2020-07-09T12:30:35-05:00 2019-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-07-01 816016016 Glendive Medical Center GLEN 4063653306 202 Prospect Drive Glendive MT 593301999 William Robinson VP of Finance 4063653306 2020-07-08 1 Kim Hunwardsen CPA P00484560 6122536500 2020-07-08 216.147.181.49 2020-07-08 10:56:36 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2020-09-23 17:36:50Z Parker Powell 202 Prospect Drive Glendive MT 593301999 44679586 0 X www.gmc.org X 1964 MT Committed to caring, healing, and a healthier community through the procurement of health services. 11 10 561 170 0 0 809018 175164 40009278 40841460 42636 -14776 -1140553 268183 39720379 41270031 0 0 0 0 21513981 20633037 0 0 57550 20030493 21957301 41544474 42590338 -1824095 -1320307 44863485 42582853 34596454 32749295 10267031 9833558 X We are committed to caring, healing, and a healthier community. 1 1 31059692 40841460 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 127 nursing home beds which includes 56 extended care beds and 80 beds with the Eastern Montana Veterans Home, 13-suite Assisted Living Facility, Home Health, Durable Medical Equipment and Hospice services. A clinic with Rural Health Clinic designation and pharmacy services 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 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 3,712 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 $93,081 serving 32 members 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. 31059692 1 1 0 1 0 0 0 0 0 0 1 1 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 30 0 1 561 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 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 Laura Glueckert Chairperson (Jul-Jan) 2.00 0.00 X X 0 0 0 Dr Troy Myers OD Vice Chair (Jul-Jan)/Chair (Feb-Jun) 1.00 0.00 X X 0 0 0 Jim Hicks Secr. (Jul-Jan)/Vice Chair (Feb-Jun) 1.00 0.00 X X 0 0 0 Eileen Melby Treas. (Jul-Jan)/Secr. (Feb-Jun) 1.00 0.00 X X 0 0 0 A'Lynn Shields Director (Jul-Jan)/Treas. (Feb-Jun) 1.00 0.00 X X 0 0 0 Chrystal Potter MD Director/Chief of Staff 40.00 0.00 X 324471 0 37186 Jen Majeras DVM Director 1.00 0.00 X 0 0 0 Jackie Schultz Director 1.00 0.00 X 0 0 0 John Schallenkamp MD Director 40.00 0.00 X 0 0 0 Mitch Goplen Director 1.00 0.00 X 0 0 0 Matthew Calkins DDS Director 1.00 0.00 X 0 0 0 Rhett Coon Director 1.00 1.00 X 0 0 0 Parker Powell CEO 49.00 1.00 X 0 0 0 William Robinson VP of Finance 49.00 1.00 X 153811 0 13550 John Kevin Maxwell MD Physician 40.00 0.00 X 550750 0 24997 Joseph Leal MD Physician 40.00 0.00 X 391815 0 20584 James Jex MD Physician 40.00 0.00 X 325000 0 38809 John Hunter MD Physician 40.00 0.00 X 267800 0 29560 Veronica Simmonds MD Physician 40.00 0.00 X 347733 0 16144 2361380 0 180830 30 0 1 0 Xtend Healthcare 90 Volunteer Dr Suite 150 Hendersonville TN 37075 Medical Billing Staff 2060727 Sodexo Inc & Affiliates PO Box 360170 Pittsburgh PA 15251 Cafeteria/Dietary 1508744 Billings Clinic 801 North 29th Street Billings MT 59107 Mgmt & Health Care Services 1381635 Prime Time Healthcare LLC 15380 Weir St Omaha NE 68137 Staffing agency 1279193 Comphealth Inc PO Box 972651 Dallas TX 75397 Staffing agency 387560 5 75215 99949 175164 Patient Service Revenue 621110 40122021 40122021 Other Revenue 900099 719439 719439 40841460 41443 41443 57782 48176 9606 9606 9606 3249908 3306127 -56219 -56219 -56219 313829 55252 258577 258577 41270031 40841460 0 253407 X 561654 344777 216877 13072 13072 16738744 13685931 3052813 448451 388156 60295 1607599 1111401 496198 1263517 995047 268470 349515 349515 24908 2867 22041 153230 153230 6987014 4027045 2959969 71492 368 71124 915483 651073 264410 507346 113909 393437 823604 56986 766618 99277 79136 20141 75655 55752 19903 915706 915706 2559193 2016067 543126 358999 40 358959 Medical Supplies 4441155 4433586 7569 Bad Debt Expenses 1721878 1721878 Bed Tax 629304 629304 Food 624716 624716 698826 108581 532695 57550 42590338 31059692 11473096 57550 82786 81734 7107601 6056467 1269619 957298 191003 154262 67680852 48559033 20877326 19121819 4784691 4625433 4831114 5658898 5719345 5926942 44863485 42582853 7291600 6895126 875886 641522 23480887 22497568 60352 38052 508566 5 794382 630097 1584781 2046925 34596454 32749295 X 9937031 9503558 330000 330000 10267031 9833558 44863485 42582853 X -1320307 886834 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20421 20421 0 Part II-B, Line 1: Included in dues paid to Montana Hospital Association, American Hospital Association and Leading Age was a portion for lobbying purposes. The organization also made additional lobbying expenditures of $20,000 for the I-85 Initiative during FYE19. 0 1 X 150051 150051 788616 40537960 26507191 14819385 26191725 22051842 4139883 12500 12500 19121819 Investment in Gabert Clinic 5658898 F 5658898 Related Party Receivables 5926942 5926942 Capital Lease Obligation 384504 Estimated Third Party Payor Settlement 1662421 2046925 X Part IV, Line 2b: Upon written authorization of residents of GMC Extended Care and EMVH 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, 2019, the balance in these accounts were $12,324 and $25,728 respectively. 