2019-05-03T08:47:27-05:00 2018-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-07-01 237169043 Central Montana Medical Facilities Inc CENT 4065387711 408 Wendell Avenue Lewistown MT 59457 Alan R Aldrich CFO 4065386243 2019-05-02 1 Kim Hunwardsen CPA P00484560 6122536500 2019-05-02 199.247.44.43 2019-05-02 08:28:47 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2017 2019-02-21 02:37:17Z Central Montana Medical Center Alan R Aldrich 408 Wendell Avenue Lewistown MT 59457 35887489 0 X www.cmmc.health X 1971 MT The mission of CMMC is to be the leader in assuring community based quality healthcare. 15 12 377 174 0 0 245876 583713 31660483 34323979 310999 233637 592402 593160 32809760 35734489 0 0 0 0 17236822 19433515 0 0 101528 13642424 15461570 30879246 34895085 1930514 839404 28178401 28669061 8697132 8080990 19481269 20588071 X The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare. 1 0 27038197 34323979 Central Montana Medical Facilities, Inc. operates a 25-bed critical access hospital located in Lewistown, Montana.Hospital Inpatient Services for FY 2018:Number of beds: 25Provided 1,848 acute days of care and 1,257 swing bed days of care for 43.0% occupancy rate. Emergency Services for FY 2018:Provided for 5,120 Emergency visits.24-hour Physician coverage available.OB Services for FY 2018:Provided for 76 births in Central MontanaCommunity care and services are also provided through the many reduced-price services and free clinics, fairs, and programs offered throughout the year. These include but are not limited to the following (all costs are estimates):1. Twenty-four foot clinics were held in 2017-2018 in Denton, Stanford, and the Hobson communities. A total of 284 people were served, all received discounted health care. Total community benefits expense of $8,060.2. CMMC educated locals with a babysitting class (24 people served, 1 class offered, total community benefit $190)3. Instead of a Health Fair, CMMC offered lab draws during your birth month at discounted prices. A total of 249 persons participated, with expenses such as staff time and supplies were $4,376.4. CMMC gave several cash donations to different organizations in 2017-2018 totaling $750 These included donations to the Central MT Youth Challenge and Relay for Life Dinner.5. CMMC staff were representatives of CMMC on several board throughout 2017-2018. These included (but not limited to) Council on Aging Board, LEPC, Lewistown Downtown Board of Directors, and Central Montana Foundation Advisory Board Meetings.6. CMMC served our community in a multitude of ways throughout 2017-2018 fiscal year. Staff were involved in the Cardiac Rehab Race (Bill Barry Run), food drives, in-kind donations to local programs including Cowboy Poetry, REACH Camps, and TORCH (Young People in Recovery). They also educated the nursing students and rural volunteer ambulance. The facilities maintain records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. The amount of charges foregone for services provided under the Facilities charity care policy were approximately $550,150 for the fiscal year. Total direct and indirect costs related to these foregone charges were $312,000 based on an average ratio of cost to gross charges.Awards received for FY 2018 were:* NRHA Top 20 CAH Winner (3 years in a row)* Top 100 Critical Access Hospital iVantange Health Analytics' (4 years in a row)* Top 66 Critical Access Hospital Becker's Review (3 years in a row)* NOSORH Performance Leadership Award* Cardiac and Stroke Recognition Awards* Dr. Sura Attending of the Year for the Billings Clinic Internal Medicine Residency Program* Rock Stars of Health Bronze Award* AFIX Award for having 90% on all immunizations. 