2025-05-15T10:04:53-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 816016016 Glendive Medical Center GLEN 4063653306 202 Prospect Drive Glendive MT 593301999 William Robinson VP of Finance 4063653306 2025-05-13 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-05-05 2023 2025-03-06 01:10:19Z Parker Powell 202 Prospect Drive Glendive MT 593301999 59799968 0 X www.gmc.org X 1964 MT Committed to caring, healing, and a healthier community through the procurement of health services. 8 6 514 153 0 0 385427 8818536 53072998 50284781 -11808 210837 300503 327671 53747120 59641825 750 0 0 0 24383333 24468836 0 0 123793 29112129 27367627 53496212 51836463 250908 7805362 43003833 51540245 29071142 28386487 13932691 23153758 X We are committed to caring, healing, and a healthier community. 0 0 38546180 0 50284781 Glendive Medical Center, Inc. (GMC) is a totally integrated medical center with a 25-bed Critical Access Hospital providing all primary care services to the community of Glendive and the surrounding rural service area. The Medical Center also is comprised of 116 nursing home beds which includes 36 extended care beds, 13-suite Assisted Living Facility, Visiting Nurse Program, and Hospice services. A clinic with Rural Health Clinic designation is attached. GMC is very committed to meeting the needs of the service area they serve. IRS requirements of the community benefit standard for tax-exempt Continued on Schedule O...organizations are integral to GMC's charitable mission of being committed to caring, healing and a healthier community. GMC is governed by an independent board with a representative composition by gender, rural/urban, professional/non-professional and geography. The Board has a history of acting with the highest integrity and proactively adopting governance best practices to ensure the organization operates with the highest of integrity for the benefit of the community they serve. During this year, the Board continued to actively oversee critical functions of the organization. During the past year:1. The annual compliance reports and education was provided to the Board as part of their mandatory education.2. Board members reviewed and signed the required annual conflict of interest statement.GMC makes medical care accessible to the entire area it serves. They operate a 24 hour emergency room, providing care regardless of the ability to pay. GMC had 4,069 emergency room visits during the past year. GMC provides clinical services including onsite providers needed to operate the Emergency Department.In addition, GMC, through its integrated group of providers and visiting specialists, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare, Medicaid, and Veterans Administration and by offering financial assistance in various ways to those who are unable to pay.GMC's Uncompensated Care policy provides discounted and free services to patients who do not have the resources to be fully responsible for the medical care they receive. GMC's policy is structured to provide various options of financial assistance depending upon the patient's needs. The applications and policies for the various financial assistance options and uncompensated care are available on the organization's website, gmc.org. GMC maintains records to identify and monitor the care provided under the uncompensated care policies. During the past year, GMC's costs for charity care, based on the amount of charges foregone, was $230,703 in their service area.GMC through the annual board approved strategic plan strives to meet the community needs. Further information about the services provided by GMC to the community it serves including their annual Community Benefit Report is available on their official website, gmc.org. 38546180 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 59 0 1 514 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X William Robinson 4063453351 202 Prospect Glendive MT 59330 Jim Hicks Chair (Jul-Jan) 1.00 0.00 X X 0 0 0 A'Lynn Shields - Vice Chair (Jul-Jan)/Chair as of Feb 1.00 0.00 X X 0 0 0 Janette Bogar - Treasurer (Jul-Jan)/Vice Chair as of Feb 1.00 0.00 X X 0 0 0 Eileen Melby Secretary 1.00 0.00 X X 0 0 0 Troy Myers OD - Director (Jul-Jan)/Treasurer as of Feb 1.00 0.00 X X 0 0 0 Mitch Goplen Director 1.00 0.00 X 0 0 0 John Schallenkamp MD Director 40.00 0.00 X 0 0 0 Chrystal Potter MD Director/Chief of Staff 40.00 0.00 X 398238 0 45036 Joseph Leal MD Director 40.00 0.00 X 343624 0 25029 Parker Powell CEO 40.00 1.00 X 0 0 0 William Robinson VP of Finance 40.00 1.00 X 272580 0 20781 Jill Domek VP of Clinical Services 40.00 0.00 X 230684 0 23627 Sam Hubbard VP of Operations 40.00 0.00 X 208839 0 20498 Shawna Dorwart VP of Patient Care Services 40.00 0.00 X 222508 0 19666 Kelly Dinnan MD General Surgeon 40.00 0.00 X 494668 0 37065 Jean Basta MD Orthopedic Surgeon 40.00 0.00 X 410400 0 11550 Mark Rangitsch MD Orthopedic Surgeon 40.00 0.00 X 372000 0 10725 Randy Wobser MD Obstetrics 