2025-05-13T09:44:46-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-07-01 810384618 BIG HORN HOSPITAL ASSOCIATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2025-05-12 1 0 JUSTIN HARTERT P02236744 5074467100 2025-05-09 2023 2025-03-06 01:10:19Z KRISTI GATRELL 17 NORTH MILES AVENUE HARDIN MT 59034 20394378 0 X WWW.BIGHORNHOSPITAL.ORG X 1980 MT TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS. 9 8 147 10 0 0 2442549 1688077 16707754 18072632 -1172385 118520 -1743 173677 17976175 20052906 45280 35840 0 0 10796149 9997078 0 0 0 9093085 8852710 19934514 18885628 -1958339 1167278 23134513 23354678 11736970 10765988 11397543 12588690 BIG HORN HOSPITAL ASSOCIATION PROVIDES QUALITY SERVICES AND PROMOTES RESPONSIBLE CHOICES TO ENHANCE THE HEALTH OF OUR COMMUNITIES. 0 0 14829890 35840 18072632 BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL. BIG HORN HOSPITAL IS A 18-BED ACUTE CARE HOSPITAL. DURING THE YEAR ENDED JUNE 30, 2024, BIG HORN HOSPITAL PROVIDED 334 DAYS OF INPATIENT SERVICES, 8,204 OUTPATIENT VISITS (INCLUDING 5,063 ER VISITS) AND 3,434 DAYS OF 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 $59,809 FOR THE YEAR ENDED JUNE 30, 2024. 14829890 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 9 0 1 147 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 0 1 1 1 1 1 1 0 0 X ROXIE CAIN CONTROLLER 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 THOR TORSKE CHAIRMAN 0.40 0.20 X X 0 0 0 COLLEEN SCHAAK VICE-CHAIRMAN 0.40 0.20 X X 0 0 0 JAMES SEYKORA SECRETARY 0.40 0.20 X X 0 0 0 MATT TORSKE TREASURER 0.40 0.20 X X 0 0 0 DR ORIN HANSEN MEMBER 0.40 0.00 X 0 0 0 JERRY SMITH LEFT MARCH 2024 MEMBER 0.40 0.00 X 0 0 0 SANDY MORSE MEMBER 0.40 0.00 X 0 0 0 LARRY VANDERSLOOT MEMBER 0.40 0.00 X 0 0 0 TERRY BULLIS MEMBER 0.40 0.00 X 0 0 0 NICHOLE MEHLING MEMBER 0.40 0.00 X 0 0 0 KRISTI GATRELL CEO 39.00 1.00 X 0 0 0 ROXIE CAIN CONTROLLER 39.00 1.00 X 153982 0 29290 JOE PURCELL DIRECTOR OF NURSING 40.00 0.00 X 165364 0 17415 SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 40.00 0.20 X 234821 0 30711 ANGELA REGALADO IMAGING DIRECTOR 40.00 0.00 X 170288 0 8415 CHARLOTTE JEFFERSON PHARMACY DIRECTOR 40.00 0.00 X 172837 0 9000 PAULINE KING PROVIDER 40.00 0.00 X 187636 0 8072 MARTHA ARAMBEL-JUDICE PROVIDER 40.00 0.00 X 184484 0 4960 TIFFANI SCHUBER PROVIDER 40.00 0.00 X 171807 0 30711 1441219 0 138574 19 0 1 1 BILLINGS CLINIC 2800 10TH AVENUE N BILLINGS MT 59101 MANAGEMENT & IMAGING SERVICES 2430037 VAYA WORKFORCE SOLUTIONS 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 CONTRACT STAFF 667251 NXC IMAGING 1325 QUINCY STREET NE MINNEAPOLIS MN 55413 IMAGING MAINTENACE 357235 B SQUARED IMAGING LLC PO BOX 137 STANTON NJ 08885 IMAGING READING FEES 262973 CLIFTONLARSONALLEN LLP 220 S SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 ACCOUNTING SERVICES 248804 13 38000 1614639 35438 1688077 PATIENT REVENUE 621110 17775841 17775841 OTHER PATIENT REVENUE 541900 296791 296791 18072632 92110 92110 159811 12508 147303 147303 147303 355374 328964 26410 26410 26410 CAFETERIA 900099 26374 26374 26374 20052906 18072632 0 292197 X 35840 35840 648562 648562 7848282 6418005 1430277 283830 234304 49526 629295 516032 113263 587109 489236 97873 8902 8902 269483 269483 9656 9656 2729151 1952020 777131 18422 4762 13660 140468 94774 45694 1112 861 251 330631 329180 