27038197 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 56 0 1 377 1 0 0 0 0 0 1 1 0 0 0 0 X 15 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Alan R Aldrich 4065357711 408 Wendell Ave Lewistown MT 59457 Dave Phillips President 2.00 X X 0 0 0 Carl Seilstad Vice Chair 2.00 X X 0 0 0 Jennifer Saunders Secretary/Treasurer 2.00 X X 0 0 0 Corry Arntzen Member 1.00 X 0 0 0 Brandon Bantz Member 1.00 X 0 0 0 Keith Cook Member 1.00 X 0 0 0 Nick Econom Member 1.00 X 0 0 0 Marvin Mauws Member 1.00 X 0 0 0 Pete Smith Member 1.00 X 0 0 0 Michael Sura MD Member 40.00 X 357939 0 31630 Josh Webber Member 1.00 X 0 0 0 Tamara Welsh MD Member 40.00 X 225279 0 9130 Erik Wood Member 1.00 X 0 0 0 Bret Carpenter Member (Starting Oct 2017) 1.00 X 0 0 0 Kim Vincent Member (Starting Nov 2017) 1.00 X 0 0 0 Robert Mike Dowdy CEO 40.00 X 120286 0 9665 Alan R Aldrich CFO 40.00 X 121283 0 15464 Karin White CNO 40.00 X 73186 0 2747 Joan M McMahon Emergency Medicine 40.00 X 261963 0 17252 James Fox CRNA 40.00 X 245394 0 9833 Amy A LePage Emergency Medicine 40.00 X 316916 0 27543 Gardner Smith Surgeon 40.00 X 346841 0 20641 Christina Marchion Family Practice Physician 40.00 X 332328 0 28527 2401415 0 172432 20 0 1 0 Billings Clinic PO Box 30357 Billings MT 59107 Management Services 318997 Hall Render Killian Health & Lyman P PO Box 714570 Cincinnati OH 452714570 Legal Services 156285 Nelson Architects 621 Second Ave N Great Falls MT 59401 Architects for projects 134591 Benefis Health Care PO Box 5096 Great Falls MT 594035096 Mammo and Xray (PACS) and Telemed 110079 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Staffing Coverage 105583 6 29932 428533 125248 583713 Net Patient Revenue 622110 31591806 31591806 Special Programs 900099 2341866 2341866 Cafeteria 722210 390307 390307 34323979 195289 195289 692030 98870 593160 593160 593160 81045 1500 44197 0 36848 1500 38348 38348 9933 29932 9933 0 35734489 34323979 0 826797 X 960832 641343 319489 159043 159043 14978192 11973379 2945936 58877 359928 288319 68665 2944 1923306 1566551 343396 13359 1052214 841771 207419 3024 590547 590547 243173 243173 34700 34700 3753586 2587881 1161920 3785 141126 105845 21305 13976 1998307 1283515 712155 2637 1087419 863640 221979 1800 48817 48817 298655 188237 109854 564 191912 146934 44978 1476655 1140631 335532 492 525243 525243 Medical Supplies 3330210 3330210 Bad Debt Allowance 773278 773278 Equipment Rental and Ma 335716 255727 79989 Taxes and Licenses 168501 16409 152092 463725 301424 162231 70 34895085 27038197 7755360 101528 2222507 1850527 5259674 5688698 2565 4329 756446 754337 389362 452065 40437314 28715508 11856390 11721806 3615759 3906489 7035 4068663 4290810 28178401 28669061 2854208 3285577 3820626 3714588 1157508 1080825 864790 0 8697132 8080990 X 17237929 18143716 629018 772391 1614322 1671964 19481269 20588071 28178401 28669061 X 839404 66383 201015 X 0 1 X 1 0 X 123009 123009 23452732 15312716 8140016 14869487 12424446 2445041 1992086 978346 1013740 11721806 Long-Term Prepaid Expenses 653048 Due from Foundation 2444355 Other Receivables 1058245 Estimated Third-Party Payor Settlements 135162 4290810 X 34974833 -773278 -773278 35748111 -13622 -13622 35734489 34220677 98870 98870 34121807 773278 773278 34895085 Part X, Line 2: The Facilities is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Facilities is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Facilities is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization will file an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income, if any. The Facilities 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 Facilities 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. Part XI, Line 2d - Other Adjustments: Provision for Bad Debts Reported in Expenses for Tax Purposes -773,278. Part XI, Line 4b - Other Adjustments: Contributions for Specific Purposes Recorded in Fund Balance for F/S 85,248. Rental Expenses Reported in Revenue for Tax Purposes -98,870. Part XII, Line 2d - Other Adjustments: Rental Expenses Reported in Revenue for Tax Purposes 98,870. Part XII, Line 4b - Other Adjustments: Provision for Bad Debts Reported in Expenses for Tax Purposes 773,278. Golf Tournament 10325 6778 3547 600 297 2474 176 Quilt/Gun Auction 22000 15881 6119 100 3702 2321 1 7540 7273 267 263 39865 29932 9933 700 3999 4795 439 9933 0 1 1 X 1 X 1 X 1 1 0 0 312000 312000 0.00910 2441048 2232264 208784 0.00610 2753048 2232264 520784 0.01520 7298 26022 5445 20577 0.00060 12222998 7189079 5033919 0.14750 700 2821 2821 0.00010 7998 12251841 7194524 5057317 0.14820 7998 15004889 9426788 5578101 0.16340 1167 1167 0.00000 1167 1167 0.00000 1 773278 0 7902986 7932596 -29610 X 1 1 1 1 Central Montana Medical Center 408 Wendall Avenue Lewistown MT 59457 www.cmmc.health 12894 X X X X Home Health / Hospice Central Montana Medical Facilities Inc 1 0 0 1 X X X X X X X X 15 1 0 1 1 X https://www.cmmc.health/resources/reports/ X X 1 15 1 https://www.cmmc.health/resources/reports/ 0 1 X 150.000000000000 300.000000000000 X 1 1 X X X 1 X See Part V X See Part V X See Part V X X X X X X 1 X 0 X X X X 1 X 0 0 Central Montana Medical Facilities, Inc. Part V, Section B, Line 3j: Secondary Data: County Profile, Demographic Trends and Economic Impacts Central Montana Medical Facilities, Inc. Part V, Section B, Line 5: A Steering Committee was convened to assist Central Montana 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 November 2015. 