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 16000 16000 0.00040 8425409 6123384 2302025 0.05630 8441409 6123384 2318025 0.05670 20165779 9304694 10861085 0.26580 20165779 9304694 10861085 0.26580 28607188 15428078 13179110 0.32250 1 1721878 0 9974420 10070942 -96522 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 18 1 0 1 1 X See Part V, Line 7d X See Part V, Line 7d X X 1 18 1 See Part V, Line 7d 0 1 X 100.000000000000 200.000000000000 X 1 1 X X X 1 X https://www.gmc.org/patients-families/financial-assistance/ X http://www.gmc.org/docs/Financial_Assistance_Application.pdf 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: A Steering Committee was convened to assist Glendive Medical Center in conducting CHSD. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together in February 2019. 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 survey and focus groups and to assist in the prioritization of health needs to address.In March 2019, surveys were mailed out to the residents in Dawson County, Montana. A total of 727 surveys were distributed amongst Glendive Medical Center's service area. One hundred thirty-two were completed for a 18.2% response rate. Of the 132 surveys returned, 62.9% of survey respondents were female, 34.8% were male, and 1.5% chose not to answer this question. Twenty-three percent of respondents were between the ages of 56-65. Twenty-two percent of respondents were between the ages of 66-75, and 16.4% of respondents were between the ages of 76-85. Respondents were asked to indicate their employment status. Thirty-eight percent reported they work full time, while 35.9% are retired. Glendive Medical Center Part V, Section B, Line 6b: Glendive Medical Center participated in the Community Health Services Development (CHSD) Project administrated by the Montana Office of Rural Health. 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 prioritized health needs as determined through the assessment process and which the facility will be addressing relates to the following healthcare issues:1. Mental and behavioral healtha. Increase awareness of available mental and behavioral health programs in Dawson Countyi. Convene community stakeholders/provider group to discuss mental and behavioral health resources, gaps and opportunitiesii. Assess and catalogue available mental and behavioral health resources in Dawson Countyiii. Develop dissemination plan for new behavioral/mental health resource guideiv. Expand GMC work force to include a behavioral health care coordination positionb. Improve outreach and education regarding alcohol and substance use disorder in the communityi. Provide GMC staff to engage in local community groups that are working to address alcohol and substance use disorders in Glendive and Dawson Countyii. Explore opportunities to partner with community stakeholders to provide education and prevention outreach (i.e. local schools, police, community mental health providers)iii. Develop and host a medication disposal event at GMCiv. Explore feasibility of offering a chronic pain management program2. Healthy lifestyles - Enhance GMC programs and community events that support healthy behaviors and lifestylesa. Continue to support local events and programs that promote healthy lifestylesb. Continue to participate in and promote Building Active Glendive and Dawson County Healthy Communities effortsc. Host annual community health fair and provide/promote low/no-cost wellness screenings and sports physicalsd. Engage with community partners to enhance community trail access and utilization through a hospital/clinic-based programe. Explore development of a women's health and wellness program upon expansion of OB/GYN stafff. Explore development of a nutrition education/outreach program through hospital/clinicg. Enhance prevention, wellness promotion, and educational outreach efforts to promote engagement in chronic care management and annual wellness visits3. Access to healthcare servicesa. Enhance Dawson Country community's access to specialty servicesb. Improve the community's access to healthcare by enhancing knowledge of available services and resourcesi. Enhance GMC's outreach and education related to current services and resourcesii. Enhance knowledge of available financial assistance programs/charity care, discount programs, and payment programsiii. Create educational offerings to education the community on insurance plan options, billing, and financial assistance resourcesThe needs that will not be addressed by the facility include:1. Key informant interviewees identified a need for enhanced coordination and information dissemination/community assistance in the community. GMC continues to provide information to the community related to community services and to coordinate with area partners to fill this gap.2. 6.9% of survey respondents reported that in the last year, cost was a barrier to getting or taking their medications regularly. GMC works with patients to sign up for Medicare and Medicaid and recently, added a new payment plan in conjunction with American Bank Center of Glendive that requires no credit check, lower monthly payments, and longer terms.3. Pertussis rates in Dawson County (per 100,000) is 101.0 compared to 44.6 for Montana. This was part of an outbreak that occurred in 2018. GMC will continue to partner with Public Health to monitor. 