40.00 0.00 X 341261 0 47478 Clifford Reske MD Hospitalist 40.00 0.00 X 296590 0 46253 3591392 0 307708 45 0 1 0 Xtend Healthcare 90 Volunteer Drive Suite 150 Hendersonville TN 37075 Medical Billing staff 2087955 CompHealth PO Box 972651 Dallas TX 75397 Provider staffing agency 1225499 Billings Clinic 801 North 29th Street Billings MT 59107 Mgmt & Health Care Services 926346 Slate Healthcare LLC 2100 West Loop South Suite 900 Houston TX 77027 Staffing agency 683929 OneStaff Medical PO Box 3544 Omaha NE 68103 Staffing agency 494203 9 230000 8564003 24533 8818536 Patient Service Revenue 621110 49340861 49340861 Other Revenue 900099 943920 943920 50284781 162799 162799 35600 87007 -51407 -51407 -51407 48038 0 48038 48038 48038 450214 71136 379078 379078 59641825 50284781 0 538508 X 1881312 781477 1099835 32587 32587 17923858 15509406 2338274 76178 507592 456070 48902 2620 2728897 1994182 733696 1019 1394590 1120038 269021 5531 943609 943609 18111 150 17961 890639 890639 20509 20509 8001975 5710415 2291560 153638 77 153561 542684 341975 200709 1016952 119787 897165 659824 52464 607360 219411 176200 43211 47232 26839 20393 749906 52343 697563 3121576 2888252 233324 507455 32706 474749 Medical Supplies 8042165 8038432 3733 Bed Tax 825916 343551 482365 Food 735163 734286 877 Dues and Subscriptions 78537 11884 66653 792325 123059 630821 38445 51836463 38546180 13166490 123793 560161 517382 9345852 19679619 975324 1174823 469015 568906 77754920 56044354 22629410 21710566 7604732 7265496 -3851222 -2449983 5270561 3073436 43003833 51540245 7531273 8536314 17819294 16525976 21546 11127 1267703 869587 2431326 2443483 29071142 28386487 X 13932691 23153758 13932691 23153758 43003833 51540245 X 7805362 14466 1401239 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1160889 985168 852028 1294029 1799828 85928 724867 1160889 2054317 7103 -261592 1799828 1620498 3000 430819 2054317 1586656 4500 29342 1620498 0.39880 0.00000 0.60120 0 1 0 226229 226229 1327707 46198040 32570092 14955655 25961171 20092967 5868204 4041773 3381295 660478 21710566 Related Party Receivables 2449983 Operating Right-of-Use Assets 146369 Estimated Third-Party Payor Settlements 477084 3073436 Capital Lease Obligation 744448 Operating Lease Liability 143212 Estimated Third Party Payor Settlements 625000 Deferred Compensation Plan 930823 2443483 X Part IV, Line 2b: Upon written authorization of residents of GMC Extended Care, the organization holds, safeguards, manages and accounts for the personal funds of those residents that have been deposited in the two trust accounts. As of June 30, 2024 and 2023, the balance in these accounts were $11,127 and $21,546. Part V, Line 4: Endowment funds are held by a related organization, Glendive Medical Center Foundation. The endowment funds are used to provide a predictable stream of funding through investment income to programs which will provide financial support to Glendive Medical Center. Part X, Line 2: The Organization 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 Organization 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 135000 135000 0.00260 11921757 11783031 138726 0.00270 12056757 11783031 273726 0.00530 20995071 9337233 11657838 0.22490 20995071 9337233 11657838 0.22490 33051828 21120264 11931564 0.23020 1 2605546 307454 15493657 15668112 -174455 X 1 1 1 1 Glendive Medical Center 202 Prospect Drive Glendive MT 59330 13226 X X X X Glendive Medical Center 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X See Part V, Line 7d X X 1 21 1 See Part V, Line 7d 0 1 X 100.000000000000 300.000000000000 X 1 1 X X X 1 X https://www.gmc.org/patients-families/financial-assistance/ X https://www.gmc.org/patients-families/financial-assistance/ X https://www.gmc.org/patients-families/financial-assistance/ X X X X X 1 X 0 X X X X 1 X 0 0 Glendive Medical Center Part V, Section B, Line 5: To oversee the process of the CHNA, a steering committee was formed consisting of a diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured). Additionally, a survey was sent out to a random list of 800 residents and residence was stratified so that each area would be represented in proportion to the overall served population and the proportion of past admissions. Glendive Medical Center Part V, Section B, Line 6b: Steering Committee Members had organization affiliations with GMC, Dawson County Healthy Communities Coalition, Dawson County Public Health Official, Glendive Chamber of Commerce, and GMC Auxiliary. Glendive Medical Center Part V, Section B, Line 7d: https://www.gmc.org/about-us/community-reports/It is also available at Glendive's Public Library. Glendive Medical Center Part V, Section B, Line 11: The needs identified in the 2021 (FY22) assessment process that the facility will be addressing relates to thefollowing healthcare issues:1. Cancer2. Alcohol/substance abuse3. Mental HealthIn addressing the aforementioned issues, GMC seeks to improve access to healthcare services, enhance the health of the community, and advance medical or health knowledge.In addition to the primary needs listed above that GMC will address, the following needs identified were not addressed specifically, but indirectly. 