2020-11-05T16:04:09-06:00 2019-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2019-01-01 810303913 COMMUNITY HOSPITAL OF ANACONDA COMM 4065638512 401 W PENNSYLVANIA ANACONDA MT 59711 MARGARET HICKEY-BOYNTON CFO 4065638521 2020-11-03 true THOMAS DINGUS P00951009 5092420874 2020-11-05 104.209.44.114 2020-11-05 16:04:09 CS P 88E8E3E4BAC69E0C9162358B3AA4114E53627D17 BDB558D2839154CBA244025868728B30AD18FBA5 2019 2021-01-29 14:40:06Z JOELLEN VILLA 401 W PENNSYLVANIA ANACONDA MT 59711 73946453 false X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X 1969 MT TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. 10 9 480 28 0 78925 233921 67017466 73114609 16781 59064 464409 463407 67577581 73871001 27272 51170 0 35998889 37707318 0 0 29442794 32181317 65468955 69939805 2108626 3931196 57091023 63024839 30061434 29931344 27029589 33093495 TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. false false 63786185 73871001 COMMUNITY HOSPITAL OF ANACONDA IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A 62-BED NURSING HOME FACILITY WHICH PROVIDES HEALTH CARE SERVICES. THE HOSPITAL PROVIDED 5,161 DAYS OF INPATIENT ACUTE CARE SERVICES, 118,084 OUTPATIENT VISITS, 10,611 EMERGENCY ROOM/CONVENIENT CARE VISITS, AND 2,557 SURGERIES. THE NURSING HOME PROVIDED 9,494 DAYS OF RESIDENT SERVICES FOR THE YEAR ENDED DECEMBER 31, 2019. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 559,930 FOR CHARITY CARE, 28,301,075 FOR MEDICARE, 8,164,588 FOR MEDICAID, AND 13,972,7893 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2019. 51170 51170 COMMUNITY HOSPITAL OF ANACONDA ALSO SPONSORS NUMEROUS YOUTH GROUPS AND ACTIVITIES WITHIN ITS COMMUNITY. 63837355 true true false true false false false false false false true false false true true true true false false false false false false false false false true true false false true false false false false false false true false false false false false false true true false false false true 54 0 true 480 true false false false false false false false false false false false false X 10 9 true false false false true false false true true false false true true true true true true true true false X MARGARET HICKEY-BOYNTON 4065638512 401 W PENNSYLVANIA ANACONDA MT 59711 LEE ANN BARTOLETTI CHAIR 1.00 X X 0 0 0 STAN BLAZ VICE CHAIR 1.00 X X 0 0 0 JODI MCCARTHY SECRETARY/TR 1.00 X X 0 0 0 AUDREY ASPHOLM TRUSTEE 1.00 X 0 0 0 KRISTY MCKAY TRUSTEE 1.00 X 0 0 0 CHRIS CONNORS TRUSTEE 1.00 X 0 0 0 DIANE BRUNELL TRUSTEE 1.00 X 0 0 0 GENE VUCKOVICH TRUSTEE 1.00 X 0 0 0 STEPHANIE SORINI TRUSTEE 1.00 X 0 0 0 JACK HAFFEY TRUSTEE 1.00 X 0 0 0 FREDERICK BARTOLETTI TRUSTEE/PHYS 34.00 X 394753 0 22390 JOELLEN VILLA CEO 45.00 X 252735 0 14237 MARGARET HICKEY-BOYNTON CFO 45.00 X 194917 0 13074 GUS VARNAVUS PHYSICIAN 40.00 X 945427 0 15940 CARL SCHILLHAMMER PHYSICIAN 40.00 X 575049 0 15940 BERTRAND JONES PHYSICIAN 40.00 X 550014 0 15940 JAMES HUEFTLE PHYSICIAN 40.00 X 533956 0 19405 GLENN MCLAUGHLIN PHYSICIAN 40.00 X 511981 0 5600 3958832 122526 58 false true false LBR GROUP PC PO BOX 1038 ANACONDA MT 59711 CONSULTING 1464897 FLATHEAD UROLOGY PLLC 210 SUNNYVIEW LN SUITE 106 KALISPELL MT 59901 UROLOGY SERVICE 661178 DR JONATHAN PINE 305 W PENN AVE ANACONDA MT 59711 SURGEON SERVICE 556075 FASTAFF LLC 5700 SOUTH QUEBEC STREET SUITE 300 GREENWOOD VILLAGE CO 80111 LOCUMS 452469 DR THOMAS MCMAHON 401 W PENN AVE ANACONDA MT 59711 SURGEON SERVICE 435073 10 5328 35843 192750 233921 NET PATIENT SERVICE REVENUE 624100 73075210 73075210 RENTAL INCOME 446110 39399 39399 73114609 108516 108516 26000 75452 -49452 -49452 -49452 MEDICAL STAFF REIMBURSEMENT 900099 240900 240900 OTHER 722514 98567 98567 CAFETERIA REVENUE 