2025-01-29T17:00:59-06:00 2024-03-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-04-01 810241755 St John's Lutheran Hospital Inc STJO 4062837000 209 Health Park Drive Libby MT 59923 Julie Leonard CFO 4062837000 2025-01-28 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-01-28 2023 2025-03-06 01:10:19Z Cabinet Peaks Medical Center Julie Leonard 209 Health Park Drive Libby MT 59923 50446416 0 X www.cabinetpeaks.org X 1952 MT Healthcare services 8 6 364 33 0 0 1690007 642643 42673034 47955064 343240 1723560 -60640 -73490 44645641 50247777 656 2598 0 0 20901013 24570083 0 0 141634 21395971 23410657 42297640 47983338 2348001 2264439 70987532 73584069 23503324 22942454 47484208 50641615 X Committed to quality, compassionate care. 0 0 39574613 2598 47955064 Cabinet Peaks Medical Center operates a 25-bed critical access hospital Providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including primary care and OB/GYN services, a variety of rehab and therapy services, infusion and chemotherapy, imaging, and lab. Continued on Schedule O.Patients often do not have the luxury of time or money or the physical strength necessary to make the 90-mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. In fiscal year 2023, Cabinet Peaks Medical Center provided services to 10,750 unique patients amounting to a total of 19,609 adjusted patient days. 1,465 surgical cases were performed. Additionally, Cabinet Peaks Medical Center delivered 125 babies during fiscal year 2024. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patientsare uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The amounts of charges foregone, based on established rates,were $827,737 and $934,249 during the years ended March 31, 2024, and 2023, respectively. The estimated cost of providing these services was approximately $513,000 and $556,000 for the years ended March 31, 2024and 2023, respectively, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. 39574613 1 1 0 0 0 0 0 0 1 1 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 1 0 0 0 0 0 0 1 1 0 0 0 1 64 0 1 364 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Gayl Smith Controller 4062837139 209 Health Park Drive Libby MT 59923 Julienne Lippe Orthopedic Surgeon 40.00 0.00 X 439632 0 3199 Mark Serra Emergency Medicine Physician 40.00 0.00 X 425957 0 22611 Darren Brockie MD Emergency Medicine Physician/Trustee 40.00 0.00 X 413439 0 17513 Lance Ercanbrack General Surgeon 40.00 0.00 X 396173 0 20582 Mark Harding Emergency Medicine Physician 40.00 0.00 X 342697 0 22611 Kathryn Cockerham Emergency Medicine Physician 40.00 0.00 X 328741 0 22611 Tadd Greenfield CEO 40.00 1.00 X 285803 0 18623 Tonya Teegardin CNO 40.00 0.00 X 178192 0 7032 Kim Compton CFO (Apr-Aug) 40.00 0.00 X 143261 0 2894 Sarah Sorensen Chair 1.00 0.00 X X 0 0 0 Kathy Nelson Vice Chair 1.00 0.00 X X 0 0 0 Kerry Beasley Secretary/Treasurer 1.00 0.00 X X 0 0 0 Steve Sorenson OD Trustee 1.00 0.00 X 0 0 0 Manuel Castaneda Trustee 1.00 0.00 X 0 0 0 Dan Rose Trustee (May-March) 1.00 0.00 X 0 0 0 Nicole Vranizan Trustee (Feb-March) 1.00 0.00 X 0 0 0 Julie Leonard CFO (Jan-Mar) 40.00 0.00 X 0 0 0 2953895 0 137676 34 0 1 0 Logan Health 310 Sunnyview Lane Kalispell MT 59901 Software Maintenance and Support 1464514 Medical Solutions PO Box 310737 Des Moines IA 503310737 Contract staffing 1245137 HPM of Minnesota PLLC 3780 N Garfield Ave Ste 101 Loveland CO 80538 Clinic Management Svcs 853408 Cardinal Health 7000 Cardinal Place Dublin OH 43017 Pharmacy Management Svcs 558718 Psychiatric Medical Care LLC PO Box 305172 Dept 141 Nashville TN 372305172 Management Fees, Contracting Staff 511125 17 579209 63434 642643 Net Patient Service Revenue 621110 47311362 47311362 Cafeteria 722514 461686 461686 Pharmacy Revenue 456110 104067 104067 Mgmt Fee Outside Clinics 541610 759 759 77190 77190 47955064 1552684 1552684 103093 176583 -73490 -73490 -73490 192932 0 22056 192932 -22056 170876 170876 50247777 47955064 0 1650070 X 2598 2598 1239339 707253 532086 68760 68760 18281997 15427791 2748208 105998 598097 495303 99382 3412 3041081 2514170 509728 17183 1340809 1102259 234962 3588 54499 54499 87588 87588 7381441 6590481 787042 3918 60961 37551 22142 1268 1112420 798155 310498 3767 648093 476819 171274 147279 74531 72748 9330 7902 1428 789960 789960 2007734 2007734 578407 578407 Medical Supplies 8097544 8089714 7830 Repairs & Maintenance 1405660 1021097 384563 Licenses, Dues & Subscr 866882 64731 802151 162859 95666 66121 1072 47983338 39574613 8267091 141634 21398894 19366231 8671403 11100379 1141684 1348900 574772 633858 52277609 33745892 19161157 18531717 17349622 19580496 2690000 3022488 70987532 73584069 2643236 3393615 19540325 18688661 1319763 860178 23503324 22942454 X 46537952 49697093 946256 944522 47484208 50641615 70987532 73584069 X 2264439 977265 -84297 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 244 244 0 Part II-B, Line 1, Lobbying Activities: In fiscal year 2024, dues of $39,286 were paid to Montana Hospital Association of which 0.62% or $244 went toward lobbying. 