1. More primary care providers - Recruitment efforts continue for primary care providers in Family Medicine.2. Concerns related to navigating GMC's billing system and access resources such as Medicaid and SNAP benefits that are typically offered through an Office of Public Assistance - GMC has implemented digital billing and a simpler online navigation system that includes text and email reminders. GMC Patient Advocacy Liaison works to help patients navigate insurance and provides forms for Medicaid for patients when necessary.3. Cost as a barrier to getting or taking their medications regularly - Providers have helped find coupons to afford prescriptions when patients do not have insurance to cover the cost. GMC Foundation offers assistance for ER patients with the cost of med packs.4. Lack of affordable housing options available in the community - We provide housing for new providers and travelers that begin work at GMC and help them find affordable housing once their term for housing ends.In the current year the facility has taken the following actions to address the three healthcare issues of the community:1. Reduce the local cancer burden through early detection prevention measures and improve access to management- Nuclear medicine program was started and is open for services- A partnership with Billings Clinic oncology is ongoing providing on-site services to enhance patient continuity of care2. Improve access to education, support, and treatment for alcohol/substance abuse programs and services- Continued to offer alcohol and substance abuse programs and services throughout the service area.- Provided meeting space and other support of community events and programs providing support and education related to drug and alcohol abuse.- Continued partnership with local police departments on prescription drug drop off box which allows community to safely dispose of unused/unneeded drugs.- Provided educational materials in exam rooms, outpatient areas, and public media for providers, patients, and staff.3. Improve access to mental health services and reduce behavioral health disorders in our community.- Continued to collaborate with Billings Clinic and the community in ways to implement mental health services through GMC- Offered the Employee Assistance Program which offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems.- Provided telehealth for behavior health along with staffing licensed clinical professional counselor, licensed clinical social worker, and a psychiatrist. 4 1 - Glendive Medical Center Extended Care 202 Prospect Drive Glendive MT 59330 56 bed skilled nursing home 2 - The Heritage on Merrill Avenue 1313 North Merrill Avenue Glendive MT 59330 13 suite assisted living center 3 - Glendive Medical Center Hospice 202 Prospect Drive Glendive MT 59330 Hospice for Dawson and Wibaux Counties 4 - Gabert Clinic 107 Dilworth Glendive MT 59330 Rural health clinic Part I, Line 3c: Individuals who have government insurance are not eligible for financial assistance on the patient responsibility due for care. Part I, Line 6a: Currently, GMC is filing a community benefit report with the State of Montana, in conjunction with other requested information for the State of Montana's report on issues and facts related to the charitable purposes of hospitals and the protection of Montana's consumers.GMC's community benefit reports are available at all times on the gmc.org website at https://www.gmc.org/about-us/community-reports/. Part I, Line 7: Charity care was calculated by multiplying the ratio of cost to gross charges for the Organization by the gross uncompensated charges associated with providing charity care to its patients and residents. Subsidized health services and Medicaid were determined using the Medicare cost report and applying the Medicare ratio of cost to charge for the respective cost centers. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 3: The organization estimates that amount of implicit price concessions that is community benefit is calculated based by mulitplying the total implicit price concessions by the percentage of the population that is under the Federal Poverty Guidelines. The organization estimates that 11.8% of the implicit price concessions would be considered community benefit. Part III, Line 4: Footnote from organization's financial statements: The footnote that describes bad debt and implicit price concessions is found on page 13 and 14 of the attached audit report. Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, if there is a Medicare shortfall the entire Medicare shortfall is considered a community benefit.