2014-11-07T08:40:01-06:00 2014-03-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 1297 BISMARCK ND 585021297 990 2013-04-01 450253272 LINTON HOSPITAL LINT 7012544511 518 N BROADWAY STREET LINTON ND 585520850 SPENCER LARSON PRESIDENT 7012544511 2014-10-23 1 PATRICK J BROWN P00149579 7012231717 2014-10-23 2013 2015-11-30 17:44:51Z SPENCER LARSON 518 N BROADWAY LINTON ND 58552 6338949 0 X LINTONHOSPITAL.COM X 1953 ND LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT OPERATES A 24-HOUR ACUTE AND EMERGENCY FACILITY IN THE TOWN OF LINTON, EMMONS COUNTY, NORTH DAKOTA. LINTON HOSPITAL ALSO OWNS AND OPERATES 3 CLINICS (2 RURAL HEALTH) IN THE COMMUNITIES OF LINTON AND HAZELTON, NORTH DAKOTA AND HERREID, SOUTH DAKOTA. LINTON HOSPITAL ENTERED INTO A MANAGEMENT SERVICES AGREEMENT ON 6/1/2012 WITH ST. ALEXIUS HOSPITAL OF BISMARCK TO IMPROVE THE QUALITY AND PRODUCTIVITY OF RURAL HEALTH CARE, PROMOTE COST-EFFICIENT OPERATIONS AND ENHANCE THE COMPETETIVE ASPECTS OF THE DELIVERY OF RURAL HEALTH CARE SERVICES TO THE COMMUNITY OF LINTON AND THE GEOGRAPHIC REGIONS SERVED BY LINTON. 8 7 121 0 0 0 173196 310456 6032094 6019175 2326 1398 12970 7920 6220586 6338949 0 0 0 0 3529892 3313641 0 0 30210 2377934 2776228 5907826 6089869 312760 249080 3597492 3755258 1525803 1434489 2071689 2320769 X THE MISSION OF LINTON HOSPITAL AND CLINICS IS TO ENHANCE THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF THE PEOPLE WE SERVE. 0 0 3641816 3601635 LINTON HOSPITAL IS A 14-BED CRITICAL ACCESS HOSPITAL THAT HAS AVAILABLE 24-HOUR LICENSED HEALTHCARE PRACTITIONERS AND NURSING SERVICES. SWINGBED SERVICES ARE AVAILABLE FOR PATIENTS REQUIRING SKILLED CARE. EMERGENCY ROOM CARE IS PROVIDED TO OVER 1,100 EMERGENCY ROOM VISITS PER YEAR. LINTON HOSPITAL ALSO PROVIDES THE FOLLOWING SERVICES: OPERATING ROOM, ANESTHESIA SERVICES, DIETARY SERVICES, MEDICAL RECORDS SERVICES, PHARMACEUTICAL SERVICES, LABORATORY SERVICES, HOUSEKEEPING, ELECTROCARDIOGRAMS, SLEEP STUDIES, CARDIAC REHAB, PHYSICAL THERAPY, ULTRASOUND SERVICES, RADIOLOGY, DIGITAL MAMMOGRAM SERVICES, CARDIAC STRESS TESTS, MRI SERVICES, CT SCAN AND DIABETIC EDUCATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN THE GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARING PROGRAM (CHARITY CARE) POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT THE COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 1452565 1884642 LINTON HOSPITAL OWNS AND OPERATES 3 CLINICS IN THE CITIES OF LINTON AND HAZELTON, ND AND HERREID , SD. TWO OF THESE CLINICS ARE DESIGNATED RURAL HEALTH CLINICS AND THE HAZELTON CLINIC IS A FREE-STANDING CLINIC. LINTON HOSPITAL EMPLOYS ONE FAMILY PRACTICE PHYSICIAN, THREE NURSE PRACTITIONERS, AND ONE PHYSICIAN ASSISTANT TO PROVIDE SERVICES TO THE HOSPITAL AND CLINICS. TOTAL CLINIC VISITS WERE 10,548 THIS YEAR. THE ORGANIZATION PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. LINTON HOSPITAL'S COMMUNITY