2024-02-15T11:13:03-06:00 2023-03-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2022-04-01 450253272 LINTON HOSPITAL LINT 7012544511 111 ELM AVE W LINTON ND 585520850 DEREK SCHAFF CFO 7012544511 2024-02-12 1 DEREK SCHAFF 999009999 1 NICOLE HELDSTAB P01220683 7017754685 2024-02-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LINTON REGIONAL MEDICAL CENTER DEREK SCHAFF 111 ELM AVE W LINTON ND 585520850 11644707 0 X LINTONREGIONALMEDICALCENTER.ORG X 1953 ND LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT OPERATES A 24-HOUR ACUTE AND EMERGENCY FACILITY IN THE TOWN OF LINTON, EMMONS COUNTY, NORTH DAKOTA. LINTON HOSPITAL ALSO OWNS AND OPERATES 3 CLINICS IN THE COMMUNITIES OF LINTON AND HAZELTON, NORTH DAKOTA AND HERREID, SOUTH DAKOTA. LINTON HOSPITAL ENTERED INTO A MANAGEMENT SERVICES AGREEMENT ON 6/1/2012 WITH CHI ST. ALEXIUS HOSPITAL OF BISMARCK TO IMPROVE THE QUALITY AND PRODUCTIVITY OF RURAL HEALTH CARE, PROMOTE COST-EFFICIENT OPERATIONS AND ENHANCE THE COMPETITIVE ASPECTS OF THE DELIVERY OF RURAL HEALTH CARE SERVICES TO THE COMMUNITY OF LINTON AND THE GEOGRAPHIC REGIONS SERVED BY LINTON. 7 7 125 8 0 0 1629101 1161869 9870744 10450371 7589 11554 6516 11640 11513950 11635434 0 0 0 0 5476662 6080017 0 0 72709 5276002 4991258 10752664 11071275 761286 564159 9240496 9547538 1732773 1475656 7507723 8071882 X THE MISSION OF LINTON HOSPITAL AND CLINICS IS TO ENHANCE THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF THE PEOPLE WE SERVE. 0 0 7487033 7917290 LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT HAS AVAILABLE 24-HOUR LICENSED HEALTHCARE PRACTITIONERS AND NURSING SERVICES. SWINGBED SERVICES ARE AVAILABLE FOR PATIENTS REQUIRING SKILLED CARE. EMERGENCY ROOM CARE WAS PROVIDED TO 1,035 EMERGENCY ROOM VISITS THIS YEAR. LINTON HOSPITAL ALSO PROVIDES THE FOLLOWING SERVICES: OPERATING ROOM, ANESTHESIA SERVICES, DIETARY SERVICES, MEDICAL RECORDS SERVICES, PHARMACEUTICAL SERVICES, LABORATORY SERVICES, HOUSEKEEPING, ELECTROCARDIOGRAMS, SLEEP STUDIES, CARDIAC REHAB, PHYSICAL THERAPY, ULTRASOUND SERVICES, RADIOLOGY, DIGITAL MAMMOGRAM SERVICES, CARDIAC STRESS TESTS, MRI SERVICES, CT SCAN AND DIABETIC EDUCATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN THE GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARING PROGRAM (CHARITY CARE) POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT THE COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 1600846 1753889 LINTON HOSPITAL OWNS AND OPERATES 3 CLINICS IN THE CITIES OF LINTON AND HAZELTON, ND AND HERREID, SD. LINTON HOSPITAL EMPLOYS ONE FAMILY PRACTICE PHYSICIAN, FOUR NURSE PRACTITIONERS, AND TWO PHYSICIAN ASSISTANTS TO PROVIDE SERVICES TO THE HOSPITAL AND CLINICS. TOTAL CLINIC VISITS WERE 6,030 THIS YEAR. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARE PROGRAM POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 540438 712688 LINTON HOSPITAL OPERATES THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE (INCLUDING FOOT CARE) WHICH COVERS A SERVICE AREA OF 1,555 SQUARE MILES. EMMONS COUNTY IS SURROUNDED BY KIDDER, LOGAN, AND MCINTOSH COUNTIES IN NORTH DAKOTA AND CAMPBELL COUNTY IN SOUTH DAKOTA. THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE PROVIDES 24 HOUR, 7 DAYS A WEEK ADVANCED LIFE SUPPORT SERVICE TO A POPULATION OF APPROXIMATELY 3,500 RESIDENTS. LINTON HOSPITAL PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. THE ORGANIZATION'S COMMUNITY CARE POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 25867 25867 9628317 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 45 0 1 125 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X DEREK SCHAFF 7012543112 111 ELM AVE W LINTON ND 585520850 SANDRA MEIDINGER BOARD PRESIDENT 2.00 0.50 X X 0 0 0 TEMREE APPERT BOARD VICE PRESIDENT 1.00 X X 0 0 0 TIM VOLK BOARD MEMBER 1.00 X 0 0 0 BRIAN SCHUMACHER BOARD MEMBER 1.00 X 0 0 0 SPENCER LARSON THROUGH JULY 2022 BOARD MEMBER 1.00 0.50 X 0 0 0 PETER SILBERNAGEL BOARD SECRETARY 1.00 0.50 X X 0 0 0 LAURA JOCHIM BOARD MEMBER 1.00 0.50 X 0 0 0 CRISTOPHER TURMAN BOARD MEMBER 1.00 X 0 0 0 DEREK SCHAFF CFO / COO 40.00 1.00 X 139040 0 20821 LUKAS FISCHER CEO - CONTRACTED 40.00 1.00 X 0 0 0 JACKIE GRUNEFELDER NP 40.00 X 215621 0 9183 SAVANNA KRAMER PA 40.00 X 165548 0 0 SARAH HOFFER PA 40.00 X 132851 0 6144 SUSAN BERRETH NP 40.00 X 119994 0 13558 CHELSEA NAGEL RADIOLOGY 40.00 X 113620 0 19719 886674 0 69425 8 0 1 0 CHI ST ALEXIUS MEDICAL CENTER 900 E BROADWAY AVE BISMARCK ND 58501 ADMINISTRATIVE SERVICES 334716 PRAIRIE TRAVELERS INC 41 1ST STREET NORTH GLASGOW MT 59230 CONTRACTED LPN 139623 KNECHT MD JOHN F 4911 COPPERHILL CT RAPID CITY SD 57702 MD 136281 RESSLER SIDING & WINDOWS 2020 46TH AVE SE MANDAN ND 58554 REPLACEMENT OF WINDOWS 123080 4 1004731 157138 1161869 PATIENT SERVICE REVENUE 624100 9138903 9138903 340B PROGRAM 624100 1244964 1244964 SUPPLIES 624100 21557 21557 CAFETERIA 624100 14389 14389 CONTRACTED PHYSICIANS SERVICES 624100 4691 4691 25867 25867 10450371 15147 15147 12180 5680 6500 6500 6500 3593 -3593 -3593 -3593 MISCELLANEOUS 900099 5140 5140 5140 11635434 10409734 0 63831 223553 223553 4753948 4359419 335271 59258 758361 690062 58919 9380 344155 303444 36640 4071 10759 10759 6381 6381 34975 34975 23 23 30425 3792 26633 59425 30163 29262 74480 74480 94594 94594 56362 51150 5212 24271 8913 15358 2057 2057 608209 608209 59823 7453 52370 CONTRACTED SERVICES 1080421 849876 230545 DRUGS & IV'S 947132 947132 340B EXPENSE 526668 526668 SUPPLIES 431452 424068 7384 943801 721317 222484 11071275 9628317 1370249 72709 1696755 658968 2376370 3137566 110460 0 1313134 1482387 187496 187511 113395 142215 9592336 5873059 3442886 3719277 0 219614 9240496 9547538 854709 1086593 642008 0 236056 169449 0 219614 1732773 1475656 X 7507723 8071882 7507723 8071882 9240496 9547538 564159 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 71911 71911 4536046 