1 8973 10211 8835 10349 0 1756230 -1572 325906 45249 9990 2025325 1868756 2526 -105811 9241 1756230 1789774 2347 86906 10271 1868756 1296183 8255 523421 29663 8422 1789774 1409626 2261 -107676 8028 1296183 0.55600 0.44400 0 1 1 899940 899940 30685724 16524322 14161402 17128269 14464804 2663465 3563676 2756766 806910 18531717 Estimated Third Party Payor Settlements 405130 Lease Liability 455048 860178 X 51308493 977265 -82921 894344 50414149 -166372 -166372 50247777 48151086 176583 176583 47974503 8835 8835 47983338 Part IV, Line 1b: The assets of St. John's Hospital Auxiliary are held by Cabinet Peaks Medical Center. The auxiliary account balances were not included in the balance sheet as they are not recorded for audit purposes. Part V, Line 4: The Endowment was created to help with the capital needs of Cabinet Peaks Medical Center as they arise. This can include but is not limited to equipment, building projects, and health related programs. A strict Endowment Income Distribution Policy is in place and adhered to. Part X, Line 2: The Hospital 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 Hospital 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: Change in Interest in Net Assets of Foundation -82,921. Part XI, Line 4b - Other Adjustments: Auxiliary revenue not included in financial statements 10,211. Rent expenses recorded in expenses on financial statements -176,583. Part XII, Line 2d - Other Adjustments: Rent expenses recorded in expenses on financial statements 176,583. Part XII, Line 4b - Other Adjustments: Auxiliary expenses not included in financial statements 8,835. 1 1 X 1 X 1 X 0 1 0 1 1 513000 513000 0.01070 513000 513000 0.01070 14362 14362 0.00030 6122901 2744373 3378528 0.07040 6137263 2744373 3392890 0.07070 6650263 2744373 3905890 0.08140 6 14362 14362 0.00030 6 14362 14362 0.00030 0 827737 0 9475886 9506591 -30705 X 1 1 1 1 Cabinet Peaks Medical Center 209 Health Park Drive Libby MT 59923 www.cabinetpeaks.org 13545 X X X X 3 provider based/1 non-provider based clinic Cabinet Peaks Medical Center 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X Part V, Section C X 1 22 1 Part V, Section C 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X https://www.cabinetpeaks.org/getpage.php?name=CPMC_BO&sub=Patients%20%26%20 X https://www.cabinetpeaks.org/getpage.php?name=CPMC_BO&sub=Patients%20%26%20 X https://www.cabinetpeaks.org/getpage.php?name=CPMC_BO&sub=Patients%20%26%20 X X X X X X 1 X 0 X X X X 1 X 0 1 Cabinet Peaks Medical Center Part V, Section B, Line 5: Cabinet Peaks Medical Center (CPMC), Northwest Community Health Center (NWCHC), and the Lincoln County Health Department (LCHD) collaborated on a joint community health needs assessment. The Hospital, Community Health Center and Health Department jointly participated in the Community Health Services Development (CHSD) Project administrated by the Montana Office of Rural Health (MORH). Community involvement in steering committee meetings, focus groups and key informant interviews enhance community engagement in the assessment process.CPMC's, NWCHC's, and LCHD's service area was surveyed about its healthcare system, local health issues, and the overall health of the community. Three focus group interviews were conducted to identify important local healthcare issues, how to improve the health of the community, and gaps in health services. It was intended that this research would help determine the awareness of local programs and services as well as the level of satisfaction with local services, providers, and facilities. The focus groups were designed to represent various consumer groups of healthcare including senior citizens, local community members, and community leaders.A steering committee was convened to assist Cabinet Peaks Medical Center, Northwest Community Center, and the Lincoln County Health Department in conducting the Community Heath Needs Assessment. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together. 