2020-03-10T13:22:00-05:00 2019-04-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2018-05-01 810373589 CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION CULB 4067876401 PO BOX 419 CULBERTSON MT 59218 AUDREY STROMBERG ADMINISTRATOR 4067876401 2020-03-09 true DANIEL GREEN P01311679 4062632615 2020-03-10 52.37.240.203 2020-03-10 13:22:00 CD P 01E41C7BD589EA494D45B07F80211CB940301EBF 4850F5A3EF69B7F64F6B23057CB0EF74B490F799 2018 2020-04-17 16:48:07Z ROOSEVELT MEDICAL CENTER AUDREY STROMBERG PO BOX 419 CULBERTSON MT 59218 6639205 false X ROOSEVELTMEDICAL.ORG X 1976 MT ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. 9 9 111 50 0 69096 712331 5164327 5604315 25373 35214 290243 287345 5549039 6639205 0 0 3570339 3577982 0 56415 2001707 2360225 5572046 5938207 -23007 700998 2578303 3206697 996391 923787 1581912 2282910 ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. false false 4970800 5604315 ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. 4970800 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 15 0 111 true false false false false false false false false false false false false X 9 9 true false false false false false false true true false false true true true true true true true true false X JENNIFER KESSNER 4067876401 PO BOX 419 CULBERTSON MT 59218 PAULA SCHLEDEWITZ CHAIRMAN 1.00 X 0 0 0 SHARON SCHMITZ DIRECTOR 1.00 X 0 0 0 CHANON ROMO DIRECTOR 1.00 X 0 0 0 MARK COLVIN DIRECTOR 1.00 X 0 0 0 GRANT SALVEVOLD DIRECTOR 1.00 X 0 0 0 BRIDGETTE FEATHERSTON DIRECTOR 1.00 X 0 0 0 PAM ARNESON DIRECTOR 1.00 X 0 0 0 KEVIN MILLER DIRECTOR 1.00 X 0 0 0 JO NELSON DIRECTOR 1.00 X 0 0 0 JENNIFER KESSNER CFO 43.00 X 101920 0 2234 AUDREY STROMBERG ADMINISTRATO 40.00 X 98672 0 5 DON HELLAND MD 40.00 X 203409 0 6092 ELIZABETH KLEPPEN PA-C 20.00 X 163473 0 3919 DANIELLE CHRISTENSEN RN 61.00 X 144506 0 5 ZOE FUGERE FNP-C 40.00 X 116977 0 5610 828957 17865 5 false true false HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 DIETARY SVCS 299993 MONTANA HEALTH NETWORK INC 519 PLEASANT STREET MILES CITY MT 59301 LOCUM NURSES 255354 2 118325 30044 563962 712331 PATIENT REVENUE 621500 5488161 5488161 MISC REVENUE 900099 116154 116154 5604315 35214 35214 HOSPITAL DISTRICT SUBSIDY 900099 287270 287270 GAIN ON DISPOSAL OF ASSETS 900099 75 75 287345 6639205 5926874 X 208176 208176 2920110 2556618 315631 47861 13863 11330 2321 212 170479 138273 32012 194 265354 214584 46418 4352 1146121 1080626 65487 8 23368 23368 290548 190804 98642 1102 1058 1058 64342 45826 18147 369 2936 2354 567 15 116988 93754 22637 597 112280 89981 21726 573 MEDICAL SUPPLIES 356307 356307 REPAIRS & MAINTENANCE 228173 172282 54759 1132 FOOD & DIETARY SUPPLIES 7383 7383 BED TAX 4950 4950 5771 4670 1101 5938207 4970800 910992 56415 2902 3987 780167 1125358 133003 97273 916231 1158100 