Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 81-0291695 • 501(c)3 • Big Sandy, MT
Profile
To provide quality patient care in an innovative and professional manner.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
62nd percentile
Higher debt load relative to revenue than 62% of similar nonprofits.
Net Margin
33rd percentile
Higher net margin than 33% of similar nonprofits.
Top Officer Pay
69th percentile
Higher top officer pay than 69% of similar nonprofits.
Top officer pay equals 2.6% of source-year revenue.
Asset Growth
29th percentile
Faster asset growth than 29% of similar nonprofits.
Revenue Growth
67th percentile
Faster revenue growth than 67% of similar nonprofits.
Assets
Down$7,548,313
Down $151,037 (-2.0%) from 2023
Liabilities
Down$1,829,320
Down $97,073 (-5.0%) from 2023
Net Assets
Down$5,718,993
Down $53,964 (-0.9%) from 2023
Revenue
Up$7,080,846
Up $1,116,605 (+19%) from 2023
Expenses
Up$7,185,152
Up $961,815 (+15%) from 2023
Net Income
Up-$104,306
Up $154,790 (+60%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide the best possible care for patients at the most reasonable cost in a competent, professional manner.
To provide quality patient care in an innovative and professional manner.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $2,628,679 | $3,345,267 | ▲ $716,588 |
| Investments in Publicly Traded Securities | $1,417,059 | $1,422,857 | ▲ $5,798 |
| Savings and Temporary Cash Investments | $1,427,176 | $1,007,683 | ▼ $419,493 |
| Accounts Receivable | $698,503 | $872,760 | ▲ $174,257 |
| Cash and Non-Interest-Bearing Accounts | $896,980 | $330,126 | ▼ $566,854 |
| Inventories for Sale or Use | $129,744 | $113,423 | ▼ $16,321 |
| Prepaid Expenses and Deferred Charges | $53,045 | $53,280 | ▲ $235 |
| Total Assets | $7,699,350 | $7,548,313 | ▼ $151,037 |
| Other Assets Total | $448,164 | $402,917 | ▼ $45,247 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $1,343,384 | $1,285,510 | ▼ $57,874 |
| Accounts Payable and Accrued Expenses | $569,409 | $536,459 | ▼ $32,950 |
| Escrow Account Liability | $13,600 | $7,351 | ▼ $6,249 |
| Total Liabilities | $1,926,393 | $1,829,320 | ▼ $97,073 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $5,698,197 | $5,718,993 | ▲ $20,796 |
| Net Assets With Donor Restrictions | $74,760 | $0 | ▼ $74,760 |
| Total Net Assets Fund Balance | $5,772,957 | $5,718,993 | ▼ $53,964 |
| Total Liabilities and Net Assets / Fund Balance | $7,699,350 | $7,548,313 | ▼ $151,037 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $1,067,220 | $2,365,681 | $3,432,901 |
| Equipment | $917,912 | $1,461,435 | $2,379,347 |
| Other Land Buildings | $1,186,479 | - | $1,186,479 |
| Land | $102,659 | - | $102,659 |
| Buildings | $70,997 | $14,792 | $85,789 |
| Other Assets Org | $48,000 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Krystyl Kulbeck | Pa | FT | $150,030 | $32,244 | $182,274 |
| Karma Hale | Hr Director | FT | $131,098 | $9,832 | $140,930 |
| Dusty Allderdice | Materials Manager | FT | $115,816 | $9,186 | $125,002 |
| Michael Mebruer | Lab Tech | FT | $112,011 | $2,175 | $114,186 |
| Sarah Schlepp | Director of Finance | FT | $23,134 | - | $23,134 |
| Name | Title |
|---|---|
| Robert Nelson | Chair |
| Harvey Keller | Chair (thru 1/2024) |
| Ann Bold | Vice Chair |
| Amber Terry | Director |
| Karen Baumann | Director |
| Ron Weins | CEO |
| Ann Quinn | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cypress Healthcare | Management Services | 791 EASTSIDE ROAD, Deer Lodge, MT 59722 | $359,601 |
| Kc Corporation | Contract Physical Theraphy | PO BOX 1246, Big Sandy, MT 59520 | $124,740 |
| Far West Health Systems | Billing Services | PO BOX 248, Valentine, TX 79854 | $102,616 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Securities Publicly Traded | 2 | $44,694 | Fair Market Value (FMV) at Close |
| Total Noncash Contributions | 2 | $44,694 | - |
| Line Item | Amount |
|---|---|
| Other Expenses | $3,750,197 |
| Salaries, Compensation, and Employee Benefits | $3,433,810 |
| Grants and Similar Amounts Paid | $1,145 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,530,184 | $299,020 | - | $2,829,204 |
| Fees for Services Other | $1,395,428 | $529,137 | - | $1,924,565 |
| Other Employee Benefits | $291,809 | $34,490 | - | $326,299 |
| Payroll Taxes | $197,474 | $23,340 | - | $220,814 |
| Depreciation Depletion | $148,548 | $51,524 | - | $200,072 |
| All Other Expenses | $100,218 | $36,705 | - | $136,923 |
| Insurance | $86,470 | $30,382 | - | $116,852 |
| Interest | $81,154 | - | - | $81,154 |
| Occupancy | $56,157 | $17,841 | - | $73,998 |
| Travel | $29,116 | $28,412 | - | $57,528 |
| Fees for Services Accounting | $14,210 | $26,748 | - | $40,958 |
| Other Expenses | $40,511 | $3,669 | - | $40,511 |
| Current Officers, Directors, Trustees, and Key Employees | $35,137 | $4,153 | - | $39,290 |
| Office Expenses | $13,637 | $25,113 | - | $38,750 |
| Pension Plan Contributions | $16,279 | $1,924 | - | $18,203 |
| Advertising | $11,789 | $2,169 | - | $13,958 |
| Fees for Services Legal | - | $13,654 | - | $13,654 |
| Conferences and Meetings | - | $2,500 | - | $2,500 |
| Grants to Domestic Orgs | $1,145 | - | - | $1,145 |
| Total Functional Expenses | $5,988,352 | $1,196,800 | $0 | $7,185,152 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $7,185,152 |
| Expenses per Audited Statements | $7,155,932 |
| Total Expenses per Audited Statements | $7,155,932 |
| Expenses Not Reported on Financial Statements | $29,220 |
| Other Expense Adjustments | $29,220 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“In february 2021, the center entered into a management agreement with cypress healthcare, llc, through february 2024. Fees paid to cypress healthcare, llc for the fiscal year ended june 30, 2024, were $341,152 which included administration compensation, management fees, and miscellaneous expenses such as travel.”
“Any resident and/or taxpayer of chouteau county hospital district ii is eligible to become a member. Members elect the governing body at an annual meeting.”
“Members elect the governing body at an annual meeting.”
“Form 990 is emailed to and reviewed by management and the board of directors before being filed.”
“The board of directors will refer to the montana hospital association annual salary survey.”
“Copies are available by request and via irs.gov.”
“Governing documents and financial statements are available to the public upon request.”
“Other professional fees: program service expenses 1,395,428. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,395,428. Contracted services: program service expenses 0. Management and general expenses 529,137. Fundraising expenses 0. Total expenses 529,137.”
“IMPAIRMENT LOSS -59,973.”
“The process has not changed since the prior year.”
“The hospital holds funds for long-term care patients.”
“340b expenses 29,220. Impairment loss 59,973.”
“340B EXPENSES 29,220.”
