2018-03-07T13:13:33-07:00 2017-04-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2016-05-01 810373589 CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION CULB 4067876401 PO BOX 419 CULBERTSON MT 59218 AUDREY STROMBERG ADMINISTRATOR 4067876401 2018-03-01 true DANIEL GREEN P01311679 4062632615 2018-03-07 77D71ED6ADEA0495973AF0BFF4723F6679972267 BB858BA31F04699E906BF4765556342F31FF276D 2016 2021-01-29 14:40:06Z ROOSEVELT MEDICAL CENTER AUDREY STROMBERG PO BOX 419 CULBERTSON MT 59218 5327787 false X ROOSEVELTMEDICAL.ORG X 1976 MT ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. 9 9 110 50 0 265035 122760 4928374 4911319 1663 55153 255161 238555 5450233 5327787 0 0 3507263 3529000 0 39389 2098397 1947657 5605660 5476657 -155427 -148870 2576159 2736687 822370 1131768 1753789 1604919 ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. false false 4049609 4911319 ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE. 4049609 true true false true false false false false false false true false false false 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 18 0 110 true 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 LANA ENGELKE 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 BOB BEERY DIRECTOR 1.00 X 0 0 0 DUANE LARSEN DIRECTOR 1.00 X 0 0 0 KEVIN MILLER DIRECTOR 1.00 X 0 0 0 SHARON SCHMITZ DIRECTOR 1.00 X 0 0 0 JO NELSON DIRECTOR 1.00 X 0 0 0 AUDREY STROMBERG ADMINISTRATO 40.00 X 91814 0 5 JENNIFER KESSNER CFO 41.00 X 79080 0 5341 DON HELLAND MD 40.00 X 193032 0 5799 ELIZABETH KLEPPEN PA-C 22.00 X 173547 0 305 BLAINE WHITE PA-C 33.00 X 120379 0 305 DANIELLE CHRISTENSEN RN 56.00 X 114817 0 5 772669 11760 4 false true false HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 DIETARY SVCS 289568 MONTANA HEALTH NETWORK 519 PLEASANT STREET MILES CITY MT 59301 LOCUM NURSE, PA 171416 2 34298 34609 53853 122760 PATIENT REVENUE 621500 4809446 4809446 MISC REVENUE 900099 101873 101873 4911319 55153 55153 HOSPITAL DISTRICT SUBSIDY 900099 238260 238260 GAIN ON DISPOSAL OF ASSETS 900099 295 295 238555 5327787 5205027 X 180703 180703 2915815 2524346 357008 34461 14202 11578 2466 158 153923 123097 29158 1668 264357 209452 51803 3102 821378 752723 68655 18221 18221 241887 39903 201984 1215 1215 54638 39831 14807 1241 1241 222687 222687 108251 108251 MEDICAL SUPPLIES 233982 233982 REPAIRS & MAINTENANCE 209690 81833 127857 MISC 15332 15332 FOOD & DIETARY SUPPLIES 12417 12417 6718 3900 2818 5476657 4049609 1387659 39389 2702 3122 843497 958187 92488 65748 722344 893486 118226 121041 61261 69333 5396258 4888426 670641 507832 65000 117938 2576159 2736687 486062 510770 202691 159782 133617 461216 822370 1131768 X 1719176 1589683 34613 15236 1753789 1604919 2576159 2736687 -148870 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 257 257 false SCHEDULE C, PART IV 0.33 PERCENT OF DUES PAID TO MHA AND 21.78 PERCENT OF DUES PAID TO AHA, WHICH TOTALED 257, WERE USED FOR LOBBYING EXPENSES BY MHA. 3055439 2880450 174989 2340819 2007976 332843 507832 MEDICARE/MEDICAID ESTIMATED PAYABLE 394611 RESIDENT DEPOSITS PAYABLE 66605 461216 X 