2518334 2017712 101808 70636 31172 4844042 3284089 1559953 38529 38529 3719277 OPERATING LEASE RIGHT-OF-USE LIABILITY 219614 219614 X PART X, LINE 2: LINTON HOSPITAL AND LINTON HOSPITAL FOUNDATION ARE NORTH DAKOTA NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THE HOSPITAL AND FOUNDATION ARE NOT SUBJECT TO FEDERAL INCOME TAXES. THE HOSPITAL'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE HOSPITAL HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE INCOME TAX RETURNS OF THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE IRS AND STATE TAX AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED, ALL FILINGS ARE CURRENT. 1 1 1 X 1 X 1 0 0 20063 20063 0.00180 403255 287706 115549 0.01040 423318 287706 135612 0.01220 423318 287706 135612 0.01220 1 4446333 4446333 X 1 1 1 1 LINTON HOSPITAL 111 ELM AVE W LINTON ND 585520850 LINTONREGIONALMEDICALCENTER.ORG 5030 X X X X LINTON HOSPITAL 0 0 1 X X X X X X X X X 21 1 0 1 1 X LINTONREGIONALMEDICALCENTER.ORG X X 1 21 1 LINTONREGIONALMEDICALCENTER.ORG 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X X 1 X LINTONREGIONALMEDICALCENTER.ORG X LINTONREGIONALMEDICALCENTER.ORG X 1 X 0 1 X 0 0 LINTON HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT THE INPUT FROM A VARIETY OF DIFFERENT INDIVIDUALS THROUGHOUT THE COMMUNITY. ONE INDIVIDUAL WHO WAS ON THE STEERING COMMITTEE IS A REGISTERED NURSE WHO IS EMPLOYED AS THE DIRECTOR OF NURSING FOR EMMONS COUNTY PUBLIC HEALTH. LINTON HOSPITAL PART V, SECTION B, LINE 6B: CENTER FOR RURAL HEALTH AND EMMONS COUNTY PUBLIC HEALTH DEPARTMENT LINTON HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED IN TAX YEAR 2021,BUT WASN'T APPROVED BY THE BOARD UNTIL APRIL 5, 2021 AND MADE WIDELY AVAILABLE TO THE PUBLIC UNTIL THE WEEK AFTER. TO BE CONSIDERED "CONDUCTED" THE ASSESSMENT SHOULD HAVE BEEN APPROVED AND MADE WIDELY AVAILABLE TO THE PUBLIC BY MARCH 31, 2021. THE ERROR WAS CORRECTED ON ARPIL 12, 2021 BY MAKING THE ASSESSMENT WIDELY AVAILABLE TO THE PUBLIC. LINTON HAS REVISED THEIR PROCEDURES FOR MONITORING THE COMPLETION OF THE ASSESSMENT TO MEET THE DEFINITION OF BEING CONDUCTED AS DEFINED BY SECTION 1.501(R)-3 TO MINIMIZE THE LIKELIHOOD OF THE FAILURE RECURRING IN THE FUTURE. THE IMPLEMENTATION STRATEGY WAS ADOPTED AND POSTED TO THE WEBSITE PRIOR TO AUGUST 15, 2021. LINTON HOSPITAL PART V, SECTION B, LINE 11: THE HIGHEST PRIORITY OF THE CHNA IS THAT THERE ARE NOT ENOUGH JOBS WITH LIVABLE WAGES. THE LINTON HOSPITAL CONTINUED TO OFFER LIFE-SUSTAINING WAGES AND BENEFITS TO STAFF. REPRESENTATIVES OF THE HOSPITAL ATTEND LINTON INDUSTRIAL DEVELOPMENT CORPORATION (LIDC) AND LINTON CHAMBER OF COMMERCE MEETINGS. THE LINTON HOSPITAL WAS UNSUCCESSFUL IN ACHIEVING REPRESENTATION FROM THE HOSPITAL'S ADMINISTRATION ON THE BOARD OF THE LIDC DUE TO BOARD MEMBERS BEING REQUIRED TO LIVE IN THE COMMUNITY. 