2024-05-07T16:29:42-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 810245848 ROUNDUP MEMORIAL HOSPITAL ASSOCIATION ROUN 4063232301 PO BOX 40 ROUNDUP MT 59072 RICK SCHROEDER CEO 4063232301 2024-05-07 1 RICK SCHROEDER XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICK SCHROEDER PO BOX 40 ROUNDUP MT 59072 15686324 0 X WWW.RMHMT.ORG X 1979 MT PROVIDING HEALTHCARE THAT IS CAREFUL, COMPETENT AND KIND. 5 5 120 30 0 0 1556981 524683 13682835 14579164 -1428 163782 546689 418695 15785077 15686324 0 0 0 0 5569172 5113156 0 0 0 7167201 9976224 12736373 15089380 3048704 596944 15610373 16170678 1626583 1589944 13983790 14580734 X WE AIM TO DELIVER SAFE, PATIENT-CENTERED CARE WITH THE KINDNESS WE WOULD WANT FOR OURSELVES AND OUR FAMILY. WE STRIVE TO OFFER QUALITY CARE AND PROGRAMS THAT MEET OUR COMMUNITY'S NEEDS, EXCEED PATIENT EXPECTATIONS, AND ARE OFFERED IN A CARING, CONVENIENT, COST-EFFECTIVE, AND ACCESSIBLE SPACE. 0 0 13410264 0 14983787 CRITICAL ACCESS HOSPITAL - ROUTINE SERVICE FOR ADULTS, PEDIATRICS, AND SWING BED. RURAL HEALTH CLINIC WITH FOUR PROVIDERS. OTHER SERVICES INCLUDE BUT ARE NOT LIMITED TO ANCILLARIES; CT SCANS; LABORATORY; PHYSICAL, THERAPIES AND REHABILITATION; PHARMACY; EMERGENCY ROOM; X-RAY; DEXASCAN; CHRONIC CARE AND DIABETES MANAGEMENT; CENTRAL SUPPLY; INTRAVENOUS SOLUTIONS; ULTRASOUND; ELECTROCARDIOGRAPHY; OBSERVATION; BLOOD BANK; AND PATHOLOGY. RMH IMPLEMENTED STOP THE BLEED PROGRAM AND PROVIDED EDUCATION AND FREE RESOURCES TO THE COMMUNITY OF ROUNDUP AND SURROUNDING TOWNS IN OUR SERVICE REGION. THE TWO INSTRUCTORS WERE A PROVIDER AND OUR TRAUMA COORDINATOR, BOTH FORMALLY CERTIFIED TO TEACH STOP THE BLEED. THEY TAUGHT THESE LIFE-SAVING SKILLS TO DIFFERENT AUDIENCES INCLUDING SCHOOL-AGED TEENS, THE RETIRED COMMUNITY, THOSE IN AGRICULTURE, AND MANY IN VOLUNTEER ROLES WITHIN THE COMMUNITY.DUE TO THE CONTINUED SAFETY CONCERNS OF THE PANDEMIC AND REGULATIONS FOR HEALTHCARE WORKERS, RMH HAS NOT PUT ON THE HEALTH FAIR THIS PAST YEAR. WE ARE HOPING TO REINSTITUTE THIS COMMUNITY BENEFIT SOON. 13410264 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 39 0 120 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROUNDUP MEMORIAL HOSPITAL ASSOCIATION 4063232301 1202 THIRD STREET WEST ROUNDUP MT 59072 X JOHN PFISTER CHAIR 2.50 X X 0 0 0 MARK ROSEBUSH DMD VICE CHAIR 1.00 X X 0 0 0 KEN MOSDAL SECRETARY/TREASURER 1.00 X X 0 0 0 BRYAN ADOLPH DIRECTOR 1.00 X 0 0 0 LEONARD WALL DIRECTOR (THRU 5/4/23) 1.00 X 0 0 0 MARSHALL WHITE MD DIRECTOR 1.00 X 0 0 0 NICOLE BORNER DIRECTOR (THRU 7/15/22) 1.00 X 0 0 0 HOLLY WOLFF CEO 40.00 X 0 0 0 LORIE HUTCHISON PA 40.00 X 218233 0 6050 VALERI RUSSELL PA 40.00 X 132864 0 12353 BRYNN BIXBY PA 40.00 X 147160 0 4603 CYNTHIA MOORE DON 40.00 X 112393 0 11578 VELMA BUCHER ADON 40.00 X 105306 0 173 715956 0 34757 5 0 1 0 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 