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Nonprofiteer
← FRANCES MAHON DEACONESS HOSPITAL

Form 990 for tax year 2022

Filed by FRANCES MAHON DEACONESS HOSPITAL.

Totals

Total revenue
$40,534,621
Total expenses
$36,295,864
Contributions and grants received
$1,885,946
Grants paid
$0
Program service revenue
$40,365,513
Investment income
-$1,613,038
Other revenue
-$103,800
Total assets, end of year
$77,680,210
Total liabilities, end of year
$3,125,764
Net assets or fund balances, end of year
$74,554,446
Program services expenses (Part IX)
$28,658,626
Management and general expenses
$7,594,810
Fundraising expenses
$42,428
Program service expenses (Part III)
$28,658,626

Program services were 79.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $20,718

  • 1e · Government grants (contributions)

    $1,839,137

  • 1f · All other contributions, gifts and grants

    $26,091

  • 1g · Noncash contributions included above

    $6,500

  • 2a · Program service revenue: PATIENT REVENUE

    total $39,420,172 · related or exempt $39,420,172

  • 2b · Program service revenue: GLASGOW CLINIC RENT

    total $228,301 · unrelated business $228,301

  • 2c · Program service revenue: PROFESSIONAL RADIOLOGY

    total $666,316 · related or exempt $528,786 · unrelated business $137,530

  • 2d · Program service revenue: OTHER RENTAL INCOME

    total $50,724 · related or exempt $50,724

  • 3 · Investment income

    total -$1,613,038 · related or exempt -$1,613,038

  • 11a · Other revenue: COUNTY CONTRIBUTION

    total $32,000 · related or exempt $32,000

  • 11b · Other revenue: PARTNERSHIP INCOME

    total -$135,800 · related or exempt -$135,800

  • 11e · Other revenue, total

    -$103,800

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,576,071 · program services $647,577 · management and general $928,494

  • 7 · Other salaries and wages

    total $13,535,502 · program services $10,649,421 · management and general $2,858,638 · fundraising $27,443

  • 8 · Pension plan contributions

    total $394,456 · program services $289,597 · management and general $103,838 · fundraising $1,021

  • 9 · Other employee benefits

    total $1,670,964 · program services $1,239,488 · management and general $426,818 · fundraising $4,658

  • 10 · Payroll taxes

    total $1,166,472 · program services $899,831 · management and general $264,291 · fundraising $2,350

  • 11b · Fees: legal

    total $262,274 · management and general $262,274

  • 11c · Fees: accounting

    total $80,718 · management and general $80,718

  • 11g · Fees: other

    total $2,524,025 · program services $2,055,834 · management and general $468,030 · fundraising $161

  • 12 · Advertising and promotion

    total $194,283 · management and general $194,283

  • 13 · Office expenses

    total $1,018,385 · program services $433,740 · management and general $584,248 · fundraising $397

  • 16 · Occupancy

    total $413,457 · program services $319,113 · management and general $93,658 · fundraising $686

  • 17 · Travel

    total $184,726 · program services $133,262 · management and general $51,458 · fundraising $6

  • 19 · Conferences, conventions and meetings

    total $127,813 · program services $105,652 · management and general $22,153 · fundraising $8

  • 20 · Interest

    total $79 · management and general $79

  • 22 · Depreciation, depletion and amortization

    total $2,281,964 · program services $1,910,248 · management and general $367,610 · fundraising $4,106

  • 23 · Insurance

    total $445,582 · program services $367,408 · management and general $77,497 · fundraising $677

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $7,735,522 · program services $7,735,522

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $1,862,826 · program services $1,527,207 · management and general $335,311 · fundraising $308

  • 24c · Other expenses: PROPERTY TAXES

    total $381,174 · management and general $381,174

  • 24d · Other expenses: FOOD & DIETARY SUPPLIES

    total $319,544 · program services $245,091 · management and general $73,878 · fundraising $575

  • 24e · All other expenses

    total $120,027 · program services $99,635 · management and general $20,360 · fundraising $32

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $7,525,940 · end of year $10,152,258

  • 4 · Accounts receivable

    beginning of year $5,968,548 · end of year $7,192,410

  • 7 · Other notes and loans receivable

    beginning of year $2,985,936 · end of year $2,811,046

  • 8 · Inventories for sale or use

    beginning of year $1,248,929 · end of year $1,384,914

  • 9 · Prepaid expenses and deferred charges

    beginning of year $854,917 · end of year $1,409,729

  • 10a · Land, buildings and equipment: cost or other basis

    $53,772,090

  • 10b · Land, buildings and equipment: accumulated depreciation

    $37,572,443

  • 10c · Land, buildings and equipment, net

    beginning of year $17,074,601 · end of year $16,199,647

  • 13 · Investments: program-related

    beginning of year $31,458,248 · end of year $32,041,389

  • 15 · Other assets

    beginning of year $9,247,079 · end of year $6,488,817

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,865,479 · end of year $2,301,609

  • 19 · Deferred revenue

    beginning of year $1,481,389

  • 25 · Other liabilities

    beginning of year $2,554,540 · end of year $824,155

  • 27 · Net assets without donor restrictions

    beginning of year $67,462,790 · end of year $74,554,446

Mission and programs · 2022

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.