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. Cabinet Peaks Medical Center Part V, Section B, Line 6b: Cabinet Peaks Medical Center (CPMC), Northwest Community Health Center (NWCHC), and the Lincoln County Health Department (LCHD) collaborated on a joint community health needs assessment. Cabinet Peaks Medical Center Part V, Section B, Line 11: 1. Access to care (i.e., mental health and specialty services)2. Social determinants of Health3. Healthy lifestyles1. 41.9% of survey respondents indicated "Asbestos related disease" is a top health concern for the community. This will not be addressed because CARD Clinic fulfills most of this need.2. 10.4% of survey respondents indicated that they had difficulty getting a prescription or taking their medication regularly in the last year. This as been addressed with the 340B Program which includes providers and retail pharmacies.3. 40.1% of survey respondents reported that they or a member of their household thought they needed healthcare services in the last three years, but had to delay getting them. The top reasons for delaying services included "It cost too much" (31.3%), "My insurance didn't cover it" (28.4%), and "Could not get an appointment" (19.4%). This need is addressed through publishing and promoting charity care policies(sliding fee scale).In the current year the facility has taken the following actions to address access to care: * Sought and hired an additional General Surgeon * Hired a Women's Health NP * Changed to a Physician based hospitalist model for inpatient care. * Pediatric PT became certified the Prechtl Assessment of General Movement Basic * Hired an additional Family Medicine PA-C * Continued to upgrade/replace equipment for enhanced patient care * Hired additional staff in Rehab to help with the patient loadIn the current year the facility has taken the following actions to address healthy lifestyles: * Health Fair * PREVENT Lifestyle & Health classes. * Offered Senior Life Solutions for aging population. * Fundraised for and offered free mammograms to the under/uninsured. * Sustained Safe to Sleep program. * Offered car seat safety for new parents. * Held prenatal/postnatal classes. * Labor and Delivery RNs are Certified Lactation Consultants * Started "breathe better" club for those dealing with pulmonary issuesSocial Determinates of Health* Actively seeking grants to provide healthy food options for patients leaving the hospital that do not have the means to purchase healthy, fresh food.* Researching the need and ability to provide behavioral health* Food Services and Nutrition are working to provide a healthy cooking class for our patients and their families with a focus on Congestive Heart Failure (CHD) * Helped with the Back to School Bash-community effort offering school supplies, shoes, haircuts, and available community resources- to name a few. * County website created listing available services and resources. * Working on ways to educate the community on prevalent morbidities such as COPD, CHD, HTN, Diabetes, Obesity, * Mental Health using different platforms to reach more people. Cabinet Peaks Medical Center Part V, Section B, Line 13h: The following information will be taken into account in determining eligibility for and amount of financial assistance:1. The amount of third-party financial resources including insurance and health plan benefit coverage, or government health plan coverage (such as Medicare or Medicaid), any recovery from a personal injury claim, Victims of Crime assistance, and non-hospital financial aid programs (including public assistance and private charity or foundation grant programs, for example), will be taken into account.2. Eligibility for Medicaid3. Family Size4. Patient Family Income5. Employment status: current earnings are reviewed.a) If unemployed, either the patient's unemployment statement, or if the individual is not collecting unemployment, a notarized Letter of Support (PBO-204FB)b) All self-employed patients applying for financial assistance (whether as sole proprietor, partner of a partnership, shareholder of a corporation, member of a limited liability company, etc.) must complete the Self Employment Declaration (PBO-204FC) and provide tax returns for that business that include all return schedules to support line item entries. If tax return is not applicable, a Balance Sheet and Cash Flow or Profit and Loss statement for the past year will also be required. Cabinet Peaks Medical Center Part V, Section B, Line 16j: A summary of the financial assistance