2023-05-15T14:35:58-05:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2021-07-01 810384618 BIG HORN HOSPITAL ASSOCIATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2023-05-15 1 KRISTI GATRELL 999009999 ROBERT E SCHILE P00369682 6123764500 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KRISTI GATRELL 17 NORTH MILES AVENUE HARDIN MT 59034 21494495 0 X WWW.BIGHORNHOSPITAL.ORG X 1980 MT TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS. 10 10 211 10 0 0 4139028 1104298 18073604 18221648 612493 261923 -3819 9019 22821306 19596888 116533 62107 0 0 11999523 11112141 0 0 0 7633063 8724581 19749119 19898829 3072187 -301941 27628151 26345522 13596285 13052527 14031866 13292995 X BIG HORN HOSPITAL ASSOCIATION PROVIDES QUALITY SERVICES AND PROMOTES RESPONSIBLE CHOICES TO ENHANCE THE HEALTH OF OUR COMMUNITIES. 0 0 17071174 62107 18221648 BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL AND BIG HORN SENIOR LIVING. BIG HORN HOSPITAL IS A 18-BED ACUTE CARE HOSPITAL. BIG HORN SENIOR LIVING IS A 36-BED NURSING CARE FACILITY AND A 10-UNIT ASSISTED LIVING AND 10-UNIT INDEPENDENT LIVING.DURING THE YEAR ENDED JUNE 30, 2022, BIG HORN HOSPITAL PROVIDED 667 DAYS OF INPATIENT SERVICES, 8,174 OUTPATIENT VISITS (INCLUDING 5,346 ER VISITS) AND 855 DAYS OF RESIDENT SERVICES; BIG HORN SENIOR LIVING PROVIDED 9,102 DAYS OF LONG TERM CARE RESIDENT SERVICES, 2,995 DAYS OF ASSISTED LIVING RESIDENT SERVICES.BIG HORN HOSPITAL ASSOCIATION PROVIDES CARE TO PERSON COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF CARE TO THESE PATIENTS WAS $37,170 FOR THE YEAR ENDED JUNE 30, 2022. 17071174 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 16 0 1 211 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X ROXIE CAIN CONTROLLER 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 DR SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 40.00 0.20 X 203388 0 25433 PAULINE KING PROVIDER 40.00 0.00 X 183096 0 4500 JOSEPH PURCELL DIRECTOR OF NURSES 40.00 0.00 X 164152 0 17505 PAULA SMALL-PLENTY BHSL ADMINISTRATOR 40.00 0.00 X 149020 0 29933 ANGELA SMITH PROVIDER 40.00 0.00 X 165077 0 9000 KRISTI GATRELL CEO 39.00 1.00 X 149424 0 23440 ROXIE CAIN CONTROLLER 39.00 1.00 X 126303 0 22283 THOR TORSKE CHAIRMAN 0.40 0.20 X X 0 0 0 COLLEEN SCHAAK VICE CHAIRMAN 0.40 0.00 X X 0 0 0 JAMES SEYKORA SECRETARY 0.40 0.20 X X 0 0 0 MATT TORSKE TREASURER 0.40 0.00 X X 0 0 0 TERRY BULLIS BOARD MEMBER 0.40 0.20 X 0 0 0 DAVID MARK BOARD MEMBER 0.40 0.00 X 0 0 0 NICOLE MEHLING BOARD MEMBER 0.40 0.00 X 0 0 0 SANDY MORSE BOARD MEMBER 0.40 0.00 X 0 0 0 JERRY SMITH BOARD MEMBER 0.40 0.00 X 0 0 0 LARRY VANDERSLOOT BOARD MEMBER 0.40 0.00 X 0 0 0 1140460 0 132094 26 0 1 0 BILLINGS CLINIC 2800 10TH AVE NORTH BILLINGS MT 59101 MANAGEMENT SERVICES 433633 ATHENA HEALTH PO BOX 415615 BOSTON MA 02241 E.H.R SOFTWARE, LICENSES, SUPPORT 354611 FISHER CONTRUCTION INC 235 MOORE LANE BILLINGS MT 59101 CONSTRUCTION 295293 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET SUITE 300 OMAHA NE 68114 STAFFING AGENCY 193522 AVEL ECARE 4500 NORTH