554850737 CONTRACT HEALTHCARE PROFESSIONALS 2534352 BILLINGS CLINIC PO BOX 30357 BILLINGS MT 59107 MANAGEMENT, ACCOUNTING, IT AND PROVIDER 1262079 FOREFRONT HEALTHCARE PO BOX 33661 DETROIT MI 48232 CONTRACT DIETARY STAFF AND SERVICES 654752 WILDERNESS MEDICAL STAFFING PO BOX 30729 SPOKANE WA 99223 CONTRACT PROVIDERS 398797 YELLOWSTONE VALLEY TRAVELERS PO BOX 51197 BILLINGS MT 59105 CONTRACT NURSING STAFF 216165 9 307482 217201 65000 524683 PATIENT SERVICE REVENUE 621110 14289993 14289993 OTHER OPERATING REVENUE 900099 183372 183372 340B REVENUE 900099 105799 105799 14579164 163782 163782 14072 0 14072 14072 14072 TAX REVENUE 900099 404623 404623 404623 15686324 14983787 0 177854 X 4364095 4172570 191525 51864 43501 8363 334795 280807 53988 362402 303962 58440 72542 14131 58411 17113 3334 13779 43242 8423 34819 6003995 5153895 850100 3367 3030 337 57285 44293 12992 345787 301965 43822 240135 187717 52418 54942 28728 26214 41759 6535 35224 22795 22795 785611 782505 3106 82621 11298 71323 MEDICAL SUPPLIES 859578 859578 BAD DEBT EXPENSE 527672 527672 REPAIRS & MAINTENANCE 261039 261039 OTHER OPERATING EXPENSE 142157 19440 122717 414584 395841 18743 15089380 13410264 1679116 0 24453 23712 6115735 7532763 2253356 1782147 170554 211154 191980 189835 17298201 11119245 6128218 6178956 8622 8784 717455 243327 15610373 16170678 747830 814439 878753 775505 1626583 1589944 X 13638961 14341071 344829 239663 13983790 14580734 15610373 16170678 596944 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 65000 65000 9246430 6323557 2922873 7845953 4795688 3050265 140818 140818 6178956 X 14904310 0 14904310 782014 782014 15686324 14307366 0 14307366 782014 782014 15089380 PART X, LINE 2: THE HOSPITAL IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE TAXES ON RELATED INCOME PURSUANT TO SIMILAR STATE OF MONTANA TAX LAWS. THE HOSPITAL APPLIES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES FOR RECOGNITION OF UNCERTAINTY IN INCOME TAXES AND PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IN THE COURSE OF ITS ASSESSMENT, THE HOSPITAL HAS DETERMINED THAT IT IS SUBJECT TO EXAMINATION OF ITS INCOME TAX FILINGS IN THE UNITED STATES AND STATE JURISDICTIONS FOR THE PRIOR THREE TAX YEARS. IN THE EVENT THAT THE HOSPITAL IS ASSESSED PENALTIES AND OR INTEREST, PENALTIES WILL BE CHARGED TO MISCELLANEOUS EXPENSE AND INTEREST WILL BE CHARGED TO INTEREST EXPENSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 527,672. EXPENSES NETTED AGAINST MISCELLANEOUS INCOME 231,547. INTEREST EXPENSE 22,795. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 527,672. EXPENSES NETTED AGAINST MISCELLANEOUS INCOME 231,547. INTEREST EXPENSE 22,795. 