29,705,199Expenses 2014: $28,968,118Net Income 2014: $737,0812014Revenue 2015: $28,331,125Expenses 2015: $27,490,833Net Income 2015: $840,2922015Revenue 2016: $28,705,570Expenses 2016: $29,063,937Net Income 2016: -$358,3672016Revenue 2017: $32,809,760Expenses 2017: $30,879,246Net Income 2017: $1,930,5142017Revenue 2018: $35,734,489Expenses 2018: $34,895,085Net Income 2018: $839,4042018Revenue 2020: $38,085,847Expenses 2020: $41,369,845Net Income 2020: -$3,283,9982020Revenue 2021: $56,345,229Expenses 2021: $43,355,030Net Income 2021: $12,990,1992021

Highlighted filing

2021

Revenue$56,345,229
Expenses$43,355,030
Net Income$12,990,199

Filings

Latest Detailed Filing

The latest 2021 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2016 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 8, 2017
Return Version
2015v3.0
Gross Receipts
$29,580,809
Mission and Program Overview

Mission

The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare.

The mission of CMMC is to be the leader in assuring community based quality healthcare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,314,771$12,317,443▼ $997,328
Accounts Receivable$4,337,449$5,433,175▲ $1,095,726
Investments in Publicly Traded Securities$3,757,752$3,210,317▼ $547,435
Savings and Temporary Cash Investments$1,171,756$1,123,463▼ $48,293
Inventories for Sale or Use$500,706$644,687▲ $143,981
Prepaid Expenses and Deferred Charges$232,788$204,797▼ $27,991
Intangible Assets$21,105$14,070▼ $7,035
Receivables From Officers Etc$3,761$2,532▼ $1,229
Total Assets$26,821,656$26,234,871▼ $586,785
Other Assets Total$3,481,568$3,284,387▼ $197,181
Liabilities
Tax Exempt Bond Liabilities$4,406,407$3,923,091▼ $483,316
Accounts Payable and Accrued Expenses$2,818,038$2,583,829▼ $234,209
Mortgage Notes Payable Secured by Investment Property$1,542,139$1,256,175▼ $285,964
Other Liabilities$0$1,012,780▲ $1,012,780
Deferred Revenue$116,987$58,493▼ $58,494
Total Liabilities$8,883,571$8,834,368▼ $49,203
Net Assets / Fund Balance
Unrestricted Net Assets$15,356,325$15,137,231▼ $219,094
Permanently Rstr Net Assets$1,263,842$1,565,134▲ $301,292
Temporarily Rstr Net Assets$1,317,918$698,138▼ $619,780
Total Net Assets Fund Balance$17,938,085$17,400,503▼ $537,582
Total Liabilities and Net Assets / Fund Balance$26,821,656$26,234,871▼ $586,785

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,139,764$13,810,201$22,949,965
Equipment$2,457,539$11,642,061$14,099,600
Other Land Buildings$617,131$825,908$1,443,039
Land$103,009-$103,009
Other Assets Org$397,259--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amy A LePageEmergency MedicineFT$278,664$24,971$303,635
Michael Sura MDMemberFT$226,994$28,056$255,050
James FoxCrnaFT$239,910$11,095$251,005
Danny HarbourEmergency MedicineFT$210,414$25,085$235,499
Rene DeGuzmanCrnaFT$206,787$27,776$234,563
Joan M McMahonEmergency MedicineFT$216,280$17,678$233,958
Tammy Welsh MDMemberFT$167,405$8,261$175,666
Laura Bennett MDMember (thru Oct 2015)FT$147,704$25,462$173,166
Alan R AldrichCFOFT$132,956$21,821$154,777
Robert Mike DowdyCEOFT$120,050$9,984$130,034
Delilah DuffyCNOFT$101,804$19,379$121,183

Board Members and Trustees

NameTitle
Dave PhillipsPresident
Doug FlamentVice President
Carl SeilstadMember
Francis WeinheimerMember
Greg SmithMember
Jennifer SaundersMember
Josh WebberMember
Marvin MauwsMember
Nick EconomMember
Pete SmithMember
Ann EconomMember (thru Oct 2015)
Russel Spika CPAMember (thru Oct 2015)
Nancy WilsonSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Dundas InteriorsER/Lab Remodel3388 US Highway 12 East, Helena, MT 59601$146,383
Birdwell BuildersER/Lab RemodelPO Box 592, Lewistown, MT 59457$124,387
Revenue and Support

Revenue Composition

Contributions and Grants
$675,946
Program Service Revenue
$27,220,554
Investment Income
$218,521
Other Revenue
$590,549
All Other Contributions
$607,414
Change in Net Assets
$-358,367

