2017-05-05T15:14:12-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-07-01 810384618 BIG HORN HOSPITAL ASSOCIATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2017-04-26 1 ROBERT E SCHILE P00369682 6123764500 2015 2021-01-29 14:40:06Z TERRY BULLIS 17 NORTH MILES AVENUE HARDIN MT 59034 15676340 0 X WWW.BIGHORNHOSPITAL.ORG X 1980 MT TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS. 8 6 244 16 0 0 298898 336512 14881434 15055346 93006 -39889 92880 99078 15366218 15451047 64514 56046 0 0 8249176 8498641 0 0 0 6513998 6709678 14827688 15264365 538530 186682 12916733 12261995 3437478 2619645 9479255 9642350 X BIG HORN HOSPITAL ASSOCIATION, ALONG WITH ITS AFFILIATED STAFF, WILL WORK TOGETHER TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS. 0 0 13536871 56046 15055346 BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL AND HERITAGE ACRES. BIG HORN HOSPITAL IS A 25-BED ACUTE CARE HOSPITAL. HERITAGE ACRES IS A 36-BED NURSING CARE FACILITY AND A 10-UNIT ASSISTED LIVING AND 10-UNIT INDEPENDENT LIVING.DURING THE YEAR ENDED JUNE 30, 2016, BIG HORN COUNTY MEMORIAL HOSPITAL PROVIDED 569 DAYS OF INPATIENT SERVICES, 8,372 OUTPATIENT VISITS (INCLUDING 4,580 ER VISITS) AND 2,427 DAYS OF RESIDENT SERVICES; HERITAGE ACRES PROVIDED 12,287 DAYS OF LONG TERM CARE RESIDENT SERVICES, 3,136 DAYS OF ASSISTED LIVING RESIDENT SERVIES.BIG HORN HOSPITAL ASSOCIATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDED CARE TO THESE PATIENTS WAS $310,481 FOR THE YEAR ENDED JUNE 30, 2016. 13536871 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 34 0 244 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X ROXIE CAIN CONTROLLER 4066659222 17 N MILES AVENUE HARDIN MT 59034 TERRY BULLIS CHAIRMAN 0.40 0.20 X X 0 0 0 COLLEEN SCHAAK VICE CHAIRMAN 0.40 0.20 X X 0 0 0 JAMES SEYKORA SECRETARY 0.40 0.20 X X 0 0 0 CHAD FENNER MEMBER 0.40 X 0 0 0 GARY OSTAHOWSKI MD MEMBER 0.40 X 0 0 0 MATT TORSKE MEMBER 0.40 X 0 0 0 THOR TORSKE MEMBER 0.40 0.20 X 0 0 0 JERRY SMITH MEMBER 0.40 X 0 0 0 KRISTI GATRELL CEO 39.00 1.00 X 115726 0 16985 ROXIE CAIN CONTROLLER 39.00 1.00 X 96179 0 20109 PAULA SMALL-PLENTY HERITAGE ACRES ADMINISTRATOR 40.00 X 107275 0 20109 LARRY CURTIS CRNA 40.00 X 183435 0 2500 CYNTHIA HUGS RN 40.00 X 123631 0 19009 CINDY LEE LEWIS PURCELL RN 40.00 X 106953 0 0 LINDA TROYER PROVIDER 40.00 X 130266 0 3013 863465 0 81725 6 0 1 0 NXC IMAGING 2118 4TH AVENUE SOUTH MINNEAPOLIS MN 55404 EQUIPMENT MAINTENANCE 269260 HEALTHLAND INC PO BOX 856554 MINNEAPOLIS MN 554856554 SOFTWARE MAINTENANCE AND SUPPORT 217565 ANGEL TRAVELERS 100 HILLCREST DRIVE HAMILTON MT 59840 TEMPORARY STAFF - NURSING 196089 BILLINGS CLINIC PO BOX 30977 BILLINGS MT 