2025-01-21T09:10:07-06:00 2024-04-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-05-01 816016152 Phillips County Hospital Association PHIL 4066541100 PO Box 640 Malta MT 595380640 Jo Tharp CEO 4066541100 2025-01-14 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-01-13 2023 2024-10-15 13:58:12Z Jo Tharp PO Box 640 Malta MT 595380640 8523184 0 X www.pchospital.us X 1951 MT Provide health care to rural/frontier community of Phillips County and surrounding counties of Blaine, Fergus and Valley. 9 9 92 30 0 0 568095 232464 8662301 7674080 164336 43102 94 20 9394826 7949666 15987 13752 0 0 5864938 5385794 0 0 0 5152994 3359332 11033919 8758878 -1639093 -809212 10642731 10301527 3401847 3694640 7240884 6606887 X To make a difference in healthcare. 0 0 6673641 13752 7674080 Phillips County Hospital Association is a 6-bed critical access hospital (CAH) and provider based Rural Health Clinic that is contracted with one physician and employs four nurse practitioners, and is located in Malta, Montana. The Hospital provides quality care and services in ER, Inpatient, Outpatient and swing bed medical care along with home/community-based services to all ages of our community in Phillips County, Montana and the surrounding areas. During FY 2024 the Organization had total inpatient days of 495 with an average daily census of 1.36. There were a total of 1,282 ER patients.The provider based Rural Health Clinic (RHC) provides family practice/primary care to meet the medical needs of our rural/frontier community of all ages regardless of ability to pay. Our RHC is HPSA designated as well as a NHSN site. Total visits for Fiscal Year 2024: 5,297.Home and Community Based services offered includes Visiting Nurse Services, Personal Assistance and DME/oxygen. These services meet the needs of our community's elderly and disabled who have limited to no resources and wish to be able to remain in the community. These individuals either can't make it out of their home, or it is very difficult for them to get out of their home for care/services. During the fiscal year the Organization had the following statistics: Visiting Nurse visits last year - 178, DME/oxygen encounters 263 patient encounters and Personal Assistance clients episodes were at 256. Phillips County Hospital offers a fully functional, staffed and equipped Laboratory with 5,181 patient encounters as well as Radiology departments (X-Rays -836, CT- 302, MRI- 71, US-95 ). We also provide PT and OT to inpatients and outpatients (1,018 PT and 248 OT encounters). Services provided during the year also included mobile mammography (166), DEXA scans (30), and telehealth visits (24).The Organization provided an estimated cost of $33,000 in charity care for Fiscal year 2024. 6673641 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 92 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 0 X Mark Lyons 4066541100 311 South 8th Avenue East Malta MT 59538 Susy Johnson Chair (May-Oct) 1.00 X X 0 0 0 Howard Hammond - Director (May-Oct)/Chair as of Nov 1.00 X X 0 0 0 Rick Starkey Vice Chair 1.00 X X 0 0 0 Sharon Young Director 1.00 X 0 0 0 Craig French Director 1.00 X 0 0 0 Lance Hould Director 1.00 X 0 0 0 Jay Boardman Director as of November 1.00 X 0 0 0 Dina Meneely Director 1.00 X 0 0 0 Melissa Moog Director 1.00 X 0 0 0 Shonda Jenkins Director 1.00 X 0 0 0 Jo Tharp CEO 40.00 X 100250 0 39573 Sterling Beck FNP 40.00 X 257531 0 40648 Theresa Ohl FNP 40.00 X 244825 0 52368 Angela Reynolds Director of Nursing 40.00 X 100205 0 11626 Donny Bagley Lab/Xray Manager 40.00 X 124140 0 10068 Mary Werdel Clinical Lab Scientist/Xray Tech 40.00 X 100167 0 14192 927118 0 168475 7 0 1 0 Charles Lanzillo 1106 W Park Street Livingston MT 59047 Medical Director 146560 1 60035 172429 232464 Patient Service Rev. 621110 6861229 6861229 Other Supporting Rev. 900099 580577 580577 Pharmacy Revenue 900099 212298 212298 Equity in Earnings of 900099 19976 19976 7674080 60720 60720 20 20 555900 573518 -17618 -17618 -17618 7949666 7674080 0 43122 13752 13752 139202 13920 125282 4301109 3559669 741440 138763 117949 20814 492990 448256 44734 313730 266671 47059 237250 237250 7161 7161 770507 677640 92867 15030 15030 85555 6918 78637 274758 274758 133497 115341 18156 38831 38831 13475 9983 3492 153526 153526 500737 500737 85768 52828 32940 Medical Supplies 710632 710632 Bed Tax 83097 83097 Licenses, Dues and Subs 82833 27806 55027 Repairs and Maintenance 58044 13945 44099 108631 15666 92965 8758878 6673641 2085237 0 1059044 1274411 82662 22415 1945887 1959862 213406 212975 120595 102683 8212755 5557443 3098484 2655312 