2024-05-07T16:10:29-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 475437700 PIONEER MEDICAL CENTER PION 4069324603 PO BOX 1228 BIG TIMBER MT 59011 IAN PETERSON CEO 4069324603 2024-05-07 1 IAN PETERSON XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z IAN PETERSON 301 WEST 7TH AVE BIG TIMBER MT 59011 13753704 0 X WWW.PMCMT.ORG X 2016 MT PIONEER MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY BASED IN BIG TIMBER, MONTANA. PIONEER MEDICAL CENTER HAS A SERVICE AREA OF JUST UNDER 1,900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE. 9 8 162 29 0 0 46898 916786 10674605 11963134 4128 34767 742531 839017 11468162 13753704 0 0 0 0 5304985 5232422 0 0 0 6740754 7171102 12045739 12403524 -577577 1350180 8984161 23304921 2321474 15292054 6662687 8012867 MISSION: SUSTAINABLE EXCELLENCE IN PATIENT AND RESIDENT FOCUSED CARE. VISION: GROW TO BECOME THE TRUSTED HEALTHCARE PROVIDER AND EMPLOYER OF CHOICE IN SWEET GRASS COUNTY. 0 0 11288374 12784893 PIONEER MEDICAL CENTER SERVES THE RESIDENTS OF SWEET GRASS COUNTY THROUGH ITS 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY. 11288374 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 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 7 0 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 4069324603 PO BOX 1228 BIG TIMBER MT 59011 MARK KETCHUM OUTGOING CHAIR 1.00 X X 0 0 0 BRANDI SCHWEIGERT INCOMING CHAIR 1.00 X X 0 0 0 ELAINE ALLESTAD VICE CHAIR 1.00 X X 0 0 0 MATT MCMANAMEN SECRETARY 1.00 X X 0 0 0 CORY AUSTIN DIRECTOR 1.00 X 0 0 0 JOY OTT DIRECTOR 1.00 X 0 0 0 CHAD MILLER DIRECTOR 1.00 X 0 0 0 BILL WALLACE DIRECTOR 1.00 X 0 0 0 DR WALLACE WALKER DIRECTOR/MD 40.00 X 301520 0 0 IAN PETERSON CEO 40.00 X 0 0 0 SANDRA WOLFORD RADIOLOGY MANAGER 40.00 X 125315 0 18997 TINA HENSLEY REGISTERED NURSE 40.00 X 121756 0 44337 KRISTA FARNUM LABORATORY MANAGER 40.00 X 120560 0 21072 SARAH WALTON FNP 40.00 X 109107 0 19703 JOHN FOWLER RN 40.00 X 103747 0 3886 882005 0 107995 6 0 1 0 BILLINGS CLINIC PO BOX 31598 BILLINGS MT 59107 MANAGEMENT, ACCOUNTING, RAD, IS, LAB, AN 1515434 WILDERNESS MEDICAL STAFFING PO BOX 30729 SPOKANE WA 99223 PHYSICIAN STAFFING 514750 WALLACE WALKER PO BOX 1267 BIG TIMBER MT 59011 PHYSICIAN SERVICES 301520 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 NURSE STAFFING 222521 4 150471 766315 916786 NET PATIENT REVENUE 621110 11594137 11594137 OTHER OPERATING REVENUE 621110 368997 368997 11963134 34767 34767 17258 0 17258 17258 17258 HOSPITAL DISTRICT TAX REVENUE 900099 821759 821759 821759 13753704 12784893 0 52025 X 305520 270428 35092 3885089 3438855 446234 89794 79480 10314 683852 605306 78546 268167 237366 30801 43669 43669 165491 165491 3560478 3560478 17663 17663 38802 38802 295369 295369 258566 258566 21431 21431 12027 12027 15815 15815 480685 480685 167148 167148 SUPPLIES 798674 798674 BAD DEBT EXPENSE 525471 525471 REPAIRS AND MAINTENANCE 278066 278066 EQUIPMENT RENTAL 122726 122726 369021 369021 12403524 11288374 1115150 0 1203943 490923 1482046 2437683 1814490 1981921 146925 174593 94243 123756 4319179 1133233 3757316 3185946 485198 14910099 8984161 23304921 1264886 1173183 352846 2938 5000 7500 522836 0 175906 14108433 2321474 15292054 X 6610342 7482714 