3 1 - LINTON MEDICAL CENTER 121 ELM AVE W LINTON ND 58552 RURAL HEALTH CLINIC 2 - CAMPBELL COUNTY CLINIC - HERREID 208 MAIN STREET NORTH HERREID SD 57632 RURAL HEALTH CLINIC 3 - HAZELTON CLINIC 343 MAIN STREET HAZELTON ND 58544 RURAL HEALTH CLINIC PART I, LINE 7: THE AMOUNTS WERE DETERMINED USING THE IRS RECOMMENDED WORKSHEET 1 - CHARITY CARE AT COST.PART I, LINE 7A: LINTON HOSPITAL HAD CUSTOMERS APPLY FOR UNCOMPENSATED CARE THROUGH THEIR COMMUNITY CARING PROGRAM WHICH DISCOUNTS OR WRITES OFF CHARGES BASED UPON THEIR INABILITY TO PAY. THE ACTUAL AMOUNT WRITTEN OFF WAS $20,063, AND BASED UPON OUR COST TO CHARGE RATIO DETERMINED FROM THE INTERIM COST REPORT FROM CMS, 100% WAS USED TO DETERMINE THE ACTUAL COST WRITTEN OFF. PART III, LINE 2: NO BAD DEBT EXPENSE WAS REPORTED IN OPERATING EXPENSE AS NOTED IN THE NETPATIENT AND RESIDENT SERVICE REVENUE NOTE IN THE FINANICAL STATEMENTS. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE. PART III, LINE 3: IT IS POLICY TO MAKE FINANICAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANICAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT THEY ARE PROACTIVE IN THE DETERMINATION OF FINANCIAL ASSISTANCE. ALL EFFORTS ARE MADE TO ENSURE THAT FINANCIAL ASSISTANCE ELIGIGLE PATIENTS DO NOT PROGRESS TO BAD DEBTS AND THEREFORE NO DOLLAR AMOUNT FOR BAD DEBT IS INCLUDED. PART III, LINE 4: THE AUDITED FINANICAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GAAP. PART III, LINE 8: MEDICARE COSTING METHODOLOGY USING THE MEDICARE COST REPORT, WHICH DOES REMOVE CERTAIN NON-ALLOWED MEDICARE COSTS. PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY, ALSO KNOWN AS THE COMMUNITY CARING PROGRAM, WAS UPDATED AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS IN 2022. THIS POLICY OUTLINES THE DEFINITIONS OF THE MEDICAL ELIGIBLE INDIGENCE AND PROVIDES THE CRITERIA AND PROCEDURES INVOLVED IN DETERMINING FINANCIAL ASSISTANCE. NOTICE OF THE COMMUNITY CARING PROGRAM IS PROVIDED ON ALL MONTHLY STATEMENTS TO ALL PATIENTS. THE ENTIRE POLICY IS POSTED ON THE HOSPITAL WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. PART VI, LINE 2: TO HELP FILL THE NEEDS, THE HOSPITAL HAS ESTABLISHED CLINICS IN THREE RURAL COMMUNITIES TO BETTER PROVIDE SERVICES TO THE PUBLIC. PART VI, LINE 3: LINTON HOSPITAL AND CLINICS HAVE AN ASSISTANCE PROGRAM CALLED "COMMUNITY CARING," WHICH IS A CHARITY PROGRAM FOR PEOPLE WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. A COMMITTEE COMPRISED OF THE CHIEF FINANCIAL OFFICER, HOSPITAL BUSINESS OFFICE MANAGER AND THE CLINIC BUSINESS MANAGERS REVIEW THE APPLICATIONS TO DETERMINE ELIGIBILITY. THE FINAL DETERMINATION IS FORWARDED TO THE CHIEF EXECUTIVE OFFICER FOR APPROVAL. THE GUARANTOR OR RESPONSIBLE PARTY IS NOTIFIED BY MAIL AND THE BALANCES ASSOCIATED WITH THIS PROGRAM ARE REPORTED TO THE GOVERNING BOARD OF DIRECTORS. THE APPLICATION PROCESS IS STATED ON THE BACK OF PATIENT STATEMENTS AND ON THE APPLICATION ITSELF. APPLICATIONS WILL BE AVAILABLE UPON REQUEST. A FILE WILL BE INITIATED ANYTIME THERE IS