policy is provided with billing invoices and is posted in the facility's emergency room and waiting rooms and a summary brochure is also posted on the Hospital's website. Cabinet Peaks Medical Center Part V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for emergency and other medically necessary care. FAP-eligible patients without insurance may be charged gross charges on elective procedures. Part I, Line 3c: CPMC (with the exception of Cabinet Peaks Clinics) also uses an asset test. A patient must meet both the income and asset criteria. Insurance status and medical indigency are also used to determine eligibility. Part I, Line 6a: The Organization's community benefit report can be found on its website at https://www.cabinetpeaks.org/getpage.php?name=Community_Impact&sub=About%20Us Part I, Line 7: Charity care expense was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Community health improvement services on lin 7e are reported on based on actual expenses. The cost for subsidized health services on line 7g was determined using the Medicare cost report. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. CPMC determines its estimate of implicit prices concessions based on its historical collection experience with the class of patients. Part III, Line 3: The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The Hospital does not estimate a percentage of its implicit price concessions that may be related to patients eligible under CPMC's Financial Assistance Policy due to the expectation that all eligible patients would apply for financial assistance. Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concessions is located on pages 13 and 14 of the attached financial statements. Part III, Line 8: The expenses represent an overall shortfall for the Medicare patient population. The costs themselves are a community benefit as the community would not receive these services if we did not provide them.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from 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. Part III, Line 9b: There are no collection efforts for patients that qualifed for SharePay. SharePay is a financial assistance program offered by Cabinet Peaks Medical Center. Under this program, some patients may qualify for discounts on the care received. The discount is based on a sliding scale, taking into account income level, debts, assets, and family size. Even those with health insurance or who participate in a Federal assistance program may qualify for SharePay. However, there may be collection actions on their personal portion not covered by SharePay. Our sliding scale financial assistance program is designed to meet the medical financial obligations of the uninsured and underinsured. Part VI, Line 2: CPMC utilizes a third party to collect patient input and perspective. This company calls a sample of our patients who received services in Acute Care, Emergency Department and Surgery to see if we are meeting their expectations. CPMC reviews the compiled data and comments monthly. Additionally, CPMC holds a yearly Patient and Family Advisory Council (PFAC) Focus Group meeting to listen to what our patients have to say about the care and services they receive. This group participates by openly answering questions about their experience, what worked and what did not as well as an opportunity for them to make suggestion on ways we can improve in the future.Thirdly, annually we invite a patient who received less than excellent care to attend one of CPMC's Board of Director's meetings to speak about their experiences and offer insight into ways we can improve.In addition to these formal methods for feedback, we are continuously rounding with patients to ensure their needs are met and we regularly attend community events and meetings to stay abreast on our community's needs and initiative. A complete community health needs assessment was conducted and completed during the 2021 fiscal year. Cabinet Peaks Medical Center participated in the Community Health Services Development (CHSD) process, a Community Health Needs Assessment (CHNA), conducted by the Montana Office of Rural Health (MORH). Community involvement in steering committee meetings and focus groups enhanced the community's engagement in the assessment process. Part VI, Line 3: CPMC publicizes the availability of financial assistance through the following methods:A. Postage of signage in the Patient Admitting and Registration areas as well as the Emergency Department and other