52345 530153 6662687 8012867 8984161 23304921 1350180 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2866420 375026 2491394 46301 7840 38461 1406458 750367 656091 3185946 LEASE ASSET 14092112 TAXES RECEIVABLE 446054 COST REPORT SETTLEMENT RECEIVABLE 364266 CASH HELD IN TRUST FOR RESIDENTS 7667 14910099 LEASE LIABILITY 14108433 14108433 X 14203343 975110 975110 13228233 525471 525471 13753704 12853163 975110 975110 11878053 525471 525471 12403524 PART IV, LINE 2B: THE ORGANIZATION HOLDS CASH IN TRUST FOR RESIDENTS OF THE LONG-TERM CARE FACILITY. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT 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 INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE HOSPITAL RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR TAX YEARS 2019 AND FORWARD REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 525,471. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 525,471. 1 1 1 X 1 X 1 1 1 0 1 1 295192 295192 0.02380 1287126 1369586 0 0.00000 1582318 1369586 295192 0.02380 6483 6483 0.00050 365109 412509 0 0.00000 371592 412509 6483 0.00050 1953910 1782095 301675 0.02430 7 22327 22327 0.00180 2 12105 12105 0.00100 2 11453 11453 0.00090 3 14884 14884 0.00120 2 21829 21829 0.00180 3 21829 21829 0.00180 2 6885 6885 0.00060 21 111312 111312 0.00910 1 525471 105094 4626512 4688529 -62017 X 1 1 1 1 PIONEER MEDICAL CENTER 301 WEST 7TH AVENUE BIG TIMBER MT 59011 WWW.PMCMT.ORG 12706 X X X RURAL HEALTH CLINIC AND ASSISTED LIVING FACILITY PIONEER MEDICAL CENTER 1 0 0 1 X X X X X X X X 20 1 0 1 1 X PMCMT.ORG/ABOUT/OVERVIEW X 1 21 1 PMCMT.ORG/ABOUT/OVERVIEW 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X WWW.PMCMT.ORG X WWW.PMCMT.ORG X WWW.PMCMT.ORG X X X X X X 1 X 0 X 1 0 0 PIONEER MEDICAL CENTER PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS IDENTIFIED COMPRISED OF A DIVERSE GROUP OF MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY INCLUDING PUBLIC HEALTH, ELDERLY, UNINSURED, YOUTH, ETC. PIONEER MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COOPERATION WITH THE MONTANA OFFICE OF RURAL HEALTH. PIONEER MEDICAL CENTER 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 HEALTHCARE SERVICES IN SWEET GRASS COUNTY.STRATEGY 1.1: CONTINUE TO IMPROVE ACCESS TO PRIMARY CARE SERVICES.IMPROVE PATIENT DIGITAL HEALTH ACCESS AND MANAGEMENT BY MAKING SCHEDULING AND COMMUNICATION SEAMLESS WITH PMC. CREATE A COMMUNITY OUTREACH AND EDUCATION CAMPAIGN TO ACCOMPANY THE SYSTEM ENHANCEMENTS.BUILD UPON THE TRUST AND RELATIONSHIP WITH THE SERVICE AREA BY EXPLORING THE FEASIBILITY OF EXPANDING THE PATIENT-CENTERED CARE MODEL.CONTINUE TO WORK WITH COUNTY AND COMMUNITY LEVEL RESOURCES (PUBLIC HEALTH, EMS, SOCIAL SERVICE ORGANIZATIONS, ETC.) TO ADDRESS COMMUNITY-LEVEL INFRASTRUCTURE TO MEET THE EVOLVING NEEDS OF OUR COMMUNITY BEST AS WE NAVIGATE THE PANDEMIC AND ITS AFTER-EFFECTS.STRATEGY 1.2: CONTINUE TO ENHANCE ACCESS TO SPECIALTY CARE SERVICES.CONTINUE TO ENHANCE COMMUNITY AWARENESS OF SPECIALTY SERVICES BY DEVELOPING A SPECIALTY SERVICE CALENDAR CAMPAIGN HIGHLIGHTING VISITING PROVIDERS, SERVICES, AND CLINIC TIMES.GOAL 2: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES AND RESOURCES IN SWEET GRASS