900099 93122 93122 30818 30818 463407 73871001 73114609 522471 51170 51170 892107 417143 474964 32019867 30164971 1854896 672315 633255 39060 1900884 1783478 117406 2222145 2066447 155698 1565646 1565646 71403 71403 92908 92908 6134145 5880561 253584 335242 656 334586 2064600 1800174 264426 444483 444483 1716714 1561247 155467 23748 17988 5760 161232 155792 5440 1009989 892905 117084 1677886 1539892 137994 1286303 1278995 7308 MEDICAL SUPPLIES & DRUGS 14228290 14228290 HOSPITAL BED TAX 674624 674624 DUES & SUBSCRIPTIONS 528699 245075 283624 OTHER EXPENSES 165405 209 165196 69939805 63837355 6102450 0 6997566 12577705 4188089 2590312 7951740 9072188 6785 2288 1799263 1781876 515816 520160 43670405 22822554 21890396 20847851 10314682 10430205 538348 488699 2888338 4713555 57091023 63024839 4962826 5289577 1222905 2064532 20986147 20358037 2889556 2219198 30061434 29931344 X 27029589 33093495 27029589 33093495 57091023 63024839 X 3931196 2132710 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4504 4504 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 945214 945214 25439181 8940027 16499154 16385571 13374040 3011531 900439 508487 391952 20847851 MEDICAID SUPPLEMENTAL PAYMENTS 4129060 ESTIMATED THIRD PARTY SETTLEMENTS 545485 OTHER RECEIVABLE 39010 4713555 ESTIMATED THIRD PARTY SETTLEMENTS 2219198 2219198 X 76053163 2132710 49452 2182162 73871001 73871001 69989257 49452 49452 69939805 69939805 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WERE CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2019 AND 2018, THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D LOSS ON DISPOSAL OF ASSETS 49,452 SCHEDULE D, PAGE 4, PART XII, LINE 2D LOSS ON DISPOSAL OF ASSETS 49,452 true true true X 1.300000000000 true X 2.200000000000 true true false true true 251969 251969 0.00360 10166342 10166342 10418311 10166342 251969 0.00360 399320 399320 0.00570 2162 2162 17279334 11107563 6171771 0.08820 46539 46539 0.00070 17727355 11107563 6619792 0.09460 28145666 21273905 6871761 0.09830 true 729300 21033745 21419887 -386142 X true true NA 1 1 COMMUNITY HOSPITAL OF ANACONDA 401 W PENNSYLVANIA ANACONDA MT 59711 WWW.COMMUNITYHOSPITALOFANACONDA.ORG X X X X COMMUNITY HOSPITAL OF ANACONDA 1 false false true X X X X X X X X 19 true false true true X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X true 19 true WWW.COMMUNITYHOSPITALOFANACONDA.ORG false false true X 130.000000000000 220.000000000000 X true true X X X X true X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X X X X true X false X X X true X false false FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 57 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY INCLUDING ZIP CODES WITH THE LARGEST NUMBER OF ADMISSIONS IN THE SURVEY SAMPLE. THE PROCESS INCLUDED A RANDOM, WRITTEN SURVEY MAILED TO 797 RESIDENTS FROM THESE ZIP CODES, FOLLOWED BY THREE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. IN ADDITION, A STEERING COMMITTEE OF VARIOUS COMMUNITY MEMBERS WAS FORMED TO ASSIST IN THE DEVELOPMENT OF THE SURVEY INSTRUMENT AND TO PROVIDE A FORUM TO DISCUSS THE COMMUNITY'S ISSUES WITH RESPECT TO HEALTHCARE. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 6B IN 2019, THE HOSPITAL COLLABORATED WITH THE MONTANA OFFICE OF RURAL HEALTH TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS OF ANACONDA-DEER LODGE COUNTY AND SURROUNDING AREA OF SOUTHWEST MONTANA. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 11 THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE NEEDS IDENTIFIED BUT NOT SPECIFICALLY ADDRESSED INCLUDE DELAYED OR NOT RECEIVING NEEDED MEDICAL SERVICES, CONTINUOUS CARE RETIREMENT COMMUNITY, AND PHYSICAL INACTIVITY. CURRENTLY THE HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM AS WELL AS ASSISTANCE WITH ANNUAL OPEN ENROLLMENT FOR THE INSURANCE MARKETPLACE AND COULD ALSO PARTNER WITH LOCAL AGENCIES TO ASSIST IN INFORMING THE PUBLIC REGARDING THE PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY. ANACONDA'S HOSPICE HOUSE WAS CONSTRUCTED IN 2018 AS A COMPONENT OF A CONTINUOUS RETIREMENT COMMUNITY AND THE HOSPITAL HAS BEEN EVALUATING CONCEPTS AND POTENTIAL LOCATIONS FOR A CONTINUOUS CARE RETIREMENT COMMUNITY. PUBLIC HEALTH HAS COMMITTED TO SHARING EDUCATIONAL OFFERINGS TO ENSURE COMMUNITY IS KNOWLEDGEABLE ABOUT PROGRAMS RELATED TO COMMUNITY HEALTH ADVOCACY. 2 COMMUNITY NURSING HOME OF ANACONDA 600 MAIN ANACONDA MT 59711 NURSING HOME PINTLER HOME OPTIONS 305 W PENNSYLVANIA ANACONDA MT 59711 HOME HEALTH AGENCY SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 11,748,486 IN COLUMN C AND 7,363,424 IN COLUMN D. SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR FIGURES REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES). SCHEDULE H, PART II EACH SPRING, COMMUNITY HOSPITAL OF ANACONDA (CHA) PROVIDES FREE AND REDUCED SPORTS PHYSICALS INCLUDING A PHYSICAL ASSESSMENT AND AN EKG FOR 6TH-12TH GRADERS SO THEY CAN PARTICIPATE IN SCHOOL ATHLETICS. CHA WAS THE FIRST HOSPITAL IN MONTANA TO RECEIVE DESIGNATION AS A BABY- FRIENDLY HOSPITAL WHICH INDICATES THEY OFFER AN OPTIMAL LEVEL OF CARE FOR INFANTS, MOTHERS, AND FAMILIES. PINTLER HOME HEALTH THROUGH CHA MAKES IT POSSIBLE FOR PATIENTS TO RECOVER AND/OR MANAGE A HEALTH PROBLEM IN THE COMFORT AND FAMILIARITY OF THEIR HOME. PINTLER HOSPICE SERVES PEOPLE OF ALL AGES WHO ARE EXPERIENCING A SERIOUS ILLNESS. IN JULY OF 2018, CHA OPENED LYNNORES PLACE HOSPICE HOUSE. ANNUALLY, CHA OFFERS A HEALTH FAIR WITH A FULL SPECTRUM OF LAB WORK AT REDUCED COST. PARTICIPANTS RECEIVE INFORMATION ON HOW TO INTERPRET THEIR LAB RESULTS AS WELL AS FREE BLOOD PRESSURE SCREENINGS, FREE BLOOD GLUCOSE TESTING, OXYGEN SATURATION SCREENINGS AND COMPLIMENTARY HEALTH PROMOTION ITEMS. COMMUNITY SERVICES ARE INVITED TO PARTICIPATE TO PROVIDE INFORMATION REGARDING THEIR SERVICE OFFERINGS. THE CHA REHAB THERAPY PROGRAM OFFERS A FALL PREVENTION PROGRAM. THE CERTIFIED DIABETES EDUCATORS AND REGISTERED DIETITIANS OFFER THE DIABETES PREVENTION PROGRAM TWO TIMES PER YEAR. CHA OFFERS TWO FREE FIVE-WEEK PRE-NATAL CLASSES EACH YEAR WHICH COVERS A VARIETY OF TOPICS INCLUDING THE IMPORTANCE OF PRE-NATAL CARE AND FETAL DEVELOPMENT, PREPARING FOR DELIVERY, POSTPARTUM ADJUSTMENTS AND NEWBORN CARE. ANNUALLY, CHA PROVIDES SCHOLARSHIPS TO TWO ANACONDA HIGH SCHOOL STUDENTS PURSUING HIGHER EDUCATION IN THE HEALTHCARE ARENA. CHA HOSTS STUDENTS FOR CAREER SHADOWING PROGRAMS AS PART OF THE HIGH SCHOOL CURRICULUM. CHA SPONSORS LOCAL YOUTH GROUPS SUCH AS YOUTH EMPOWERMENT SERVICES AND BOYS & GIRLS CLUB. CHA SPONSORS VARIOUS LOCAL ARTS AND ENTERTAINMENT EVENTS INCLUDING SHAKESPEARE IN THE PARK, ALIVE AFTER FIVE AND ART IN THE PARK. CHA IS ALSO COMMITTED TO SPONSORING LOCAL FUN RUNS AND WELLNESS EVENTS SUCH AS THE ANNUAL ST. PATRICK DAY RACE AND BICYCLE FEST. IN OCTOBER 2016, CHA HOSTED THE STATES PILOT BEHAVIORAL HEALTH CAMP FOR AREA HIGH SCHOOL STUDENTS. THE CAMP ALLOWED STUDENTS TO EXPLORE A VARIETY OF BEHAVIORAL HEALTH CAREERS AND RECEIVED TRAINING IN YOUTH MENTAL HEALTH FIRST AID, SUICIDE PREVENTION, ANTI-BULLYING AND OTHER TOPICS THAT THEY COULD USE IMMEDIATELY TO BECOME ADVOCATES IN THEIR COMMUNITIES. CHA OFFERED CAMPS IN 2017 AND 2019. STAFF AT CHA PROVIDE FREE BASIC LIFE SUPPORT TRAINING TO LOCAL EMPLOYERS AND HIGH SCHOOL STUDENTS. ANACONDA ADULT LEARNING CENTER PREPARES PEOPLE TO REACH THEIR CAREER GOALS THROUGH ACADEMICS, CAREER