CARE PROGRAM POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 140149 490874 LINTON HOSPITAL OPERATES THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE (INCLUDING FOOT CARE) WHICH COVERS A SERVICE AREA OF 1,555 SQUARE MILES. EMMONS COUNTY IS SURROUNDED BY KIDDER, LOGAN, AND MCINTOSH COUNTIES IN NORTH DAKOTA AND CAMPBELL COUNTY IN SOUTH DAKOTA. THE EMMONS COUNTY EMERGENCY AMBULANCE SERVICE PROVIDES 24 HOUR, 7 DAYS A WEEK ADVANCED LIFE SUPPORT SERVICE TO A POPULATION OF APPROXIMATELY 3,500 RESIDENTS. LINTON HOSPITAL PROVIDES THESE SERVICES THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS SUCH AS CMS. THE ORGANIZATION'S COMMUNITY CARE POLICY PROVIDES DISCOUNTED OR FREE SERVICES TO PATIENTS WHO QUALIFY. THIS POLICY IS DESIGNED TO ENSURE THAT COMMUNITIES SERVED HAVE ACCESS TO NEEDED HEALTHCARE. 49944 OTHER REVENUE INCLUDES INCOME GENERATED FROM CONTRACTED PHYSICIANS, CAFETERIA SALES, SALE OF SUPPLIES AND RENTAL OF HOSPITAL SPACE. 49944 5234530 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 13 0 1 121 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X X BEVERLY VILHAUER 7012544511 518 N BROADWAY LINTON ND 58552 SPENCER LARSON BOARD PRESIDENT 2.00 X X 0 0 0 DENNIS KRESS BOARD VICE-PRESIDENT 2.00 X X 0 0 0 BRIAN SCHUMACHER BOARD MEMBER 1.00 X 0 0 0 ALICE SCHATZ BOARD MEMBER 1.00 X 0 0 0 RICHARD QUASCHNIK BOARD MEMBER 1.00 X 0 0 0 PATRICIA WIEST BOARD SECRETARY 1.00 X X 0 0 0 GENA KENNER BOARD MEMBER 1.00 X 0 0 0 TERRI LANG BOARD MEMBER 1.00 X 0 0 0 BEVERLY VILHAUER CFO 40.00 X 56563 0 4110 ROBERT BLACK CEO - CONTRACTED 40.00 X 0 0 0 JACQUELINE GRUNEFELDER PROVIDER 40.00 X 189358 0 408 RON KAISER PHYSICAL THERAPIST 40.00 X 106566 0 7367 ALICE MANN PROVIDER 40.00 X 152909 0 9173 EDGAR OLIVEIRA PROVIDER 40.00 X 136112 0 6173 641508 0 27231 4 0 1 0 BLUE CROSS BLUE SHIELD 4510 13TH AVE S FARGO ND 58121 HEALTH INSURANCE 468214 ST ALEXIUS MEDICAL CENTER 900 E BROADWAY AVE BISMARCK ND 58501 ADMINISTRATIVE 291072 IMAGING SOLUTIONS INC 2829 S UNIVERSITY DR 1 FARGO ND 58103 HEALTHCARE EQUIPMENT 169215 DAKOTA DRUG INC 4121 12TH AVE NW FARGO ND 58102 HEATHCARE SUPPLIES 150784 JOHN F KNECHT MD 4911 COPPERHILL CT RAPID CITY SD 57702 INDEPENDENT PHYSICIAN 149726 5 147606 162850 310456 PATIENT SERVICE REVENU 624100 5901932 5901932 CONTRACTED PHYSICIANS 624100 16771 16771 CAFETERIA 624100 14732 14732 SUPPLIES 624100 10019 10019 75721 75721 6019175 1398 1398 7920 0 7920 7920 7920 6338949 6027095 0 1398 641508 584945 56563 2134404 1888556 221263 24585 351069 312823 34721 3525 186660 165652 18908 2100 17418 17418 22206 3616 18590 5719 908 4811 13634 13634 174155 174155 21459 21459 42571 42571 293442 293442 62184 28426 33758 SUPPLIES 640196 567577 72619 CONTRACTED SERVICES 591005 447977 143028 FEES 351816 350024 1792 DRUGS & IV'S 149270 149270 391153 203129 188024 6089869 5234530 825129 30210 284460 947414 329085 362188 1560305 1030580 47025 9959 124083 166883 42239 92890 4940760 3811013 1192748 1129747 17547 15597 3597492 3755258 392204 425593 1133599 1008896 1525803 1434489 X 2060085 2314587 11604 6182 2071689 2320769 3597492 3755258 249080 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66332 66332 2293076 1854886 438190 2581352 1956127 625225 1129747 X PART X, LINE 2: IT IS THE OPINION OF MANAGEMENT THAT THE HOSPITAL HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. 