areas throughout the Hospital's facilities offering meaningful visibility;B. Posting the Financial Assistance Policy, the Financial Assistance Application, and the Plain-Language Summary on CPMC's website;C. Including the Plain-Language Summary in patient registration materials and inpatient handbooks; andD. Including the Plain-Language Summary in materials offered to each patient as part of the intake or discharge process.CPMC also includes in each billing statement sent to the patient a statement regarding the availability of financial assistance, including a website address where the Financial Assistance Policy, Financial Assistance Application, and the Plain Language Summary can be found as well as a phone number for information about the Financial Assistance Policy and application process. In addition, the hospital employs self-pay account representatives to assist patients in determining if they qualify for free or discounted care. The account representatives also provide hands-on assistance to patients applying for other financial assistance such as CHIP's, heating assistance, Medicaid, and WIC. Applications for charity care are also discussed at registration and discharge and with patients who have bills that are past due. Part VI, Line 4: Cabinet Peaks Medical Center is located in Libby, a very remote town in northwestern Montana. Libby is 72 miles south of the Canadian border, 89 miles northwest of Kalispell, Montana, and 35 miles east of the Idaho border. Libby is the county seat for Lincoln County. Due to its remote nature, Libby relies upon transport services, including helicopter and fixed wing transports, to ensure patients requiring specialized care can travel the longer distances to access larger facilities, usually in Spokane, Kalispell, or Missoula. The closest hospital is Bonner General Hospital about 47 miles from Libby in Sandpoint, ID, which is also of a somewhat limited scope of practice. The next largest hospital with more specialized and high acuity services is Logan Health 90 miles from Libby.CPMC has been designated a Medically Underserved Population and a Health Professional Shortage Area due to our economic challenges, lack of resources and remote location. We are a relatively poor county, with 22.8% of Libby population being at or below the poverty level, compared to a state average of 15.2%. Part VI, Line 5: Cabinet Peaks Medical Center operates a 25 bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including a variety of rehab and therapy services, infusion and chemotherapy, family medicine, imaging, and lab. Patients often do not have the luxury of time or money or the physical strength necessary to make the 90 mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care. Emergency and other medically necessary services are provided to all persons, regardless of their ability to pay.In addition to the services provided within the Hospital campus, Cabinet Peaks also does a considerable amount of outreach to promote the health of the community. Organizing and funding a community health fair, providing discounted services for mammography and laboratory tests, providing speakers for health lectures, promoting hospital tours for the schools, and providing internship opportunities for the schools are just a few ways Cabinet Peaks partners to promote the health of the community. Cabinet Peaks' mission is to provide quality compassionate care to its community. A majority of Cabinet Peaks' Board of Directors is comprised of residents and/or business owners of Lincoln County. With the exception of the Medical Staff representative on the Board, none of the Board members are Cabinet Peak's contractors or employees, meaning they truly do serve the needs of the community. In order to ensure the appropriate medical staff and services are available for patients, Cabinet Peak's medical staff privileges are open to all qualified, licensed physicians in the community and are also extended to physicians who visit Lincoln County in order to offer additional services to our residents. Additionally, in order to ensure the future success of Cabinet Peaks, any and all surplus funds generated by the Hospital are reinvested into operations, capital equipment and infrastructure, including facility upkeep. X X 0 0 0 0 0 0 0 1 0 Julienne Lippe Orthopedic Surgeon 426828 0 12179 0 625 0 0 0 3199 0 442831 0 0 0 Mark Serra Emergency Medicine Physician 425957 0 0 0 0 0 16500 0 6111 0 448568 0 0 0 Darren Brockie MD Emergency Medicine Physician/Trustee 