COUNSELING, SOFT SKILLS AND DIGITAL LITERACY. ADULT PROTECTIVE SERVICES (APS) INVESTIGATES REPORTS OF ABUSE, NEGLECT, AND EXPLOITATION OF INDIVIDUALS OVER 60 YEARS OF AGE OR DEVELOPMENTALLY DISABLED ADULTS OVER 18 YEARS OF AGE. ANACONDA COMMUNITY FOUNDATION IS A LOCAL PHILANTHROPIC ORGANIZATION WHOSE MISSION IS TO ENHANCE THE QUALITY OF LIFE IN THE LOCAL AREA. ANACONDA COMMUNITY INTERVENTION (ACI) DEVELOPS AN ONGOING EFFORT WITHIN THE COMMUNITY TO RECOGNIZE AND CONSTRUCTIVELY ADDRESS THE COMMUNITYS NEEDS REGARDING DRUG & ALCOHOL ABUSE. ANACONDA FAMILY RESOURCE CENTER ASSURES ALL FAMILIES RECEIVE THE BASIC SKILLS, EDUCATION, SUPPORT, AND ENCOURAGEMENT NECESSARY FOR THE DEVELOPMENT OF HEALTHY FAMILIES. ANACONDA SCHOOL DISTRICT IS AVAILABLE TO PROVIDE LEARNING OPPORTUNITIES TO STUDENTS REGARDING HEALTHY LIVING. ANACONDA-DEER LODGE COUNTY PROVIDES COUNTY GOVERNMENT AND COUNTY SERVICES. ANACONDA-DEER LODGE COUNTY DEPARTMENT OF LAW ENFORCEMENT PROTECTS AND SERVES THE CITY-COUNTY OF ANACONDA-DEER LODGE. ANACONDA-DEER LODGE COUNTY DUI TASKFORCE AND MIP TASKFORCE WORK TO STOP DRUNKEN DRIVERS AND INCREASE AWARENESS OF THE EFFECTS OF UNDERAGE DRINKING. ANACONDA-DEER LODGE COUNTY PUBLIC HEALTH DEPARTMENT ASSURES CONDITIONS IN WHICH PEOPLE CAN BE HEALTHY AND TO PROVIDE LEADERSHIP IN THE PREVENTION OF DISEASE AND INJURY. ANACONDA-DEER LODGE COUNTY VICTIM-WITNESS PROGRAM PROVIDES ASSISTANCE TO PEOPLE WITH PETITIONING THE COURTS FOR ORDERS OF PROTECTION. A.W.A.R.E., INC. PROVIDES YOUTH CASE MANAGEMENT, FAMILY THERAPEUTIC CARE, AND COMMUNITY BASED PSYCHIATRIC REHABILITATIVE SUPPORT FOR YOUTH AND THEIR FAMILIES. BEST BEGINNINGS COALITION FACILITATES COORDINATION AND SUPPORT FOR ALL AGENCIES WHO PROVIDE SERVICES TO FAMILIES AND YOUNG CHILDREN. COPPERHEAD CLUB IS A MONTHLY AFTER SCHOOL PROGRAM FROM GRADES 3-6, OFFERING HOMEWORK HELP, ROBOTICS, SMART MOVES, OR PARTICIPATION IN PHYSICAL ACTIVITY IN THE GYM AND OUTDOORS. COMMUNITY, COUNSELING, AND CORRECTIONAL SERVICES IS A TEAM OF DEDICATED INDIVIDUALS WORKING TO MEET THE SERVICE NEEDS OF YOUTH AND ADULTS TO PROMOTE HEALTHY LIVING THROUGH TREATMENT, TRAINING, AND SUPERVISION. YOUTH EMPOWERMENT SERVICES (YES) PROVIDES MENTORING PROGRAMS AND ACTIVITIES FOR AT RISK YOUTH. THE OFFICE OF PUBLIC ASSISTANCE DEER LODGE COUNTY PROVIDES TEMPORARY FINANCIAL ASSISTANCE. METCALF MEMORIAL SENIOR CITIZEN CENTER STRIVES TO MEET THE NUTRITIONAL NEEDS TO ANACONDAS SENIOR CITIZENS WHILE ALSO PROVIDING ACTIVITIES THAT FACILITATE HEALTHY AND ACTIVE LIFESTYLES. MONTANA STATE HOSPITAL LOCATED IN WARM SPRINGS PROVIDES INPATIENT PSYCHIATRIC TREATMENT FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND IS THE ONLY MENTAL HEALTH HOSPITAL IN THE STATE OF MONTANA. IT IS LOCATED LESS THAN TEN MILES FROM ANACONDA. MONTANA STATE UNIVERSITY DEER LODGE COUNTY EXTENSIONS MISSION IS TO IMPROVE THE LIVES OF MONTANA CITIZENS BY PROVIDING UNBIASED, RESEARCH-BASED EDUCATION AND INFORMATION THAT INTEGRATES LEARNING, DISCOVERY AND ENGAGEMENT TO STRENGTHEN THE SOCIAL, ECONOMIC AND ENVIRONMENTAL WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES. PINTLER SUICIDE AWARENESS & PREVENTION (PSAP) IS DEDICATED TO EDUCATING AND SUPPORTING PEOPLE IMPACTED BY SUICIDE WITH THE GOAL OF PREVENTING SUICIDE IN THE COMMUNITY. SOUTHWEST MONTANA PREVENTION IS AN AFFILIATE OF BUTTE CARES AND PROVIDES UNDERAGE DRINKING AND DRUG USE PREVENTION. SCHEDULE H, PART III, LINE 2 THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 11 ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED TO DETERMINE THEIR FINANCIAL STATUS. IF THEY ARE SELF PAY WITHOUT INSURANCE AND DO NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE, SSI, ETC, WE DETERMINE