Audited Revenue Reconciliation

Revenue per Audited Statements
$28,522,621
Revenue Not Reported on Financial Statements
$182,949
Revenue Not Reported on Form 990
$-1,231,027
Other Revenue Adjustments
$182,949
Total Revenue per Audited Statements
$27,291,594
Total Revenue per Form 990
$28,705,570
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,510,942
Other Expenses$12,552,995
Total Fundraising Expense$80,208
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,060,189$2,417,920$44,011$12,522,120
Fees for Services Other$1,671,038$866,273$854$2,538,165
Depreciation Depletion$1,222,196$358,979$607$1,581,782
Other Employee Benefits$1,269,521$257,798$10,987$1,538,306
Office Expenses$889,418$611,117$5,667$1,506,202
Current Officers, Directors, Trustees, and Key Employees$639,829$508,747-$1,148,576
Occupancy$771,475$199,407$1,800$972,682
Payroll Taxes$721,435$177,612$2,747$901,794
Insurance$510,701$29,960-$540,661
Pension Plan Contributions$273,401$62,650$1,760$337,811
Interest$170,729$52,393-$223,122
Other Expenses$5,765$141,159-$146,924
Fees for Services Management-$120,000-$120,000
All Other Expenses$98,668$10,987$5,057$114,712
Fees for Services Legal-$94,194-$94,194
Conferences and Meetings$71,613$20,992-$92,605
Advertising$33,780$27,061$6,718$67,559
Comp Disqual Persons$62,335--$62,335
Travel$41,216--$41,216
Fees for Services Accounting-$38,550-$38,550
Total Functional Expenses$22,953,199$6,030,530$80,208$29,063,937

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$29,063,937
Total Expenses per Audited Statements$27,938,887
Expenses per Audited Statements$27,832,910
Expenses Not Reported on Financial Statements$1,231,027
Other Expense Adjustments$1,231,027
Expenses Not Reported on Form 990$105,977
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$8,168
Fundraising Direct Expenses$6,668
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tourney$11,075$2,772$492$2,280
Tree of Lights$10,510$654$654$0
Total Events$41,717$8,168$6,668$1,500
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Annie DavisFamily Member of Board MemberPayment of CompensationNo$62,335

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$3,761$2,532▼ $1,229
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-Party Payor Settlements$1,012,780

Bond Issues

BondIssuerIssuedIssue PricePurpose
AFergus County Montana2014-05-01$4,500,000Emergency and laboratory expansion and remodel of existing facility

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$4,500,000-$576,909-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1

The Executive Committee includes the President or Chair, Vice President or Vice Chair, Secretary and Treasurer and 2 members-at-large and their authority is similar to that of the full governing board.

Form 990, Part VI, Section A, line 2

Russel Spika, CPA, Greg Smith, and Alan R. Aldrich have a business relationship. Ann Econom and Nick Econom have a family relationship.

Form 990, Part VI, Section A, line 6

The organization's members consist of residents of the Central Montana area who are at least 18 years of age and who have or shall indicate their interest in the maintenance of adequate medical facilities and high standards of medical care in the area. Members of the organization must attend and sign the register at the organization's annual meeting.

Form 990, Part VI, Section A, line 7A

Members of the organization may vote on matters being addressed at the annual meetings. Each member is entitled to one vote on any question or action with the exception of the election of Directors of the corporation. For the election of Directors, the members shall vote for one nominee for each vacant board position.

Form 990, Part VI, Section A, line 7B

Membership must approve major changes to Articles of Incorporation and Corporate Bylaws.

Form 990, Part VI, Section B, line 11

Draft copy of Form 990 is reviewed by the CFO and Board of Directors prior to its filing.

Form 990, Part VI, Section B, line 12C

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by discussing at the Board of Director Meetings and obtaining signed statements from members. All officers, board members, and key employees are covered by the policy. The board determines whether conflicts exist and all potential conflicts are reviewed by the board. Any person with a conflict is not allowed to vote on conflicted issues.

Form 990, Part VI, Section B, line 15A

Compensation of the CEO is determined by the compensation Committee, and then approved by the Governing Board. Comparability data was used. Compensation of the CFO is determined by the CEO. These processes take place on an annual basis.

Form 990, Part VI, Section C, line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. A copy may be requested by calling, emailing, walk-in or via mail.

Filing and Contact Details

Filer

Filer Name
Central Montana Medical Facilities Inc
EIN
23-7169043
Phone
4065387711
Address
408 Wendell Avenue, Lewistown, MT 59457
Doing Business As
Central Montana Medical Center

Signing Officer

Name
Alan R Aldrich
Title
CFO
Phone
4065386243
Signed
2017-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert M Dowdy
Formed
1971
Legal Domicile
Mt
Voting Board Members
13
Independent Board Members
10
Employees
387
Volunteers
190

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Facilities is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Facilities is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Facilities are subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income, if any. The Facilities believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Facilities would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Provision for Bad Debts Reported in Expenses for Tax Purposes -1,231,027.