59107 RAD READING FEES & IS MAINTENANCE 187136 4 245330 91182 336512 PATIENT REVENUE 621110 14954195 14954195 OTHER PATIENT REVENUE 900099 101151 101151 15055346 61866 61866 180920 119038 61882 61882 61882 4500 101375 4880 -101375 -380 -101755 -101755 CAFETERIA 722210 37196 37196 37196 15451047 14954195 0 160340 X 56046 56046 257299 257299 6724746 6226101 498645 164070 146441 17629 854803 755470 99333 497723 396549 101174 142937 142937 76121 76121 1708181 1554691 153490 42102 6091 36011 371617 339775 31842 34065 20008 14057 224999 224999 88878 77350 11528 44679 44679 1128855 1075139 53716 129649 129649 BAD DEBT 1133936 1133936 MEDICAL SUPPLIES 614983 614983 OTHER EXPENSES 396999 344784 52215 FOOD 229534 229534 342143 334974 7169 15264365 13536871 1727494 0 1572882 1435566 2279097 2225951 2665797 2757300 181025 118394 344505 322096 80375 123736 19520621 14271653 5792964 5248968 88 29984 12916733 12261995 1912069 1413374 56001 40001 305000 210000 39266 45277 1125142 910993 3437478 2619645 X 9302546 9456575 176709 185775 9479255 9642350 12916733 12261995 186682 -23587 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1028 1028 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND LEADING AGE (FORMERLY AAHSA) ARE USED FOR LOBBYING PURPOSES. 1 1 X 420491 420491 13919340 10444911 3474429 4944765 3826742 1118023 236025 236025 5248968 PART IV, LINE 2B: THE HOSPITAL ACTS AS A CUSTODIAN FOR THE FUNDS OF THE NURSING HOME RESIDENTS. THOSE FUNDS APPEAR AS RESTRICTED CASH AND ACCOUNTS PAYABLE IN THE BALANCE SHEET. 1 1 X 1 X 1 X 1 1 1 0 0 223910 0 223910 0.01580 2826323 2083405 742918 0.05260 3050233 2083405 966828 0.06840 3050233 2083405 966828 0.06840 1 1133936 0 4411194 4502135 -90941 X 1 0 1 1 BIG HORN HOSPITAL ASSOCIATION 17 NORTH MILES AVENUE HARDIN MT 59034 WWW.BIGHORNHOSPITAL.ORG 98140 X X X BIG HORN HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X HTTP://WWW.BIGHORNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2012/01/BIG-HORN-HOSPITAL X 1 15 1 HTTP://WWW.BIGHORNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2012/01/BHHA_IMPLEMENTATI 0 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X 1 X X X X X 1 X 0 X X X X 1 X 0 0 BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST BIG HORN HOSPITAL ASSOCIATION IN CONDUCTING THEIR CHNA. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED) CAME TOGETHER IN JANUARY 2016. SEE LIST BELOW OF ALL GROUPS REPRESENTED ON THE STEERING COMMITTEE. THE STEERING COMMITTEE MET TWICE DURING THE CHNA'S 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 PRIORITIZATIONS OF HEALTH NEEDS TO ADDRESS.GROUPS REPRESENTED ON THE STEERING COMMITTEE:1. BIG HORN COUNTY COUNCIL ON AGING2. BIG HORN PUBLIC HEALTH DEPARTMENT (EARLY CHILDHOOD)3. LIFIT INDEPENDENT LIVING4. BIG HORN HOSPITAL ASSOCIATION5. BIG HORN HOSPITAL ASSOCIATION FOUNDATION AND BIG HORN COUNTY PUBLIC HEALTH DEPARTMENT BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: MONTANA STATE UNIVERSITY AND MONTANA OFFICE OF RURAL HEALTH BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: THE COMMUNITY STEERING COMMITTEE, COMPRISED OF STAFF LEADERS FROM BIG HORN HOSPITAL ASSOCIATION (BHHA) AND COMMUNITY MEMBERS FROM BIG HORN COUNTY, CONVENED TO BEGIN AN IMPLEMENTATION PLANNING PROCESS TO SYSTEMATICALLY AND THOUGHTFULLY RESPOND TO ALL ISSUES AND OPPORTUNITIES IDENTIFIED THROUGH THE COMMUNITY HEALTH SERVICES DEVELOPMENT (CHSD) PROCESS.THE COMMUNITY STEERING COMMITTEE DETERMINED THE MOST IMPORTANT HEALTH NEEDS TO BE ADDRESSED BY REVIEWING THE CHNA, SECONDARY DATA, COMMUNITY DEMOGRAPHICS, AND INPUT FROM REPRESENTATIVES REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE. THE PRIORITIZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE COLLABORATORS WILL BE ADDRESSING OVER THE NEXT THREE YEARS RELATES TO THE FOLLOWING HEALTHCARE ISSUES:1. COMMUNITY HEALTH AND WELLNESS2. MENTAL AND BEHAVIORAL HEALTH3. AGING IN PLACE/SENIOR SERVICESIN ADDRESSING THE AFOREMENTIONED ISSUES, BIG HORN HOSPITAL ASSOCIATION SEEKS TO:A) IMPROVE ACCESS TO HEALTHCARE SERVICES;B) ENHANCE THE HEALTH OF THE COMMUNITY;C) ADVANCE MEDICAL OR HEALTH KNOWLEDGE;D) RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS.THE FOLLOWING GOALS AND STRATEGIES WERE DEVELOPED THROUGH THE ASSESSMENT PROCESS, OF WHICH, ADDITIONAL DETAILS MAY BE FOUND IN THE IMPLEMENTATIN STRATEGY ON BHHA'S WEBSITE. GOAL 1: IMPROVE COMMUNITY HEALTH AND WELLNESS THROUGH EDUCATION AND OUTREACH.-STRATEGY 1.1: EDUCATE COUNTY COMMISSIONERS AND ELECTED OFFICIALS ABOUT HEALTH AND WELLNESS NEEDS IN THE COMMUNITY.-STRATEGY 1.2: EDUCATE COMMUNITY ON HEALTH AND WELLNESS NEEDS OF THE COMMUNITY.-STRATEGY 1.3: PARTNER WITH HEALTHY HARDIN COALITION TO DEVELOP A HEALTH AND WELLNESS RESOURCE LIST.-STRATEGY 1.4: CONTINUE SUPPORTING HEALTH IN WELLNESS IN THE COMMUNITY THROUGH SPONSORSHIP OF EVENTS AND PROGRAMS.-STRATEGY 1.5: EXPLORE NEW OPPORTUNITIES FOR OUTREACH AND EDUCATION-STRATEGY 1.6: EXPLORE EXPANSION OF PATIENT NAVIGATOR POSITIONGOAL 2: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-STRATEGY 2.1: EDUCATE STAFF ABOUT EXISTING MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY.-STRATEGY 2.2: EXPLORE TRAINING BHHA STAFF FOR CRITICAL CASE MANAGEMENT-STRATEGY 2.3: PARTNER WITH COMMUNITY ORGANIZATIONS RELATED TO MENTAL HEALTH.GOAL 3: ENHANCE SENIOR SERVICES AND OUTREACH TO ASSIST BIG HORN COUNTY'S AGEING COMMUNITY TO AGE IN PLACE. -STRATEGY 3.1: ENHANCE SENIOR CARE TRAINING FOR STAFF AT BHHA.