1451 20564 10178 10386 23010 16253 6757 344180 344180 1767303 1767303 204121 378 203743 MEDICAL SUPPLIES 1101787 1101787 BAD DEBT EXPENSE 1024371 1024371 REPAIRS AND MAINTENANCE 395134 395134 BED TAXES 115171 115171 349244 324301 24943 18885628 14829890 4055738 0 2540543 2415779 898465 60310 1560 2347572 3483961 93000 93000 458731 502380 125589 156458 26871691 16469689 11364228 10402002 1052925 1956501 4253460 4282727 23134513 23354678 3245184 2483974 8000000 8000000 75286 0 416500 0 282014 11736970 10765988 X 11389070 12581718 8473 6972 11397543 12588690 23134513 23354678 1167278 23869 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 1308 1308 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 0 242904 242904 18500011 10303717 8196294 8128776 6165972 1962804 10402002 LEASE RECEIVABLE 580050 ESTIMATED THIRD PARTY PAYOR SETTLEMENT RECEIVABLE 3702677 4282727 LEASE LIABILITIES 282014 282014 X PART X, LINE 2: BIG HORN HOSPITAL ASSOCIATION (THE "HOSPITAL ASSOCIATION OR "HOSPITAL") IS A MONTANA NONPROFIT ORGANIZATION WHICH IS CONSIDERED A POLITICAL SUBDIVISION OF BIG HORN COUNTY AND IS EXEMPT FROM FEDERAL TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL ASSOCIATION CONSISTS OF: BIG HORN HOSPITAL AND SENIOR LIVING. THE FINANCIAL STATEMENTS ALSO INCLUDE DATA OF BIG HORN HOSPITAL AND HEALTH CARE FOUNDATION (THE FOUNDATION), BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY AND HERITAGE ACRES AUXILIARY, SEPARATE LEGAL ENTITIES WHICH ARE BLENDED COMPONENT UNITS IN THE FINANCIAL STATEMENTS. THE FOUNDATION AND AUXILIARIES ARE ORGANIZED AS MONTANA NONPROFIT CORPORATIONS, EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. 1 1 X 1 X 1 X 1 1 1 0 0 47852 47852 0.00250 5908770 6739692 0 0.00000 5956622 6739692 47852 0.00250 12042461 9774604 2267857 0.12010 12042461 9774604 2267857 0.12010 17999083 16514296 2315709 0.12260 1 1024371 0 3855639 3930323 -74684 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 HTTPS://WWW.BIGHORNHOSPITAL.ORG X HTTPS://WWW.BIGHORNHOSPITAL.ORG X HTTPS://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 HEALTH2. CITY OF HARDIN3. BHCMH AUXILIARY4. BIG HORN HOSPITAL ASSOCIATION5. BIG HORN VALLEY HEALTH CENTER6. 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 ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY IDENTIFIED ACCESS TO HEALTHCARE AND OTHER SERVICES, GOOD JOBS AND A HEALTHY ECONOMY AS THE MOST IMPORTANT THINGS FOR A HEALTHY COMMUNITY: WHILE WE HAD TO MAKE THE DIFFICULT DECISION TO CLOSE OUR LONG TERM CARE FACILITIES, THIS DECISION WAS MADE TO PRESERVE THE CURRENT SERVICES IN BIG HORN COUNTY. BHHA CONSOLIDATED IT'S STAFF AND REDUCED THE AMOUNT OF CONTRACT STAFF BEING UTILIZED IN OUR COMMUNITY. THE CLOSURE ALLOWED BIG HORN COUNTY TO CONTINUE TO HAVE AN INPATIENT HOSPITAL WITH SWING BED CARE, EIGHT LONG-TERM CARE RESIDENTS AND AN EMERGENCY ROOM. BHHA WAS ABLE TO OBTAIN SPEECH THERAPY SERVICES THAT WILL BEGIN IN FY2025. THEY ALSO CONTINUE TO TRY AND ADD ADDITIONAL SERVICE LINES FOR THEIR COMMUNITY. BHHA IS EXPLORING SURGERY, CATERACT PROCEDURES AND INFURSION THERAPY.BHHA APPLIED FOR AND RECEIVED MULTIPLE GRANTS AND DONATIONS TO PURCHASE A NEW VAN AND A NEW BUS. ONCE THE PURCHASE IS COMPLETED FOR THESE VEHICLES, BHHA WILL BE ABLE TO RESURRECT OUR COMMUNITY TRANSPORTATION SERVICES. THESE SERVICES WILL PROVIDE SOME