2024-05-07T13:49:54-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 810255832 MOUNTAINVIEW MEDICAL CENTER INC MOUN 4065473321 16 W MAIN ST WHITE SULPHUR SPRINGS MT 59645 ROB BRANDT CEO 4065473321 2024-04-01 1 ROB BRANDT XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-04-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROB BRANDT 16 W MAIN ST WHITE SULPHUR SPRINGS MT 59645 7929435 0 X MVMC.ORG X 1957 MT HEALTH CARE 7 7 74 7 0 0 621549 343681 6800898 7441157 69716 127890 -7904 -593 7484259 7912135 0 0 0 0 4822578 4459044 0 0 0 2356210 3191156 7178788 7650200 305471 261935 11939878 12577513 448250 832243 11491628 11745270 X MOUNTAINVIEW MEDICAL CENTER IS A NON-PROFIT CORPORATION FOUNDED AND SUPPORTED BY MEMBERS OF THE COMMUNITY FOR THOSE IN NEED OF QUALITY HEALTH CARE. OUR MISSION IS TO PROVIDE HOLISTIC CARE WHETHER INPATIENT, OUTPATIENT, EMERGENCY PATIENT OR LONG TERM CARE RESIDENT. WHEN UNABLE TO MEET PATIENT HEALTH CARE NEEDS, WE WILL FACILITATE ACCESS TO THE BEST POSSIBLE SERVICES AVAILABLE, ALWAYS STRIVING FOR A REPUTATION OF EXCELLENCE. 0 0 6259118 7440564 PROVIDE INPATIENT, OUTPATIENT AND CLINICAL CARE TO RESIDENTS OF MEAGHER COUNTY, MT, REGARDLESS OF THEIR ABILITY TO PAY. 6259118 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 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 0 0 0 0 1 25 0 74 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 1 1 0 X ROB BRANDT CEO 4065473321 16 W MAIN ST WHITE SULPHUR SPRINGS MT 59645 X WILLIAM GALT BOARD CHAIR 0.50 X X 0 0 0 SHANE SEREDAY VICE CHAIR 0.50 X X 0 0 0 CHRIS SCHLEPP SECRETARY 0.50 X X 0 0 0 RICHARD SEIDLITZ TREASURER 0.50 X X 0 0 0 CHERI BAILEY DIRECTOR 0.50 X 0 0 0 TANYA HILL DIRECTOR 0.50 X 0 0 0 BILL SCHENDEL DIRECTOR 0.50 X 0 0 0 ROB BRANDT CEO 40.00 X 0 0 0 ADAM GRAHAM PROVIDER 40.00 X 178043 0 13236 RON HAMM PROVIDER 40.00 X 162542 0 16053 DAVID MEISSNER PROVIDER 40.00 X 267664 0 32294 ADAM STENSETH MEDICAL DIRECTOR 40.00 X 306668 0 15113 PRISCILLA CATES DON 40.00 X 138037 0 8027 1052954 0 84723 10 0 1 0 CYPRESS HEALTHCARE LLC 791 EASTSIDE RD DEER LODGE MT 59722 MANAGEMENT 434205 INFUSION ARCHITECTS 4487 HIGHLAND MEADOWS PARKWAY WINDSOR CO 80550 ARCHITECTURE & ENGINEERING 107124 WORK IN PROGRESS PO BOX 502 WHITE SULPHUR SPRINGS MT 59645 CONTRACT LCPC 103071 3 140597 203084 343681 PATIENT SERVICE REVENU 621110 7276929 7276929 OTHER 621110 164228 164228 7441157 127890 127890 16707 17300 -593 -593 -593 7912135 7440564 0 127890 X 3867726 3463536 404190 44223 39801 4422 278077 250269 27808 269018 242116 26902 98083 98083 34068 34068 17641 17641 1440996 871682 569314 890 890 33931 28189 5742 137491 137491 166257 149631 16626 62110 53985 8125 344584 310126 34458 100147 90132 10015 SUPPLIES 403744 387654 16090 BAD DEBT EXPENSE 80396 80396 REPAIRS AND MAINTENANCE 77455 74190 3265 LICENSES AND TAXES 76627 6767 69860 116736 73153 43583 7650200 6259118 1391082 0 1333285 524660 2209966 2821148 1253671 949992 135242 155710 16588 15841 13652006 8088473 4496308 5563533 2300347 2332404 194471 214225 11939878 12577513 448250 594380 0 237863 448250 832243 X 11380676 11635875 110952 109395 11491628 11745270 11939878 12577513 261935 -8293 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1043748 1043748 5760017 4038793 1721224 44060 6668 37392 4125362 3458835 666527 2678819 584177 2094642 5563533 ESTIMATED THIRD-PARTY SETTLEMENT PAYABLE 237863 237863 7805805 -8293 -8293 7814098 17641 80396 98037 7912135 7552163 0 7552163 17641 80396 98037 7650200 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 80,396. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 80,396. 1 1 1 X 1 X 1 1 1 1 1 1 68162 68162 0.00890 1532303 1440665 91638 0.01200 1600465 1440665 159800 0.02090 11985 11985 0.00160 2600 2600 0.00030 14585 14585 0.00190 1615050 1440665 174385 0.02280 1 80396 3712861 3800768 -87907 X 1 1 1 1 MOUNTAINVIEW MEDICAL CENTER 16 W MAIN ST WHITE SULPHUR SPRING MT 59645 WWW.MVMC.ORG 13166 X X X RURAL HEALTH CLINIC MOUNTAIN VIEW MEDICAL CENTER 1 0 0 1 X X X X X X X X 21 1 0 1 1 X WWW.MVMC.ORG X 1 22 1 WWW.MVMC.ORG 0 1 X 150.000000000000 250.000000000000 1 1 X X X 1 X WWW.MVMC.ORG X WWW.MVMC.ORG X WWW.MVMC.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNTAIN VIEW MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INVOLVEMENT IN STEERING COMMITTEE MEETINGS, COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS ENHANCED COMMUNITY ENGAGEMENT IN THE ASSESSMENT PROCESS. THE STEERING COMMITTEE IS COMPRISED OF A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED). THE STEERING COMMITTEE MET TWICE DURING THE PROCESS; FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT, AND AGAIN TO REVIEW RESULTS OF THE SURVEY AND FOCUS GROUPS AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS TO ADDRESS. MOUNTAIN VIEW MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COOPERATION WITH THE MONTANA OFFICE OF RURAL HEALTH. MOUNTAIN VIEW MEDICAL CENTER PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED CHNA, THE HOSPITAL IDENTIFIED FOUR SIGNIFICANT NEEDS WHICH ARE LISTED BELOW ALONG WITH THE STEPS THAT ARE BEING TAKEN TO ADDRESS THOSE NEEDS: GOAL 1: ENHANCE ACCESS TO HEALTHCARE AND RESOURCES IN MEAGHER COUNTY.STRATEGY 1: EXPAND ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES THROUGH MOUNTAINVIEW MEDICAL CENTER (MMC).A. CONTINUE EFFORTS TO RECRUIT AND RETAIN A LOCAL DENTIST TO IMPROVE THE COMMUNITY'S ACCESS TO ORAL HEALTH SERVICES.B. CHAMPION LOCAL DENTAL SCREENING AND ORAL HEALTH PROGRAMS. SUSTAIN THE LONG-TERM CARE (LTC) RESIDENT DENTAL SCREENING PROGRAM. CONTINUE TO EXPLORE OPPORTUNITIES TO ENGAGE IN AND PROMOTE ORAL HEALTH THROUGHOUT THE SERVICE AREA.C. CONTINUE TO EXPLORE THE FEASIBILITY OF EXPANDING LOCAL WOMEN'S HEALTH SERVICES TO REDUCE THE NEED FOR AREA RESIDENTS TO TRAVEL OUT OF THE AREA FOR REGULAR, PREVENTIVE SCREENING.D. EXPLORE THE FEASIBILITY OF EXPANDING VISITING SPECIALTY SERVICES AVAILABLE THROUGH MMC TO REDUCE TRAVEL AND OTHER BURDENS ASSOCIATED WITH ACCESSING CARE (I.E., GASTROINTESTINAL SPECIALIST, INCREASED EYE DOCTOR VISITS TO AREA, TELEHEALTH SERVICES, ETC.).E. CHAMPION INFRASTRUCTURE IMPROVEMENTS TO ENHANCE ACCESS TO HEALTHCARE SERVICES IN MEAGHER COUNTY. THIS INCLUDES BUT IS NOT LIMITED TO EXPLORING FUNDING OPPORTUNITIES TO SUPPORT THE EXPANDED MMC