2017-10-26T12:09:29-06:00 2016-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2016-01-01 810303913 COMMUNITY HOSPITAL OF ANACONDA COMM 4065638521 401 W PENNSYLVANIA ANACONDA MT 59711 LAURA AUSTIN SENIOR VP/VP OF FINA 4065638521 2017-10-23 true THOMAS DINGUS P00951009 5092420874 2017-10-26 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 2016 2021-01-29 14:40:06Z JOHN S MCNEECE 401 W PENNSYLVANIA ANACONDA MT 59711 60387761 false X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X 1969 MT TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. 11 8 472 27 94009 -10728 278917 100025 44217580 59846940 10104 17695 270185 423101 44776786 60387761 27059 23423 0 24824902 31785388 0 0 18785012 27896583 43636973 59705394 1139813 682367 44741255 47254262 28083332 29442529 16657923 17811733 TO PROVIDE A CARING ENVIRONMENT, RESPONDING WITH EXCELLENCE TO THE HEALTH CARE NEEDS OF THOSE WE SERVE. RESPECTING THE DIGNITY AND RECOGNIZING THE WORTH OF EACH PERSON IS THE FOUNDATION OF OUR COMMITMENT TO CARE. false false 54250070 59846940 COMMUNITY HOSPITAL OF ANACONDA IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A 62-BED NURSING HOME FACILITY WHICH PROVIDES HEALTH CARE SERVICES. THE HOSPITAL PROVIDED 5,418 DAYS OF INPATIENT ACUTE CARE SERVICES, 191,932 OUTPATIENT VISITS, 8,433 EMERGENCY ROOM/CONVENIENT CARE VISITS, AND 2,183 SURGERIES. THE NURSING HOME PROVIDED 12,822 DAYS OF RESIDENT SERVICES FOR THE YEAR ENDED DECEMBER 31, 2016. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 731,071 FOR CHARITY CARE, 22,781,258 FOR MEDICARE, 7,614,760 FOR MEDICAID, AND 10,340,863 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2016. 23423 23423 COMMUNITY HOSPITAL OF ANACONDA ALSO SPONSORS NUMEROUS YOUTH GROUPS AND ACTIVITIES WITHIN ITS COMMUNITY. 54273493 true true false true false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false true true true false false false false false true true false false false true 73 0 true 472 true true true false false false false false false false false false X 11 8 true false false false true false false true true false false true true true true true true true true false X LAURA AUSTIN 4065638521 401 W PENNSYLVANIA ANACONDA MT 59711 JOHN S MCNEECE PRESIDENT 40.00 X X 494316 0 14968 FREDRICK BARTOLETTI TRUSTEE/PHYS 40.00 X 353907 0 20252 LAURA AUSTIN SENIOR VP/VP 40.00 X X 342625 0 14418 BOB FRANCISCO CHAIR 1.00 X X 0 0 0 LEE ANN BARTOLETTI VICE CHAIR 1.00 X X 0 0 0 BILL FINNEGAN SECRETARY/TR 1.00 X X 0 0 0 GENE VUCKOVICH TRUSTEE 1.00 X 0 0 0 JACK HAFFEY TRUSTEE 1.00 X 0 0 0 STAN BLAZ TRUSTEE 1.00 X 0 0 0 JODI MCCARTHY TRUSTEE 1.00 X 0 0 0 STEPHANIE SORINI TRUSTEE 1.00 X 0 0 0 VANETTA VAN CLEAVE CFO (START 1 40.00 X 41285 0 0 GUS VARNAVUS SURGEON 40.00 X 931764 0 13978 GRZEGORZ CIESLEWICZ HOSPITALIST 32.00 X 566680 0 14968 CARL SCHILLHAMMER PHYSICIAN 40.00 X 560256 0 12630 BERTRAND JONES PHYSICIAN 40.00 X 550049 0 14968 JAMES HUEFTLE PHYSICIAN 40.00 X 476211 0 13986 4317093 120168 44 false true false FASTAFF LLC 5700 SOUTH QUEBEC STREET SUITE 300 GREENWOOD VILLAGE CO 80111 LOCUMS AGENCY 1083190 DR JONATHAN PINE 305 W PENN AVE ANACONDA MT 59711 SURGEON SERVICE 559500 FLATHEAD UROLOGY PLLC 210 SUNNYVIEW LN SUITE 106 KALISPELL MT 59901 UROLOGY