395439 0 18000 0 0 0 16500 0 1013 0 430952 0 0 0 Lance Ercanbrack General Surgeon 396173 0 0 0 0 0 16500 0 4082 0 416755 0 0 0 Mark Harding Emergency Medicine Physician 342697 0 0 0 0 0 16500 0 6111 0 365308 0 0 0 Kathryn Cockerham Emergency Medicine Physician 328741 0 0 0 0 0 16500 0 6111 0 351352 0 0 0 Tadd Greenfield CEO 237136 0 48667 0 0 0 12512 0 6111 0 304426 0 0 0 Tonya Teegardin CNO 159692 0 18500 0 0 0 1372 0 5660 0 185224 0 0 0 Part I, Line 7 Tadd Greenfield, Kim Compton, and Tonya Teegardin receive "compensation at risk" that is provided based on performance metrics. Lane Luscher Family Member of Board Member 68760 Employment 0 Form 990, Part VI, Section A, line 1a The Executive Committee has the delegated authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair, Secretary/Treasurer, Chief of Staff, Past Chair and one Member at Large. All members of the Executive Committee are also members of the governing body. Form 990, Part VI, Section A, line 2 Steve Sorensen and Sarah Sorensen have a family relationship. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 will be reviewed in detail by the CFO. The entire board is then provided a copy for review prior to filing of the Form 990 return. Form 990, Part VI, Section B, line 12c The organization reviews the policies for conflict of interest annually for all officers, directors, and key employees along with an annual submission of a conflict of interest form. The board oversees the process and any potential conflicts are discussed by the board. Should a conflict be determined, the conflicted individual abstains from voting on the conflicted issue. Form 990, Part VI, Section B, line 15 Cabinet Peak Medical Center's (CPMC) Board of Trustees has contracted with Kalispell Regional Medical Center (KRMC) for purposes of employing CPMC's CEO and CFO. KRMC passes on the associated employment expenses to CPMC. While the CEO and CFO are employed by KRMC, the CPMC Board retains control of these positions and of related decisions. The CFO reports to the CEO, and the CEO reports to CPMC's Board. The CEO and CFO are considered common law employees of Cabinet Peaks Medical Center. Administration reviews independent salary surveys and other comparability data to determine fair market compensation amounts and also takes into account local economic factors and specific job responsibilities. This is done on an annual basis as part of the budgeting process, The Board reviews Administration's recommendations for rate adjustments annually during the budget process. The Board also determines compensation for the CEO. The Board determines compensation for the CEO based on independent salary surveys and other comparability data to determine fair market compensation, taking into account local economic factors and specific job responsibilities. In addition to CPMC's Board determining compensation for the CEO, Kalispell Regional Medical Center also has a process in place to review the market reasonableness of the CEO and CFO positions. Form 990, Part VI, Section C, line 19 Our Mission and Vision statement, conflict of interest policy, and annual financial statements are available to the public upon request. Requests may be in person, by e-mail, in writing, or by telephone. Form 990, Part IX, line 11g Collection Fees: Program service expenses 0. Management and general expenses 0. Fundraising expenses 3,167. Total expenses 3,167. Contract Labor: Program service expenses 3,390,644. Management and general expenses 20,747. Fundraising expenses 0. Total expenses 3,411,391. Professional Fees: Program service expenses 1,955,187. Management and general expenses 141,923. Fundraising expenses 0. Total expenses 2,097,110. Purchased Services: Program service expenses 1,132,434. Management and general expenses 494,414. Fundraising expenses 751. Total expenses 1,627,599. Recruitment: Program service expenses 112,216. Management and general expenses 129,958. Fundraising expenses 0. Total expenses 242,174. Form 990, Part XI, line 9: St. John's Hospital Auxiliary activity -1,376. Change in Interest in Net Assets of Foundation -82,921. St John's Lutheran Hospital Foundation 350 Louisiana Avenue Libby MT 59923 810425832 Support the development of Cabinet Peaks Medical Center MT 501(c)(3) Line 7 N/A 0 St John's Real Estate Corporation 350 Louisiana Avenue Libby MT 59923 201538952 Support the development of Cabinet Peaks Medical Center MT 501(c)(2) N/A Cabinet Peaks Medical Center 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0