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. Central Montana Medical Facilities, Inc. Part V, Section B, Line 6b: The Needs Assessment was conjoined with the Central Montana Community Health Center in Lewistown. Central Montana Medical Facilities, Inc. Part V, Section B, Line 7d: The Needs Assessment is available at the Community Relations Office at Central Montana Medical Center as well as on the hospital website. Central Montana Medical Facilities, Inc. Part V, Section B, Line 11: Respondents indicated significant needs to:* increase access to healthcare services in the community* provide increased access to behavioral health services* improve population health of the communityIn order to respond to these needs CMMC will look at increasing access to specialists at CMMC, increasing hours available for outpatient services, and increasing the number of primary care providers. To provide increased access to behavioral health CMMC will continue providing mental health services and will evaluate the possibilities of expanding behavioral health services. In order to improve population health of the community CMMC will continue to provide and evaluate expanding education and outreach components of the population health program. During FYE18 the following were accomplished to address the needs in the CHNA:* Accomplished expanded hours in the Clinic.* Accomplished residency programs. Recruiter attended state and national physician recruitment conference, which helps recruit providers. * Accomplished more specialist visits to CMMC and/or visit more frequent. * Awarded Care Coordination Grant, which dedicates staff to help specifically to mental health and ultimately diverts mental health persons from being cared for in the ER. * Two grants awarded:-Behavioral Health Grant - a three year grant to end June 30, 2020-Substance Use Disorder (SUD) - grant that will end September 29, 2019. We contract behavioral health program services and medication management through this grant. We work with six rural communities as a referral source.* Currently, we have approximately 200 enrolled in Population Health due to creative new ways to serve our clientel outside the physician office and ER.Three areas with identified health needs that CMMC is unable to address. They include:* Cancer* Those that reported that they were unable to receive or had to delay receiving healthcare services (33%), the reason most cited was "It costs too much" (42.7%). * Focus groups indicated a need for more services specific to seniors.Rationale of needs that were unable to address were as follows:* CMMC provides Infusion Services (chemotherapy) and visiting oncologist, which helps eliminate unnecessary travel for CMMC patients. Offering additional cancer services would not be feasible from a staffing and financial standpoint.* CMMC offers programs/charity care to assist with paying for healthcare costs at healthcare priced services that are based on current market conditions. CMMC provides Navigator services to the community. * CMMC is aware of a need for more services specific to seniors; however, the facility feels that there are not enough resources available to address the issue at this time.CMMC has affiliated with Billings Clinic (as of June 2017) to provide additional healthcare services and physicians. CMMC offers a Behavioral Health Counselor through our Care Coordination Program that started October 2017. Central Montana Medical Facilities, Inc. Part V, Section B, Line 13h: Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. Central Montana Medical Facilities, Inc. Part V, Section B, Line 16j: A summary of the