SERVICE 536470 DR THOMAS MCMAHON 401 W PENN AVE ANACONDA MT 59711 SURGEON SERVICE 374554 SNS CORP PO BOX 1420 ANACONDA MT 59711 PHYSICIAN 304500 17 23524 28252 48249 100025 NET PATIENT SERVICE REVENUE 624100 59723591 59723591 PHARMACY SALES 446110 94009 94009 RENTAL INCOME 621110 29340 29340 59846940 6195 6195 11500 11500 11500 11500 MEDICAL STAFF REIMBURSEMENT 900099 272634 272634 CAFETERIA REVENUE 722514 119954 119954 OTHER 900099 21685 21685 8828 8828 423101 60387761 59752931 94009 440796 X 23423 23423 1281771 374159 907612 25620114 23488543 2131571 587620 530573 57047 2224581 1990238 234343 2071302 1839135 232167 27671 27671 66830 66830 54840 54840 6969398 6628809 340589 441122 900 440222 3297900 3024055 273845 331322 331322 1569856 834465 735391 38948 28622 10326 165495 146254 19241 1106924 918970 187954 2329561 1631819 697742 1098130 1090326 7804 MEDICAL SUPPLIES & DRUGS 9578225 9578225 DUES & SUBSCRIPTIONS 344898 215775 129123 HOSPITAL BED TAX 303630 303630 OTHER EXPENSES 86370 7416 78954 85463 1286834 -1201371 59705394 54273493 5431901 0 2722263 3213868 2361946 2576814 7242096 8472896 822005 6538 1039973 1402733 329662 343243 40018738 17382054 23502091 22636684 4644647 6133153 467277 586021 1609295 1882312 44741255 47254262 3977064 5038764 274664 342557 23166759 22471587 35700 18384 629145 1571237 28083332 29442529 X 16657923 17811733 16657923 17811733 44741255 47254262 682367 471443 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 115 115 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 809274 809274 23541728 5977863 17563865 15084822 10961163 4123659 582914 443028 139886 22636684 ESTIMATED THIRD PARTY SETTLEMENTS 1571237 1571237 X 60859204 471443 471443 60387761 60387761 59705394 59705394 59705394 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WERE CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMEBER 31, 2016 AND 2015, THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.300000000000 true X 2.200000000000 true true false true true 358225 118894 239331 0.00400 9431127 9431127 9789352 9550021 239331 0.00400 408137 408137 0.00680 4000 4000 0.00010 13162772 8636192 4526580 0.07580 30483 30483 0.00050 13605392 8636192 4969200 0.08320 23394744 18186213 5208531 0.08720 true 1063622 16642686 16953340 -310654 X true true NA 1 1 COMMUNITY HOSPITAL OF ANACONDA 401 W PENNSYLVANIA ANACONDA MT 59711 WWW.COMMUNITYHOSPITALOFANACONDA.ORG X X X X HOSPITAL COMMUNITY HOSPITAL OF ANACONDA 1 false false true X X X X X X X X 16 true false false true X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X true 16 true WWW.COMMUNITYHOSPITALOFANACONDA.ORG false false true X 130.000000000000 220.000000000000 X true true X X X X true X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X X X X true X false true X false false FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY ENSURING THE ZIP CODES WITH THE LARGEST NUMBER OF ADMISSIONS WERE INCLUDED IN THE SURVEY SAMPLE. THE PROCESS INCLUDED A RANDOM, WRITTEN SURVEY MAILED TO 800 RESIDENTS OF ANACONDA-DEER LODGE COUNTY HOUSEHOLDS FOLLOWED BY THREE FOCUS GROUPS. IN ADDITION, A STEERING COMMITTEE OF VARIOUS COMMUNITY MEMBERS WAS FORMED TO ASSIST IN THE DEVELOPMENT OF THE SURVEY INSTRUMENT AND TO PROVIDE A FORUM TO DISCUSS THE COMMUNITY'S ISSUES WITH RESPECT TO HEALTHCARE. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 11 THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE NEEDS IDENTIFIED BUT NOT ADDRESSED INCLUDE ADDITIONAL SPECIALTY SERVICES SUCH AS DERMATOLOGY AND ENT (EAR/NOSE/THROAT). THE HOSPITAL HAS ADDED A SIGNIFICANT NUMBER OF SPECIALTY OFFERINGS THE LAST SEVERAL YEARS SUCH AS ENDOCRINOLOGY, UROLOGY, RHEUMATOLOGY, AND ONCOLOGY. AT THIS TIME, ADDITIONAL SPECIALTY SERVICES ARE NOT FINANCIALLY FEASIBLE GIVEN THE COST OF STAFF, EQUIPMENT, ETC. 2 COMMUNITY NURSING HOME OF ANACONDA 600 MAIN ANACONDA MT 59711 NURSING HOME PINTLER HOME OPTIONS 305 W PENNSYLVANIA ANACONDA MT 59711 HOME HEALTH AGENCY PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 9,170,442 IN COLUMN C AND 6,206,506 IN COLUMN D. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR FIGURES REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES). PART II - COMMUNITY BUILDING ACTIVITIES CHA IS COMMITTED TO SUPPORTING SOCIAL SERVICE PROGRAMS THAT BENEFIT LOCAL RESIDENTS. CHA ALSO ENCOURAGES HOSPITAL EMPLOYEES TO VOLUNTEER IN THE COMMUNITY. EMPLOYEES VOLUNTEER AT THE LOCAL FOOD BANK AND VOLUNTEER THEIR TIME TO TEACHING BASIC LIFE SUPPORT COURSES AT LOCAL BUSINESSES. THE HOSPITAL SUPPORTS THE LOCAL SCHOOL'S MOUTH-RINSE AND HEALTHY SNACK PROGRAMS AND OFFERS FINANCIAL SUPPORT TO AFTER SCHOOL AND SUMMER PROGRAMS FOR AT RISK YOUTH. FOR THE LAST FOUR YEARS, CHA HAS BEEN SPONSORING THE DIABETES PREVENTION PROGRAM TWO TIMES A YEAR. WITH OVER 70,000 ADULTS DIAGNOSED WITH DIABETES ANNUALLY IN THE UNITED STATES, THIS PROGRAM IS FOCUSED ON EDUCATING AND EMPOWERING PARTICIPANTS TO UNDERSTAND THEIR DISEASE AND TO BECOME ADVOCATES FOR THEIR HEALTH THROUGH EDUCATION AND HEALTHY LIVING. CHA IS COMMITTED TO ENSURING WE ARE ACTIVELY ASSISTING OUR COMMUNITY IN PROVIDING RESOURCES TO COMBAT PREVENTABLE DISEASES SUCH AS DIABETES. SINCE 2012, CHA HAS GIVEN AN ANNUAL 1,000 CONTRIBUTION TO THE BOYS AND GIRLS CLUB OF ANACONDA. THE BOYS & GIRLS CLUBS OF AMERICA IS AN ORGANIZATION THAT PROMOTES POSITIVE YOUTH DEVELOPMENT IN STUDENTS BY PROVIDING A SAFE PLACE WITH CARING ADULTS AND FUN ACTIVITIES WHERE YOUTH CAN SPEND THEIR FREE TIME. THE LOCAL CLUB PROVIDES TUTORING ASSISTANCE, EDUCATIONAL ENHANCEMENT ACTIVITIES, AND SUMMER PROGRAMS TARGETED FOR AT RISK YOUTH. CHA IS ALSO COMMITTED TO SPONSORING LOCAL FUN RUNS AND EVENTS SUCH AS THE ANNUAL ECHO LAKE TRAILS ASSOCIATION RACE, ST. PATRICK DAY RACE, THE ANACONDA BICYCLE FEST, AND THE BUTTE 100 BIKE RACE. THE ST. PATRICK DAY RACE IS ORGANIZED BY THE LOCAL ANCIENT ORDER OF HIBERNIANS AND INCLUDES BOTH A THREE AND SIX MILE RACE AND A WHEELCHAIR DIVISION, WITH CLOSE TO 1,000 PARTICIPANTS. THE BUTTE 100 OFFERS 25, 50 AND 100 MILE EVENTS WHILE THE ANACONDA BICYCLE FESTIVAL IS TWO-DAY WEEKEND OF BICYCLE EVENTS THAT RAISES FUNDS FOR THE UPKEEP AND RESTORATION OF ANACONDA'S WASHOE PARK. ALL EVENTS ARE DEDICATED TO RAISING AWARENESS AND PROMOTING HEALTH LIFESTYLES. IN THE FALL OF 2016, COMMUNITY HOSPITAL OF ANACONDA HOSTED ITS TWELFTH ANNUAL HEALTH, FITNESS AND WELLNESS FAIR. PARTICIPANTS WERE OFFERED A SPECTRUM OF LAB WORK FOR 50, WHICH INCLUDED A TSH, LIPID PANEL, GLUCOSE AND CBC. FOR AN ADDITIONAL 