TRANSPORTATION FOR MEDICAL, DENTAL, VISION, PHARMACY, AND CHIROPRACTIC CARE WITHIN HARDIN CITY LIMITS.BHHA IS REVITALIZING EMPLOYEE EDUCATION AFTER THEIR DIFFICULTY ACCESSING ADVANCED EDUCATION DURING THE COVID-19 PANDEMIC TO CONTINUE TO PROVIDE OUR COMMUNITY WITH QUALITY HEALTH CARE. IN APRIL 2023, ST VINCENT HEALTHCARE NOTIFIED BHHA THAT THEY WOULD NOT BE RENEWING THEIR LEASE TO PROVIDE CLINIC SERVICES AT THE HARDIN CLINIC BUILDING OWNED BY BHHA. BHHA IMMEDIATELY REACHED OUT TO ONE HEALTH AND BILLINGS CLINIC TO ATTEMPT TO FIND A TENANT THAT WOULD CONTINUE CLINIC SERVICES IN OUR UNDERSERVED COMMUNITY. AN AGREEMENT WAS MADE WITH ONE HEALTH TO LEASE THE HARDIN CLINIC AND CONTINUE SERVICES IN THAT LOCATION. 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 7A AND 7B BUT ACTUAL COST WAS USED FOR PART I, LINE 7G. PART I, LINE 7G: INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING DEPARTMENTS: ADULTS & PEDIATRICS, MRIS, OCCUPATIONAL THERAPY, EMERGENCY SERVICES, AND OBSERVATIONAL BEDS PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,024,371. 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 16 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 2024 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. 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. 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 BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 501(C)(3) 15716 0 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 NORTH MILES AVENUE HARDIN MT 59034 810504410 501(C)(3) 20124 0 TO SUPPORT GENERAL OPERATIONS 2 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 0 0 0 0 0 0 0 0 0 SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 234821 0 0 0 0 0 9000 0 21711 0 265532 0 0 0 TIFFANI SCHUBER PROVIDER 171807 0 0 0 0 0 9000 0 21711 0 202518 0 0 0 PAULINE KING PROVIDER 187636 0 0 0 0 0 8052 0 20 0 195708 0 0 0 MARTHA ARAMBEL-JUDICE PROVIDER 184484 0 0 0 0 0 4500 0 460 0 189444 0 0 0 ROXIE CAIN CONTROLLER 153982 0 0 0 0 0 7579 0 21711 0 183272 0 0 0 JOE PURCELL DIRECTOR OF NURSING 165364 0 0 0 0 0 9000 0 8415 0 182779 0 0 0 CHARLOTTE JEFFERSON PHARMACY DIRECTOR 172837 0 0 0 0 0 9000 0 0 0 181837 0 0 0 ANGELA REGALADO IMAGING DIRECTOR 170288 0 0 0 0 0 0 0 8415 0 178703 0 0 0 FORM 990 SCHEDULE J KRISTI GATRELL, THE CEO OF BIG HORN HOSPITAL ASSOCIATION, IS PAID BY BILLINGS CLINIC, AN UNRELATED ORGANIZATION. KRISTI RECEIVED THE FOLLOWING FROM BILLINGS CLINIC FOR SERVICES TO BIG HORN HOSPITAL: COMPENSATION- $172,084 RETIREMENT AND OTHER DEFERRED COMPENSATION- $2,039 NONTAXABLE BENEFITS- $18,447 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 0.00000 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: 11/03/2023 ANGELA SMITH SPOUSE OF JERRY SMITH, BOARD MEMBER 162659 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 3 BIG HORN HOSPITAL ASSOCIATION'S CEO IS PROVIDED THROUGH A SERVICES AGREEMENT WITH BILLINGS CLINIC. FORM 990, PART VI, SECTION A, LINE 7A TWO BOARD MEMBERS ARE APPOINTED BY BILLINGS CLINIC AND MAY BE REMOVED FROM THE BOARD AT ANY TIME BY BILLINGS CLINIC. 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. 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 1,952,020. MANAGEMENT AND GENERAL EXPENSES 777,131. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,729,151. 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