1 1 1 X 1 X 1 1 1 0 0 185371 185371 0.01230 3256407 3086367 170040 0.01130 3441778 3086367 355411 0.02360 9377 9377 0.00060 77472 77472 0.00510 1675 1675 0.00010 88524 88524 0.00580 3530302 3086367 443935 0.02940 0 527672 211069 4900331 4940166 -39835 X 1 1 1 1 ROUNDUP MEMORIAL HOSPITAL ASSOCIATION 1202 3RD STREET WEST ROUNDUP MT 59072 WWW.RMHMT.ORG 13511 X X X RURAL HEALTH CLINIC ROUNDUP MEMORIAL HOSPITAL ASSOC 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X WWW.RMHMT.ORG X 1 21 1 WWW.RMHMT.ORG 0 1 X 200.000000000000 400.000000000000 1 1 X X X X 1 X WWW.RMHMT.ORG X WWW.RMHMT.ORG X WWW.RMHMT.ORG X X X 1 X 0 X X X 1 X 0 0 ROUNDUP MEMORIAL HOSPITAL ASSOC PART V, SECTION B, LINE 5: THE STEERING COMMITTEE CREATED TO ASSIST ROUNDUP MEMORIAL HEALTHCARE IN CONDUCTING CHSD WAS SELECTED TO REPRESENT A BROAD GROUP ACROSS THE COMMUNITY BUT DIFFERENTIATE FROM THE PAST CHNA. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED, MALE) CAME TOGETHER IN FEBRUARY 2021. THE STEERING COMMITTEE MET TWICE DURING THE CHSD PROCESS; FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT, CONSIDERING APPROPRIATE CANDIDATES FOR TARGETED KEY INTERVIEWS (DUE TO INABILITY TO CONDUCT FOCUS GROUPS) AND MEETING AGAIN TO REVIEW RESULTS OF THE SURVEY AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS WHEN CREATING THE IMPLEMENTATION PLAN. ROUNDUP MEMORIAL HOSPITAL ASSOC PART V, SECTION B, LINE 6B: THE MONTANA OFFICE OF RURAL HEALTHTHE NATIONAL RURAL HEALTH RESOURCE CENTER ROUNDUP MEMORIAL HOSPITAL ASSOC PART V, SECTION B, LINE 11: THE FOLLOWING SUMMARY BRIEFLY REPRESENTS THE GOALS AND CORRESPONDING STRATEGIES AND ACTIVITIES WHICH THE FACILITY WILL EXECUTE TO ADDRESS THE PRIORITIZED HEALTH NEEDS.GOAL 1: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH RESOURCES IN MUSSELSHELL COUNTY.STRATEGY 1.1: ENHANCE THE CAPACITY OF THE MENTAL AND BEHAVIORAL HEALTH WORKFORCE AT RMH.RECRUIT A CHRONIC CONDITIONS MANAGER THAT WILL INHERENTLY ALSO CHAMPION MENTAL AND BEHAVIORAL HEALTH INITIATIVES AT RMH.EXPLORE MORH/AHEC'S BEHAVIORAL HEALTH TRAINING PERTINENCE TO RMH STAFF AND AREA PROVIDERS IN ENHANCING MENTAL AND BEHAVIORAL HEALTH SKILLS, KNOWLEDGE, AND TRAINING (HEALTHINFO.MONTANA.EDU/BHWET/TRAININGS).EXAMINE THE VARIOUS MENTAL HEALTH MODELS THAT HAVE BEEN IMPLEMENTED REGIONALLY. ASSESS THE FEASIBILITY FOR INTEGRATING A COMPLEMENTARY MODEL INTO RMH PRACTICE.DEVELOP PROTOCOL AND BEST PRACTICES FOR BOTH THE RMH CLINIC AND HOSPITAL SETTINGS REGARDING SCREENING AND REFERRALS FOR A MENTAL HEALTH CRISIS.STRATEGY 1.2: LEVERAGE REGIONAL PARTNERSHIPS TO ALIGN MENTAL AND BEHAVIORAL HEALTH RESOURCES AND INITIATIVES LOCALLY.FOSTER RELATIONSHIPS WITH COMMISSIONERS PARTICIPATING IN BILLINGS MENTAL HEALTH BOARD AND OTHER REGIONAL MENTAL HEALTH COALITIONS. SUPPORT RMH PARTICIPATION ON THESE BOARDS AND COALITIONS.PARTNER WITH THE LOCAL SCHOOLS TO EXPLORE OPPORTUNITIES THAT IMPROVE MENTAL AND BEHAVIORAL HEALTH OUTCOMES FOR AREA YOUTH. NURTURE A RESILIENT RELATIONSHIP WITH THE NEW GUIDANCE COUNSELOR AT ROUNDUP HIGH SCHOOL.STRATEGY 1.3: IMPROVE AWARENESS OF