2020-07-13T12:47:59-05:00 2019-06-30 390758449 WIPFLI LLP 101 EAST FRONT STREET 301 MISSOULA MT 59802 990 2018-07-01 475437700 PIONEER MEDICAL CENTER PION 4069324603 PO BOX 1228 BIG TIMBER MT 59011 SCOTT LANDRUM CEO 4069324603 2020-07-12 1 PHILIP L YASENAK CPA P01248379 4067281800 2020-07-12 216.54.158.12 2020-07-12 22:48:53 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-11-19 02:30:22Z SCOTT LANDRUM 301 WEST 7TH AVE BIG TIMBER MT 59011 10251683 0 X WWW.PMCMT.ORG X 2016 MT PIONEER MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY BASED IN BIG TIMBER, MONTANA. PIONEER MEDICAL CENTER HAS A SERVICE AREA OF JUST UNDER 1,900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE. 8 7 173 25 0 0 35734 91963 7981155 9722228 5437 15957 211040 421535 8233366 10251683 0 0 0 0 3633912 3646820 0 0 0 4444501 6217751 8078413 9864571 154953 387112 3823684 4603537 735178 1127919 3088506 3475618 PIONEER MEDICAL CENTER'S MISSION IS SUSTAINABLE EXCELLENCE IN PATIENT AND RESIDENT FOCUSED CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 0 0 9586517 10143763 PIONEER MEDICAL CENTER SERVES THE RESIDENTS OF SWEET GRASS COUNTY THROUGH ITS 25-BED CRITICAL ACCESS HOSPITAL, RURAL HEALTH CLINIC, AND 16-UNIT ASSISTED LIVING FACILITY. 9586517 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 13 0 1 173 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAT MCCONNELL CFO 4069324603 PO BOX 1228 BIG TIMBER MT 59011 X PERRY ANDERSON BOARD CHAIR 1.00 X X 0 0 0 MARK KETCHAM BOARD VICE CHAIR 1.00 X X 0 0 0 ELAINE ALLESTAD SECRETARY 1.00 X X 0 0 0 PAULA CURTIN DIRECTOR 1.00 X 0 0 0 BILL WALLACE DIRECTOR 1.00 X 0 0 0 WALLACE WALKER DIRECTOR 1.00 X 268000 0 0 JOY OTT DIRECTOR 1.00 X 0 0 0 CHAD MILLER DIRECTOR 1.00 X 0 0 0 BRADLEY HOWELL CEO 40.00 X 0 0 0 PAT MCCONNELL CFO 40.00 X 0 0 0 268000 0 0 1 0 1 0 BILLINGS CLINIC PO BOX 31598 BILLINGS MT 59107 MANAGEMENT/ACCOUNTING/RAD/IS/LAB 1011918 WALLACE WALKER PO BOX 1267 BIG TIMBER MT 59011 PHYSICIAN SERVICES 268000 ALLEVANT 4714 GETTYSBURY RD MECHANICSBURG PA 17055 CONSULTING FOR POST-ACUTE CARE PROGRAM 126000 PRIORITY DBA PRIORICARE PO BOX 1051 SPEARFISH SD 57783 NURSING SERVICES 116342 WILDERNESS MEDICAL 100 N AVENUE W MISSOULA MT 59801 FNP SERVICES 114533 5 9200 82763 91963 NET PATIENT REVENUE 621110 9193182 9193182 OTHER OPERATING REVENUE 621110 529046 529046 9722228 9457 9457 4068 0 4068 4068 4068 6500 0 6500 6500 6500 TAX REVENUE 900099 417467 417467 417467 10251683 10143763 0 15957 X 268000 268000 2493588 2493588 107254 107254 534998 534998 242980 242980 533656 355378 178278 2841214 2841214 37840 37840 35985 35985 172979 172979 207345 207345 6397 6397 92506 92506 660 660 61276 61276 99471 99471 SUPPLIES 682684 682684 BAD DEBT EXPENSE 682657 682657 REPAIRS AND MAINTENANCE 209235 209235 FOOD 136143 136143 417703 417703 9864571 9586517 278054 0 1273939 719183 503241 521425 1665500 2609766 110359 123554 39502 32769 596905 139939 212722 456966 18421 139874 3823684 4603537 733773 1095160 31668 1405 1091 735178 1127919 X 3009110 3409171 79396 66447 3088506 3475618 3823684 4603537 387112 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 112777 24412 88365 11261 3335 7926 412867 82192 330675 60000 30000 30000 456966 CASH HELD IN TRUST FOR RESIDENTS 1091 1091 X 10542353 975110 975110 9567243 684440 684440 10251683 10155241 975110 975110 9180131 684440 684440 9864571 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED ON THE FINANCIAL STATEMENTS. THE HOSPITAL RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR TAX YEARS 2015 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 682,657. CHARITY CARE EXPENSES 1,783. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 682,657. CHARITY CARE EXPENSES 1,783. 1 1 1 X 1 X 1 1 0 1 1 46808 46808 0.00470 1155944 1002010 153934 0.01560 1202752 1002010 200742 0.02030 6814 6814 0.00070 435366 395304 40062 0.00410 442180 395304 46876 0.00480 1644932 1397314 247618 0.02510 1 682657 136531 4057998 4043032 14966 X 1 1 1 1 PIONEER MEDICAL CENTER 301 WEST 7TH AVENUE BIG TIMBER MT 59011 WWW.PMCMT.ORG X X X RURAL HEALTH CLINIC AND ASSISTED LIVING FACILITY PIONEER MEDICAL CENTER 1 0 0 1 X X X X X X X X 17 1 0 0 1 X PMCMT.ORG/ABOUT/OVERVIEW X 1 17 0 1 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X WWW.PMCMT.ORG X WWW.PMCMT.ORG X WWW.PMCMT.ORG X X X X 1 X 0 X 1 0 0 PIONEER MEDICAL CENTER PART V, SECTION B, LINE 5: A STEERING COMMITTEE IDENTIFIED COMPRISED OF A DIVERSE GROUP OF MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY INCLUDING PUBLIC HELATH, ELDERLY, UNINSURED, YOUTH, ETC. PIONEER MEDICAL CENTER PART V, SECTION B, LINE 11: PIONEER MEDICAL CENTER CONTINUES TO WORK ON THE PRIORITIES IDENTIFIED IN THE IMPLEMENTATION STRATEGY. ACTION ITEMS ACCOMPLISHED THIS PAST CALENDAR YEAR INCLUDE: 1. RECEIVED PATIENT CENTERED MEDICAL HOME DESIGNATION FOR THE RURAL HEALTH CLINIC. 2. MRI SERVICES ARE NOW AVAILABLE TO SWEET GRASS COUNTY RESIDENTS. 3. BEHAVIORAL HEALTH SERVICES ARE AVAILABLE. 4. ULTRASOUND CAPABILITIES HAVE INCREASED. 5. TELE-HEALTH SERVICES ARE BEING DEVELOPED. 6. TRANSITIONAL CARE SERVICES ARE BEING DEVELOPED WITH LARGER HOSPITAL SYSTEMS WITHIN THE REGION. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS EQUAL TO THE ACTUAL WRITE-OFFS DURING THE YEAR PLUS OR MINUS ANY ADJUSTMENTS MADE TO THE PROVISION ACCOUNT THROUGHOUT THE YEAR. PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT ABOUT 20 PERCENT OF ITS BAD DEBT EXPENSE SHOULD BE INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: THE COST TO CHARGE RATIO IS USED TO DETERMINE COMMUNITY BENEFIT. THIS IS DONE BY APPLYING THE RATIO TO THE TOTAL MEDICARE REVENUE. A SHORTFALL OR OVERAGE IN ANY GIVEN YEAR IS A RESULT OF THE TIMING OF PAYMENTS FROM MEDICARE ON AN INTERIM BASIS AND WHEN FINAL SETTLEMENT IS MADE. MANAGEMENT USES ESTIMATES TO CALCULATE SUCH SETTLEMENTS BUT ACTUAL RESULTS VARY FROM THOSE ESTIMATES. ADDITIONALLY, SHORTFALLS CAN RESULT FROM VARIOUS EXPENSES THAT ARE INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. ALSO MEDICARE RECIPIENTS ARE PART OF A CHARITABLE CLASS AND SO THE PROVISION OF MEDICAL CARE FURTHERS THIS CHARITABLE CLASS.MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT WHICH IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. PART III, LINE 9B: THE ORGANIZATION FOLLOWS THE COLLECTION AND FINANCIAL ASSISTANCE PRACTICES MANDATED IN 501R OF THE AFFORDABLE CARE ACT. ONCE A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED IT IS REVIEWED TO ENSURE ALL AREAS ARE COMPLETED AND ALL REQUESTED DOCUMENTS ARE PROVIDED. AT THIS TIME ALL COLLECTION ACTION IS SUSPENDED UNTIL A DECISION CAN BE MADE ON THE APPLICANT'S FINANCIAL ASSISTANCE REQUEST. IF THE PATIENT QUALIFIES FOR ASSISTANCE IN ACCORDANCE TO THE SLIDING FEE SCHEDULE AND THE FEDERAL POVERTY GUIDELINES, A PATIENT FINANCIAL REPRESENTATIVE THEN LOOKS BACK 240 DAYS FROM THE DATE THE APPLICATION WAS RECEIVED AND APPLIES THAT PERCENTAGE OF DISCOUNT TO ALL