LEWIS AVENUE SIOUX FALLS SD 57104 TELEHEALTH SERVICES 193474 13 142529 540950 420819 1104298 PATIENT REVENUE 621110 18097723 18097723 OTHER PATIENT REVENUE 541900 123925 123925 18221648 138329 138329 91172 115438 -24266 -24266 -24266 1779657 126106 1655474 126695 124183 -589 123594 123594 CAFETERIA 722210 33285 33285 33285 19596888 18221648 0 270942 X 62107 62107 288913 288913 8950757 7906615 1044142 334056 309795 24261 1000118 871915 128203 538297 475619 62678 20590 20590 290004 141010 148994 2739400 2432689 306711 100 100 59211 57033 2178 434434 347858 86576 70439 59777 10662 371169 371169 1466754 1459232 7522 179928 18573 161355 MEDICAL SUPPLIES 1293876 1278935 14941 OTHER EXPENSES 455251 350373 104878 BAD DEBT 426025 426025 TAXES & LICENSES 323327 314368 8959 594073 559150 34923 19898829 17071174 2827655 0 878450 739496 3150677 2344911 1925184 2292695 87738 93000 481438 512703 137154 145328 30553254 17994908 13897777 12558346 1609695 1066489 5460038 6592554 27628151 26345522 2204853 2052922 1920579 1920579 8000000 8000000 120572 222407 1350281 745114 0 111505 13596285 13052527 X 13860012 13222381 171854 70614 14031866 13292995 27628151 26345522 -301941 -447792 10862 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1573 1573 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND LEADING AGE (FORMERLY AAHSA) ARE USED FOR LOBBYING PURPOSES. 0 1 X 416071 416071 23620032 12789010 10831022 6494151 5205898 1288253 23000 23000 12558346 THIRD PARTY SETTLEMENT RECEIVABLE 6470925 LEASE RECEIVABLES 121629 6592554 DEFERRED INFLOW OF RESOURCES 111505 111505 PART IV, LINE 2B: THE HOSPITAL ACTS AS A CUSTODIAN FOR THE FUNDS OF THE NURSING HOME RESIDENTS. THOSE FUNDS APPEAR AS RESTRICTED CASH AND ACCOUNTS PAYABLE IN THE BALANCE SHEET. 1 1 X 1 X 1 X 1 1 1 0 0 30113 30113 0.00150 5984956 4951125 1033831 0.05200 6015069 4951125 1063944 0.05350 6015069 4951125 1063944 0.05350 1 426025 0 3174787 3181607 -6820 X 1 0 1 1 BIG HORN HOSPITAL ASSOCIATION 17 NORTH MILES AVENUE HARDIN MT 59034 WWW.BIGHORNHOSPITAL.ORG 12469 X X X BIG HORN HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X HTTPS://WWW.BIGHORNHOSPITAL.ORG X 1 21 1 HTTPS://WWW.BIGHORNHOSPITAL.ORG 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X X 1 X WWW.BIGHORNHOSPITAL.ORG X WWW.BIGHORNHOSPITAL.ORG X WWW.BIGHORNHOSPITAL.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST BIG HORN HOSPITAL ASSOCIATION IN CONDUCTING THEIR CNHA. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED) CAME TOGETHER IN MARCH 2022. SEE LIST BELOW OF ALL GROUPS REPRESENTED ON THE STEERING COMMITTEE. THE STEERING COMMITTEE MET TWICE DURING THE CHNA'S 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 PRIORITIZATIONS OF HEALTH NEEDS TO ADDRESS.GROUPS REPRESENTED ON THE STEERING COMMITTEE:1. BIG HORN COUNTY PUBLIC HEALTH 2. CITY OF HARDIN 3. BHCMH AUXILIARY 4. BIG HORN HOSPITAL ASSOCIATION 5. BIG HORN VALLEY HEALTH CENTER 6. BIG HORN SENIOR LIVING AUXILIARY.7. I.H.S.8. SCL HARDIN CLINIC BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: MONTANA STATE UNIVERSITY AND