122643 122773 63153 71296 5515878 5063370 417890 452508 142314 175402 2578303 3206697 529636 746061 132176 85387 334579 92339 996391 923787 X 1563897 1759889 18015 523021 1581912 2282910 2578303 3206697 700998 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 266 266 false SCHEDULE C, PART IV 0.11 PERCENT OF DUES PAID TO MHA AND 22.73 PERCENT OF DUES PAID TO AHA, WHICH TOTALED 266, WERE USED FOR LOBBYING EXPENSES BY MHA. 3180795 2945849 234946 2335083 2117521 217562 452508 EQUITY IN AIR AMBULANCE CO-OP 110402 EQUITY IN WORKERS' COMP TRUST 65000 175402 RESIDENT DEPOSITS PAYABLE 88339 MEDICARE/MEDICAID ESTIMATED PAYABLE 4000 92339 X 6639205 6639205 6639205 5938207 5938207 5938207 SCHEDULE D, PAGE 3, PART X IT IS THE JUDGEMENT OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. true true true X true X true true true false false 41539 41539 0.00700 41539 41539 0.00700 182009 22446 159563 0.02690 594337 464335 130002 0.02190 776346 486781 289565 0.04880 817885 486781 331104 0.05580 true 155448 2069218 2099927 -30709 X true true 1 1 ROOSEVELT MEDICAL CENTER PO BOX 419 CULBERTSON MT 59218 X X X X ROOSEVELT MEDICAL CENTER 1 false false true X X X X X X X X X X 17 true false false true X ROOSEVELTMEDICAL.ORG X true 17 true ROOSEVELTMEDICAL.ORG false false true X 100.000000000000 200.000000000000 X X X true true X X X X true X WWW.ROOSEVELTMEDICAL.ORG X WWW.ROOSEVELTMEDICAL.ORG X WWW.ROOSEVELTMEDICAL.ORG X X X X true X false X X X X true X X false false FACILITY 1, ROOSEVELT MEDICAL CENTER - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. FACILITY 1, ROOSEVELT MEDICAL CENTER - PART V, LINE 5 IN MARCH 2017, A STEERING COMMITTEE WAS CONVENED TO ASSIST ROOSEVELT MEDICAL CENTER IN CONDUCTING THE CHNA. THE COMMITTEE WAS A DIVERSE GROUP OF MEMBERS WHICH REPRESENTED VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY SUCH AS PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY CITIZENS, SENIORS, YOUTH, AND TRIBAL/AMERICAN INDIANS. IN AUGUST 2017, KEY INFORMANT INTERVIEWS WERE CONDUCTED BY A REPRESENTATIVE WITH THE MONTANA OFFICE OF RURAL HEALTH. ALSO, IN OCTOBER 2017, A SURVEY WAS MAILED TO 800 RANDOMLY SELECTED RESIDENTS IN THE HOSPITAL'S SERVICE AREA TO SOLICIT THEIR INPUT. THERE WAS A 20.5 PERCENT RESPONSE. FACILITY 1, ROOSEVELT MEDICAL CENTER - PART V, 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. SENIOR SERVICES 2. HEALTH AND WELLNESS 3. ALCOHOL AND SUBSTANCE ABUSE THE FIRST HEALTHCARE ISSUE IS TO ENHANCE SENIOR SERVICES AVAILABLE IN ROOSEVELT COUNTY. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO INCREASE THE AVAILABILITY OF HEALTH SERVICES FOR ROOSEVELT COUNTY SENIORS SUCH AS EXPLORING THE FEASIBILITY OF OFFERING A HEALTH CLINIC SUCH AS FOOT CARE, BLOOD PRESSURE CHECK, FINGER POKE BLOOD GLUCOSE CHECK, COORDINATING WITH THE SENIOR CENTER TO OFFER ACTIVITIES REGARDING VARIOUS HEALTH TOPICS, AND DEVELOPING PROTOCOL FOR REFERRING PATIENTS TO THE CLINIC. THE SECOND STRATEGY IS TO INCREASE ACCESS TO SENIOR SERVICES THROUGH ENHANCED MARKETING STRATEGIES SUCH AS DEVELOPING MARKETING AND OUTREACH MATERIALS TO NOTIFY SENIORS OF SERVICES AND NEW PROGRAMS AVAILABLE, CREATING AN EDUCATIONAL FLYER FOR INFORMATION RELATED TO MEDICARE WELLNESS CHECKS, AND DEVELOPING AN EDUCATION PRESENTATION TO ASSIST SENIORS WITH MEDICARE ENROLLMENT OR OTHER COVERAGE. DURING FISCAL YEAR 2019, AN EFFORT WAS MADE TO EVALUATE MEDICARE PATIENTS AND ENROLL PATIENTS IN MEDICARE'S CHRONIC CARE MANAGEMENT (IF APPLICABLE). THE SECOND HEALTHCARE ISSUE IS TO IMPROVE ACCESS TO HEALTH AND WELLNESS PROGRAMS AND EVENTS IN ROOSEVELT COUNTY. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO EXPLORE NEW PARTNERSHIPS, PROGRAMS, AND ACTIVITIES THAT WILL INCREASE OPPORTUNITIES TO STAY PHYSICALLY ACTIVE IN ROOSEVELT COUNTY SUCH AS UTILIZING RMC'S PHYSICAL THERAPY ROOM AS A WORKOUT FACILITY OPEN TO THE PUBLIC, CONTINUING TO PARTICIPATE IN AND PROMOTING SHAPE UP MONTANA FOR EMPLOYEES AND CHALLENGE GROUPS AND PROMOTING THE HEALTH LIFESTYLES PROGRAM AT THE HOSPITAL, EXPLORING OFFERING A 5K FUN RUN/WALK IN THE COMMUNITY AND A TRAILS RX/PRESCRIPTION WALKING PROGRAM TO IMPLEMENT IN THE CLINIC. THE SECOND STRATEGY IS TO INCREASE ACCESS TO HEALTH AND WELLNESS PROGRAMS AND RESOURCES THROUGH MARKETING STRATEGIES INCLUDING PROVIDING YEAR-END PACKAGES FOR STUDENTS, HEART HEALTH MONTH, ETC., CONTINUING TO SUPPORT EVENTS SUCH AS THE COLOR RUN (BREAST CANCER AWARENESS EVENT), EXPLORING DEVELOPING AND DISSEMINATING A FREE IN-CASE OF EMERGENCY MAGNET AND ADVERTISING ON WEBSITE/HEALTH FAIR/SOCIAL MEDIA. OTHER ACTIVITIES FOR THE SECOND STRATEGY MAY INCLUDE PUBLISHING A HOSPITAL NEWSLETTER TWICE A YEAR TO BE MAILED TO ALL PO BOX HOLDERS IN THE RMC SERVICE AREA, SENDING OUT MONTHLY HEALTH UPDATE E-MAILS TO THE HOSPITAL LISTSERV, AND PARTNERING WITH THE RURAL HEALTH INITIATIVE AND SHARING THEIR EDUCATIONAL WEBINARS AND RESOURCES WITHIN THE COMMUNITY. THE THIRD HEALTHCARE ISSUE IS TO IMPROVE OUTREACH AND EDUCATION EFFORTS REGARDING ALCOHOL AND SUBSTANCE ABUSE. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO UTILIZE EDUCATION, PROGRAMS, AND EVENTS TO ENHANCE COMMUNITY KNOWLEDGE ABOUT ALCOHOL/SUBSTANCE ABUSE PREVENTION AND RESOURCES SUCH AS PARTICIPATING IN THE NATIONAL PRESCRIPTION DRUG TAKE BACK DAY, WORKING WITH COMMUNITY PARTNERS TO CREATE A MEDIA CAMPAIGN, AND DEVELOPING AN ALCOHOL AND SUBSTANCE ABUSE EDUCATION PROGRAM IN PARTNERSHIP WITH LOCAL SCHOOLS, EMS AND LAW ENFORCEMENT. OTHER ACTIVITIES MAY INCLUDE SENDING STAFF TO BECOME CERTIFIED AS A "MASTER TRAINER" TO PROVIDE COMMUNITY EDUCATION ON OPIOID OVERDOSE AND USE OF NALOXONE, AND CONTINUING