Part XI, Line 4B - Other Adjustments:

Contributions for Specific Purposes Recorded in Fund Balance for F/S 607,414. Rental Expenses Reported in Revenue for Tax Purposes -105,977. Change in interest of net assets of Foundation -318,488.

Part XII, Line 2D - Other Adjustments:

Rental Expenses Reported in Revenue for Tax Purposes 105,977.

Part XII, Line 4B - Other Adjustments:

Provision for Bad Debts Reported in Expenses for Tax Purposes 1,231,027.

Raw XML AppendixShowing 400 of 1,075 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Central Montana Medical Facilities, Inc. operates a 25-bed critical access hospital located in Lewistown, Montana.Hospital Inpatient Services for FY 2016:Number of beds: 25Provided 1,925 acute days of care and 772 swing bed days of care for 29.56% occupancy rate.Emergency Services for FY 2016:Provided for 5,760 Emergency visits.24 hour Physician coverage available.Community care and services are also provided through the many reduced price services and free clinics, fairs, and programs offered throughout the year. These include but are not limited to the following (all costs are estimates):1. Thirty foot clinics were held in 2015-2016 in Denton, Stanford, and the Hobson communities. A total of 346 people were served, all received discounted health care. Total community benefits expense of $10,271.2. CMMC educated locals with a babysitting class (24 people served, 1 class offered, total community benefit $222)3. Instead of a Health Fair, CMMC offered lab draws during your birth month at discounted prices. A total of 183 persons participated, with expenses such as staff time and supplies were $2,607.4. Diabetes Support Group was held and served 73 people with expenses of $1,2245. CMMC gave several cash donations to different organizations in 2015-2016 totaling $1,875. These included donations to Lewistown K-8 PTO, Family Planning Campaign, Little League Baseball and Tough Enough to Wear Pink.6. CMMC staff were representatives of CMMC on several board throughout 2015-2016. These included LEPC (Lewistown Emergency Preparedness Committee), DUI Task Force, and TORCH Board Meetings.7. CMMC served our community in a multitude of ways throughout 2015-2016 fiscal year. Staff was involved in Diabetes Education programs, food drives, blanket donations, in-kind donations to local programs including Cowboy Poetry, REACH Camps, Love Your Heart Nutrition Classes, and TORCH (Young People in Recovery).The facilities maintain records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. The amount of charges foregone for services provided under the Facilities charity care policy were approximately $658,000 for the fiscal year. Total direct and indirect costs related to these foregone charges were $396,000 based on an average ratio of cost to gross charges.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Dave Phillips
IRS990/Form990PartVIISectionAGrp/PersonNm1Doug Flament
IRS990/Form990PartVIISectionAGrp/PersonNm2Nancy Wilson
IRS990/Form990PartVIISectionAGrp/PersonNm3Carl Seilstad
IRS990/Form990PartVIISectionAGrp/PersonNm4Francis Weinheimer
IRS990/Form990PartVIISectionAGrp/PersonNm5Russel Spika CPA
IRS990/Form990PartVIISectionAGrp/PersonNm6Josh Webber
IRS990/Form990PartVIISectionAGrp/PersonNm7Greg Smith
IRS990/Form990PartVIISectionAGrp/PersonNm8Ann Econom
IRS990/Form990PartVIISectionAGrp/PersonNm9Pete Smith
IRS990/Form990PartVIISectionAGrp/PersonNm10Jennifer Saunders
IRS990/Form990PartVIISectionAGrp/PersonNm11Marvin Mauws
IRS990/Form990PartVIISectionAGrp/PersonNm12Nick Econom
IRS990/Form990PartVIISectionAGrp/PersonNm13Laura Bennett MD
IRS990/Form990PartVIISectionAGrp/PersonNm14Michael Sura MD
IRS990/Form990PartVIISectionAGrp/PersonNm15Tammy Welsh MD
IRS990/Form990PartVIISectionAGrp/PersonNm16Robert Mike Dowdy
IRS990/Form990PartVIISectionAGrp/PersonNm17Alan R Aldrich
IRS990/Form990PartVIISectionAGrp/PersonNm18Delilah Duffy
IRS990/Form990PartVIISectionAGrp/PersonNm19Joan M McMahon
IRS990/Form990PartVIISectionAGrp/PersonNm20James Fox
IRS990/Form990PartVIISectionAGrp/PersonNm21Amy A LePage
IRS990/Form990PartVIISectionAGrp/PersonNm22Rene DeGuzman
IRS990/Form990PartVIISectionAGrp/PersonNm23Danny Harbour
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