AVAILABLE MENTAL AND BEHAVIORAL HEALTH RESOURCES THROUGH ENHANCED OUTREACH AND EDUCATION INITIATIVES.EXPLORE EVIDENCE-BASED STRATEGIES THAT THE COMMUNITY COULD ADOPT FOR REDUCING THE STIGMA ASSOCIATED WITH ACCESSING MENTAL AND BEHAVIORAL HEALTH RESOURCES.CREATE AND DOCUMENT A STRATEGY TO EDUCATE RMH STAFF ON THE MENTAL HEALTH REFERRALS, PROTOCOL, AND AVAILABLE RESOURCES DEVELOPED IN ACTIVITY 1.1.4.DEVELOP A COMMUNITY OUTREACH AND EDUCATION CAMPAIGN FOR MENTAL HEALTH RESOURCES THAT ARE AVAILABLE LOCALLY.GOAL 2: ENHANCE AWARENESS OF HEALTH RESOURCES IN MUSSELSHELL COUNTY THROUGH THE IMPROVEMENT OF OUTREACH AND EDUCATION EFFORTS.STRATEGY 2.1: ENHANCE RMH OUTREACH EFFORTS OF AVAILABLE HEALTH SERVICES AND RESOURCES.DEVELOP A COMPREHENSIVE HEALTH COMMUNICATION PLAN FOR RMH THAT PRIORITIZES AVENUES SUCH AS WEB PRESENCE AND SOCIAL MEDIA.EXPLORE OPPORTUNITIES TO ENHANCE THE RMH WEBSITE'S OPERABILITY AND PATIENT/USER-FRIENDLINESS, STREAMLINING ACCESS TO LOCAL HEALTH INFORMATION AND RESOURCES.STRATEGY 2.2: REINVIGORATE RMH'S PRESENCE IN THE COMMUNITY AS A SOURCE FOR HEALTH EDUCATION AND RESOURCES, PARTICULARLY RELATED TO PREVENTIVE SERVICES AND CHRONIC DISEASE MANAGEMENT.DESIGN EDUCATIONAL CAMPAIGNS TAILORED TO THE COMMUNITY AND RMH PROVIDERS THAT DESCRIBE RMH'S PARTNERSHIP WITH THE EASTERN MONTANA TELEMEDICINE NETWORK, ENHANCING ACCESS, REDUCING HEALTHCARE TRAVEL BURDEN AND COSTS FOR THE COMMUNITY.HOST AND PROMOTE AN ANNUAL HEALTH FAIR. IF THE NEED IS DETERMINED AMONG COMMUNITY MEMBERS, RMH WILL CONSIDER SPONSORING TARGETED HEALTH FAIRS IN THE SPRING AND FALL. IN ADDITION, CONTINUE COLLABORATING WITH LOCAL PARTNERS TO HIGHLIGHT COMMUNITY-BASED RESOURCES AT THE HEALTH FAIR(S).EXPLORE AND IMPLEMENT PREVENTIVE HEALTH PROGRAMMING INCLUDING, BUT NOT LIMITED TO, WALK WITH EASE, ELDERLY FALL PREVENTION, STOP THE BLEED, AND AN ARTHRITIS FOUNDATION PROGRAM.PRESERVE RMH'S PRESENCE IN THE COMMUNITY AS A TRUSTED PARTNER IN ADDRESSING EMERGENT HEALTH ISSUES, SUCH AS COVID-19. CONTINUE SPONSORING TIMELY EFFORTS SUCH AS PROVIDING HAND SANITIZER, HANDWASHING EDUCATION, VACCINATION CONFIDENCE, ETC., TO THE COMMUNITY.GOAL 3: REVIVE CHRONIC DISEASE MANAGEMENT AND PREVENTION EFFORTS IN MUSSELSHELL COUNTY.STRATEGY 3.1: LEVERAGE PARTNERSHIP WITH BILLINGS CLINIC TO ENHANCE CHRONIC DISEASE MANAGEMENT AND PREVENTION.DEVELOP A PROTOCOL TO IDENTIFY AND REFER TO THE CHRONIC DISEASE MANAGEMENT PROGRAM. BEGIN BY INCLUDING HEART FAILURE PREVENTION, COMMUNITY HEALTH WORKER, CARE COORDINATION, MEDICATION ADHERENCE, AND EDUCATION COMPONENTS IN THE RMH CLINIC. THEN, AS DEEMED FEASIBLE, RMH WILL EXPLORE EXPANDING THE PROGRAM INTO THE HOSPITAL.UTILIZE EVIDENCE-BASED RESOURCES TO DEVELOP OUTREACH MATERIALS THAT EDUCATE AND REFER ELIGIBLE PATIENTS TO THE CHRONIC DISEASE MANAGEMENT PROGRAM.STRATEGY 3.2: COLLABORATE WITH COMMUNITY PARTNERS TO ALLEVIATE BARRIERS TO HEALTHY