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $797,144.Medicare fee schedule revenue: $631,087Medicare estimated costs of care relating to payments: $1,425,232Net (shortage): $(797,144) Part III, Line 9b: For those that are known to qualify for financial assistance, the portion that is identified as charity care is written off to charity care. The Hospital policy states if there is a portion of the patient account that does not qualify for free care the remaining unpaid portion falls under the same collection policy as the accounts that do not qualify for financial assistance.The organization does not send balances to collections until 120 days after the date of the first invoice. If at any time in the next 240 days an individual begins the application process for financial assistance the Hospital removes them from the collection process. Part VI, Line 2: 1. GMC has identified and prioritized community needs through a variety of community surveys in collaboration with various organizations including the City of Glendive and Dawson County.2. On an annual basis, Strategic Planning sessions are held by GMC to plan and prioritize the needs of the community. These sessions include the Board of Directors, the Foundation's Board of Directors, Physicians, and other medical providers and the Administration of GMC.3. GMC Board and executive members meet annually to review GMC's strategic plan and to determine any changing needs of the community. Part VI, Line 3: GMC provides information and education concerning assistance through various programs and the organization's charity care policy in a variety of ways including:1. Through the social services department, patient financial services and other areas, assistance is offered and information is given to all patients and their families about available programs. A Patient Advocate Liaison (PAL) was added to assist patients throughout the organization. The PAL's role is to assist all patients and provide them with information on available programs, etc. Emergency Department Specialists are available seven days a week after the patient has been treated to assist patients and their families to provide the financial assistance information including the charity care program and assist them with applying for these programs if appropriate.2. GMC's website, www.gmc.org, provides charity care and other financial assistance policies and procedures, including applications.3. Signage is posted throughout the facilities in admissions areas, the emergency room and waiting rooms. The signage provides information concerning charity care and other financial assistance available throughout GMC.4. A Guest Information Book for the patient and their family's use is in each patient's room and other areas providing various information including financial assistance information that is available and the appropriate personnel to contact if they have not been contacted. Contact information for the social services department is included in the information book if the patient needs assistance or has questions about various government and other programs available in the area. 5. GMC's monthly statement provides information for the person(s) to contact if financial assistance is needed. The credit and collection department includes financial assistance information including an application and the contact person at GMC who can assist them with all collection letters.6. GMC employees are aware of the financial assistance programs and are able to provide direction to patients or their families in their departments concerning charity care. Quarterly, at the CEO forums, the employees are provided with the amount of charity care provided by the facility while expressing the importance of providing the free care for people that are in need. Part VI, Line 4: GMC's primary service area is Dawson County on the eastern edge of Montana. GMC's secondary service areas are surrounding counties, McCone, Richland, Fallon, Prairie, and Wibaux. Glendive is a medical, retail and agricultural trade center for the county and the surrounding communities within a 30-60 mile radius. Glendive's economic base continues to be closely tied to agriculture. GMC is the largest employer in Glendive. Other significant employers in the GMC service area are state, county and city governments, Glendive Public Schools, Dawson County Community College and Williston Basin Interstate Pipeline. Dawson County is designated as a Health Professional Shortage Area (HPSA) with shortages of mental health providers. The service area residents see GMC and its providers as a place to come to receive treatment, without regard to whether they have insurance or are uninsured, knowing they will be treated and cared for in a respectful and caring manner. GMC also provides outreach in various ways to the very small critical access frontier facilities as small as one bed facilities in neighboring counties and to four counties in the service are for home care services in sparsely populated areas. There are no other providers in GMC's primary service