  • PROVIDE QUALITY MEDICAL CARE TO PATIENTS.

    Expenses $28,658,626 · Revenue $40,365,513

As filed on the 2022 return.

Listed in Part VII

  • Louis Bailey

    PHYSICIAN ME

    Total calculated
    $592,765
    From this org
    $565,411
    From related orgs
    $0
    Other
    $27,354
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $565,411
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,675
    Nontaxable benefits
    $16,679
    Filer's total
    $592,765

  • Kevin Ross

    MD

    Total calculated
    $493,223
    From this org
    $465,868
    From related orgs
    $0
    Other
    $27,355
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $465,868
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,675
    Nontaxable benefits
    $16,680
    Filer's total
    $493,223

  • David Knierim

    MD

    Total calculated
    $480,165
    From this org
    $460,872
    From related orgs
    $0
    Other
    $19,293
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $460,872
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,675
    Nontaxable benefits
    $8,618
    Filer's total
    $480,165

  • Andrew Fahlgren

    MD

    Total calculated
    $439,850
    From this org
    $418,413
    From related orgs
    $0
    Other
    $21,437
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $418,413
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,498
    Nontaxable benefits
    $10,939
    Filer's total
    $439,850

  • Anne Millard Bradley

    MD

    Total calculated
    $389,111
    From this org
    $365,345
    From related orgs
    $0
    Other
    $23,766
    Hours/week
    21 + 19 related

    Schedule J breakdown matched by us

    Base
    $365,345
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,675
    Nontaxable benefits
    $13,091
    Filer's total
    $389,111

  • Randy Holom

    CEO

    Total calculated
    $356,123
    From this org
    $335,838
    From related orgs
    $0
    Other
    $20,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $335,838
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,467
    Nontaxable benefits
    $9,818
    Filer's total
    $356,123

  • Curtis Earl Campbell

    DO

    Total calculated
    $304,140
    From this org
    $282,845
    From related orgs
    $0
    Other
    $21,295
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $282,845
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,175
    Nontaxable benefits
    $11,120
    Filer's total
    $304,140

  • Ellen Guttenberg

    COO

    Total calculated
    $268,750
    From this org
    $250,412
    From related orgs
    $0
    Other
    $18,338
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,412
    Bonus
    not reported
    Other
    not reported
    Deferred
    $8,520
    Nontaxable benefits
    $9,818
    Filer's total
    $268,750

  • Nickolas Dirkes

    CEO

    Total calculated
    $193,814
    From this org
    $178,853
    From related orgs
    $0
    Other
    $14,961
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,853
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,343
    Nontaxable benefits
    $8,618
    Filer's total
    $193,814

  • Cami Kalinski

    CFO

    Total calculated
    $171,074
    From this org
    $165,182
    From related orgs
    $0
    Other
    $5,892
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,182
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,881
    Nontaxable benefits
    $11
    Filer's total
    $171,074

  • Kathleen Nenninger

    COO

    Total calculated
    $70,336
    From this org
    $68,182
    From related orgs
    $0
    Other
    $2,154
    Hours/week
    40

  • Erika Bengochea

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Brianne Capdeville

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Don Fast

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Cami Graham

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Patrick Menge

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    1

  • Stan Ozark

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Marisa Sather

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART III
A PERCENTAGE OF THE COMPENSATION PAID TO KEVIN ROSS, M.D. (77%), DAVID KNIERIM, M.D. (77%), ANDREW FAHLGREN, M.D. (77%), ANNE MILLARD BRADLEY, M.D. (48%), AND CURTIS EARL CAMPBELL, D.O. (77%) IS AN EXPENSE OF GLASGOW CLINIC INC, A RELATED COMPANY. THE COMPENSATION WAS PAID THROUGH FRANCES MAHON DEACONESS HOSPITAL AS A COMMON PAYMASTER.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GLASGOW CLINIC INC

    CLINIC · MT

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202441349349305439

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