1845997 2003591 52815 97860 1683420 1732099 540421 240319 10642731 10301527 1624648 1885675 1368928 1232829 408271 576136 3401847 3694640 X 6527837 5893840 713047 713047 7240884 6606887 10642731 10301527 -809212 175216 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1187399 184042 1371441 1487841 -300442 1187399 1541338 -53497 1487841 1160862 382173 1697 1541338 1222884 -45440 16582 1160862 0.48010 0.39870 0.12120 0 0 75679 75679 5286787 3455522 1831265 2797969 2101921 696048 52320 52320 2655312 Northeast MT Stat Air Ambulance Cooperative 1480852 C MT Health Network Worker's Comp Insurance Trust 52000 C Patronage Capital Credit-Triangle Communications 199247 C 1732099 Capital Lease 242544 Malpractice Claims 25000 Estimated third-party payor settlements 308592 576136 X 8117721 175216 175216 7942505 7161 7161 7949666 8751718 0 8751718 7161 7161 8758879 Part V, Line 4: The intended use of the endowment funds are to defray the costs of and provide healthcare services to the people of Phillips County and the surrounding area. Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 0 1 1 33000 33000 0.00380 1553322 1046645 506677 0.05780 1586322 1046645 539677 0.06160 2026626 1405212 621414 0.07090 2026626 1405212 621414 0.07090 3612948 2451857 1161091 0.13250 1 3152633 3176132 -23499 X 1 1 1 1 Phillips County Hospital 311 S 8th Ave E Malta MT 59538 www.pchospital.us 12856 X X X X Phillips County Hospital 0 0 1 X X X X X X X X X 23 1 0 0 1 X See Section C X 1 23 1 See Section C 0 1 X 100.000000000000 400.000000000000 X 1 1 X X X X 1 X https://pchospital.us/family-health-clinic/ X https://pchospital.us/family-health-clinic/ X https://pchospital.us/family-health-clinic/ X X X X X 1 X 0 X X X X 1 X 0 0 Phillips County Hospital Part V, Section B, Line 5: A steering committee was convened to assist Phillips County Hospital in conducting CHSD. A diverse group of community members representing various organizations and populations within the community (e.g., public health, elderly, young families, uninsured) came together in November 2023. 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, and again to review results of the CHNA and to assist in the prioritization of health needs. Phillips County Hospital Part V, Section B, Line 11: The key goals that became part of the most recent CHNA report are listed below:1. Enhance long-term care services at Phillips County Hospital2. Improve awareness of health resources and services available in Phillips County3. Ensure continued access to current and improved health care services at PCHDuring the implementation strategy process the organization determined it would not address housing affordability due to lack of resources and budget constraints. Phillips County Hospital and Family Health Clinic completed a CHNA in April of 2024. We have not addressed the needs identified in the new CHNA due to timing. An ongoing implementation/progress plan will be updated throughout the year with progress of needs and areas addressed by PCH. In the current year the facility has taken the following actions to address the needs identified in the prior CHNA:1. Retained an LCSW who has a full-time practice for behavioral health services2. Developed plan for implementation of a "safe room" at PC Hospital3. Expanded outpatient specialty provider services to include Ortho Surgery and OB/GYN services at PCH4. Continued use of Avel e-Pharmacy and e-Emergency services to improve patient outcomes and increase resources for providers and staff at PCH5. Other areas identified within the CHNA were not addressed due to the time and budget constraints within the fiscal year Schedule H, Part V, Line 7a and 10a: https://ypo.496.myftpupload.com/community-transparency/ Part I, Line 3c: In addition to the Federal Poverty Guidelines, Medical Indigency is also considered when determining eligibility for financial assistance. Part I, Line 6a: Montana Office of Rural Healthhttps://ypo.496.myftpupload.com/community-transparency/ Part I, Line 7: An average ratio of cost to gross charges was used to determine the amount on Part I, line 7a. The costs for Medicaid in Part I, line 7b and Subsidized Health Services in Part I, line 7g were determined based on the cost report. Part III, Line 2: Phillips County Hospital Association did not account for any implicit price concessions due to recording implicit price recoveries in fiscal year end 2024. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 12 and 13 of the attached audited financial statements. Part III, Line 8: Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.All of the Medicare shortfall should be treated as a community benefit. The Organization treats individuals regardless of the ability to pay. It is a community benefit to be able to treat all individuals at the local hospital and clinic. Part III, Line 9b: PCH will accept and process an application for financial assistance during the Application Period beginning on the first day care is provided and ending 240 days after PCH provides the first post discharge billing statement. If an incomplete application is submitted the Hospital will contact the patient to request the missing information and the patient will have 30 days to respond. Failure to respond within the 30-day period will result in the Application being suspended from further processing; however the patient may re-activate the Application by providing the requested information at any time during the 240-day period following the first post-discharge statement issued by the Hospital to the patient for such care. Within 15 days of receiving a completed Financial Assistance Application, the Hospital will determine eligibility for financial assistance and notify the patient in writing of such determination. If a Financial Assistance Application (whether complete or incomplete) is submitted by a patient at any time during the Application Period, the Hospital will suspend any ECAs underway for so long as the patient's Financial Assistance Application is pending. Part VI, Line 2: In order to assess the healthcare needs of the communities, PCH continually works to follow a philosophy that the community's CHNA is an ongoing and iterative process. With this, PCH, in partnership/collaboration with the other community entities (ie. Public/County Health Department, Assisted Living, Malta Kids Club, Coalition for Health Choices, the Malta Public Schools, City of Malta Rec Dept., County/City officials, Malta Opportunities, Chamber, PhillCo and any others who wish to join our monthly meetings) have convened a "Community Needs Group" that discusses Phillips County needs on an ongoing basis. This helps keep the process of identifying and then addressing community needs an iterative process. There are also ongoing internal conversations at PCH with the Board, Medical Staff, Leadership and Department Heads that discuss what else we may be missing, what is feasible and/or possible for PCH to address and if not possible to address, why so. We are constantly assessing what we are doing and identifying if there are new or different community needs that we would consider addressing. In addition, the Organization completed its latest CHNA in April of 2024 in partnership with the Montana Office of Rural Health. Part VI, Line 3: A business office staff member visits with every inpatient about our FAP and gives them the application if they so desire. The policy and application are also available on our website. Availability of a sliding fee is posted at the clinic registration desk. All PCH business office staff are aware of the program and work with individuals on an as needed basis. Part VI, Line 4: PCH identifies and defines its primary service area as all of the frontier/rural population and communities of Phillips County. A secondary service area is defined as the surrounding counties of Blaine, Valley and Fergus.PCH, being a HPSA designated site, is the sole hospital in Philips county and provides care and services to a population of 4,077. The highest race/ethnicity is white at 89.7%. The rate of uninsured adults under age 65 is 17%. Median income is $46,212 and persons below poverty level is 12.4%. The top chronic diseases are: cardiovascular, diabetes and chronic obstructive disease and the leading causes of death are: unintentional injury, suicide and cardiovascular disease. Part VI, Line 5: PCH has an open medical staff and welcomes and invites many outside medical specialists/practices to provide services in its facility (i.e., Podiatry, OB/GYN, General Surgery, Mental Health, Hearing Specialist, OT, WIC, Telemedicine as well as others as identified). PCH is served by a 9 member volunteer board of directors along with another 30 volunteer community member association of trustees all of whom reside in Phillips County. Any excess of revenues over expenses that PCH sees annually get put back into the organization and its employees through facility improvements, needed supplies, new/updated equipment and/or technology, developing new service areas to meet and further serve the needs of the community along with investing in PCH employees through recruitment, retention of staff, improving wages, benefits and ongoing education and training so that they have the tools, knowledge, information and expertise to provide quality care. PCH also serves its community in the following ways:-PCH offers two systems for Telehealth services - EMTN out of Billings Clinic and REACH out of Benefis in Great Falls.