IF THEY ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. PART OF THE FINANCIAL ASSISTANCE PROGRAM IS A REDUCED PAYMENT PLAN THAT CAN BE APPROVED EVEN IF THE PATIENT DOES NOT QUALIFY FOR FULL FINANCIAL ASSISTANCE. IF THE PATIENT HAS INSURANCE, THE PROCEDURE TO DETERMINE IF THEY QUALITY FOR OUR FINANCIAL ASSISTANCE PROGRAM IS ALSO FOLLOWED. ANOTHER PROVISION IN THE CREDIT AND COLLECTIONS POLICY ALLOWS THE PATIENT ACCOUNT REPRESENTATIVE TO APPROVE A LESSER PAYMENT ARRANGEMENT IF THE ARRANGEMENT IS IN THE BEST INTEREST OF THE HOSPITAL AND THE PATIENT. AN EXAMPLE OF THIS WOULD BE IF A PATIENT IS IN A TEMPORARY SITUATION THAT PREVENTS MEETING A HIGHER PAYMENT, CHA WILL APPROVE THE LOWER PAYMENT PLAN WITH A DATE TO REEVALUATE WHEN THAT SITUATION IS RESOLVED. CHA WORKS WITH PATIENTS TO ACCOMMODATE THEIR FINANCIAL SITUATION. THE FACT THAT THEY CANNOT MEET THE GUIDELINES UNDER THE FINANCIAL POLICY DOES NOT MEAN THEY ARE SENT DIRECTLY TO COLLECTIONS. PARTIAL OR FULL PAYMENT MAY BE REQUIRED PRIOR TO SERVICE IN SOME SITUATIONS. ALL NON-EMERGENT PATIENTS REQUIRING A SURGICAL PROCEDURE THAT TO NOT HAVE INSURANCE COVERAGE MUST MEET WITH A PATIENT ACCOUNT REPRESENTATIVE PRIOR TO HAVING THEIR SERVICE PROVIDED. AN INTERVIEW IS CONDUCTED TO DETERMINE THEIR FINANCIAL STATUS. BASED ON THE PROCEDURE BEING PERFORMED AND THE FINANCIAL STATUS OF THE PATIENT, A PARTIAL OR FULL PAYMENT MAY BE REQUIRED. IF THE PATIENT IS UNABLE TO MAKE A PARTIAL OR FULL PAYMENT, WE TRY TO DETERMINE IF THE PATIENT QUALIFIES FOR ANY GOVERNMENT PROGRAMS. FOR ANY PATIENT THAT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAM, AN APPLICATION FOR FINANCIAL ASSISTANCE IS OFFERED PRIOR TO THE SERVICE BEING PERFORMED. BASED ON THE RESULTS OF THE FINANCIAL ASSISTANCE APPLICATION, THE BALANCE OF THE ACCOUNT AND THE PATIENT'S ABILITY TO PAY, A PARTIAL (PAYMENT PLAN) OR FULL PAYMENT IS REQUIRED. IF THE PATIENT DOES NOT HAVE THE ABILITY TO PAY, THE ACCOUNT IS RELIVED UNDER THE PATIENT FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART VI, LINE 2 COMMUNITY HOSPITAL OF ANACONDA COMPLETED A COMMUNITY NEEDS ASSESSMENT IN 2019. THE LAST ASSESSMENT WAS COMPLETED IN 2016. THE ASSESSMENT WAS COMPLETED WITH ASSISTANCE FROM THE MONTANA OFFICE OF RURAL HEALTH, WITH DATA COLLECTED BY STEERING COMMITTEE MEETINGS, KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND A SURVEY MAILED TO 800 RANDOM HOUSEHOLDS IN OUR SERVICE AREA. THE SURVEY RESULTED IN A 17.4% RESPONSE RATE, WHICH IS DEEMED STATISTICALLY SIGNIFICANT. THE TOP FOUR ISSUES/OPPORTUNITIES WERE IDENTIFIED: 1. BEHAVIORAL HEALTH 2. ACCESS TO HEALTHCARE SERVICES 3. HEALTH, WELLNESS AND HEALTHY LIFESTYLES 4. FAMILY AND COMMUNITY SERVICES THE CHA BOARD OF TRUSTEES APPROVED THE NEEDS ASSESSMENT IMPLEMENTATION PLAN ON FEBRUARY 2020. THE PLAN ESTABLISHES GOALS, STRATEGIES FOR EACH GOAL, ANTICIPATED IMPACT, PLAN TO EVALUATE IMPACT AND MEASURE OF SUCCESS. ACTIVITIES AND STRATEGIES WERE DEVELOPED FOR EACH GOAL WITH A CORRESPONDING IMPLEMENTATION GRID. THE FOLLOWING GOALS AND STRATEGIES WERE APPROVED: GOAL 1: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, RESOURCES, & INFORMATION IN ANACONDA - DEER LODGE COUNTY STRATEGY 1: EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH CHA STRATEGY 2: COLLABORATE AND ENGAGE WITH COMMUNITY PARTNERS TO IMPROVE ACCESS AND AWARENESS OF BEHAVIORAL HEALTH SERVICES PROGRESS: REACH OUT AND CONVENE COMMUNITY STAKEHOLDER GROUP (VA, SWMTCHC, PUBLIC HEALTH, SCHOOLS, ETC.) TO REVIEW AVAILABLE BEHAVIORAL HEALTH SERVICES AND IDENTIFY GAPS EXPLORE FEASIBILITY/GAUGE COMMUNITY INTEREST IN DEVELOPMENT OF A LOCAL MENTAL HEALTH ADVISORY COUNCIL SPONSOR SUBSTANCE USE/ABUSE PREVENTION SPECIALIST