EATING.EXPLORE HOW BEST TO PARTNER WITH COMMUNITY ORGANIZATIONS IN OFFERING HEALTHIER FOOD OPTIONS AS WELL AS WITHIN THE HOSPITAL [RHI TOOLKITS, CONVERSATIONS WITH COMMUNITY PARTNERS (NEW COMMUNITY MARKET, FOOD BANK, ETC.)].EXPLORE OPPORTUNITIES FOR DISSEMINATING HEALTHY EATING AND NUTRITION EDUCATION AT LOCAL EVENTS SUCH AS THE COMMUNITY MARKET. PART V, SECTION B, LINE 20D: THE HOSPITAL IS CURRENTLY WORKING ON EXPANDING THIS CAPABILITY. PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE FIGURES IN THE TABLE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 HAS BEEN SUBTRACTED FROM TOTAL OPERATING EXPENSES IN THE CALCULATION OF THE COST-TO-CHARGE RATIO FROM WORKSHEET 2. PART III, LINE 2: NET BAD DEBT EXPENSE RECORDED IN THE GENERAL LEDGER (EXPENSE LESS RECOVERIES). PART III, LINE 3: WE ESTIMATE APPROXIMATELY 40% OF TOTAL BAD DEBT IS ATTRIBUTABLE TO PATIENTS THAT WOULD LIKELY BE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: THE FOOTNOTE DESCRIBING BAD DEBT IS ON PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE RATES DO NOT ALWAYS ALIGN WITH THE ACTUAL COSTS OF TREATMENT. BY CONTINUING TO TREAT PATIENTS ELIGIBLE UNDER MEDICARE, THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE ORGANIZATION USED AMOUNTS FROM THEIR MEDICARE COST REPORT TO DETERMINE LINE 6. PART III, LINE 9B: POLICY STATES UP FRONT THAT ADMISSIONS REPRESENTATIVE IS TO GIVE FINANCIAL ASSISTANCE PAPERWORK WITH INFORMAION ON CHARITY CARE AT THE TIME OF ADMISSION. FOLLOW UP CONSULTATION IS DONE LATER TO INCLUDE FINANCIAL ASSISTANCE DISCUSSIONS WITH PATIENT. PART VI, LINE 2: IN 2021, THE HOSPITAL CONDUCTED A NEEDS ASSESSMENT. THE STEERING COMMITTEE INCLUDED REPRESENTATIVES FROM THE LOCAL BUSINESSES, EMS, PUBLIC HEALTH, THE SCHOOL SYSTEM, AGENCY ON AGING, AND LOCAL GOVERNMENT IN ADDITION TO THE HOSPITAL CLINICAL AND ADMINISTRATIVE STAFF. KEY INTERVIEWS AND INFORMANT MEETINGS WERE HELD TO GATHER INFORMATION ON HEALTHCARE NEEDS AND GAPS IN SERVICES. PART VI, LINE 3: WHEN A PATIENT INDICATES THAT A FINANCIAL HARDSHIP EXISTS, THE HOSPITAL PROVIDES INFORMATION ON THE HOSPITAL CHARITY PLAN AND OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS. PART VI, LINE 4: ROUNDUP MEMORIAL HEALTHCARE (RMH) IS THE SOLE COMMUNITY HEALTHCARE PROVIDER FOR MUSSELSHELL COUNTY, A RURAL AREA WITH A POPULATION DENSITY OF 2.4 PER SQUARE MILE. NO OTHER HOSPITALS SERVE THE COMMUNITY, AND THE NEAREST HEALTHCARE FACILITY IS LOCATED IN BILLINGS, 45 MILES TO THE SOUTH. PER THE 2020 FEDERAL CENSUS, THE COUNTY POPULATION WAS 4,730; THE PER CAPITA INCOME IN THE COUNTY IS $24,979 AND THE PERCENTAGE OF PERSONS BELOW THE POVERTY LINE WAS 15.4 PERCENT. IN 2010, 13.4 PERCENT OF MUSSELSHELL COUNTY WAS UNINSURED. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED MUSSELSHELL COUNTY AS AN UNDERSERVED AREA WITH A SCORE OF 16. PART VI, LINE 5: THE CEO NOW SITS ON THE ROUNDUP COMMUNITY PARTNERS COMMITTEE TO WORK ON COMMUNITY EFFORTS IN PROMOTING HOSPITAL-LED PARTICIPATION. THE HOSPITAL COMMITTEE, PATIENTS AND FAMILY ADVISORY COMMITTEE (PFAC) HAS RECRUITED A COMMUNITY MEMBER TO ACT AS AN ADVISORY ROLE IN PROVIDING INPUT AND INSIGHT FROM THE COMMUNITY PERSPECTIVE. 0 0 0 0 0 0 0 0 0 LORIE HUTCHISON PA 218233 0 0 0 0 0 5876 0 174 0 224283 0 0 0 BRYNN BIXBY PA 147160 0 0 0 0 0 4356 0 247 0 151763 0 0 0 X 1 65000 REALTOR MARKET ANALYSIS 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IS REPORTED IN PART I. FORM 990, PART VI, SECTION A, LINE 2 LEONARD WALL, BRYAN ADOLPH, AND VAL RUSSELL HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS CONTRACTED WITH BILLINGS CLINIC TO PROVIDE MANAGEMENT SERVICES. THE ORGANIZATION'S CEO DURING FY23, HOLLY WOLFF, WAS AN EMPLOYEE OF BILLINGS CLINIC AND COMPENSATION FOR SERVICES PROVIDED TO THE HOSPITAL INCLUDE THE FOLLOWING: BASE SALARY - $146,041 BONUS - $5,000 EMPLOYER CONTRIBUTION TO 403B PLAN - $1,949 EMPLOYER CONTRIBUTION TO MEDICAL AND DENTAL - $6,792 EMPLOYER CONTRIBUTION TO LIFE INSURANCE AND LONG-TERM DISABILITY - $426 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CEO, CFO, AND CONTROLLER AND IS DISTRIBUTED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY APPLIES TO EMPLOYEES, VOLUNTEERS, MEDICAL STAFF, AND CONTRACTED WORKERS. ALL INTERESTED PERSONS SHOULD REPORT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS SOON AS THEY BECOME AWARE OF IT. DISCLOSURE OF CONFLICTS OF INTEREST INVOLVING EMPLOYEES WILL BE REVIEWED BY SENIOR LEADERSHIP. DISCLOSURES INVOLVING SENIOR LEADERSHIP WILL BE REVIEWED BY THE BOARD OF DIRECTORS. IF THE MATTER IS DEEMED A CONFLICT OF INTEREST, THE INTERESTED PERSON SHALL DISCONTINUE THE RELATIONSHIP/ACTIVITY OR MANAGEMENT SHALL ESTABLISH A PLAN TO MONITOR THE ACTIVITY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS COMPENSATED ACCORDING TO ARRANGEMENTS WITH THE MANAGEMENT AGREEMENT WITH BILLINGS CLINIC, WHO RECOMMENDS THE CEO SALARY TO THE BOARD FOR APPROVAL. THE HOSPITAL UTILIZES THE MONTANA HOSPITAL ASSOCIATION AND ASSOCIATED EMPLOYEES SALARY SURVEY TO DETERMINE SALARIES OF KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUSET TO THE CEO. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,002,982. MANAGEMENT AND GENERAL EXPENSES 726,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,729,031. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 150,913. MANAGEMENT AND GENERAL EXPENSES 124,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274,964. FORM 990, PART XII, LINE 2C: THERE IS NO SEPARATE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. THE BOARD OF DIRECTORS ASSUMES THIS OVERSIGHT RESPONSIBILITY. THE BOARD HIRES THE AUDIT FIRM AND MEETS WITH THE AUDIT TEAM AT THE CONCLUSION OF THE AUDIT. THE BOARD IS ALSO AVAILABLE FOR ANY QUESTIONS THAT ARISE THROUGHOUT THE AUDIT.