6 1 - Eastern Montana Veterans Home 2000 Montana Avenue Glendive MT 59330 80 bed Veterans skilled nursing home 2 - Glendive Medical Center Extended Care 202 Prospect Drive Glendive MT 59330 56 bed skilled nursing home 3 - GMC Home Health (closed 63019) 202 Prospect Drive Glendive MT 59330 Home health for Dawson, Wibaux, McCone and Prairie Counties 4 - The Heritage on Merrill Avenue 1313 North Merrill Avenue Glendive MT 59330 13 suite assisted living center 5 - Glendive Medical Center Hospice 202 Prospect Drive Glendive MT 59330 Hospice for Dawson and Wibaux Counties 6 - 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: The cost to charge ratio for charity care was calculated by multiplying the ratio of cost to gross charges by the uncompensated care policy without charge or at amounts less than established rates. 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 I, Line 7g: Subidized health services includes $8,329,759 of costs from a rural health clinic. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,721,878. Part III, Line 2: Bad debt is reported at charges. Part III, Line 4: Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 10 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. In addition to hospital services, Home Health, Hospice, and Skilled Nursing Facility are also included in the Organization's cost report. All of these activities are subsidized health services shown on line 7 or Part I. Therefore, the Medicare piece related to these activities is shown on Part I, Line 7. As noted in the Schedule H instructions, the cost report does not reflect certain programs which GMC provides - Durable Medical Equipment, Medicare Part C, Medicare Part D, and Provider Based Services - Emergency Room Providers, Certified Nurse Anesthetists, and Radiologists. Since GMC is in a very rural area, to have 24 hour coverage by these providers for our service area is definitely a quality and safety issue, and therefore, a community benefit. 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 120 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. Beginning in January 2014 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 are 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 eleven 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 seven (7) physicians and twelve (12) 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. Six (6) of the seven (7) 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. 1 1 0 0 0 0 0 0 0 Chrystal Potter MD Director/Chief of Staff 303471 0 21000 0 0 0 8002 0 29872 0 362345 0 0 0 William Robinson VP of Finance 146311 0 7500 0 0 0 5219 0 8990 0 168020 0 0 0 John Kevin Maxwell MD Physician 550000 0 750 0 0 0 9625 0 16060 0 576435 0 0 0 Joseph Leal MD Physician 321815 0 70000 0 0 0 9625 0 11578 0 413018 0 0 0 James Jex MD Physician 325000 0 0 0 0 0 9625 0 29799 0 364424 0 0 0 John Hunter MD Physician 267800 0 0 0 0 0 9064 0 21115 0 297979 0 0 0 Veronica Simmonds MD Physician 319040 0 0 0 28693 0 8408 0 8356 0 364497 0 0 0 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. Part I, Lines 4a-b J. Kevin Maxwell and Joseph Leal participated in a nonqualified retirement plan under 457(f). Amounts from their base wages were deferred into the plan at their discretion. For the fiscal year 2019 and calendar year 2018, there were no current year contributions for either J. Kevin Maxwell or Joseph Leal. Dr. Veronica Simmonds was paid $28,693 as part of a severance check. A Montana Facility Finance Authority 364615155 612043KDO 2017-08-29 24334700 Refinance 2008A Series 0 0 0 A 850000 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 0 0 0 0 0 1 A 1 Ashley Powell Spouse of CEO 13072 Employee Compensation 0 Form 990, Part III, line 2 A Visiting Nurse program started through the rural health clinic to replace the Home Health services that ceased on 6/30/19. Form 990, Part III, line 3 Glendive Medical Center Home Health ended operations 6/30/19. Form 990, Part VI, Section A, line 1 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 $308,763 for the services of the CEO for calendar year ending December 31, 2018. In addition, Billings Clinic received a management fee totaling $127,345 for calendar year ending December 31, 2018. 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 3,471,664. Management and general expenses 2,058,786. Fundraising expenses 0. Total expenses 5,530,450. Repairs and Maintenance: Program service expenses 370,079. Management and general expenses 458,318. Fundraising expenses 0. Total expenses 828,397. Other Purchased Services: Program service expenses 185,302. Management and general expenses 442,865. Fundraising expenses 0. Total expenses 628,167. Form 990, Part XI, line 9: Change in Gabert Investment 886,834. GMC Properties LLC 202 Prospect Drive Glendive MT 593301999 Apartment Rental Management MT 4609 4125 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 HealthNet LLC 519 Pleasant Street Miles City MT 59301 810506005 Operating integrated computer and software MT Glendive Medical Center Related -1332 57719 0 1 0.50000 Gabert Medical Services Inc 107 Dilworth Glendive MT 59330 810477745 Provides Comprehensive Medical Care and Related Services MT Glendive Medical Center C 6247394 267145 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 Glendive Medical Center Foundation C 75215 Actual Gabert Medical Services Inc Q 1127900 Actual