COUNTY.STRATEGY 2.1: ENHANCE COMMUNITY KNOWLEDGE OF ALCOHOL AND SUBSTANCE ABUSE RESOURCES.CATALOG ALCOHOL AND SUBSTANCE ABUSE RESOURCES ON PMC'S WEBSITE FOR PATIENTS AND CAREGIVERS BY SHARING EVENTS AND RESOURCES AVAILABLE LOCALLY. CREATE A SCHEDULE TO REVIEW AND UPDATE THE WEBSITE REGULARLY TO ENSURE THE MOST UP-TO-DATE INFORMATION. ORIENT THE PMC STAFF OF ALL LEVELS TO THE UPDATED CATALOG.EXPLORE ADDITIONAL EVIDENCE-BASED AVENUES TO DISSEMINATE ALCOHOL AND SUBSTANCE ABUSE PREVENTION OUTREACH AND EDUCATION MATERIALS IN SWEET GRASS COUNTY.STRATEGY 2.2: ENHANCE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES AT PMC.MEET WITH COMMUNITY PARTNERS TO FACILITATE AND COORDINATE LOCAL MENTAL HEALTH RESOURCES, ENHANCE RELATIONSHIPS, AND EXPLORE OPPORTUNITIES TO IMPROVE REFERRAL/TRANSFER RESOURCES FOR AREA PATIENTS.EXPLORE THE FEASIBILITY OF EXPANDING PARTNERSHIPS OR COLLABORATIONS TO ENHANCE TELEPSYCHIATRY SERVICES IN SWEET GRASS COUNTY.DEVELOP AND DISSEMINATE STAFF TRAINING AND INFORMATION REGARDING AVAILABLE COMMUNITY AND STATE RESOURCES, ENHANCING MENTAL AND BEHAVIORAL HEALTH SKILLS AND KNOWLEDGE TO ADDRESS THE COMMUNITY'S MENTAL AND BEHAVIORAL HEALTH NEEDS. GOAL 3: CONTINUE TO ENHANCE PIONEER MEDICAL CENTER'S OUTREACH AND EDUCATION EFFORTS IN THE PMC SERVICE AREA. STRATEGY 3.1: ENHANCE PMC'S OUTREACH AND EDUCATION EFFORTS OF AVAILABLE HEALTH SERVICES.DEVELOP AN OUTREACH AND COMMUNICATION PLAN BY INTENTIONALLY PRIORITIZING WEBSITE AND SOCIAL MEDIA CONTENT IMPROVEMENTS. ENSURE NEW COMMUNICATION AND OUTREACH STAFF MEMBERS ARE TRAINED ON THE INTERNAL PROCEDURES FOR DEVELOPING AND MAINTAINING CONTENT.DEVELOP EDUCATIONAL OFFERINGS FOR STAFF AND COMMUNITY ON AVAILABLE SERVICES (ON-SITE AND TELEMEDICINE OPPORTUNITIES) TO ENHANCE KNOWLEDGE, ACCESS, AND PATIENT COMMUNICATION. EXPLORE OPPORTUNITIES TO DELIVER HEALTH EDUCATION THROUGH AVENUES SUCH AS COMMUNITY PRESENTATIONS AND NEWSLETTER MODALITIES.STRATEGY 3.2: GROW PMC'S PRESENCE IN THE COMMUNITY AS A RESOURCE FOR HEALTH EDUCATION AND PARTNERSHIPS, PARTICULARLY RELATED TO PREVENTIVE SERVICES AND CHRONIC DISEASE MANAGEMENT.CREATE AN OUTREACH PLAN TO PROMOTE PREVENTIVE SERVICE UTILIZATION AND CHRONIC CARE MANAGEMENT. RESEARCH ESTABLISHED STATE-LEVEL RESOURCES AND RURAL HEALTH INITIATIVE TOOLKITS PMC COULD ADOPT OR ADAPT TO IMPROVE HEALTH OUTCOMES IN SWEET GRASS COUNTY (I.E., NUTRITION, WEIGHT LOSS, FITNESS, WOMEN'S HEALTH, ETC.).EXPLORE OPPORTUNITIES TO SUPPORT AND COLLABORATE WITH KEY REGIONAL AND COMMUNITY PARTNERS ON INITIATIVES/COALITIONS RELATED TO PREVENTIVE HEALTH.NEEDS NOT ADDRESSED AND JUSTIFICATION8.0% OF CHILDREN (AGE <18) IN SWEET GRASS COUNTY ARE UNINSURED COMPARED TO 6.0% FOR MONTANA. PIONEER MEDICAL CENTER OFFERS HEALTH INSURANCE AS A BENEFIT TO ITS STAFF BUT DOES NOT PROVIDE INSURANCE FOR COMMUNITY MEMBERS. WE TRY TO PROVIDE INFORMATION AS OFTEN AS POSSIBLE, VIA BROCHURES, VISIBLE SIGNAGE IN OUR WAITING ROOMS, AND IN OUR BUSINESS OFFICE, WITH INFORMATION ON MECHANISMS TO ACCESS HEALTH INSURANCE COVERAGE.SURVEY RESPONDENTS WERE ASKED TO INDICATE IF THEY FELT THE COMMUNITY HAS ADEQUATE AND AFFORDABLE HOUSING OPTIONS AVAILABLE: NOT ADEQUATE HOUSING" (75.0%), "DON'T KNOW" (21.6%), AND "FEEL THERE IS ADEQUATE HOUSING" (3.4%). HOUSING AFFORDABILITY IS A CHALLENGING ISSUE. AS TIME ALLOWS IN THE FUTURE, PMC WOULD BE OPEN TO ENGAGING WITH COMMUNITY PARTNERS IN DISCUSSIONS RELATED TO HOUSING AFFORDABILITY. FURTHERMORE, PIONEER MEDICAL CENTER PROVIDES MEDICAL CARE, PIONEER MEDICAL DOES NOT PROVIDE HOUSING TO COMMUNITY MEMBERS NOT IN NEED OF MEDICAL CARE. PART I, LINE 7: THE ORGANIZATION USES THE COST-TO-CHARGE RATIO CALCULATED ON WORKSHEET 2. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY INVOLVEMENT IN LEADERSHIP, GOVERNANCE, AND GUIDANCE; SWEET GRASS TECH, CHAMBER OF COMMERCE, LIONS, COMMUNITY COALITIONS, COMMUNITY DEVELOPMENT AND TRAINING, PREVENTION ACTIVITIES, JOB FAIRS, AND TRAINING OFFERED TO COMMUNITY. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS EQUAL TO THE ACTUAL WRITE-OFFS DURING THE YEAR PLUS OR MINUS ANY ADJUSTMENTS MADE TO THE PROVISION ACCOUNT THROUGHOUT THE YEAR. PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT ABOUT 20 PERCENT OF ITS BAD DEBT EXPENSE SHOULD BE INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: THE COST TO CHARGE RATIO IS USED TO DETERMINE COMMUNITY BENEFIT. THIS IS DONE BY APPLYING THE RATIO TO THE TOTAL MEDICARE REVENUE. A SHORTFALL OR OVERAGE IN ANY GIVEN YEAR IS A RESULT OF THE TIMING OF PAYMENTS FROM MEDICARE ON AN INTERIM BASIS AND WHEN FINAL SETTLEMENT IS MADE. MANAGEMENT USES ESTIMATES TO CALCULATE SUCH SETTLEMENTS BUT ACTUAL RESULTS VARY FROM THOSE ESTIMATES. ADDITIONALLY, SHORTFALLS CAN RESULT FROM VARIOUS EXPENSES THAT ARE INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. ALSO MEDICARE RECIPIENTS ARE PART OF A CHARITABLE CLASS AND SO THE PROVISION OF MEDICAL CARE FURTHERS THIS CHARITABLE CLASS.MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT WHICH IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. PART III, LINE 9B: THE ORGANIZATION FOLLOWS THE COLLECTION AND FINANCIAL ASSISTANCE PRACTICES MANDATED IN 501R OF THE AFFORDABLE CARE ACT. ONCE A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED IT IS REVIEWED TO ENSURE ALL AREAS ARE COMPLETED AND ALL REQUESTED DOCUMENTS ARE PROVIDED. AT THIS TIME ALL COLLECTION ACTION IS SUSPENDED UNTIL A DECISION CAN BE MADE ON THE APPLICANT'S FINANCIAL ASSISTANCE REQUEST. IF THE PATIENT QUALIFIES FOR ASSISTANCE IN ACCORDANCE TO THE SLIDING FEE SCHEDULE AND THE FEDERAL POVERTY GUIDELINES, A PATIENT FINANCIAL REPRESENTATIVE THEN LOOKS BACK 240 DAYS FROM THE DATE THE APPLICATION WAS RECEIVED AND APPLIES THAT PERCENTAGE OF DISCOUNT TO ALL ACCOUNTS. SOME ACCOUNTS AT THIS POINT MAY HAVE ALREADY BEEN TURNED OVER TO A COLLECTION AGENCY. THOSE ACCOUNTS ARE PULLED BACK FROM THE COLLECTION AGENCY AND THE SAME DISCOUNT IS APPLIED. ONCE ALL DISCOUNTS ARE APPLIED, COLLECTION ACTION IS PROCEEDED AS NORMAL. PART VI, LINE 2: THE LAST CHNA WAS PERFORMED IN JUNE 2021 AND THE IMPLEMENTATION PLAN WAS CREATED IN AUGUST 2021 AND APPROVED BY THE BOARD OF DIRECTORS ON SEPTEMBER 2, 2021. PMC CONTINUES TO WORK ON THE ACTIONS IDENTIFIED THE PRIOR YEAR. IN ADDITION, PATIENT'S SATISFACTION SURVEYS ARE SENT TO ALL INPATIENTS AND OBSERVATION PATIENTS, EMERGENCY ROOM PATIENTS, ALL PATIENTS RECEIVING OUTPATIENT SERVICES AND CLINIC PATIENTS. PART VI, LINE 3: PATIENTS ARE NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE AVAILABLE. IN ADDITION, INFORMATION IS POSTED ABOUT FINANCIAL ASSISTANCE IN ALL WAITING ROOM AREAS, ON OUR WEBSITE, AS WELL AS ON THE BACK OF OUR PATIENT STATEMENTS WHICH GO OUT MONTHLY. LETTERS ALSO GO OUT TO PATIENTS 30 DAYS AFTER THE CLAIM GOES INTO A SELF-PAY STATUS IF NO PRIOR PAYMENT ARRANGEMENTS HAVE BEEN MADE WITH INFORMATION ON FINANCIAL ASSISTANCE. PART VI, LINE 4: PIONEER MEDICAL CENTER IS LOCATED IN A SMALL RURAL COMMUNITY IN MONTANA. PMC'S SERVICE AREA IS JUST UNDER 1900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE PART VI, LINE 5: PIONEER MEDICAL CENTER OFFERS MANY SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: 1. PUBLIC HEALTH NURSE 2. BOARD OF DIRECTORS THAT CONSISTS OF VOLUNTEERS FROM THROUGHOUT THE COMMUNITY IN ORDER TO HAVE DIVERSE REPRESENTATION. 3. VARIOUS VISITING SPECIALISTS4. AMBULANCE SERVICES. 5. HOSPICE SERVICES. 6. IMPACT TESTING FOR ALL YOUTH ENGAGED IN CONTACT SPORTS. 7. DIABETES EDUCATION AND TRAINING. 8. TWICE A YEAR LOW COST LAB SPECIALS. 0 0 0 0 0 0 0 0 0 DR WALLACE WALKER DIRECTOR/MD 301520 0 0 0 0 0 0 0 0 0 301520 0 0 0 TINA HENSLEY REGISTERED NURSE 121756 0 0 0 0 0 13150 0 31187 0 166093 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS CONTRACTED WITH BILLINGS CLINIC TO PROVIDE MANAGEMENT SERVICES. THE ORGANIZATION'S CURRENT CEO, IAN PETERSON, IS AN EMPLOYEE OF BILLINGS CLINIC AND COMPENSATION FOR SERVICES PROVIDED TO THE HOSPITAL INCLUDE THE FOLLOWING: BASE SALARY - $151,151 BONUS - $10,532 EMPLOYER CONTRIBUTION TO MEDICAL AND DENTAL - $6,966 EMPLOYER CONTRIBUTION TO LIFE INSURANCE AND LONG-TERM DISABILITY - $440 FORM 990, PART VI, SECTION A, LINE 7A BILLINGS CLINIC THROUGH THE MANAGEMENT SERVICES AGREEMENT APPOINTS TWO OF THE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY APPLIES TO ALL EMPLOYEES OF PIONEER MEDICAL CENTER, BOARD OF DIRECTORS, VOLUNTEERS, MEDICAL STAFF, CONTRACTED WORKFORCE, AND OTHER INDIVIDUALS WHO HAVE A FINANCIAL INTEREST AND ARE AUTHORIZED TO CONDUCT BUSINESS ON BEHALF OF PMC. THE CEO, COMPLIANCE OFFICER, AND/OR THE HUMAN RESOURCES DIRECTOR WILL REVIEW ALL DISCLOSURES OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST BY ANY MEMBER OF THE BOARD OF DIRECTORS OR SENIOR EXECUTIVE STAFF, EXCEPT THAT A REVIEWER WILL BE EXCLUDED FROM THE REVIEW OF HIS OR HER OWN DISCLOSURE. THE CEO AND COMPLIANCE OFFICER WILL REVIEW ALL DISCLOSURES OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST BY ANY OTHER INTERESTED PERSONS AT PMC. THE REVIEW TEAM WILL TAKE APPROPRIATE ACTION TO MANAGE, REDUCE, OR ELIMINATE CONFLICTS OF INTEREST AND TO COMPLY WITH OTHER PMC POLICIES AND PROCEDURES, REGULATIONS, AND ANY OTHER APPLICABLE AUTHORITY. FORM 990, PART VI, SECTION B, LINE 15 PMC UTILIZES MHA WAGE DATA COLLECTION SERVICES ON AN ANNUAL BASIS. WAGES FOR THE CEO AND OTHER LEADING TEAM MEMBERS ARE REVIEWED WITH COMPARABLE SITES IN THE SURROUNDING AREA TO BE COMPETITIVE. THE SAME PROCESS IS USED FOR ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THESE FORMS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,560,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,560,478. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.