financial assistance policy is also posted in the hospital facility's emergency room, waiting rooms, and admissions offices. Part V, Line 16a, FAP Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ Part V, Line 16b, FAP Application Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ Part V, Line 16c, FAP Plain Language Summary Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ Schedule H, Part V, Section B, line 16a, 16b, and 16c: During the fiscal year the Organization began updating their website. Through the website updating process, they were unaware that the FAP, FAP Application Form, and Plain Language Summary of the FAP were inadvertently not transferred to the newly updated website. When the Organization became of aware of this they promptly posted the documents to their website on April 19th, 2019. The Business Office Manager is making policy changes to ensure this does not happen in the future. During the time these documents were not available on the website, they were available from the Organization's Business Office. 1 1 - Central Montana Medical Center - DME 202 4th Avenue South Lewistown MT 59457 HME/DME Services Part I, Line 3c: Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. Part I, Line 7: The Organization used an average overall ratio of costs to gross charges which addresses all patient segments in order to calculate charity care. Community health improvement services and cash and in-kind contributions were based on expenses recorded in the general ledger. Medicaid and subsidized health services are reported according to costs allocated to the relevant cost centers on the Medicare cost report. Part I, Ln 7 Col(f): The amount of bad debt expense removed from the denominator of the calculation was $773,278. Part II, Community Building Activities: Community Building activities promoted the health of the communities served by providing service and donations for a healthy, active, and educated public. Central Montana Medical Center staff donated time to community boards, such as LEPC (Lewistown Emergency Preparedness Community), Central Montana Youth Challenge, EPI Committing Meeting, and the DUI Task Force. By being a part of these community meetings CMMC staff provides a range of knowledge to the community members with a foundation on health and medical needs. All of these programs benefit central Montana area and promote health and wellness. Part III, Line 2: Bad debt expense is reported at charges as recorded by the organization.Bad debt expense is reported net of discounts and contractual allowances. A payment on an account previously written off reduces bad debt expense in the current year. Part III, Line 4: Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 7 and 8 of the attached audit report. Part III, Line 8: Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.All of the Medicare shortfall should be treated as a community benefit. The Organization treats individuals regardless of the ability to pay. Providing Medicare services promotes access to healthcare services which are vitally needed by our community. Part III, Line 9b: Patients deemed by CMMC to be unable to pay at any time during the revenue cycle may be eligible to receive available financial assistance. Patients must complete an application. Our collection practice is to refrain from collection efforts until financial assistance is determined. Normal collection efforts would resume if the application is not returned timely or after the write-off is complete and the patient owes a balance. Part VI, Line 2: Currently, CMMC assesses the health care needs of the community by the number of responses to ads and articles released through the local media. Also tracked were the kinds of support requested of CMMC such as children's safety, wellness initiatives and healthcare assessments. In FYE 2016 CMMC completed a 2nd Community Health Needs Assessment with the help of Montana State University. Mail and phone surveys were completed and "town hall" type meetings were held in Lewiston as well as most of the surrounding smaller communities. Part VI, Line 3: CMMC has financial assistance signage posted in the admissions areas and the ER waiting area. A pamphlet explaining our financial assistance program, the