ACCOUNTS. SOME ACCOUNTS AT THIS POINT MAY HAVE ALREADY BEEN TURNED OVER TO A COLLECTION AGENCY. THOSE ACCOUNTS ARE PULLED BACK FROM THE COLLECTION AGENCY AND THE SAME DISCOUNT IS APPLIED. ONCE ALL DISCOUNTS ARE APPLIED, COLLECTION ACTION IS PROCEEDED AS NORMAL. PART VI, LINE 2: THE LAST CHNA WAS PERFORMED IN APRIL 2018 AND THE IMPLEMENTATION PLAN WAS CREATED IN JUNE 2018. PMC CONTINUES TO WORK ON THE ACTIONS IDENTIFIED IN THE PRIOR YEAR. IN ADDITION, PATIENTS SATISFACTION SURVEYS ARE SENT TO ALL INPATIENTS AND OBSERVATION PATIENTS, EMERGENCY ROOM PATIENTS, ALL PATIENTS RECEIVING OUTPATIENT SERVICES AND CLINIC PATIENTS. PART VI, LINE 3: PATIENTS ARE NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE AVAILABLE. IN ADDITION, INFORMATION IS POSTED ABOUT FINANCIAL ASSISTANCE IN ALL WAITING ROOM AREAS, ON OUR WEBSITE, AS WELL AS ON OUR PATIENT STATEMENTS. PART VI, LINE 4: PIONEER MEDICAL CENTER IS LOCATED IN A SMALL RURAL COMMUNITY IN MONTANA. PMC"S SERVICE AREA IS JUST UNDER 1,900 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE SWEET GRASS COUNTY POPULATION OF APPROXIMATELY 3,700 PEOPLE. PART VI, LINE 5: PIONEER MEDICAL CENTER OFFERS MANY SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: 1. PUBLIC HEALTH NURSE 2. BOARD OF DIRECTORS THAT CONSISTS OF VOLUNTEERS FROM THE COMMUNITY IN ORDER TO HAVE DIVERSE REPRESENTATION 3. ACCESS TO BEHAVIORAL HEALTH SERVICES4. AMBULANCE SERVICES5. HOSPICE SERVICES6. WORKING WITH THE SCHOOLS TO PROVIDE IMPACT TESTING FOR ALL YOUTH ENGAGED IN CONTACT SPORTS7. DIABETES EDUCATION AND TRAINING 0 0 0 0 0 0 0 0 0 WALLACE WALKER DIRECTOR 268000 0 0 0 0 0 0 0 0 0 268000 0 0 0 BRADLEY HOWELL MR. HOWELL WAS PIONEER MEDICAL CENTER'S CEO. 0 MR. HOWELL WAS AN EMPLOYEE OF THE BILLINGS CLINIC, INC., THE INDEPENDENT CONTRACTOR HIRED TO MANAGE THE HOSPITAL, AND RECEIVED ALL COMPENSATION FOR HIS SERVICES AS CEO FROM BILLINGS CLINIC 0 PAT MCCONNELL MR. MCCONNELL IS PIONEER MEDICAL CENTER'S CFO. MR. MCCONNELL IS AN EMPLOYEE OF THE BILLINGS CLINIC, INC., THE INDEPENDENT CONTRACTOR HIRED TO MANAGE THE HOSPITAL, AND RECEIVED ALL COMPENSATION FOR HIS SERVICES AS CEO FROM BILLINGS CLINIC 0 FORM 990, PART VI, SECTION A, LINE 3 PMC HAS A MANAGEMENT CONTRACT WITH THE BILLINGS CLINIC. PMC'S CEO IS A BILLINGS CLINIC EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PMC HAS OVERSIGHT WITH THE BILLINGS CLINIC COMPLIANCE OFFICER WITH ANNUAL AUDITS. FORM 990, PART VI, SECTION B, LINE 15 PMC UTILIZES MHA WAGE DATA COLLECTION SERVICES ON AN ANNUAL BASIS. WAGES FOR THE CEO AND OTHER LEADING TEAM MEMBERS ARE REVIEWED WITH COMPARABLE SITES IN THE SURROUNDING AREA TO BE COMPETITIVE. THE SAME PROCESSES ARE USED FOR ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THESE FORMS ARE AVAILABLE UPON REQUEST. PART VII, SECTION A BRADLEY HOWELL, CEO, AND PAT MCCONNELL, CFO, ARE EMPLOYEES OF THE BILLINGS CLINIC, INC., THE INDEPENDENT CONTRACTOR HIRED TO MANAGE THE HOSPITAL, AND RECEIVED ALL COMPENSATION FOR THEIR SERVICES AS CEO AND CFO, RESPECTIVELY, FROM BILLINGS CLINIC. BILLINGS CLINIC IS AN INTERESTED PERSON BUT NOT A RELATED PARTY FOR PURPOSES OF FORM 990. SEE ADDITIONAL INFORMATION ON SCHEDULE L, PART IV. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 968,094. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 968,094. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,873,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,873,120. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.