FACILITY AS WELL AS DEVELOPING AN OUTREACH CAMPAIGN TO EDUCATE THE SERVICE AREA ABOUT THE NEW FACILITY, SERVICES, AND RESOURCES.STRATEGY 2: PRESERVE MMC'S PRESENCE IN THE COMMUNITY AS A TRUSTED PARTNER IN IMPROVING POPULATION HEALTH INITIATIVES.A. SUSTAIN SUPPORT OF COMMUNITY HEALTH OPPORTUNITIES THOUGH EVENTS, PRESENTATIONS, SOCIAL MEDIA, AND FLYERS (I.E., HEALTH FAIRS, COMMUNITY WALKS, HEALTH, AND WELLNESS PROGRAMMING, ETC.).B. IMPLEMENT COMMUNITY HEALTH WORKER (CHW) PROGRAM TO ENGAGE, ADVOCATE, AND EDUCATE COMMUNITY MEMBERS IN OVERALL HEALTH AND WELLNESS. THE CHW WILL BE A LIAISON BETWEEN LOCAL HEALTH/SOCIAL SERVICES AND THE COMMUNITY TO FACILITATE ACCESS AND IMPROVE HEALTH OUTCOMES BY INCREASING HEALTH KNOWLEDGE AND SELF-SUFFICIENCY.C. CONTINUE SUPPORTING COVID-19 TESTING AND VACCINATION OUTREACH EFFORTS, PARTICULARLY AMONG LOCAL SCHOOLS. PARTNER WITH LOCAL SCHOOLS AND OTHER COMMUNITY HEALTH CHAMPIONS TO PROMOTE COVID-19 VACCINATION UTILIZATION, PROVIDE HEALTH EDUCATION RELATED TO PREVENTION AND MITIGATION BEST PRACTICES.GOAL 2: ENHANCE TRANSPORTATION SERVICES THROUGHOUT MEAGHER COUNTY.STRATEGY 1: CONTINUE TO PARTNER WITH MEAGHER COUNTY TRANSPORTATION COMMITTEE TO ADDRESS AREA TRANSPORTATION NEEDS.A. RE-CONVENE THE TRANSPORTATION COMMITTEE BY HOSTING BI-MONTHLY MEETINGS.B. NETWORK WITH POTENTIAL REPRESENTATIVES FROM OUTLYING COMMUNITIES TO EXPLORE HOW TO CONNECT THEM TO MOUNTAINVIEW MEDICAL CENTER SERVICES AND THEIR LOCAL BUSINESS NEEDS (I.E., GROCERY STORES, BANKS, ETC.). REVIEW THE CITY-COUNTY GROWTH POLICY.C. COLLABORATE WITH THE WTI TO EXPLORE FUNDING OPPORTUNITIES TO SUPPORT AND SUSTAIN LOCAL TRANSPORTATION SOLUTIONS.NEEDS THAT WERE IDENTIFIED BUT ARE UNABLE TO BE ADDRESSED AT THIS TIME INCLUDE THE FOLLOWING: 1) 10.6% OF SURVEY RESPONDENTS INDICATED THEY HAD DIFFICULTY GETTING A PRESCRIPTION OR TAKING THEIR MEDICATION REGULARLY DUE TO COST IN THE LAST YEAR. MMC CONTINUES TO PARTICIPATE AND ADVOCATE FOR THE 340B DRUG DISCOUNT PROGRAM. MMC IS ONBOARDING A COMMUNITY HEALTH WORKER (CHW) THAT WILL HELP EDUCATE THE COMMUNITY ON INSURANCE COVERAGE AND OPTIONS.2) 17.5% OF SURVEY RESPONDENTS INDICATED THEY HAD EXPERIENCED PERIODS OF AT LEAST THREE CONSECUTIVE MONTHS IN THE PAST THREE YEARS WHERE THEY FELT DEPRESSED ON MOST DAYS. MMC IS CURRENTLY EXPLORING ADDING MORE MENTAL HEALTH STAFF. PART I, LINE 7: THE ORGANIZATION USES THE COST-TO-CHARGE RATIO CALCULATED ON WORKSHEET 2. PART III, LINE 2: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLE AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. PART III, LINE 3: NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT. WE EVALUATE THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE ANALYZING PAST RESULTS AND IDENTIFYING TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. WE ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLE AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND CURRENT STATUS OF INDIVIDUAL ACCOUNTS. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS ON PAGES 7 AND 8 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: NO PORTION OF THE SHORTFALL REPORTED SHOULD BE TREATED AS COMMUNITY BENEFIT. COST ACCOUNTING WAS USED AS THE COSTING METHODOLOGY TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO THE TOTAL REVENUE RECEIVED FROM MEDICARE. PART III, LINE 9B: MOUNTAINVIEW MEDICAL CENTER ACKNOWLEDGES THAT THERE ARE MEMBERS IN ITS SERVICE AREA WHO DO NOT HAVE THE ABILITY TO PAY FOR SERVICES, BUT WILL NOT BE DENIED CARE. THE FACILITY WILL APPLY APPROPRIATE FINANCIAL ASSISTANCE GUIDELINES TO THOSE PATIENTS MEETING THE OUTLINED CRITERIA. SUCH PATIENTS WILL RECEIVE SERVICES WITH NO RESPONSIBILITY FOR PAYMENT OR PAYMENT AT A DISCOUNTED RATE. PART VI, LINE 2: IN ADDITION TO THE CHNA, THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH STATISTICAL NUMBERS FROM INPATIENT, REFERRALS, OUTPATIENT, AND PATIENT SATISFACTION SURVEYS. PART VI, LINE 3: THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE THROUGH BROCHURES, WEBSITE, AND EDUCATION OF STAFF MEMBERS. PATIENT ACCOUNTING MAKES CALLS TO PATIENTS WHO HAVE NOT MADE PAYMENTS & EDUCATES THEM ON THEIR OPTIONS. WE ALSO HAVE IT POSTED ON OUR WEB PAGE. PART VI, LINE 4: MOUNTAINVIEW MEDICAL CENTER SERVES A FRONTIER COMMUNITY IN CENTRAL RURAL MONTANA. IT IS THE ONLY MEDICAL FACILITY WITHIN A 42 MILE RADIUS. IT HAS A LARGE PERCENTAGE OF ELDERLY OR AGING POPULATION. THE AREA IS SNOWBOUND A LARGE PORTION OF THE YEAR. OFTEN PATIENTS MUST BE FLOWN TO LARGER FACILITIES DURING THESE TIMES. PART VI, LINE 5: THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH OPEN BOARD MEETINGS WITH A VOLUNTEER BOARD OF DIRECTORS AND PARTNERSHIPS WITH PUBLIC HEALTH, EMS, FOODBANK, AND OTHER ORGANIZATIONS THAT HELP BENEFIT THE HEALTH AND WELLBEING OF OUR COMMUNITY. X X 0 0 0 0 0 0 0 0 0 ADAM STENSETH MEDICAL DIRECTOR 306668 0 0 0 0 0 7086 0 8027 0 321781 0 0 0 DAVID MEISSNER PROVIDER 267664 0 0 0 0 0 7412 0 24882 0 299958 0 0 0 ADAM GRAHAM PROVIDER 178043 0 0 0 0 0 0 0 13236 0 191279 0 0 0 RON HAMM PROVIDER 162542 0 0 0 0 0 0 0 16053 0 178595 0 0 0 PART I, LINE 3 THE CEO IS AN EMPLOYEE OF A MANAGEMENT COMPANY HIRED BY THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH CYPRESS HEALTHCARE, LLC. FEES PAID TO CYPRESS HEALTHCARE, LLC FOR THE FISCAL YEAR ENDED JUNE 30, 2023 WERE $457,610, WHICH INCLUDED CEO COMPENSATION, MANAGEMENT FEES, AND MISCELLANEOUS EXPENSES SUCH AS TRAVEL. THE ORGANIZATION'S CURRENT CEO, ROB BRANDT, IS AN EMPLOYEE OF CYPRESS HEALTHCARE, LLC AND RECEIVES ALL COMPENSATION FOR HIS SERVICES FROM CYPRESS. FORM 990, PART VI, SECTION B, LINE 11B ALL INFORMATION ON THE 990 IS REVIEWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 AS STIPULATED IN THE HOSPITAL'S BYLAWS, THE BOARD OF DIRECTORS REVIEWS AND APPROVES ALL SENIOR STAFF SALARIES (INCLUDING DIRECTORS, KEY EMPLOYEES, ET AL). THE MHA SALARY SURVEY IS USED AS A STARTING POINT FOR A BASELINE SALARY. BASED ON THE BOARD OF DIRECTORS' DECISION, A FORMAL OFFER IS DOCUMENTED AND KEPT IN THE PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 MOUNTAINVIEW MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 871,682. MANAGEMENT AND GENERAL EXPENSES 569,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,440,996. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.