application process and contact information is available at all hospital registration areas. The Charity Care policy and application along with a checklist and contact information is posted on our website on the internet. Prior to discharge someone from discharge planning discusses with the patient the availability of various government benefits, such as Medicaid, and assists the patient with qualifications for such programs, where applicable. Assistance with filling out the Charity Care application is also provided at this time. Private Pay in-patients are informed of Charity Care either prior to scheduled admission by physician referral or prior to discharge from the facility. We also send out information with first time statements. All other patients are informed upon inquiry. Part VI, Line 4: Lewistown is an agricultural community and the county seat for Fergus County Montana. Lewistown is located in the center of Montana and is surrounded by five mountain ranges: the Snowies, the Judiths, the Moccasins, the Belts and the Highwoods. Lewistown's elevation is 3,963 feet with 3,102 people per square mile (average).The city of Lewistown and the surrounding rural towns are supported by one hospital, Central Montana Medical Center. Fergus County is located in a federally designated medically underserved area. As of the census of 2015, the population of Lewistown MT is 9,200 with a 2010 estimate of 9,105 people. There is an estimate of 4,615 males compared to 4,585 females. March 2016 cost of living index in our zip code (59457) is 83.1%, U.S. average is 100. Lewistown Montana has an estimate of 11,096 people per square mile with our land area at an estimated 829.1 square miles.Real estate property taxes paid for housing units with mortgages in 2015 was $1,326. Renter-occupied apartments were 31% compared to the state average of 33%.The median resident age for this zip code is 45.8 years old with an average household size of 2.2 people.The population 25 years and over in 59457 shows High school or higher: 94.0%, Bachelor's degree or higher: 29.1%, Graduate or professional degree: 6.9%, Unemployed: 2.8%, Mean travel time to work (commute): 10.8 minutesInformation obtained from www.city-data.com/city/Lewistown-Montana.html Part VI, Line 5: The CMMC Governing Board consists of 14 volunteer community members including residents from Grass Range, Stanford, Denton and Judith Gap. CMMC extends medical staff privileges to qualified physicians based upon community needs.Surplus funds, when available, are applied to patient care needs, equipment and building maintenance and medical education requirements. The expenditure of these funds is approved by the Governing Board which meets on a monthly basis. Part VI, Line 6: N/A Part VI, Line 7, Reports Filed With States MT 0 0 0 0 0 0 0 0 0 Michael Sura MD Member 357939 0 0 0 0 0 9637 0 23091 0 390667 0 0 0 Tamara Welsh MD Member 225279 0 0 0 0 0 9130 0 1112 0 235521 0 0 0 Joan M McMahon Emergency Medicine 261963 0 0 0 0 0 9506 0 7746 0 279215 0 0 0 James Fox CRNA 245394 0 0 0 0 0 9833 0 1128 0 256355 0 0 0 Amy A LePage Emergency Medicine 316916 0 0 0 0 0 6902 0 20641 0 344459 0 0 0 Gardner Smith Surgeon 346841 0 0 0 0 0 0 0 20641 0 367482 0 0 0 Christina Marchion Family Practice Physician 332328 0 0 0 0 0 7886 0 20641 0 360855 0 0 0 Part I, Line 3 CMMC relies on Billings Clinic to establish appropriate compensation for the CEO. A Fergus County Montana 816001358 2014-05-01 4500000 Emergency and laboratory expansion and remodel of existing facility 0 0 0 A 785412 4500000 4500000 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 Christina Marchion MD Employee Recruiting X 65000 4329 0 1 1 4329 Annie Davis Family Member of Board Member 79037 Payment of Compensation 0 Terrie Dowdy Family Member of CEO 39663 Payment of Contract Compensation 0 Madison Kahner Dowdy Family Member of CEO 40343 Payment of Compensation 0 Form 990, Part III, line 2 We offer Behavioral Health Counseling in our Care Coordination Department as of October 2017. Form 990, Part VI, Section A, line 1 The Executive Committee includes the President or Chair, Vice President or Vice Chair, Secretary and Treasurer and 2 members-at-large and their authority is similar to that of the full governing board. Form 