A REQUEST. A DOCUMENTATION FORM WILL BE FILLED OUT AND PLACED IN THE FILE. THE FILE WILL BE STORED IN THE BUSINESS OFFICE MANAGERS OFFICE AT THE LINTON HOSPITAL. PART VI, LINE 4: LINTON HOSPITAL IS A 14 BED CRITICAL CARE ACCESS HOSPITAL LOCATED IN EMMONS COUNTY IN SOUTH CENTRAL NORTH DAKOTA. LINTON HOSPITAL OPERATES THREE RURAL HEALTH CLINICS WITH AGREEMENTS OF THE COMMUNITIES WHERE THESE CLINICS ARE LOCATED. THE HOSPITAL OWNS THE BUILDING FOR ONE OF THESE CLINICS THE LINTON MEDICAL CENTER. THESE HEALTHCARE FACILITIES ARE THE PRIMARY SOURCE OF HEALTHCARE FOR RESIDENTS IN THE COMMUNITIES OF LINTON, STRASBURG, AND HAGUE IN EMMONS COUNTY, ZEELAND IN MCINTOSH COUNTY, AND BRADDOCK, KINTYRE, AND NAPOLEON IN LOGAN COUNTY IN NORTH DAKOTA. THE COMMUNITY OF LINTON IS LOCATED APPROXIMATELY 25 MILES FROM THE SOUTH DAKOTA BORDER, SO WE PROVIDE HEALTHCARE TO RESIDENTS OF HERREID AND POLLOCK, CAMPBELL COUNTY, SOUTH DAKOTA AS WELL.LINTON HOSPITAL AND CLINICS HAVE BEEN PROVIDING HEALTHCARE TO THE RESIDENTS OF THE SERVICE AREA SINCE 1953. ACCORDING TO THE 2020 CENSUS, THE TOTAL POPULATION OF EMMONS COUNTY WAS 3,301. 28.1% OF THIS POPULATION WAS OVER THE AGE OF 65. CAMPBELL COUNTY, SD REPORTED A TOTAL POPULATION OF 1,377 WITH 29.3% OVER THE AGE OF 65.LINTON HOSPITAL IS LOCATED IN A DESIGNATED MEDICALLY UNDERSERVED AREA AND IN A HEALTH PROFESSIONAL SHORTAGE AREA IN NORTH DAKOTA. PART VI, LINE 5: PROFESSIONAL STAFF ARE AVAILABLE TO MONITOR BLOOD SUGAR OF ALL PARTICIPANTS AT NO CHARGE. CLINICS IN HAZELTON, POLLOCK, AND HERREID PROVIDE BLOOD PRESSURE CHECKS AND ASSIST WITH ADMINISTRATION OF SELF-ADMINISTERED MEDICATIONS AT NO CHARGE. WE HAVE PROVIDED FREE BLOOD PRESSURE AND DIABETIC SCREENINGS AT OUR HOSPITAL WEEK IN MAY, AS WELL AS PROVIDING A FREE TEDDY BEAR CLINIC FOR AWARENESS OF PEDIATRIC SERVICES. A FOCUS ON INCREASED STRATEGIC ADVERTISING HAS BEEN MADE TO ALERT OUR CUSTOMERS TO THE SERVICES THAT WE PROVIDE. LINTON HOSPITAL EMPLOYS A RISK MANAGER AND BIOTERRISM COORDINATOR WHO MEET WITH THE LOCAL EMERGENCY PLANNING COMMITTEE AND ALSO PARTICIPATE IN THE EMMONS COUNTY MULTI-HAZARD MITIGATION PLAN FOR PREVENTION AND PLANNING FOR DISASTERS. LINTON HOSPITAL IS A MEMBER AND HAS AN EMPLOYEE WHO IS ACTIVELY INVOLVED WITH THE LINTON INDUSTRIAL DEVELOPMENT COMMITTEE. THE LINTON HOSPITAL ALSO OPERATES THE EMMONS COUNTY AMBULANCE SERVICE. THE DEPARTMENT RESPONDS TO FIRE CALLS, PROVIDES CPR TRAINING TO SCHOOL CHILDREN, IS ON STAND-BY AT LOCAL FOOTBALL GAMES AND COMMUNITY EVENTS AS A COURTESY TO THE COMMUNITY.THE LINTON HOSPITAL HAS PROFESSIONAL STAFF THAT ARE A REPRESENTATIVE PART OF EMMONS COUNTY INTERAGENCY. PART OF THIS INTERGENCY WAS A PARENTING COMMITTEE THAT HELD A SAFE NIGHT EVENT FOR THE COUNTY. 