MONTANA OFFICE OF RURAL HEALTH BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: IN FY2022 BHHA CONDUCTED A NEW CHNA DURING THE FISCAL YEAR TO RE-ALIGN OUR EFFORTS WITH THE COMMUNITY'S HEALTH CARE NEEDS.AT THE END OF FY2021 (MARCH 2021) BHHA AFFILIATED WITH BILLINGS CLINIC TO ATTEMPT TO STRENGTHEN OUR HEALTH CARE FOOTPRINT. THERE ARE SEVERAL GOALS THAT BHHA IS TRYING TO ACHIEVE WITH THE DECISION TO AFFILIATE WITH BILLINGS CLINIC.1. TO DEVELOP DEPTH IN POSITIONS THAT ARE CURRENTLY A SINGLE PERSON. AFFILIATION WITH BILLINGS CLINIC WILL PROVIDE ACCESS TO QUALIFIED PERSONNEL THAT COULD ASSIST AND PROVIDE SEVERAL BACK-UP POSITIONS IF THE NEED ARISES.2. TO UPDATE OUR ELECTRONIC HEALTH RECORD SYSTEM. THE AFFILIATION WITH BILLINGS CLINIC PROVIDES ACCESS TO CERNER, WHICH IS UNAFFORDABLE AS A STAND-ALONE CRITICAL ACCESS HOSPITAL.3. BHHA WOULD LIKE TO PROVIDE SURGICAL SERVICES ONCE AGAIN WITHIN BIG HORN COUNTY. BHHA IS ACTIVELY WORKING WITH BILLINGS CLINIC TO FIND WAYS TO RENEW THESE SERVICES.4. BHHA WOULD LIKE TO PROVIDE MORE SWING BED SERVICES FOR RESIDENTS OF BIG HORN COUNTY. THE AFFILIATION WITH BILLINGS CLINIC ALLOWS FOR BETTER COORDINATION OF RESIDENTS THAT REQUIRE SWING BED SERVICES AND FACILITATES BRINGING THEM BACK TO BIG HORN COUNTY AS SOON AS POSSIBLE.BHHA CONTINUES TO WORK WITH ONE HEALTH TO ASSIST IN PROVIDING AFFORDABLE, QUALITY CARE FOR BIG HORN COUNTY RESIDENTS. ONE HEALTH IS THE LOCAL FQHC, WHICH WORKS WITH BHHA TO PROVIDE RADIOLOGY AND IMAGING SERVICES AT A REDUCED RATE FOR RESIDENTS THAT QUALIFY FOR CARE AT A REDUCED RATE. BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16J: WHEN OUR PATIENT ACCOUNTS REPRESENTATIVE BECOMES AWARE OF A PATIENT'S POTENTIAL FINANCIAL HARDSHIP AND/OR SELF PAY STATUS, A COMMUNITY CARE APPLICATION IS SENT TO THAT INDIVIDUAL. 1 1 - BIG HORN SENIOR LIVING NURSING HOME 200 N MITCHELL AVENUE HARDIN MT 59034 NURSING HOME WITH ASSISTED LIVING AND INDEPENDENT LIVING UNITS PART I, LINE 3C: CHARITY CARE MAY BE GRANTED TO A PATIENT ON A CASE BY CASE BASIS AS DETERMINED BY THE CEO AND CONTROLLER UPON SPECIAL REQUEST BY THE PATIENT DUE TO UNFORSEEN CIRCUMSTANCES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON (A) HOUSEHOLD INCOME RELATIVE TO FEDERAL POVERTY GUIDELINES, THE RECEIPT OF MEDICALLY NECESSARY CARE, AND COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: A COST-TO-CHARGE RATIO DERIVED USING WORKSHEET 2 FROM THE IRS WAS USED TO CALCULATE THE AMOUNTS IN PART I, LINE 7. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE EQUAL TO $426,025 INCLUDED IN FORM 990, PART IX, LINE 25 WAS EXCLUDED IN CALCULATING THE PERCENT OF TOTAL EXPENSE IN SCHEDULE H, PART I, LINE 7, COLUMN F. PART III, LINE 2: BHHA USES HISTORICAL DATA TO ESTIMATE BAD DEBT EXPENSE BASED ON THE PAYOR TYPE AND AGE OF THE ACCOUNT. PART III, LINE 3: BIG HORN HOSPITAL ASSOCIATION CANNOT REASONABLY ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 ON PAGE 18 OF THE FINANCIAL STATEMENTS FOR A DESCRIPTION OF BIG HORN HOSPITAL ASSOCIATION'S BAD DEBT EXPENSE. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 WERE DERIVED FROM THE JUNE 2022 FILED MEDICARE COST REPORT. PART III, LINE 9B: CATASTROPHIC COMMUNITY CARE: BHHA MAY ALSO WRITE OFF AS COMMUNITY CARE AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF THE FEDERAL POVERTY STANDARDS WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS AS DETERMINED BY BHHA. EXAMPLES OF THIS WOULD INCLUDE, BUT ARE NOT LIMITED TO, LOSS OF A JOB AFTER TAXES WERE FILED, EXTENSIVE HEALTH ISSUES CAUSING LARGE BILLS, ETC. PART VI, LINE 2: BHHA CONTINUALLY ASSESSES THE NEEDS OF OUR COMMUNITY THRU SEVERAL AVENUES. IN ADDITION TO PERFORMING A COMMUNITY HEALTH NEEDS ASSESSMENT, BHHA WORKS CLOSELY WITH THE VARIOUS CLINICS IN TOWN TO DISCUSS TRENDS AND SOLUTIONS FOR A VARIETY OF ISSUES INCLUDING HEALTH TRENDS, STAFFING NEEDS AND MAKING PATIENT CARE AS SEAMLESS AS POSSIBLE. BHHA ALSO REVIEWS OUR INTERNAL UTILIZATION TO HELP ASSESS THE NEEDS OF OUR COMMUNITY. THIS ALLOWS BHHA STAFF AND OUR BOARD OF DIRECTORS TO MAKE DECISIONS ABOUT IMPROVEMENT AREAS SUCH AS WHAT EQUIPMENT TO UPGRADE AND WHICH SERVICES TO EXPAND IF POSSIBLE. BHHA IS VERY COMMITTED TO KEEPING AS MANY OF THE COMMUNITY HEALTH CARE NEEDS LOCAL AS POSSIBLE. PART VI, LINE 3: THE FACILITY KEEPS FORMS ON HAND THAT ARE AVAILABLE (IN PLAIN SIGHT) FOR DIFFERENT GOVERNMENT PROGRAMS SUCH AS HEALTHY MT KIDS. THE ADMINISTRATIVE STAFF WILL INFORM ANY PRIVATE PAY PATIENT OF OUR COMMUNITY CARE AND WILL ALSO RELAY THIS INFORMATION TO CUSTOMERS WHEN DISCUSSING PAYMENT OPTIONS FOR OUTSTANDING BILLS. PART VI, LINE 4: BHHA SERVES A HIGH POVERTY LEVEL. WE ARE ON THE EDGE OF THE CROW INDIAN RESERVATION AND HAVE A LOT OF CUSTOMERS WHO UTILIZE INDIAN HEALTH SERVICES AS A PAYOR SOURCE FOR HEALTH CARE. OUR POPULATION HAS A LARGE POPULATION OF MEDICARE AND MEDICAID CUSTOMERS. AS WE SERVE A SMALL TOWN IN MONTANA, THE POPULATION CONSISTS OF A LOT OF CHILDREN AS WELL AS ELDERLY, BOTH OF WHICH UTILIZE OUR HEALTHCARE SYSTEM. PART VI, LINE 5: BHHA DOES HAVE A COMMUNITY BOARD TO HELP NOT ONLY "RUN" THE FACILITY WITH POLICIES AND PROCEDURES, BUT TO GIVE INPUT TO THE MANAGEMENT TEAM ABOUT THE NEEDS THEY SEE FOR THE COMMUNITY IN WHICH THEY LIVE. BHHA IS DEVELOPING MORE EDUCATIONAL PROGRAMS FOR ITEMS SUCH AS WOMEN'S HEALTH, DIABETES MANAGMENT AND SMOKING CESSATION.BHHA USES THE LOCAL PAPERS AND SOCIAL MEDIA (FACEBOOK) AS AN OUTLET FOR GIVING THE PUBLIC INFORMATION ON DIFFERENT TYPES OF HEALTH CONCERNS, SUCH AS DIABETES, WEIGHT LOSS, ETC. BHHA ALSO USED THE COMMUNITY HEALTH NEEDS ASSESSMENT TO TRACK ITEMS THE COMMUNITY WANTS AND/OR NEEDS. 1 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 501(C)(3) 13000 0 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 501(C)(3) 13000 0 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 NORTH MILES AVENUE HARDIN MT 59034 810504410 501(C)(3) 36107 0 TO SUPPORT GENERAL OPERATIONS 3 0 PART I, LINE 2: THE GRANTS MADE WERE AN EQUITY TRANSFER AND PASSING ALONG DONATIONS TO RELATED ORGANIZATIONS. THESE FUNDS ARE TRACKED THROUGH THE ORGANIZATION'S INTERNAL FINANCIAL REPORTING PROCESS. X X X 0 