990, Part VI, Section A, line 3 Mr. Robert (Mike) Dowdy is a contract employee of Billings Clinic as of June 1st, 2017. Central Montana Medical Center became affiliated with Billings Clinic and Mr. Dowdy serves as the CEO. Billings Clinic was paid $265,883.83 for Mike's services during fiscal year 2018. The organization pays Billings Clinic a Management Fee of $25,000 per month for our affiliation. Form 990, Part VI, Section A, line 6 The organization has two classes of membership: Class A general membership and Class B membership, with the sole member of the Class B Membership being Billings Clinic. Class A Membership in the Corporation shall consist of residents of Central Montana residing within the counties of Fergus, Judith Basin and Petroleum who are at least eighteen (18) years of age and who have or shall indicate their interest in the maintenance of adequate medical facilities and high standards of medical care in the area, served by CMMC, and who indicate a willingness and desire to be a member of the Corporation by attending and signing the register at the Corporation's annual meeting. Form 990, Part VI, Section A, line 7a The board has two classes of directors. Class A Directors are elected by the Class A Members and Class B Directors are appointed by the Billings Clinic. There shall be at last nine but no more than thirteen Class A Directors. There shall be at least one but no more than two Billings Clinic Directors, as determined by Billings Clinic from time to time. Each Class A Director must reside within the counties of Fergus, Judith Basin or Petroleum. Two Class A Directors must be physicians holding privileges on CMMC's active Medical Staff. Further, so long as the Corporation remains obligated for the repayment of any long-term tax-exempt financing, underwritten through Fergus County, Montana, one Class A Director shall be selected from the Fergus County Commissioners. The Board and Billings Clinic shall communicate concerning the appointment of Billings Clinic Directors with the objective of selecting individuals who will work cooperatively with the Class A Directors for the benefit of CMMC. Form 990, Part VI, Section A, line 7b Any amendment to the bylaws affecting the voting rights and powers of membership, must be approved by both a two-thirds majority of the board present at any regular or special meeting of the board and Billings Clinic. Additionally, Billings Clinic must consent to any amendment of the bylaws relating to CMMC's purpose, the membership, the members of the board, including but not limited to the number of directors, the composition of the board, the term of office of directors or the method or way in which directors are elected or selected. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 is reviewed by the CFO and Board of Directors prior to its filing. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by discussing at the Board of Director Meetings and obtaining signed statements from members. All officers, board members, and key employees are covered by the policy. The board determines whether conflicts exist and all potential conflicts are reviewed by the board. Any person with a conflict is not allowed to vote on conflicted issues. Form 990, Part VI, Section B, line 15 CMMC relies on Billings Clinic to establish appropriate compensation for the CEO. Compensation of the CFO is determined by the CEO. These processes take place on an annual basis. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. A copy may be requested by calling, emailing, walk-in or via mail. Form 990, Part IX, line 11g Medical/Professional Fees: Program service expenses 900,473. Management and general expenses 0. Fundraising expenses 0. Total expenses 900,473. Service Contracts: Program service expenses 596,986. Management and general expenses 360,023. Fundraising expenses 3,785. Total expenses 960,794. Purchased Services: Program service expenses 1,090,422. Management and general expenses 801,897. Fundraising expenses 0. Total expenses 1,892,319. Form 990, Part XI, line 9: Change in Interest in Central Montana Foundation 201,015. Form 990, Page 1, Item F, Name and Address of Principal Officer: Dr. Laura Bennett is serving as Interim Co-CEO along with Alan R. Aldrich.