5TH-7TH GRADE STUDENTS WERE ABLE TO ATTEND. VARIOUS TOPICS INCLUDING VISION ZERO-SEATBELT SAFETY, UNDERAGE DRINKING PREVENTION, VAPING PREVENTION, ILLEGAL DRUG USE PREVENTION, AND INTERNET SAFETY. FOR ECONOMIC DEVELOPMENT, A REPRESENTATIVE ALSO SITS ON THE LITTLE LION'S DAYCARE BOARD. THIS REPRESENTATIVE PERFORMS INTERVIEWS FOR NEW HIRES AND PROVIDES CPR/AED CERTIFICATION TRAINING. FOR HEALTH AND SAFETY, A REPRESENTATIVES ATTEND PROGESSIVE AGRICULTURE SAFETY DAYS IN WHICH FIRST AID SAFETY TRAINING IS PROVIDED. THE LINTON HOSPITAL EMPLOYS A PART TIME COMMUNITY RESOURCE PERSON WHO IDENTIFIES INDIGENT CUSTOMERS AND ASSISTS THEM WITH APPLYING TO DRUG COMPANIES FOR FREE PRESCRIPTION DRUGS. THE ORGANIZATION ALSO EMPLOYS A REGISTERED NURSE WHO MANAGES A "DIABETIC MANAGEMENT" PROGRAM BY COUNSELING DIABETIC PATIENTS, PROVIDING FOOT CARE, AND MONITORING PATIENTS' PROGRESS WITH THEIR MEDICAL PROVIDER.LINTON HOSPTAL HAS A BOARD OF DIRECTORS MADE UP OF VOLUNTEERS AND MEMBERS OF THE COMMUNITY. PART VI, LINE 6: NOT APPLICABLE. X X X 0 0 0 0 0 0 0 0 0 JACKIE GRUNEFELDER NP 215621 0 0 0 0 0 8667 0 516 0 224804 0 0 0 SAVANNA KRAMER PA 165548 0 0 0 0 0 0 0 0 0 165548 0 0 0 DEREK SCHAFF CFO / COO 139040 0 0 0 0 0 6031 0 14790 0 159861 0 0 0 PART I, LINE 3 THROUGH DECEMBER 2023, LUKAS FISCHER, THE CEO / EXECUTIVE DIRECTOR, IS PAID BY CHI ST. ALEXIUS MEDICAL CENTER. THE HOSPITAL HAS A MANAGEMENT SERVICES AGREEMENT WITH ST. ALEXIUS TO PROVIDE THESE CEO SERVICES TO THE HOSPITAL. BEGINNING JANUARY 2023, HE IS AN EMPLOYEE OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 3 UNTIL DECEMBER 2023, THE FOLLOWING WERE THE MANAGING DUTIES PERFORMED BY LUKAS FISCHER CONTRACTED THROUGH CHI: HIRING EMPLOYEES, FIRING EMPLOYEES, SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS/FINANCIAL OPERATIONS, SUPERVISING EXEMPT OPERATIONS, AND SUPERVISING UNRELATED TRADES OR BUSINESSES OF THE ORGANIZATION. BEGINNING IN JANUARY 2023, HE PERFORMED CEO DUTIES AS AN EMPLOYEE OF LINTON HOSPITAL. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE TAX RETURN IS INCLUDED IN EACH BOARD MEMBER'S PACKET BEFORE IT IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT IS RESPONSIBLE FOR HONORING AND ENFORCING THE CONFLICT OF INTEREST POLICY. IT IS REVIEWED ANNUALLY AND MEMBERS DO NOT PARTICIPATE IN ANY KNOWN CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY BASED UPON THE STATE AVERAGE FROM SIMILAR-SIZED ORGANIZATIONS FROM THE ND HOSPITAL ASSOCIATION (NDHA) SALARY SURVEY. THE CEO IS RESPONSIBLE FOR DETERMINING THE SALARIES OF KEY EMPLOYEES. HE/SHE USED THE NDHA SALARY SURVEY AS A REFERENCE WHICH INCLUDES ALL ND FACILITIES WHO REPORT ON AN ANNUAL BASIS. SALARIES BY POSITION ARE COMPARED TO BENCHMARK AMOUNTS IN NORTH DAKOTA. 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. MANAGEMENT IS RESPONSIBLE FOR HONORING THESE REQUESTS. FORM 990, PART XII, LINE 2C THE HOSPITAL DID NOT CHANGE ITS OVERSIGHT PROCESS OF THE AUDIT DURING THE YEAR. LINTON HOSPITAL FOUNDATION 502 BROADWAY ST N LINTON ND 58552 141842061 CHARITABLE FOUNDATION ND 501(C)(3) LINE 11 LINTON HOSPITAL 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 1 1 0