DISSEMINATING THE DRUG AND ALCOHOL RESOURCE LIST THROUGHOUT THE CLINIC AND COMMUNITY. FOR FISCAL YEAR 2019, RMC ENGAGED IN OUTREACH ACTIVITIES THAT INCLUDED A MONTH-LONG ALCOHOL AWARENESS CAMPAIGN INCLUDING A SOCIAL MEDIA CAMPAIGN FOR THIS, HANDING OUT VAPING EDUCATION IN SUMMER BAGS THAT WENT TO THE SCHOOLS, AND THROUGH AN UNUSED PRESCRIPTION TAKE-BACK DAY. RMC ALSO PARTICIPATED IN ACTIVITIES RELATING TO A BEHAVIORAL HEALTH GRANT. THESE ACTIVITIES ALSO ADDRESS OVERALL HEALTH AND WELLNESS NOTED IN GOAL TWO. THREE HEALTH NEEDS WERE IDENTIFIED THAT WERE UNABLE TO BE ADDRESSED BY RMC. FIRST, RESPONDENTS FELT MORE PRIMARY CARE PROVIDERS WOULD IMPROVE THE COMMUNITY'S ACCESS TO HEALTHCARE. RMC IS CONTINUALLY WORKING TO EXPAND ITS PRIMARY CARE SERVICES. WORKFORCE SHORTAGES AND THE REMOTE LOCATION OF CULBERTSON CREATES A UNIQUE AND CHALLENGING ENVIRONMENT FOR PROVIDER RECRUITMENT. SECOND, RESPONDENTS FELT MORE SPECIALISTS WOULD IMPROVE THE COMMUNITY'S ACCESS TO HEALTHCARE. RMC INDICATES THAT PROVIDING FULL-TIME SPECIALISTS IS BEYOND THE RESOURCE CAPACITY OF THE ORGANIZATION AND IS DIFFICULT DUE TO REMOTE LOCATION. RMC DOES HAVE SPECIALISTS THAT ROTATE THROUGH ON A PERIODIC BASIS. THIRD, OTHER MEDICAL SERVICES SUCH AS DENTAL CARE AND MASSAGE THERAPY WERE REQUESTED. RMC INDICATES THAT PROVIDING THESE SERVICES IS CURRENTLY BEYOND THE RESOURCE AND FINANCIAL CAPACITY OF RMC AT THIS TIME. 1 ROOSEVELT MEDICAL CENTER CLINIC 818 2ND AVE E CULBERTSON MT 59218 RURAL HEALTH CLINIC PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION PHYSICIAN PROFESSIONAL SERVICES MAKE UP 176,889 OF COLUMN C, 133,723 OF COLUMN D, AND 43,166 OF COLUMN E. THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 20,635. ROOSEVELT MEDICAL CENTER'S EFFORTS TO RECRUIT AND RETAIN PHYSICIANS AND OTHER PROVIDERS ARE DEPENDENT ON OUR ABILITY TO COMPETE WITH ALL OTHER COMMUNITIES THAT ARE RECRUITING SIMILAR PHYSICIANS AND PROVIDERS. BECAUSE OF OUR SMALL COMMUNITY SIZE AND REMOTE LOCATION FAR REMOVED FROM MEDICAL COMMUNITIES OF GREATER SCOPE, WE EMPLOY PHYSICIANS AND SUBSIDIZE PHYSICIAN PRACTICES TO OFFER APPROPRIATELY COMPETITIVE SALARIES AND PRACTICE ENVIRONMENTS (SPECIFICALLY, REASONABLE CALL SCHEDULES). WE BELIEVE OUR ABILITY TO OFFER CORE NECESSARY PRIMARY CARE AND EMERGENCY SERVICES IS DEPENDENT ON SUBSIDIZATION. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF BAD DEBT WHICH REDUCE BAD DEBT EXPENSE. NONE OF THE BAD DEBT IS CONSIDERED ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. BAD DEBTS ARE AN INEVITABLE RESULT OF OPERATING A NON PROFIT HOSPITAL. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE FOR MOST SERVICES, LESS THE 2% SEQUESTRATION ADJUSTMENT, AND SOME SERVICES LIKE AMBULANCE ARE PAID BASED ON FEE SCHEDULES. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT AND THE MEDICARE PROVIDER SUMMARY REPORT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION IF APPROVED FOR FINANCIAL ASSISTANCE UNDER THE PROVISIONS OF THE FINANCIAL ASSISTANCE POLICY (FAP), THE PATIENT WILL RECEIVE NOTIFICATIONS THAT INCLUDE: A. THE DISCOUNT OF GROSS CHARGES TO THE AGB. THEN FINANCIAL ASSISTANCE DISCOUNTS WILL BE APPLIED TO THE AGB IN ACCORDANCE WITH THE DISCOUNT OF AGB CHARGES SCHEDULE DESCRIBED IN THE "DISCOUNT" SECTION OF THE FAP. B. PROVIDING THE PATIENT WITH A BILLING STATEMENT THAT INDICATES THE AMOUNT THE PATIENT OWES, IF THEY ARE NOT ELIGIBLE FOR FREE CARE. C. REFUNDING ANY EXCESS PAYMENTS MADE BY THE INDIVIDUAL BEYOND THE AGB ON ELIGIBLE ACCOUNTS IF NECESSARY. D. TAKING ALL REASONABLY AVAILABLE MEASURES TO REVERSE EXTRAORDINARY COLLECTION ACTIONS THAT OCCURRED. PART VI, LINE 2 - NEEDS ASSESSMENT WE SEND OUT PATIENT SATISFACTION SURVEYS TO OUR PATIENTS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE RMC WILL MAKE ALL REASONABLE EFFORTS TO NOTIFY A PATIENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THIS POLICY BY: 1. ATTEMPTING TO DETERMINE WHETHER A PATIENT HAS THIRD-PARTY COVERAGE FOR ANY PART OF THE EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICE PROVIDED. IF A PATIENT DOES NOT HAVE OR QUALIFY FOR THIRD-PARTY FUNDING, THE BUSINESS OFFICE STAFF WILL EXPLAIN THE FINANCIAL ASSISTANCE POLICY, PROVIDE AN APPLICATION FOR FINANCIAL ASSISTANCE AND PROVIDE ASSISTANCE WITH COMPLETING THE APPLICATION, IF DESIRED. 2. OFFERING THE PATIENT A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE AVAILABLE UNDER THIS POLICY AT THE TIME OF ADMISSION OR BEFORE DISCHARGE FROM RMC. 3. PROVIDING THE INFORMATION DURING THE NOTIFICATION PERIOD ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ON AT LEAST THREE (3) BILLING STATEMENTS AND IN ALL OTHER WRITTEN COMMUNICATIONS IN REFERENCE TO FINANCIAL RECORDS TO THE PATIENT; 4. INFORMING PATIENTS DURING THE NOTIFICATION PERIOD ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE CARE THAT OCCURRED; 5. PROVIDING THE PATIENT WITH AT LEAST ONE WRITTEN NOTICE INFORMING THE PATIENT ABOUT THE EXTRAORDINARY COLLECTION ACTIONS THAT RMC MAY TAKE IF THE PATIENT DOES NOT SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE OR PAY THE AMOUNT DUE BY AT LEAST THIRTY DAYS FOLLOWING THE DATE OF THE NOTICE. THE NOTICE WILL NOT BE MAILED OR DELIVERED TO A PATIENT EARLIER THAN 30 DAYS PRIOR TO THE END OF THE NOTIFICATION PERIOD; AND 6. RMC WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST A PATIENT UNTIL SUCH TIME AS IT DETERMINES THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY DURING THE 120 DAY NOTIFICATION PERIOD AND HAS PROVIDED THE PATIENT WITH THE NOTICE AS DESCRIBED ABOVE. PART VI, LINE 4 - COMMUNITY INFORMATION WE PROVIDE SERVICE TO THE POPULATION IN EASTERN ROOSEVELT COUNTY, SOUTHERN SHERIDAN COUNTY, AND NORTHERN RICHLAND COUNTY. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ADMINISTRATOR AND MARKETING DIRECTOR OF ROOSEVELT MEDICAL CENTER PARTICIPATE IN THE LOCAL CHAMBER OF COMMERCE. THE MARKETING DIRECTOR WRITES ARTICLES FOR THE LOCAL NEWSPAPER TO PROMOTE THE FACILITY AND DOES PUBLIC SERVICE ANNOUNCEMENTS THROUGH PRINTED MEDIA AND SOCIAL MEDIA (FACEBOOK). X X X false false false false false false false false false DON HELLAND MD 203409 300 5792 209501 ELIZABETH KLEPPEN PA-C 163473 300 3619 167392 FORM 990, PAGE 6, PART VI, LINE 2 PAULA SCHLEDEWITZ GRANT SALVEVOLD CHAIRMAN DIRECTOR FAMILY RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED AT A REGULAR BOARD MEETING. FORM 990, PAGE 6, PART VI, LINE 12C COMPLIANCE IS REVIEWED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE ADMINISTRATOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS WHICH IS USUALLY BASED ON THE AMOUNT/PERCENTAGE OF RAISE THE REST OF THE EMPLOYEES ARE GOING TO RECEIVE. FORM 990, PAGE 6, PART VI, LINE 15B CFO COMPILES INFORMATION FROM ANNUAL MHA SALARY SURVEY REGARDING AVERAGE WAGE BEING PAID FOR EACH JOB DESCRIPTION BASED ON PEER GROUP, CAH'S, OR MHA REGION. CFO AND CEO COMPARE AVERAGES BEING PAID TO CURRENT ROOSEVELT MEDICAL CENTER SALARY SCALE TO SEE IF ADJUSTMENTS NEED TO BE MADE TO KEEP JOB COMPETITIVE WITHIN INDUSTRY. RECOMMENDATIONS FOR SALARY INCREASES ARE MADE TO THE BOARD OF DIRECTORS FOR APPROVAL OR DISAPPROVAL WHICH IS RECORDED IN THE BOARD MINUTES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS RELATING TO ROOSEVELT MEDICAL CENTER ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G ADMIN PROF FEES 0 46,819 0 ADMIN PURCHASED SERVICES 0 3,215 0 CLINIC PROF FEES 12,701 0 0 DIETARY PURCHASED SERVICES 289,522 0 0 LAB PROF FEES 20,525 0 0 LAB PURCHASED SERVICES 50,349 0 0 MAINT PURCHASED SERVICES 1,208 292 8 MEDICAL & SURGICAL PROF FEES 134,507 0 0 MEDICAL & SURGICAL PURCH SVCS 3,728 0 0 MEDICAL RECORDS PURCH SRVCS 0 13,815 0 OT PURCHASED SERVICES 26,156 0 0 PT PURCHASED SERVICES 67,131 0 0 AMBULANCE PURCHASED SERVICES 434 0 0 RADIOLOLGY PURCHASED SERVICES 18,398 0 0 SWING BED PROF FEES 347,515 0 0 BUSINESS OFFICE PROF FEES 0 1,346 0 RADIOLOGY PROF FEES 70,957 0 0 PHARMACY PURCHASED SVCS 37,135 0 0 ER PROF FEES 360 0 0 TOTAL 1,080,626 65,487 8 ROOSEVELT MEMORIAL HEALTHCARE FOUND PO BOX 419 CULBERTSON MT 59218 810529284 SUPPORT OR MT 501C3 7 N/A false NE MT STAT AIR AMB COOP 519 PLEASANT STREET MILES CITY MT 59301 204748673 AIR AMBUL MT 501C3 12B NA N/A false false false true false false false false false false false false false false true true false false false false ROOSEVELT MEMORIAL HEALTHCARE FOUND C 118325 SUPPORT ROOSEVELT MEMORIAL HEALTHCARE FOUND O 52619 PAYROLL ROOSEVELT MEMORIAL HEALTHCARE FOUND N 3796 OCCUPANCY