5327787 5327787 5327787 5476657 5476657 5476657 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 44411 15977 28434 0.00520 44411 15977 28434 0.00520 157870 13428 144442 0.02640 505452 314895 190557 0.03480 663322 328323 334999 0.06120 707733 344300 363433 0.06640 true 114929 1847201 1879450 -32249 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 14 true false false true X ROOSEVELTMEDICAL.ORG X true 14 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 5 IN OCTOBER 2014, 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. ALSO, IN NOVEMBER 2014, A SURVEY WAS MAILED TO 880 RANDOMLY SELECTED RESIDENTS IN THE HOSPITAL'S SERVICE AREA TO SOLICIT THEIR INPUT. THERE WAS A 22 PERCENT RESPONSE. FACILITY 1, ROOSEVELT MEDICAL CENTER - PART V, LINE 11 THE FIRST STRATEGY FOR ADDRESSING THE SIGNIFICANT NEEDS IS TO UTILIZE A VARIETY OF COMMUNICATION STRATEGIES TO BETTER INFORM THE RMC SERVICE AREA OF HOSPITAL SERVICES, AS WELL AS INCREASE AND DIVERSIFY OUTREACH EFFORTS REGARDING SERVICES AVAILABLE AT RMC SUCH AS PUBLISHING A QUARTERLY HOSPITAL NEWSLETTER. DURING FISCAL YEAR 2017, A HOSPITAL NEWSLETTER WENT OUT TWICE DURING THE YEAR. IT WENT TO EVERY DOOR DIRECT VIA THE POST OFFICE. MARKETING ALSO SENT OUT OTHER MAILINGS THAT COMMUNICATED INFORMATION SUCH AS THAT THE HOSPITAL HAD ROOM FOR LONG TERM CARE PATIENTS, ETC. THE SECOND STRATEGY FOR ADDRESSING THE SIGNIFICANT NEEDS IS TO EXPAND EXISTING COMMUNITY EDUCATION PROGRAMS AND EXPLORE OPPORTUNITIES TO START NEW PROGRAMS SUCH AS EXPLORING THE FEASIBILTY OF HOSTING A HEALTH FAIR AND PROMOTING THE EXISTING DIABETES EDUCATION PROGRAM. IN FISCAL YEAR 2017, BOTH A HEALTH FAIR AND BLOOD SCREENINGS WERE HELD. THE THIRD STRATEGY FOR ADDRESSING THE SIGNIFICANT NEEDS IS TO INCREASE AWARENESS OF LOCAL OPPORTUNITIES FOR PHYSICAL ACTIVITY SUCH AS PUBLISHING A SCHEDULE OF LOCAL CLASSES AND PHYSICAL ACTIVITY EVENTS IN HOSPITAL NEWSLETTERS AND EMAIL UPDATES. DURING FISCAL YEAR 2017, AN IN-HOUSE HOSPITAL NEWSLETTER WENT OUT MONTHLY WHICH INCLUDED HEALTH TIPS. THERE WERE NO PHYSICAL ACTIVITY EVENTS TO ADVERTISE. THE FOURTH STRATEGY FOR ADDRESSING THE SIGNIFICANT NEEDS IS TO EXPAND CURRENT PRIMARY CARE SERVICES AT RMC AND INCREASE PRIMARY CARE AND EMERGENCY ROOM COVERAGE SUCH AS RECRUITING AND HIRING AN ADDITIONAL PRIMARY CARE PROVIDER AND PROVIDING EDUCATION REIMBURSEMENT FOR HOSPITAL STAFF WHO WANT TO ADVANCE IN A HEALTH-RELATED FIELD. DURING FISCAL YEAR 2017, A NURSE PRACTITIONER WAS HIRED TO REPLACE A PROVIDER WHO WAS LEAVING, BUT NO ADDITIONAL PROVIDERS WERE HIRED. ONE PROVIDER WAS TRAINING TO WORK IN THE ER, BUT SHE THEN DECIDED TO LEAVE. THE AVERA EEMERGENCY SYSTEM WAS USED IN THE ER TO HELP WITH ADDITIONAL COVERAGE. ANOTHER IDENTIFIED HEALTH NEED WAS THAT PEOPLE INDICATED BEING UNAWARE OF PROGRAMS THAT WOULD HELP THEM PAY FOR THEIR HEALTHCARE BILLS. IN ADDITION TO MAKING THE FAP WIDELY AVAILABLE AS DOCUMENTED IN PART V, ITEM 16, WE ALSO HAD A CERTIFIED NAVIGATOR AND HELD PUBLIC MEETINGS IN THE PAST YEAR TO EDUCATE THE PUBLIC ABOUT THE HEALTH INSURANCE MARKETPLACE/EXCHANGE. THE NAVIGATOR CERTIFICATION