0 0 0 0 0 0 0 0 DR SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 203388 0 0 0 0 0 4500 0 20933 0 228821 0 0 0 PAULINE KING PROVIDER 183096 0 0 0 0 0 4500 0 0 0 187596 0 0 0 JOSEPH PURCELL DIRECTOR OF NURSES 164152 0 0 0 0 0 9000 0 8505 0 181657 0 0 0 PAULA SMALL-PLENTY BHSL ADMINISTRATOR 149020 0 0 0 0 0 9000 0 20933 0 178953 0 0 0 ANGELA SMITH PROVIDER 165077 0 0 0 0 0 9000 0 0 0 174077 0 0 0 KRISTI GATRELL CEO 149424 0 0 0 0 0 9000 0 14440 0 172864 0 0 0 A MONTANA FACILITY FINANCE AUTHORITY 364615155 2018-11-01 8000000 HOSPITAL REMODEL 0 0 0 A 8000000 708645 160000 7131355 2019 0 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 ANGELA SMITH EMPLOYEE'S SPOUSE IS A BOARD MEMBER 165349 EMPLOYEE OF BIG HORN HOSPITAL ASSOCIATION 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED DURING THE FISCAL YEAR TO PROVIDE THAT TWO BOARD MEMBERS ARE APPOINTED BY BILLINGS CLINIC. FORM 990, PART VI, SECTION A, LINE 7A A MEMBER (WHICH MEMBER IS DECIDED BY A VOTE BETWEEN THE THREE COMMISSIONERS) OF BIG HORN COUNTY COMMISSIONERS IS AUTOMATICALLY DEEMED A MEMBER OF THE BOARD OF DIRECTORS OF BIG HORN HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL BY THE CONTROLLER AND CEO. THE FORM 990 WAS PRESENTED TO THE BOARD MEMBERS AT A BOARD MEETING AFTER BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C REGULAR COMPLIANCE MEETINGS DISCUSS ANY ACTUAL CONFLICTS OR POTENTIAL CONFLICTS. THERE IS ALSO A HOTLINE NUMBER TO CALL FOR COMPLIANCE OR HIPAA ISSUES THAT IS OPERATED BY MONTANA HOSPITAL ASSOCIATION, NOT BIG HORN HOSPITAL ASSOCIATION. BOARD MEMBERS SIGN YEARLY CONFLICT OF INTEREST STATEMENTS AND IF A CONFLICT OCCURS ON A SPECIFIC ITEM, THEY ABSTAIN FROM THE VOTE ON THAT ITEM. THERE IS ONE BOARD MEMBER THAT HAS A SPOUSE EMPLOYED BY BIG HORN HOSPITAL ASSOCIATION. THEY ABSTAIN FROM ANY VOTES THAT WOULD AFFECT WAGES AND BENEFITS FOR EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15A BIG HORN HOSPITAL ASSOCIATION UTILIZES THE MONTANA HOSPITAL ASSOCIATION SALARY SURVEY TO MAKE SURE EMPLOYEE WAGES ARE COMPARABLE TO SIMILAR JOBS IN SIMILAR AREAS. EXPERIENCE IS ALSO A FACTOR IN THE WAGE. THIS IS REVIEWED EACH FEBRUARY WHEN THE MHA SALARY SURVEY IS AVAILABLE FOR REVIEW. WAGES ARE ADJUSTED WITH THE SCALE IF NEEDED. THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THIS WAS LAST DONE IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,432,689. MANAGEMENT AND GENERAL EXPENSES 306,711. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,739,400. BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 N MILES AVENUE HARDIN MT 59034 810504410 HOSPITAL FUNDRAISING MT 501(C)(3) LINE 12A, I BIG HORN HOSPITAL ASSOCIATION 1 BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 FUNDS TO BENEFIT BIG HORN COUNTY MEMORIAL HOSPITAL MT 501(C)(3) LINE 12B, II N/A 0 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 FUNDS TO BENEFIT HERITAGE ACRES NURSING HOME MT 501(C)(3) LINE 12B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 BIG HORN COUNTY HOSPITAL AND HEALTH CARE FOUNDATION C 135000 ACTUAL CASH GIVEN