-STRATEGY 3.2: CONTINUE EXPLORING FUNDING OPPORTUNITIES FOR EXPANDING SENIOR SERVICES.-STRATEGY 3.3: ENHANCE WELLNESS PROGRAMS AND RESOURCES FOR SENIORS.THE FOLLOWING NEEDS (AND THEIR RATIONALE) ARE DEEMED UNABLE TO ADDRESS:1. MAJORITY OF RESPONDENTS INDICATED A NEED FOR 'DERMATOLOGY' (33.1%), 'ENT (EAR/NOSE/THROAT)' (29.4%), AND 'OPHTHALMOLOGY' (25%)-RATIONALE: BHHA OFFERS A VARIETY OF TRAVELING SPECIALISTS AT THIS TIME INCLUDING GENERAL SURGICAL PROCEDURES, BUT OFFERING ADDITIONAL VISITING SPECIALIST IS NOT FEASIBLE AT THIS TIME DUE TO LOW NUMBER OF PATIENT REFERRALS, AND SPECIALIZED TRAINING OF STAFF THAT IS NOT COST EFFECTIVE.2. TOP THREE SUGGESTIONS TO IMPROVE COMMUNITY'S ACCESS TO HEALTHCARE: "AVAILABILITY OF WALK-IN CLINIC/LONGER HOURS' (53.7%), 'AVAILABILITY OF VISITING SPECIALISTS' (42.6%), AND 'MORE PRIMARY CARE PROVIDERS' (42.6%)-RATIONALE: BHHA DOES NOT OFFER A "WALK IN CLINIC" IN ITS OPERATIONAL MATRIX. LOCAL BIG HORN VALLEY HEALTH CARE CENTER HAS EXPANDED WALK IN HOURS IN PREVIOUS 60 DAYS. BHHA IS NOT DESIGNATED AS A HEALTH CARE SHORTAGE AREA CAUSING LACK OF INCENTIVES FOR PROFESSIONAL STAFF ACQUISITION.3. 32.5% OF RESPONDENTS INDICATED THAT THEY OR A MEMBER OF THEIR HOUSEHOLD DELAYED GETTING HEALTHCARE SERVICES WHEN THEY NEEDED IT. TOP THREE REASONS CITED: 'IT COSTS TOO MUCH' (40%), 'NO INSURANCE' (32.5%), 'COULD NOT GET AN APPOINTMENT' (30%)-RATIONALE: BHHA OFFERS PROGRAMS/CHARITY CARE TO ASSIST WITH PAYING FOR HEALTHCARE COSTS AT HEALTHCARE PRICED SERVICES THAT ARE BASED ON CURRENT MARKET CONDITIONS ALONG WITH FREE PATIENT NAVIGATOR SERVICES. BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16I: WHEN OUR PATIENT ACCOUNTS REPRESENTATIVE BECOMES AWARE OF A PATIENT'S POTIENTAL FINANCIAL HARDSHIP AND/OR SELF PAY STATUS, A COMMUNITY CARE APPLICATION IS SENT TO THAT INDIVIDUAL. BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 22D: ROCKY MOUNTAIN HEALTH NETWORK NEGOTIATES COMMERCIAL PAYER CONTRACTS ON BEHALF OF BIG HORN HOSPITAL ASSOCIATION. ROCKY MOUNTAIN HEALTH NETWORK NEGOTIATES A 5% DISCOUNT FOR MOST OF OUR COMMERCIAL PAYERS, SO TAHT IS OUR ESTIMATE OF AMOUNTS GENERALLY BILLED. WHEN AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE, WE PROVIDE A 5% ADJUSTMENT THEN PROVIDE AN ADDITIONAL FINANCIAL ASSISTANCE DISCOUNT TO ENSURE THAT NO FAP-ELIGIBLE INDIVIDUAL EVER PAYS MORE THAN AMOUNTS GENERALLY BILLED. 1 1 - HERITAGE ACRES 200 NORTH MITCHELL AVENUE HARDIN MT 59034 NURSING HOME WITH ASSISTED LIVING AND INDEPENDENT LIVING UNITS PART I, LINE 7: A COST-TO-CHARGE RATIO DERIVED USING WORKSHEET 2 FROM THE IRS WAS USED TO CALCULATE THE AMOUNTS IN PART I, LINE 7. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE EQUAL TO $1,133,936 INCLUDED IN FORM 990, PART IX, LINE 25 WAS EXCLUDED IN CALCULATING THE PERCENT OF TOTAL EXPENSE IN SCHEDULE H, PART I, LINE 7, COLUMN F. PART III, LINE 3: BIG HORN HOSPITAL ASSOCIATION CANNOT REASONABLY ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 ON PAGE 15 OF THE FINANCIAL STATEMENTS FOR A DESCRIPTION OF BIG HORN HOSPITAL ASSOCIATION'S BAD DEBT EXPENSE. PART III, LINE 8: BIG HORN HOSPITAL ASSOCIATION IS A CRITICAL ACCESS HOSPITAL WHICH IS REIMBURSED BY MEDICARE AT 101% OF COST. HOWEVER, THERE IS A MEDICARE SHORTFALL IN THE CURRENT YEAR DUE TO FEDERAL SEQUESTRATION PAYMENT REDUCTIONS.THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED USING THE 6/30/2016 FILED MEDICARE COST REPORT. PART VI, LINE 2: THE HOSPITAL HAS DONE A MAIL SURVEY TO HELP ASSESS THE NEEDS OF THE COMMUNITY. BHHA ALSO USES COMMUNICATION WITH THE PHYSICIAN PRACTICE AS TO WHAT WOULD BE USEFUL AND NEEDED BY THEIR PATIENT POPULATION. PART VI, LINE 3: THE FACILITY KEEPS FORMS ON HAND THAT ARE AVAILABLE (IN PLAIN SIGHT) FOR DIFFERENT GOVERNMENT PROGRAMS SUCH AS HEALTH MT KIDS. THE PATIENT ACCOUNTS REPRESENTATIVE WILL INFORM ANY PRIVATE PAY PATIENT OF OUR COMMUNITY CARE AND WILL ALSO RELAY THIS INFORMATION TO CUSTOMERS WHEN DISCUSSING PAYMENT OPTIONS FOR OUTSTANDING BILLS. PART VI, LINE 4: BHHA SERVERS A HIGH POVERTY LEVEL. THEY ARE ON THE EDGE OF THE CROW INDIAN RESERVATION AND HAVE A LOT OF CUSTOMERS WHO UTILIZE INDIAN HEALTH SERVICES AS A PAYOR SOURCE FOR HEALTH CARE. THEIR POPULATION HAS A LARGE POPULATION OF MEDICARE AND MEDICAID CUSTOMERS. AS THEY SERVE A SMALL TOWN IN MONTANA, THE POPULATION CONSISTS OF A LOT OF CHILDREN AS WELL AS ELDERLY, BOTH OF WHICH UTILIZE OUR HEALTHCARE SYSTEM. PART VI, LINE 5: BHHA DOES HAVE A COMMUNITY BOARD TO HELP NOT ONLY "RUN" THE FACILITY WITH POLICIES AND PROCEDURES, BUT TO GIVE INPUT TO THE MANAGEMENT TEAM ABOUT THE NEEDS THEY SEE FOR THE COMMUNITY IN WHICH THEY LIVE. BHHA IS DEVELOPING MORE EDUCATIONAL PROGRAMS FOR ITEMS SUCH AS WOMEN'S HEALTH, DIABETES MANAGMENT AND SMOKING CESSATION.BHHA USES THE LOCAL PAPERS AS AN OUTLET FOR GIVING THE PUBLIC INFORMATION ON DIFFERENT TYPE OF HEALTH CONCERNS, SUCH AS DIABETES, WEIGHT LOSS, ETC. THEIR PUBLIC HEALTH EDUCATOR IS DEVELOPING A HEALTH COUNCIL TO HELP EDUCATE AND SHARE IDEAS WITH OTHER HEALTH PROVIDERS IN THE COMMUNITY AS TO THE TYPE OF SERVICES NEEDED IN THE AREA AND HOW TO GET THOSE SERVICES TO THE POPULATION. 