ENDED SEPTEMBER 1, 2017. ADDITIONALLY, WE WILL CONTINUE TO PROVIDE INFORMATION ABOUT FINANCIAL ASSISTANCE IN NEWSLETTERS, ON OUR WEBSITE, AND ON OUR FACEBOOK PAGE IN ORDER TO INCREASE PUBLIC AWARENESS OF FINANCIAL ASSISTANCE OPTIONS FOR HEALTHCARE BILLS. ONE OF THE IDENTIFIED HEALTH NEEDS WHICH WAS NOT ADDRESSED IS AFFORDABLE HOUSING. THIS IS A BROAD ISSUE THAT CANNOT BE ADDRESSED THROUGH THE HOSPITAL ALONE. THE COMMUNITY ALREADY HAS THE GREAT NORTHERN DEVELOPMENT ORGANIZATION THAT WAS CREATED TO ADDRESS THIS ISSUE. WITH A LULL IN THE LOCAL OIL FIELD BOOM, HOUSING COSTS HAVE DECREASED SOME ON THEIR OWN, BUT THIS WAS NOT DUE TO A SPECIFIC PROGRAM IN PLACE. ANOTHER IDENTIFIED HEALTH NEED WHICH WAS NOT ADDRESSED WAS PROVIDING FULL- TIME SPECIALISTS. AT THIS TIME IT IS BEYOND THE RESOURCE CAPACITY OF ROOSEVELT MEDICAL CENTER. RMC OFFERS CONSULTS WITH SOME SPECIALISTS VIA TELEMEDICINE AND WORKS WITH BILLINGS CLINIC TO ADD MORE SPECIALITIES AS THE SPECIALISTS ARE WILLING TO PROVIDE TELEHEALTH SERVICES. RMC DOES NOT HAVE ENOUGH VOLUME OF PATIENTS IN ANY ONE SPECIALITY AREA TO GET SPECIALISTS TO TRAVEL HERE FOR ONSITE CONSULTATIONS. THIS DID NOT CHANGE DURING FISCAL YEAR 2017. TRANSPORTATION ASSISTANCE, DENTAL CLINIC, FITNESS CENTER, AND MASSAGE THERAPY ARE MORE IDENTIFIED HEALTH NEEDS WANTED BY THE COMMUNITY BUT PROVIDING THESE SERVICES IS BEYOND THE RESOURCE AND FINANCIAL CAPACITY OF RMC AT THE TIME OF THE IMPLEMENTATION PLAN. HOWEVER, RMC DID HAVE AN INDEPENDENT MASSAGE THERAPIST AVAILABLE ON CAMPUS FROM 7/20/2015-8/31/2016. NO ADDITIONAL SERVICES WERE ADDED DURING FISCAL YEAR 2017. 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 187,299 OF COLUMN C, 115,589 OF COLUMN D, AND 71,710 OF COLUMN E. THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 10,510. 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 CHARITY CARE 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, CHARITY CARE, 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 8 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 OF ROOSEVELT MEDICAL CENTER PARTICIPATES IN THE LOCAL CHAMBER OF COMMERCE. X X X false false false false false false false false false DON HELLAND MD 193032 300 5499 198831 ELIZABETH KLEPPEN PA-C 173547 300 5 173852 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 40,080 0 ADMIN PURCHASED SERVICES 0 3,589 0 CLINIC PROF FEES 1,566 0 0 DIETARY PURCHASED SERVICES 274,454 0 0 LAB PROF FEES 88,669 0 0 LAB PURCHASED SERVICES 34,547 0 0 MAINT PURCHASED SERVICES 0 135 0 MEDICAL & SURGICAL PROF FEES 95,199 0 0 MEDICAL & SURGICAL PURCH SVCS 17,824 0 0 MEDICAL RECORDS PURCH SRVCS 11,503 0 0 OT PURCHASED SERVICES 19,934 0 0 PT PURCHASED SERVICES 69,014 0 0 AMBULANCE PURCHASED SERVICE 317 0 0 RADIOLOLGY PURCHASED SERVICES 10,460 0 0 SWING BED PROF FEES 94,671 0 0 ER PROF FEES 10,273 0 0 SPEECH THERAPY PURCHASED SVCS 24,225 0 0 BUSINESS OFFICE PROF FEES 0 24,851 0 CLINIC PURCHASED SVCS 67 0 0 TOTAL 752,723 68,655 0 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 34298 SUPPORT ROOSEVELT MEMORIAL HEALTHCARE FOUND O 31509 WAGES FOR RMHF DIRECTOR