-PCH's ER is available 24/7/365 to all community members regardless of ability to pay.-PCH is a training/mentoring site for mid-level Practitioner education - Rocky Mountain College, Chatham University, University of Utah, University of Cincinnati and Montana State University.-PCH is a clinical education and training site and is on the Advisory Boards for MSU-Northern and Aaniiih Nakoda College - nursing programs.-PCH also takes on clinical rotations for PT and Lab/X-Ray students as needed.-PCH participates in 3 different Area Health Education Center's (AHECs) in the State of Montana.-PCH is a Health Professional Shortage Area site (HPSA) and a part of the National Health Services Corps (NHSC).-PCH has helped create and organize the following community involvement/advisory groups - suicide prevention and community needs.- PCH works with the Malta Public Schools on job shadowing and engaging students in exposure to healthcare 1 Health Care Foundation PO Box 1366 Malta MT 59538 363851012 501(c)(3) 11667 0 Rebates passed through to Foundation based on memorandum of understanding between the two parties to be used towards future support needs of the Foundation 1 0 Part I, Line 2: The organization does not have formal policies in place to monitor the use of grant funds. Community donations are typically very small and are for unrestricted purposes. The organization made one unrestricted donation greater than $5,000 during fiscal year 2024 to the local Health Care Foundation. This donation is associated with a memorandum of understanding between the organization and the Health Care Foundation. X X X 0 0 0 0 0 0 0 0 0 Sterling Beck FNP 257531 0 0 0 0 0 7780 0 32868 0 298179 0 0 0 Theresa Ohl FNP 244825 0 0 0 0 0 19500 0 32868 0 297193 0 0 0 Form 990, Part VI, Section A, line 6 All residents 18 yrs of age or older of the County of Phillips, State of Montana, shall be deemed members of the association. Form 990, Part VI, Section A, line 7a An Association Board of Trustees consisting of 30 members of the association are elected by the members of the association. A PCH Board of Directors consisting of nine members shall be elected by the Association Board of Trustees from among its membership annually. Form 990, Part VI, Section A, line 8b There are no committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The PCH Board of Directors will receive a copy of Form 990 for their review after it has been filed. Form 990, Part VI, Section B, line 12c The PCH conflict of Interest Policy covers our 9 member volunteer Board members and their appointed PCH authorized agents (CEO and CFO). The full Board annually and at meetings determines if there is a potential conflict, and they are reviewed and discussed. A person with a conflict will disqualify themselves from participating in deliberations and voting. Board members and Authorized Agents are required to fill out a conflict of interest statement annually. The statements are kept on file and require disclosure of related parties and other conflicts. Form 990, Part VI, Section B, line 15 As of September 15th, 2022, Jo Tharp transitioned into the interim CEO position. Compensation for Jo was determined based on comparability data used from MHA wage analysis of 2019 and experience. The board approved the compensation amount. In November 2022 Jo Tharp became the CEO and the compensation amount remained the same, per board decision. Jo Tharp continued as CEO through FY 23. Jo Tharp's compensation is scheduled to be reviewed in September 2025 during contract review. Compensation for all other positions are determined annually during the PCH budget process that includes the CEO and the Board Finance Committee and is approved by the full Board of Directors within the process of approving our entire PCH budget. MHA Montana annual wage/salary survey comparisons and any other appropriate regional or national surveys or data were used for like positions in like facilities to help in determining compensation for the CFO and all other positions. The CEO has also assumed ultimate responsibility for managing the Organization's finances. Form 990, Part VI, Section C, line 19 The Hospital's governing documents and conflict of interest policy are available upon request from the business office and/or Administration.