FOR PRESENTATION AT LOCAL SCHOOLS REVIEW AND UPDATE BEHAVIORAL HEALTH MARKETING AND RESOURCE OPPORTUNITIES ON WEBSITE/OTHER GOAL 2: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, RESOURCES, AND INFORMATION IN THE STRATEGY 1: EXPAND ACCESS TO PRIMARY AND SPECIALTY SERVICES AT CHA PROGRESS: RESEARCH ALTERNATIVE STAFFING/HOUR MODELS AND INTERNAL PROCESSES (PHONE SYSTEM, REGISTRATION, ETC.) TO EXPAND ACCESS TO PRIMARY CARE SERVICES EXPLORE FEASIBILITY OF EXPANDING SCHEDULING OPPORTUNITIES VIA ONLINE/MYCHART APP EXPLORE OPPORTUNITIES TO EXPAND SPECIALTY SERVICES ONSITE OR VIA TELEHEALTH (DERMATOLOGY, PSYCH, STROKE) DETERMINE BEST PRACTICES FOR PATIENT CARE FOLLOW-UP AND COORDINATION AND IMPLEMENT NEW FOLLOW-UP PROTOCOLS FOR CLINIC AND OUTPATIENT SERVICES GOAL 3: ENHANCE ACCESS TO CHA SERVICES THAT PROMOTE HEALTH, WELLNESS & HEALTHY LIFESTYLES STRATEGY 1: PROMOTE HEALTH, WELLNESS, PREVENTION, RESOURCES AND SERVICES AT CHA STRATEGY 2: ENHANCE COMMUNITY ACCESS TO PREVENTATIVE SERVICES AND SCREENINGS PROGRESS: CHA CURRENTLY OFFERS THE DIABETES PREVENTION PROGRAM; ANNUAL HEALTH FAIR; AND SPORTS PHYSICALS. ADDITIONAL DIABETES PREVENTION PROGRAM CLASSES HAVE BEEN MADE AVAILABLE TO CHA STAFF AND WORKING COMMUNITY MEMBERS, WITH EACH CLASS AVERAGING 40 PARTICIPANTS. DIFFERENT AVENUES OF MARKETING TOUCHPOINTS (RADIO, SOCIAL MEDIA, TRADITIONAL PRINT ADVERTISING) HAVE BEEN IMPLEMENTED TO CAPTURE A LARGER MARKET SHARE AND AUDIENCES THAT OTHERWISE MAY NOT HAVE BEEN CAPTURED WITH PAST EFFORTS. THE 2018 HEALTH FAIR WAS REVAMPED AND HOSTED AT AN ALTERNATE LOCATION WITH BETTER COMMUNITY INVOLVEMENT THAN IN PAST YEARS. A PAMPHLET IS AVAILABLE FOR MENTAL HEALTH RESOURCES (COUNSELING AND MENTAL HEALTH SERVICES) AND A PAMPHLET FOR CARE COORDINATION SERVICES (I.E., WHAT IT IS, FOR CHRONIC DISEASE MANAGEMENT, ETC.) HAS BEEN MADE AVAILABLE TO PATIENTS. CHA WILL CONTINUE TO ASSESS HEALTH EDUCATION OFFERINGS.. GOAL 4: ENHANCE FAMILY & COMMUNITY SERVICES AVAILABLE IN ANACONDA-DEER LODGE COUNTY STRATEGY 1: SUPPORT AND EXPAND COMMUNITY SERVICES AND RESOURCES FOR AREA YOUTH STRATEGY 2: SUPPORT AND EXPAND COMMUNITY SERVICES AND RESOURCES FOR AREA FAMILIES STRATEGY 3: SUPPORT AND EXPAND COMMUNITY SERVICES AND RESOURCES FOR AREA SENIORS PROGRESS: MEET WITH METCALF SENIOR CENTER TO EXPLORE OPPORTUNITIES TO EXPAND FOOD SERVICES (COORDINATION, DELIVERY, OTHER SUPPORT) FOR AREA SENIORS IN NEED ASSESS INTEREST IN THE DEVELOPMENT OF A CARE GIVER SUPPORT GROUP EVALUATE FEASIBILITY OF OFFERING RESPITE SUPPORT FOR CARE GIVERS CREATE EDUCATIONAL PRESENTATIONS FOR SENIORS/CARE GIVERS (MEDICATION ASSISTANCE, MEDICARE, DEMENTIA, ALZHEIMERS, SOCIAL ISOLATION, ETC.) PARTNER WITH METCALF SENIOR CENTER TO CREATE A SENIOR RELATED RESOURCE SPECIFYING WHAT ASSISTANCE PROGRAMS ARE AVAILABLE TO ASSIST AREA SENIORS TO AGE IN PLACE (MEDICARE BENEFITS, ELECTRICITY SERVICES, PAYMENT ASSISTANCE, FOOD ACCESS, TRANSPORTATION, ETC.) COMMUNITY HOSPITAL OF ANACONDA (CHA) DISSEMINATED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN BY POSTING BOTH DOCUMENTS CONSPICUOUSLY ON CHA'S WEBSITE (WWW.COMMUNITYHOSPITALOFANACONDA.ORG) AS WELL AS HAVING COPIES AVAILABLE AT THE FACILITY SHOULD COMMUNITY MEMBERS REQUEST TO VIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OR THE IMPLEMENTATION PLANNING DOCUMENTS. THE STEERING COMMITTEE, WHICH WAS FORMED SPECIFICALLY AS A RESULT OF THE CHNA PROCESS IN ORDER TO INTRODUCE THE COMMUNITY TO THE ASSESSMENT PROCESS, WAS INFORMED OF THE IMPLEMENTATION PLAN TO SEE THE VALUE OF THEIR INPUT AND TIME IN THE CHNA PROCESS, AS WELL AS HOW COMMUNITY HOSPITAL OF ANACONDA IS UTILIZING THEIR INPUT. THE STEERING COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS, WILL BE ENCOURAGED TO ACT AS ADVOCATES IN DEER LODGE COUNTY AS THE FACILITY SEEKS TO ADDRESS THE HEALTH CARE NEEDS OF THEIR COMMUNITY. CHA WILL CONDUCT ANOTHER COMMUNITY NEEDS ASSESSMENT IN 2022. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTP://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/DOCS/CHA_CHNA_FINAL_REPORT_2019. PDF HTTP://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/DOCS/CHA_DRAFT_IMPLEMENTATION_PL AN_REPORT_FINAL_EDITS_%28002%29.PDF SCHEDULE H, PART VI, LINE 3 IN COMPLIANCE WITH THE COLLECTION POLICIES OF CHA, AN ANNUAL REVIEW IS PERFORMED OF ALL CREDIT/COLLECTION AND FINANCIAL ASSISTANCE POLICIES. ONCE REVIEWED AND REVISED, THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. THE FACILITY PUBLISHED A BROCHURE THAT IS PLACED IN PUBLIC AREAS OF ALL THE CHA FACILITIES, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. THE PATIENT ACCOUNT REPRESENTATIVES HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. THE INFORMATION IS ALSO AVAILABLE ON THE CHA WEBSITE AND IS MADE AVAILABLE TO LOCAL AGENCIES THAT ASSIST WITH LOW INCOME POPULATIONS. A COPY OF THE LATEST FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTP://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/GETPAGE.PHP?NAME=CHARITY SCHEDULE H, PART VI, LINE 4 ANACONDA-DEER LODGE COUNTY (ADLC) COVERS 737 SQUARE MILES OF SOUTHWESTERN MONTANA, WITH 12.6 PERSONS PER SQUARE MILE, MAKING IT A RURAL COUNTY WITH RURAL URBAN CONTINUUM CODE OF 7 (RUCC 1 = MOST URBAN, 10= MOST RURAL). ANACONDA DEER LODGE COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA, ID1309993042). THE 2017 POPULATION WAS 9,106 COMPARED TO A 2000 POPULATION OF 9,417, REPRESENTING A POPULATION LOSS OF 3.3% SINCE 2000. THE MAJOR COMMUNITY IN ANACONDA-DEER LODGE COUNTY IS ANACONDA, WITH A MEDIAN AGE OF 47.3 YEARS. 20.8% OF THE PEOPLE IN THE COUNTY LIVE BELOW THE POVERTY LINE COMPARED TO THE NATIONAL AVERAGE OF 14%. COMMUNITY HOSPITAL OF ANACONDA (CHA) HAS BEEN SERVING THE HEALTHCARE NEEDS OF ANACONDA-DEER LODGE COUNTY (ADLC) SINCE 1889. THE HOSPITAL IS A PRIVATELY OWNED, NON-PROFIT, TWENTY-FIVE BED CRITICAL ACCESS FACILITY BUILT IN 1981. CHA OFFERS A FULL CONTINUUM OF CARE INCLUDING INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, FOUR AMBULATORY CARE CLINICS INCLUDING INTERNAL/FAMILY MEDICINE, SURGICAL, PEDIATRICS AND ONCOLOGY, A LONG-TERM CARE FACILITY, AND HOSPICE/HOME HEALTH SERVICES. CHA EMPLOYS OVER 425 INDIVIDUALS, WITH AN ANNUAL PAYROLL IN EXCESS OF 30 MILLION. SCHEDULE H, PART VI, LINE 5 COMMUNITY HOSPITAL OF ANACONDA'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM THE FINANCIAL SECTOR TO SMALL BUSINESS OWNERS TO RETIREES AND SCHOOL DISTRICT EMPLOYEES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT CHA ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE WE HAVE INSTITUTED AN ARDUOUS CREDENTIALING PROCESS TO ENSURE PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, WE DO NOT HAVE SHAREHOLDERS. THEREFORE, SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ELIMINATES THE POTENTIAL FOR CONFLICTS OF INTEREST RELATED TO ATTAINING INFLATED PROFIT MARGINS AND ALLOWS COMMUNITY HOSPITAL OF ANACONDA TO FOCUS ON WHAT IS IMPORTANT; MEETING THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 MONTANA X X X X false false false false false false false false false FREDERICK BARTOLETTI TRUSTEE/PHYSICIAN 394753 22390 417143 JOELLEN VILLA CEO 252735 14237 266972 MARGARET HICKEY-BOYNTON CFO 194917 13074 207991 GUS VARNAVUS PHYSICIAN 945427 15940 961367 CARL SCHILLHAMMER PHYSICIAN 575049 15940 590989 BERTRAND JONES PHYSICIAN 550014 15940 565954 JAMES HUEFTLE PHYSICIAN 533956 19405 553361 GLENN MCLAUGHLIN