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 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 569409 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 536459 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 698503 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 872760 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2169 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 11789 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 13958 |
| IRS990/AllOtherContributionsAmt | 0 | 230037 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 36705 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 100218 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 136923 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | RON WIENS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4063782188 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 530 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BIG SANDY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59520 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 896980 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 330126 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 4153 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 35137 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 39290 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 2500 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 2500 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 0 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 359601 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 124740 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 102616 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 791 EASTSIDE ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 1246 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 248 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | DEER LODGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BIG SANDY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | VALENTINE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 59722 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 59520 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 79854 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CYPRESS HEALTHCARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | KC CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | FAR WEST HEALTH SYSTEMS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACT PHYSICAL THERAPHY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | BILLING SERVICES |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 342375 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1145 |
| IRS990/CYInvestmentIncomeAmt | 0 | 58406 |
| IRS990/CYOtherExpensesAmt | 0 | 3750197 |
| IRS990/CYOtherRevenueAmt | 0 | 161500 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 6518565 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -104306 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3433810 |
| IRS990/CYTotalExpensesAmt | 0 | 7185152 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 7080846 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 51524 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 148548 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 200072 |
| IRS990/Desc | 0 | BIG SANDY MEDICAL CENTER PROVIDES BOTH ACUTE AND SWING BED PATIENT SERVICES UNDER ONE ROOF. THE SWING BED PROGRAM HAS TWO PARTS, SKILLED AND INTERMEDIATE CARE. SKILLED SWING BED PATIENTS ARE HERE FROM 2-6 WEEKS IN WHICH THEY RECEIVED SKILLED NURSING SERVICES AND/OR SKILLED REHAB SERVICES. THE MAJORITY OF SWING BED PATIENTS ARE IN THE INTERMEDIATE CATEGORY AND REQUIRE LONG-TERM NURSING CARE SERVICES. TYPICALLY, THE MEDICAL CENTER'S 25 BED CAPACITY FLUCTUATES AROUND 80% FULL.BIG SANDY MEDICAL CENTER HAS A CERTIFIED RURAL HEALTH CLINIC. IDEALLY, THE CLINIC IS STAFFED WITH 3 PROVIDERS, HOWEVER, WITH A NATIONAL PROVIDER SHORTAGE, THE CLINIC OFTEN UTILIZES SHORT-TERM TRAVELING PROVIDERS. THE CLINIC AVERAGES 10-12 PATIENTS A DAY SEEING A VARIETY OF AILMENTS FROM COUGHS TO CHRONIC DISEASE CONDITIONS.BIG SANDY MEDICAL CENTER PROVIDES AMAZING PHYSICAL THERAPY SERVICES FOR ITS COMMUNITY RESIDENTS. WITH A LONG-TERM LOCAL PHYSICAL THERAPIST ON STAFF, THE PROGRAM IS WELL RECEIVED AND HIGHLY UTILIZED. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 74760 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 76 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 13600 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 7351 |
| IRS990/ExpenseAmt | 0 | 5988352 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 26748 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 14210 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 40958 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 13654 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 13654 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 529137 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1395428 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1924565 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | 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/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/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 9186 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 9832 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 32244 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 2175 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | HARVEY KELLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROBERT NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ANN BOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ANN QUINN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AMBER TERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KAREN BAUMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | SARAH SCHLEPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RON WEINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DUSTY ALLDERDICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KARMA HALE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KRYSTYL KULBECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MICHAEL MEBRUER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 23134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 115816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 131098 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 150030 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 112011 |
| 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/TitleTxt | 0 | CHAIR (THRU 1/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MATERIALS MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | HR DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | LAB TECH |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1963 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -530 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 112338 |