1 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 501(C)(3) 12280 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 501(C)(3) 12280 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 NORTH MILES AVENUE HARDIN MT 59034 810504410 501(C)(3) 31486 TO SUPPORT GENERAL OPERATIONS 3 0 PART I, LINE 2: THE GRANTS MADE WERE AN EQUITY TRANSFER AND PASSING ALONG DONATIONS TO RELATED ORGANIZATIONS. THESE FUNDS ARE TRACKED THROUGH THE ORGANIZATION'S INTERNAL FINANCIAL REPORTING PROCESS. X X 0 0 0 0 0 0 0 0 0 LARRY CURTIS CRNA 183435 0 0 0 0 0 2500 0 0 0 185935 0 0 0 VERA OSTAHOWSKI EMPLOYEE'S SPOUSE IS A BOARD MEMBER 38784 EMPLOYEE OF BIG HORN HOSPITAL ASSOCIATION 0 ANGELA SMITH EMPLOYEE'S SPOUSE IS A BOARD MEMBER 103049 EMPLOYEE OF BIG HORN HOSPITAL ASSOCIATION 0 FORM 990, PART VI, SECTION A, LINE 7A THE CHAIR OF THE BIG HORN COUNTY COMMISSIONERS IS AUTOMATICALLY DEEMED A MEMBER OF THE BOARD OF DIRECTORS OF BIG HORN HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED IN DETAIL BY THE CONTROLLER AND CEO. THE FORM 990 WAS PRESENTED TO THE BOARD MEMBERS AT A BOARD MEETING AFTER BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C REGULAR COMPLIANCE MEETINGS DISCUSS ANY ACTUAL CONFLICTS OR POTENTIAL CONFLICTS. THERE IS ALSO A HOTLINE NUMBER TO CALL FOR COMPLIANCE OR HIPAA ISSUES THAT IS OPERATED BY MONTANA HOSPITAL ASSOCIATION, NOT BIG HORN HOSPITAL ASSOCIATION. BOARD MEMBERS SIGN YEARLY CONFLICT OF INTEREST STATEMENTS AND IF A CONFLICT OCCURS ON A SPECIFIC ITEM, THEY ABSTAIN FROM THE VOTE ON THAT ITEM. THERE ARE TWO BOARD MEMBERS THAT HAVE SPOUSES EMPLOYED BY BIG HORN HOSPITAL ASSOCIATION. THEY ABSTAIN FROM ANY VOTES THAT WOULD AFFECT WAGES AND BENEFITS FOR EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15A BIG HORN HOSPITAL ASSOCIATION UTILIZES THE MONTANA STATE SALARY SURVEY TO MAKE SURE EMPLOYEE WAGES ARE COMPARABLE TO SIMILAR JOBS IN SIMILAR AREAS. EXPERIENCE IS ALSO A FACTOR IN THE WAGE. THIS PROCESS WAS LAST DONE IN FEBRUARY 2016. THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THIS WAS LAST DONE IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABE TO THE PUBLIC UPON REQUEST TO THE BUSINESS OFFICE. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,554,691. MANAGEMENT AND GENERAL EXPENSES 153,490. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,708,181. BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 N MILES AVENUE HARDIN MT 59034 810504410 HOSPITAL FUNDRAISING MT 501(C)(3) LINE 11A, I BIG HORN HOSPITAL ASSOCIATION 1 BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 FUNDS TO BENEFIT BIG HORN COUNTY MEMORIAL HOSPITAL MT 501(C)(3) LINE 11B, II N/A 0 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 FUNDS TO BENEFIT HERITAGE ACRES NURSING HOME MT 501(C)(3) LINE 11B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0