area. Sidney Health Center, a critical access hospital located 50 miles north of Glendive, and Holy Rosary Medical Center, a critical access hospital located 70 miles south of Glendive are the closest facilities. Part VI, Line 5: GMC Board of Directors:The governing body of GMC is its Board of Directors (the "Board"), which consists of eight members. The Board includes the Chief of Medical Staff and one member of GMC's active medical staff. Other members are selected to promote a representative composition of the Board by gender, rural/urban, professional/non-professional and geography. Board members are selected from GMC's service area by the Board's nominating committee and approved by the existing Board members. The members of the Board serve in a voluntary capacity and receive no compensation for their services. Members of the Board have various relationships with services or products, which may, from time to time, have dealings with the GMC, but these relationships are not considered to be material. The Chief of Staff and member of the medical staff are employed by the GMC as physicians and medical advisors. The Board has an established conflict of interest policy to detect and manage such relationships.GMC Medical Staff: The active medical staff of GMC currently is comprised of fourteen (14) physicians and seventeen (17) allied health professionals. These providers are all employed by GMC and provide services at all of GMC facilities, including the attached for profit clinic, Gabert Medical Services, outreach clinic in Wibaux, Montana. All of the physicians are board certified. A Specialty Clinic at GMC is utilized by physicians from Billings, Montana and Bismarck, North Dakota to provide services that are not available by the GMC Medical Staff. The patients are able to stay in their hometown in Glendive and have the services provided by out-of-town physicians without traveling great distances.Tele-Health is also utilized by GMC providers and providers in Billings and other locations. This allows the patients to have follow up visits with providers via video conferencing instead of traveling great distances to see the providers.GMC extends medical staff privileges to all qualified physicians in the area. GMC also extends those privileges to the qualified specialty physicians who provide services through the Specialty Clinic.GMC Surplus Funds: All funds in excess of expenses are utilized in the following ways:1. The facilities' debt service payments on the 2008 $30,000,000 bond issue (refinanced in 2017) obtained to provide a much needed expansion and renovation of the Surgery Suite, an additional nursing home wing and expansion and renovation of the emergency department.2. A substantial amount of funds are needed each year and utilized for the ongoing capital needs of the facility to ensure the appropriate equipment is available to meet the needs of the community. All departments have a three to five year plan in place to forecast these needs.3. Continued assistance to providers and professional staff for education to maintain GMC's standards to provide the care needed in the community.4. To increase reserve funds to ensure the ability to continue meeting the above obligations in future years when surplus funds are not available. Part VI, Line 6: GMC has an affiliation with Billings Clinic. This affiliation provides resources to Glendive Medical Center which should assist in retaining providers and staff which will assist us to continue to provide quality care to our community. X 0 0 0 0 0 0 0 0 0 0 0 Kelly Dinnan MD General Surgeon 464668 0 30000 0 0 0 10725 0 27198 0 532591 0 0 0 Chrystal Potter MD Director/Chief of Staff 378238 0 20000 0 0 0 9108 0 36786 0 444132 0 0 0 Jean Basta MD Orthopedic Surgeon 410400 0 0 0 0 0 11550 0 0 0 421950 0 0 0 Randy Wobser MD Obstetrics 341261 0 0 0 0 0 11550 0 36786 0 389597 0 0 0 Mark Rangitsch MD Orthopedic Surgeon 372000 0 0 0 0 0 10725 0 0 0 382725 0 0 0 Joseph Leal MD Director 319624 0 24000 0 0 0 11550 0 14247 0 369421 0 0 0 Clifford Reske MD Hospitalist 296590 0 0 0 0 0 10325 0 36786 0 343701 0 0 0 William Robinson VP of Finance 193336 0 79244 0 0 0 9284 0 12354 0 294218 0 0 0 Jill Domek VP of Clinical Services 174173 0 56511 0 0 0 8019 0 16467 0 255170 0 0 0 Shawna Dorwart VP of Patient Care Services 167622 0 54886 0 0 0 7732 0 12791 0 243031 0 0 0 Sam Hubbard VP of Operations 156622 0 52217 0 0 0 7254 0 14102 0 230195 0 0 0 Part I, Line 1a Payroll payments grossed up are (1) relocation incentives (2) annual bonus for vice-presidents and (3) quarterly 457(b) payments for vice-presidents. Part I, Line 3 The CEO's compensation is set by Billings Clinic, an affiliated management company. Glendive Medical Center employs the methods indicated above to determine that the CEO compensation is reasonable and appropriate given the size and complexity of the organization. A Montana Facility Finance Authority 364615155 612043KDO 2017-08-29 24334700 