PHYSICIAN 511981 5600 517581 FREDRICK BARTOLETTI MD TRUSTEE 394753 EMPLOYMENT false LBR GROUP PC OWNED BY FORMER 1464897 CONSULTING false SCHEDULE L, PART V LB&R GROUP, PC DBA CAH SOLUTIONS GROUP IS AN ENTITY MORE THAN 35% OWNED BY JOHN MCNEECE, FORMER PRESIDENT AND LAURA AUSTIN, FORMER SENIOR VP. FORM 990, PAGE 6, PART VI, LINE 2 LEE ANN BARTOLETTI FREDRICK BARTOLETTI, MD TRUSTEE PHYSICIAN FAMILY RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 WHEN THE HOSPITAL WAS FORMED IN 1969, SOME COMMUNITY MEMBERS PURCHASED THE HOSPITAL FROM SISTERS OF CHARITY. AS THESE ORIGINAL MEMBERS DECEASE, THEIR MEMBERSHIP IS LOST. AN ANNUAL MEETING IS SCHEDULED IN SEPTEMBER OF EACH YEAR WITH A PUBLIC NOTICE POSTED IN THE LOCAL PAPER. THE REMAINING ORIGINAL MEMBERS MAY ATTEND THE MEETING; HOWEVER, THEY ARE NOT ACTIVE MEMBERS AND DO NOT HAVE VOTING RIGHTS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE FINANCE COMMITTEE IS DESIGNATED BY THE BOARD OF TRUSTEES TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE 990 AND IS ALSO PART OF THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C ARTICLE II OF THE BYLAWS STATES THAT, AT A MINIMUM, EACH MEMBER OF THE BOARD WILL EXECUTE THE CONFLICT OF INTEREST FORM AT THE COMMENCEMENT OF THE TERM OR IN THE EVENT OF ANY CHANGE THAT MAY DEVELOP. THE CONFLICT OF INTEREST GUIDELINES ARE MONITORED BY THE CHA CORPORATE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ATTENDS NEW EMPLOYEE ORIENTATION AND PRESENTS THE POLICY AS PART OF THE OVERALL CORPORATE LEGAL COMPLIANCE PROGRAM. EACH EMPLOYEE IS PRESENTED WITH A CONFLICT OF INTEREST STATEMENT. ALL POTENTIAL CONFLICTS ARE DISCLOSED. IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED, THE COMPLIANCE OFFICER WILL MEET WITH THE EMPLOYEE'S SUPERVISOR AND ADMINISTRATION TO DETERMINE IF A CONFLICT EXISTS. ON AN ANNUAL BASIS, ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE REQUIRED TO READ AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE CORPORATE COMPLIANCE OFFICER TRACKS THE RECEIPT AND COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS. THE PROCESS IS A PART OF THE ANNUAL EMPLOYEE REQUIREMENTS MANDATED FOR CONTINUED EMPLOYMENT. FORM 990, PAGE 6, PART VI, LINE 15A THE SOURCES UTILIZED BY CHA IN REGARD TO FAIR MARKET VALUE IN SALARIES ARE SALARY DATA PUBLISHED BY THE ECONOMIC RESEARCH INSTITUTE (ERI), THE MONTANA HOSPITAL ASSOCIATION (MHA) ANNUAL SALARY SURVEY AND EXECUTIVE COMPENSATION SURVEYS PUBLISHED BY CRITICAL DATA, INC. THESE SURVEYS ARE UTILIZED FOR SETTING THE SALARY LEVELS OF EMPLOYEES AT CHA. THE MHA SURVEY ITEMIZES ALL HOSPITALS AS A GROUP, CAH HOSPITALS AND HOSPITALS BY REGION. ERI CALCULATES BASED ON POSITION AND LOCATION. CHALLENGES EXIST WHEN CHA JOB DESCRIPTIONS ARE UNIQUE AND THEREFORE, MAY NOT BE LISTED AS A JOB CATEGORY IN THE MHA SURVEY. IN REGARD TO SETTING THE SALARY LEVELS OF PHYSICIANS, CHA UTILIZES THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY. THIS SURVEY ITEMIZES SALARIES AND PRODUCTIVITY BY PHYSICIAN SPECIALTY, YEARS IN PRACTICE, GEOGRAPHIC REGION AND OTHER CATEGORIES. CHA STRIVES TO PAY MARKET LEVEL SALARIES TO ALL EMPLOYEES OF THE ORGANIZATION. IT IS OUR GOAL TO RECRUIT AND RETAIN TOP TALENT IN EVERY VENUE, WHILE CONTROLLING SALARY AND BENEFITS COSTS WITHIN ESTABLISHED TARGETS. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 CHA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 LOSS ON DISPOSAL OF ASSETS 49,452 LOSS ON DISPOSAL OF ASSETS -49,452 CHANHA FOUNDATION PO BOX 1245 ANACONDA MT 59711 810504127 SUPPORT MT 501C3 12B COMMUNTIY HOSPITAL OF ANACONDA false false true true false false false false false false false false false false false false false false false false