25, PARTICIPANTS COULD HAVE HEMOGLOBIN A-1C OR PSA. ALL SERVICES THAT WOULD NORMALLY COST IN EXCESS OF 300 PARTICIPANTS RECEIVED INFORMATION ON HOW TO INTERPRET THEIR LAB RESULTS AS WELL AS FREE BLOOD PRESSURE SCREENINGS, FREE BLOOD GLUCOSE TESTING, OXYGEN SATURATION SCREENINGS AND COMPLIMENTARY HEALTH PROMOTION ITEMS. CHA OFFERS THE FAIR ANNUALLY TO ENSURE THE COMMUNITY KNOWS THEIR NUMBERS AND RISKS AND AS A RESULT, FOCUSES ON PREVENTION AND INTERVENTION. ON OCTOBER 26-28, 2016, COMMUNITY HOSPITAL OF ANACONDA (CHA) SPONSORED A PILOT BEHAVIORAL HEALTH CAREERS CAMP OVER PUPIL-INSTRUCTION RELATED (PIR) DAYS (DESIGNED FOR STUDENTS INTERESTED IN THE FIELD OF BEHAVIORAL HEALTH (SUCH AS SOCIAL WORK, COUNSELING, ETC.). IN ADDITION TO THE CAREER FOCUS, STUDENTS WERE PROVIDED INFORMATION AND RESOURCES ON KEY BEHAVIORAL HEALTH TOPICS SUCH AS BULLYING, STIGMA, ADDICTION, SUICIDE AWARENESS AND PREVENTION, STRESS, AND MENTAL HEALTH. EACH STUDENT RECEIVED CERTIFICATION IN YOUTH MENTAL HEALTH FIRST AID (YMHFA). THE CAMP HOSTED 11 STUDENTS FROM BOTH BUTTE AND ANACONDA, SOPHOMORES THROUGH SENIORS ATTENDING BUTTE HIGH, BUTTE CENTRAL AND ANACONDA HIGH. THE CAMP WAS FOCUSED ON STUDENTS FROM LOW-INCOME FAMILIES, RURAL AREAS, UNDER-REPRESENTED MINORITIES AND THOSE WHO WILL BE FIRST IN THEIR FAMILY TO ATTEND COLLEGE. OUR GOAL WAS TO EMPOWER STUDENTS TO BECOME MENTAL HEALTH ADVOCATES IN THEIR COMMUNITIES AS WELL AS EXPOSE THEM TO BEHAVIORAL HEALTH CAREERS. IN ADDITION, CHA PROVIDED A SCHOLARSHIP FOR A PHARMACY STUDENT AT THE UNIVERSITY OF MONTANA. CHA ALSO HOSTED SEVERAL NURSING, NURSE ANESTHETIST, MEDICAL RESIDENTS, MID-LEVEL STUDENTS AS WELL AS HIGH SCHOOL STUDENTS LOOKING FOR SHADOWING OPPORTUNITIES. ANNUALLY, CHA OFFERS TWO FIVE WEEK FREE PRE-NATAL CLASSES WHICH COVERED A VARIETY OF TOPICS INCLUDING THE IMPORTANCE OF PRE-NATAL CARE AND FETAL DEVELOPMENT, PREPARING FOR DELIVERY, POSTPARTUM ADJUSTMENTS AND NEWBORN CARE. IN MAY OF 2016, WE PROVIDED OVER 70 FREE SPORTS PHYSICALS TO LOCAL HIGH SCHOOL AND MIDDLE SCHOOL ATHLETES. PARTNERSHIPS CONTINUED WITH THE LOCAL METCALF SENIOR CENTER, OFFERING "SIT AND BE FIT" CLASSES AS WELL AS A DEMENTIA SUPPORT GROUP. CHA ALSO SUPPORTED LOCAL ARTS AND ENTERTAINMENT INCLUDED COPPER VILLAGE MUSEUM AND ART CENTER'S ART IN THE PARK AND THE COMMUNITY ALIVE AFTER FIVE WEEKLY EVENT. IN 2016, CHA SPONSORED THE FOLLOWING PROGRAMS: - BOYS AND GIRLS CLUB OF ANACONDA - AHS CLASS OF 2016 CHEMICAL FREE GRADUATION PARTY - ANACONDA ANCIENT ORDER OF HIBERNIANS ST. PATRICK'S DAY RUN - SPECIAL OLYMPICS OF ANACONDA AND MONTANA - COPPER VILLAGE MUSEUM AND ART CENTER - UNITED VETERANS OF ANACONDA-ANNUAL FOURTH OF JULY FIREWORKS DISPLAY - UNITED WAY ANACONDA - ANACONDA RELAY FOR LIFE - WAYNE ESTES BASKETBALL TOURNAMENT - COPPER VILLAGE MUSEUM AND ART CENTER - ANACONDA A'S BASEBALL - ANACONDA LITTLE LEAGUE - ANACONDA FOOD BANK - ANACONDA PUBLIC SCHOOLS - SCHOOL MOUTH RINSE PROGRAM - FOOD FOR BLOOD DRIVES - WORK SHADOWING FOR HIGH SCHOOL STUDENTS - FREE SPORTS PHYSICALS FOR ATHLETES - FREE PRE-NATAL EDUCATION CLASSES - MEDICAL TRAINING FOR VOLUNTEER EMS GROUPS - JOB CORPS STUDENT APPRECIATION PICNIC - AHS BOOSTER CLUB SPONSORSHIP - CHA HEALTH FAIR - PINTLER SUICIDE AWARENESS & PREVENTION PROGRAM - SCHOLARSHIPS FOR AHS GRADUATES - NEWSPAPERS IN EDUCATION - COMMUNITY INTERVENTION - KIWANIS - UM PHARMACY SCHOLARSHIP - MT MED START CAMP - ANACONDA ROTARY CARING IS SHARING PROGRAM - TRI COUNTY FAIR PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED. WE SCREEN THE PATIENT TO DETERMINE THEIR FINANCIAL STATUS. IF THEY ARE TRUE SELF PAY WITHOUT INSURANCE, WE MAKE A REFERRAL TO THE MASH PROGRAM TO SEE IF THEY QUALIFY FOR ANY GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE, SSI, ETC. IF THEY HAVE BEEN SCREENED AND DO NOT QUALIFY FOR ANY PROGRAMS, WE DETERMINE IF THEY ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. PART OF THE FINANCIAL ASSISTANCE PROGRAM IS A REDUCED PAYMENT PLAN THAT CAN BE APPROVED EVEN IF THE PATIENT DOES NOT QUALIFY FOR FULL FINANCIAL ASSISTANCE. IF THE PATIENT HAS INSURANCE, THE SAME PROCEDURE IS COMPLETED WITHOUT THE PATIENT BEING SCREENED BY THE MASH PROGRAM. ANOTHER PROVISION IN THE CREDIT AND COLLECTIONS POLICY ALLOWS THE PATIENT ACCOUNT REPRESENTATIVE TO APPROVE A LESSER PAYMENT ARRANGEMENT IF THE ARRANGEMENT IS IN THE BEST INTEREST OF THE HOSPITAL AND THE PATIENT. AN EXAMPLE OF THIS WOULD BE IF A PATIENT IS IN A TEMPORARY SITUATION THAT PREVENTS MEETING A HIGHER PAYMENT, WE WILL APPROVE THE LOWER PAYMENT PLAN WITH A DATE TO REEVALUATE WHEN THAT SITUATION IS RESOLVED. CHA WORKS WITH PATIENTS TO ACCOMMODATE THEIR FINANCIAL SITUATION. THE FACT THAT THEY CANNOT MEET THE GUIDELINES UNDER THE FINANCIAL POLICY DOES NOT MEAN THAT THEY ARE SENT DIRECTLY TO COLLECTIONS. PARTIAL OR FULL PAYMENT MAY BE REQUIRED PRIOR TO SERVICE IN SOME SITUATIONS. ALL NON-EMERGENT PATIENTS REQUIRING A SURGICAL PROCEDURE THAT DO NOT HAVE INSURANCE COVERAGE MUST MEET WITH A PATIENT ACCOUNT REPRESENTATIVE PRIOR TO HAVING THE SERVICE PROVIDED. WE INTERVIEW THE PATIENT TO DETERMINE THEIR FINANCIAL STATUS. BASED ON THE PROCEDURE BEING PERFORMED AND THE FINANCIAL STATUS OF THE PATIENT, A PARTIAL OR FULL PAYMENT MAY BE REQUIRED. IF THE PATIENT IS UNABLE TO MAKE THE PARTIAL OR FULL PAYMENT, A REFERRAL IS MADE WITH THE MASH PROGRAM TO DETERMINE IF THE PATIENT QUALIFIES FOR ANY GOVERNMENT PROGRAMS. ONCE SCREENED BY MASH, FOR ANY PATIENT THAT DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAM, AN APPLICATION FOR FINANCIAL ASSISTANCE IS OFFERED PRIOR TO THE SERVICE BEING PERFORMED. BASED ON THE RESULTS OF THE FINANCIAL ASSISTANCE APPLICATION, THE BALANCE OF THE ACCOUNT AND THE PATIENT'S ABILITY TO PAY ARE EVALUATED. IF THE PATIENT HAS THE ABILITY TO PAY, A PARTIAL OR FULL PAYMENT IS REQUIRED. IF THE PATIENT DOES NOT HAVE THE ABILITY TO PAY, THE ACCOUNT IS RELIEVED UNDER THE PATIENT FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2 - NEEDS ASSESSMENT COMMUNITY HOSPITAL OF ANACONDA COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. THE ASSESSMENT WAS COMPLETED WITH ASSISTANCE FROM THE MONTANA OFFICE OF RURAL HEALTH, WITH DATA COLLECTED BY STEERING COMMITTEE MEETINGS, KEY INFORMANT INTERVIEWS,FOCUS GROUPS AND A SURVEY MAILED TO 800 RANDOM HOUSEHOLDS IN OUR SERVICE AREA. THE SURVEY RESULTED IN A 20.4% RESPONSE RATE, WHICH IS DEEMED STATISTICALLY SIGNIFICANT. THE TOP FOUR ISSUES/OPPORTUNITIES WERE IDENTIFIED: - ACCESS TO HEALTH CARE SERVICES - BEHAVIORAL HEALTH - HEALTH, WELLNESS AND HEALTHY LIFESTYLES - SENIOR HOUSING THE CHA BOARD OF TRUSTEES APPROVED THE NEEDS ASSESSMENT IMPLEMENTATION PLAN ON FEBRUARY 23, 2017. THE PLAN ESTABLISHES GOALS, STRATEGIES FOR EACH GOAL, ANTICIPATED IMPACT, PLAN TO EVALUATE IMPACT AND MEASURE OF SUCCESS. THE FOLLOWING GOALS AND STRATEGIES WERE APPROVED: GOAL 1: IMPROVE ACCESS TO HEALTHCARE SERVICES IN ANACONDA AND DEER LODGE COUNTY. STRATEGY 1: ASSESS THE PRIMARY CARE WORKFORCE AT CHA. STRATEGY 2: EXPAND THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL TO COORDINATE COMPREHENSIVE AND PERSONALIZED CARE FOR ADDITIONAL SPECIFIED POPULATIONS. GOAL 2: IMPROVE ACCESS TO BEHAVIORAL HEALTH INFORMATION AND SERVICES. STRATEGY 1: ASSESS COMMUNITY NEEDS FOR BEHAVIORAL HEALTH. STRATEGY 2: WORKFORCE DEVELOPMENT-PIPELINE PROGRAMS GOAL 3: PROMOTE HEALTH, WELLNESS AND HEALTH LIFESTYLES IN ANACONDA AND DEER LODGE COUNTY. STRATEGY 1: ASSESS COMMUNITY WELLNESS AND HEALTH PROMOTION OFFERINGS. STRATEGY 2: CREATE A COMMUNITY DIRECTORY OF AVAILABLE HEALTH, WELLNESS AND HEALTHY LIFESTYLES RESOURCES. STRATEGY 3: EXPLORE EXPANSION OF HEALTH EDUCATION OFFERINGS THROUGH CHA. GOAL 4: IMPROVE ACCESS TO SENIOR HOUSING IN ANACONDA AND DEER LODGE COUNTY STRATEGY: ASSESS SENIOR HOUSING AVAILABLE IN ANACONDA AND DEER LODGE COUNTY. ACTIVITIES AND STRATEGIES WERE DEVELOPED FOR EACH GOAL WITH A CORRESPONDING IMPLEMENTATION GRID. COMMUNITY HOSPITAL OF ANACONDA (CHA) DISSEMINATED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN BY POSTING BOTH DOCUMENTS CONSPICUOUSLY ON CHA'S WEBSITE (WWW.COMMUNITYHOSPITALOFANACONDA.ORG) AS WELL AS HAVING COPIES AVAILABLE AT THE FACILITY SHOULD COMMUNITY MEMBERS REQUEST TO VIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OR THE IMPLEMENTATION PLANNING DOCUMENTS. THE STEERING COMMITTEE, WHICH WAS FORMED SPECIFICALLY AS A RESULT OF THE CHNA PROCESS IN ORDER TO INTRODUCE THE COMMUNITY TO THE ASSESSMENT PROCESS, WAS INFORMED OF THE IMPLEMENTATION PLAN TO SEE THE VALUE OF THEIR INPUT AND TIME IN THE CHNA PROCESS, AS WELL AS HOW COMMUNITY HOSPITAL OF ANACONDA IS UTILIZING THEIR INPUT. THE STEERING COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS, WILL BE ENCOURAGED TO ACT AS ADVOCATES IN DEER LODGE COUNTY AS THE FACILITY SEEKS TO ADDRESS THE HEALTH CARE NEEDS OF THEIR COMMUNITY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN COMPLIANCE WITH THE COLLECTION POLICIES OF CHA, AN ANNUAL REVIEW IS PERFORMED OF ALL CREDIT/COLLECTION AND FINANCIAL ASSISTANCE POLICIES. ONCE REVIEWED AND REVISED, THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. THE FACILITY PUBLISHED A BROCHURE THAT IS PLACED IN PUBLIC AREAS OF ALL THE CHA FACILITIES, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. THE PATIENT ACCOUNT REPRESENTATIVES HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. THE INFORMATION IS ALSO AVAILABLE ON THE CHA WEBSITE. ANNUALLY, THE PATIENT ACCOUNTS LEADER DISTRIBUTES THE NEW INFORMATION TO LOCAL AGENCIES THAT ASSIST LOW INCOME POPULATIONS. DISCUSSIONS OCCUR WITH THE AGENCIES REGARDING THE FINANCIAL ASSISTANCE PROGRAMS AND CHA'S ABILITY TO ASSIST PATIENTS WITH THE BURDEN OF APPLYING FOR GOVERNMENT PROGRAMS SUCH AS DISABILITY, ETC. PART VI, LINE 4 - COMMUNITY INFORMATION ANACONDA-DEER