Refinance 2008A Series 0 0 0 A 6155000 24334700 1897700 486694 21950306 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Date Rebate Computation Performed Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 12/02/2022 Ashley Powell Spouse of CEO 32587 Employee Compensation 0 Form 990, Part VI, Section A, line 1a The Executive Committee is comprised of the Board President, Vice-President, Secretary, Treasurer and the immediate Past Chair. The Executive Committee will, in the interim between meetings of the Board of Directors, exercise the powers of that body necessary for efficient operation of the Hospital in accordance with the general policy of the Hospital and the Board of Directors. The committee shall be empowered to act in only those areas of responsibility as the Board of Directors authorizes. It shall not have the power to amend the bylaws nor adopt or amend the Hospital's annual budget or long range plan and with the understanding that all matters of major importance will be referred to the governing board. Form 990, Part VI, Section A, line 3 Glendive Medical Center, paid a management company, Billings Clinic, for CEO services for Parker Powell. Glendive Medical Center paid Billings Clinic $450,245 for the services of the CEO for calendar year ending December 31, 2023. In addition, Billings Clinic received a management fee totaling $476,101 for calendar year ending December 31, 2023. Form 990, Part VI, Section A, line 7a Under an affiliation agreement, Billings Clinic (who is paid a management fee) appoints two members to the Board. They get sole discretion for choosing the two members, and how long they serve. Form 990, Part VI, Section B, line 11b A copy of the 990 was reviewed by the VP of Finance and distributed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Any director, officer, key employee or committee member having an interest in a contract or other transaction presented to the Board of Directors or a committee thereof for authorization, approval or ratification shall make a prompt, full and frank disclosure of his interest to the board or committee prior to its acting on such contract or transaction. The body to which such disclosure is made shall thereupon determine, by majority vote, whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict is deemed to exist, such person shall not vote on, nor use his personal influence on, nor participate in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted up. The minutes of the meeting shall reflect the disclosure made, the vote thereon and where applicable, the abstention from voting and participation, and whether a quorum was present. A statement from directors and officers and key members of the medical staff is completed and signed annually. Conflict of Interest is normally handled at the executive or board level. In the majority of the cases, no vote is necessary since the Board member or GMC staff voluntarily excuses themselves. But, the Board Chair and the CEO monitors proposed or ongoing transactions of the organization for conflicts of interest and discloses them to the Board and staff, as appropriate. Form 990, Part VI, Section B, line 15 The CEO was compensated by Billings Clinic, an unrelated management company. The Organization paid Billings Clinic for his services as CEO. Billings Clinic uses comparability data to review for reasonableness. The VP of Finance compensation is reviewed and approved by the CEO. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements are kept at the Hospital and are available upon request. The annual Community Benefit report includes a consolidated financial statement for Glendive Medical Center and its Affiliates and is mailed to all service area households. It is also posted on the Hospital website. Form 990, Part IX, line 11g Contract Labor: Program service expenses 4,348,193. Management and general expenses 1,823,307. Fundraising expenses 0. Total expenses 6,171,500. Repairs and Maintenance: Program service expenses 492,740. Management and general expenses 339,550. Fundraising expenses 0. Total expenses 832,290. Other Purchased Services: Program service expenses 869,482. Management and general expenses 128,703. Fundraising expenses 0. Total expenses 998,185. Form 990, Part XI, line 9: Change in Gabert Medical Services Investment 1,401,239. GMC Properties LLC 202 Prospect Drive Glendive MT 593301999 Apartment Rental Management MT 1650 0 Glendive Medical Center Glendive Medical Center Foundation 202 Prospect Drive Glendive MT 59330 810440518 Raising Funds for Glendive Medical Center and Community Medical Needs MT 501(c)(3) Line 7 Glendive Medical Center Inc 1 Gabert Medical Services Inc 107 Dilworth Glendive MT 59330 810477745 Provides Comprehensive Medical Care and Related Services MT Glendive Medical Center C 11844740 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 Gabert Medical Services Inc Q 4812241 Actual Glendive Medical Center Foundation C 230000 Actual