| IRS990/GrantAmt | 0 | 1145 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 1145 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 1145 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 7081376 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 30382 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 86470 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 116852 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 81154 |
| IRS990/InterestGrp/TotalAmt | 0 | 81154 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 129744 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 113423 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 58936 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 58936 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1417059 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1422857 |
| IRS990/IRPDocumentCnt | 0 | 1 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3841908 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2628679 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3345267 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 7187175 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 530 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1343384 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1285510 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 5772957 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5718993 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -530 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -530 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 135 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5698197 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5718993 |
| IRS990/NoncashContributionsAmt | 0 | 44694 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 17841 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 56157 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 73998 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 25113 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 13637 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 38750 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 448164 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 402917 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -59973 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 34490 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 291809 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 326299 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES & SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 44472 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 21547 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 3669 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 874224 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 26571 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 38291 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 40511 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 918696 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 48118 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 41960 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 40511 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | HOSPITAL TAX DISTRICT |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 161500 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 161500 |
| IRS990/OtherRevenueTotalAmt | 0 | 161500 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 299020 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2530184 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2829204 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 23340 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 197474 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 220814 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 1924 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 16279 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 18203 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 53045 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 53280 |
| IRS990/PrincipalOfficerNm | 0 | RON WIENS |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 110180 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | 340B REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | OTHER OPERATING REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | DIETARY REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 6256713 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 124662 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 119622 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 17568 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 6256713 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 124662 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 119622 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 17568 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 117545 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 28611 |
| IRS990/PYOtherExpensesAmt | 0 | 3328554 |
| IRS990/PYOtherRevenueAmt | 0 | 191800 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5626285 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -259096 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2894783 |
| IRS990/PYTotalExpensesAmt | 0 | 6223337 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 5964241 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -104306 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 6680065 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1427176 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1007683 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| 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 | 1 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 70997 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 14792 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 85789 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 917912 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1461435 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2379347 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 29220 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 7155932 |
| IRS990ScheduleD/ExplanationProvidedInd | 0 | X |
| IRS990ScheduleD/InclEscrowCustodialAcctLiabInd | 0 | 1 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 102659 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 102659 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 1067220 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 2365681 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 3432901 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 135 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 160000 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 194917 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 2 | 48000 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | PROPERTY HELD FOR SALE |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 1 | PATRONAGE CAPITAL CREDITS |
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