LODGE COUNTY (ADLC) COVERS 737 SQUARE MILES OF SOUTHWESTERN MONTANA, WITH 12.6 PERSONS PER SQUARE MILE, MAKING IT A RURAL COUNTY WITH RURAL URBAN CONTINUUM CODE OF 7 (RUCC 1 = MOST URBAN, 10= MOST RURAL). ANACONDA DEER LODGE COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA, ID1309993042). THE 2016 POPULATION WAS 9,085 COMPARED TO A 2000 POPULATION OF 9,417, REPRESENTING A POPULATION LOSS OF 3.6% SINCE 2000. THE MAJOR COMMUNITY IN ANACONDA-DEER LODGE COUNTY IS ANACONDA, WITH A MEDIAN AGE OF 46 YEARS. 17.3% OF THE PEOPLE IN THE COUNTY LIVE BELOW THE POVERTY LINE. COMMUNITY HOSPITAL OF ANACONDA (CHA) HAS BEEN SERVING THE HEALTHCARE NEEDS OF ANACONDA-DEER LODGE COUNTY (ADLC) SINCE 1889. THE HOSPITAL IS A PRIVATELY OWNED, NON-PROFIT, TWENTY-FIVE BED CRITICAL ACCESS FACILITY BUILT IN 1981. CHA OFFERS A FULL CONTINUUM OF CARE INCLUDING INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, FOUR AMBULATORY CARE CLINICS INCLUDING INTERNAL/FAMILY MEDICINE, SURGICAL, PEDIATRICS AND ONCOLOGY, A LONG-TERM CARE FACILITY, AND HOSPICE/HOME HEALTH SERVICES. CHA EMPLOYS OVER 400 INDIVIDUALS, WITH AN ANNUAL PAYROLL IN EXCESS OF 20 MILLION. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH COMMUNITY HOSPITAL OF ANACONDA'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM THE FINANCIAL SECTOR TO SMALL BUSINESS OWNERS TO RETIREES AND SCHOOL DISTRICT EMPLOYEES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT CHA ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE WE HAVE INSTITUTED AN ARDUOUS CREDENTIALING PROCESS TO ENSURE PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, WE DO NOT HAVE SHAREHOLDERS. THEREFORE, SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ELIMINATES THE POTENTIAL FOR CONFLICTS OF INTEREST RELATED TO ATTAINING INFLATED PROFIT MARGINS AND ALLOWS COMMUNITY HOSPITAL OF ANACONDA TO FOCUS ON WHAT IS IMPORTANT-MEETING THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM N/A. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MONTANA X X X X false false false false false false false false false JOHN S MCNEECE PRESIDENT 494316 5300 9668 509284 FREDRICK BARTOLETTI TRUSTEE/PHYSICIAN 353907 5300 14952 374159 LAURA AUSTIN SENIOR VP/VP OF FINA 342625 5300 9118 357043 GUS VARNAVUS SURGEON 931764 5116 8862 945742 GRZEGORZ CIESLEWICZ HOSPITALIST 566680 5300 9668 581648 CARL SCHILLHAMMER PHYSICIAN 560256 2962 9668 572886 BERTRAND JONES PHYSICIAN 550049 5300 9668 565017 JAMES HUEFTLE PHYSICIAN 476211 13986 490197 FREDRICK BARTOLETTI MD TRUSTEE 374159 EMPLOYMENT false JOHN MCNEECE PRESIDENT TRUSTEE 509284 EMPLOYMENT false LAURA AUSTIN SENIOR VPVP OF FINAN TRUSTEE 357043 EMPLOYMENT false FORM 990, PAGE 6, PART VI, LINE 2 LEE ANN BARTOLETTI FREDRICK BARTOLETTI, MD TRUSTEE PHYSICIAN FAMILY RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 WHEN THE HOSPITAL WAS FORMED IN 1969, SOME COMMUNITY MEMBERS PURCHASED THE HOSPITAL FROM SISTERS OF CHARITY. AS THESE ORIGINAL MEMBERS DECEASE, THEIR MEMBERSHIP IS LOST. AN ANNUAL MEETING IS SCHEDULED IN SEPTEMBER OF EACH YEAR WITH A PUBLIC NOTICE POSTED IN THE LOCAL PAPER. THE REMAINING ORIGINAL MEMBERS MAY ATTEND THE MEETING; HOWEVER, THEY ARE NOT ACTIVE MEMBERS AND DO NOT HAVE VOTING RIGHTS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE VP OF FINANCE WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE FINANCE COMMITTEE IS DESIGNATED BY THE BOARD OF TRUSTEES TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE 990 AND IS ALSO PART OF THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE VP OF FINANCE SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C ARTICLE II OF THE BYLAWS STATES THAT, AT A MINIMUM, EACH MEMBER OF THE BOARD WILL EXECUTE THE CONFLICT OF INTEREST FORM AT THE COMMENCEMENT OF THE TERM OR IN THE EVENT OF ANY CHANGE THAT MAY DEVELOP. THE CONFLICT OF INTEREST GUIDELINES ARE MONITORED BY THE CHA CORPORATE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ATTENDS NEW EMPLOYEE ORIENTATION AND PRESENTS THE POLICY AS PART OF THE OVERALL CORPORATE LEGAL COMPLIANCE PROGRAM. EACH EMPLOYEE IS PRESENTED WITH A CONFLICT OF INTEREST STATEMENT. ALL POTENTIAL CONFLICTS ARE DISCLOSED. IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED, THE COMPLIANCE OFFICER WILL MEET WITH THE EMPLOYEE'S SUPERVISOR AND ADMINISTRATION TO DETERMINE IF A CONFLICT EXISTS. ON AN ANNUAL BASIS, ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE REQUIRED TO READ AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE CORPORATE COMPLIANCE OFFICER TRACKS THE RECEIPT AND COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS. THE PROCESS IS A PART OF THE ANNUAL EMPLOYEE REQUIREMENTS MANDATED FOR CONTINUED EMPLOYMENT. FORM 990, PAGE 6, PART VI, LINE 15A THE SOURCES UTILIZED BY CHA IN REGARD TO FAIR MARKET VALUE IN SALARIES ARE AN EXECUTIVE COMPENSATION SURVEY, PUBLISHED BY CRITICAL DATA, INC., AND THE MONTANA HOSPITAL ASSOCIATION (MHA) ANNUAL SALARY SURVEY. THESE SURVEYS ARE UTILIZED FOR SETTING THE SALARY LEVELS OF EMPLOYEES AT CHA. THE MHA SURVEY ITEMIZES ALL HOSPITALS AS A GROUP, CAH HOSPITALS, AND HOSPITALS BY REGION. CHALLENGES EXIST WHEN CHA JOB DESCRIPTIONS ARE UNIQUE AND, THEREFORE, MAY NOT BE LISTED AS A JOB CATEGORY IN THE MHA SURVEY. IN REGARD TO SETTING THE SALARY LEVELS OF PHYSICIANS, CHA UTILIZES THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY. THIS SURVEY ITEMIZES SALARIES AND PRODUCTIVITY BY PHYSICIAN SPECIALTY, YEARS IN PRACTICE, GEOGRAPHIC REGION, AND OTHER CATEGORIES. CHA STRIVES TO PAY MARKET LEVEL SALARIES TO ALL EMPLOYEES OF THE ORGANIZATION. IT IS OUR GOAL TO RECRUIT AND RETAIN TOP TALENT IN EVERY VENUE, WHILE CONTROLLING SALARY AND BENEFIT COSTS WITHIN ESTABLISHED TARGETS. IN 2010, 2012, AND 2014, CHA HIRED AN INDEPENDENT CONSULTANT TO EVALUATE THE SALARY LEVELS OF THE SENIOR MANAGEMENT. THIS SALARY SURVEY REVIEWED SALARIES FOR HOSPITALS IN CHA'S REVENUE RANGE IN OUR REGION, AS WELL AS SALARY LEVELS ACROSS THE COUNTRY. ALL JOBS REVIEWED WERE WELL WITHIN THE PUBLISHED RANGES, AS DETERMINED BY CRITICAL DATA, INC. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 COMMUNITY HOSPITAL OF ANACONDA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO INCLUDED IN THE COMMUNITY BENEFIT REPORT. FORM 990, PART IX, LINE 11G 6,628,809 340,589 0 CHANHA FOUNDATION PO BOX 1245 ANACONDA MT 59711 810504127 SUPPORT MT 501C3 12B COMMUNTIY HOSPITAL OF ANACONDA false false true true false false false false false false false false false false false false false false false false