1 1 X 1 X 1 X 1 1 1 0 1 0 14 28908 28908 0.00470 14 28908 28908 0.00470 20988 20988 0.00340 20988 20988 0.00340 14 49896 49896 0.00810 1 75219 7520 2405023 2178973 226050 X 1 0 4 1 LINTON HOSPITAL 518 NORTH BROADWAY LINTON ND 585520850 X CRITICAL ACCESS HOSPITAL AND SWINGBED 2 LINTON MEDICAL CENTER 511 ELM STREET LINTON ND 58552 X RURAL HEALTH CLINIC 3 HAZELTON CLINIC 343 MAIN STREET HAZELTON ND 58544 X CLINIC - PROVIDER BASED 4 CAMPBELL COUNTY CLINIC - HERREID 208 MAIN STREET NORTH HERREID SD 57632 X RURAL HEALTH CLINIC LINTON HOSPITAL 1 1 X X X X X X X X X 11 1 0 1 X LINTONHOSPITAL.ORG X X X X X 1 0 1 1 100.000000000000 1 200.000000000000 1 X X X X X 1 1 X X X X 1 X X 0 X X X 1 X 0 0 LINTON HOSPITAL PART V, SECTION B, LINE 3: CENTER FOR RURAL HEALTH OF NORTH DAKOTA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR LINTON HOSPITAL AND CLINICS. WE DEVELOPED A COMMITTEE TO ADDRESS THE PRIORITY CONCERNS ADDRESSED IN THE REPORT AND INCLUDED THE EMMONS COUNTY PUBLIC HEALTH DEPT. OUR NURSE PRACTITIONER HAS PROVIDED HEALTHCARE IN-SERVICE TO THE LOCAL SENIOR CITIZENS CENTER ON THE TOPICS OF DIABETES, OBESITY, AND HEART DISEASE. WE HAVE PROVIDED FREE BLOOD PRESSURE AND DIABETIC SCREENINGS AT OUR CUSTOMER APPRECIATION DAY IN MAY. WE HAVE INCREASED ADVERTISING TO ALERT OUR CUSTOMERS TO THE SERVICES THAT WE PROVIDE. PART I, LINE 7: THE AMOUNTS WERE DETERMINED USING THE IRS RECOMMENDED WORKSHEET 1 - CHARITY CARE AT COST.LINE 7A: LINTON HOSPITAL HAD 14 CUSTOMERS APPLY FOR UNCOMPENSATED CARE THROUGH THEIR COMMUNITY CARING PROGRAM WHICH DISCOUNTS OR WRITES OFF CHARGES BASED UPON THEIR INABILITY TO PAY. THE ACTUAL AMOUNT WRITTEN OFF WAS $48,179, AND BASED UPON OUR COST TO CHARGE RATIO DETERMINED FROM THE INTERIM COST REPORT FROM CMS, 55% WAS USED TO DETERMINE THE ACUTAL COST WRITTEN OFF.LINE 7E: LINTON HOSPITAL HAS PROGRAMS IN PLACE TO ASSIST CUSTOMERS WITH HEALTHCARE ISSUES ASSOCIATED WITH DIABETES TO EDUCATE AND TEACH THEM HOW TO MANAGE THIS DISEASE AS WELL AS ASSISTS PATIENTS TO OBTAIN MEDICATIONS AT A DISCOUNTED RATE DIRECTLY FROM THE DRUG COMPANY. LINTON HOSPITAL'S AMBULANCE DEPARTMENT PROVIDES STANDBY SERVICES TO VARIOUS EVENTS SUCH AS FOOTBALL GAMES, RODEOS AND DEMOLITION DERBIES AT NO COST TO THE COMMUNITY. THEY ALSO RESPOND TO ALL AMBULANCE PAGES, SOME OF WHICH ARE NOT REIMBURSED AS THE PATIENT REFUSES TRANSPORT. THIS YEAR THE AMBULANCE RESPONDED TO 73 RUNS, A TOTAL OF 125.22 HOURS WHICH WERE NOT REIMBURSABLE. THE HOSPITAL ALSO ALLOWS EMPLOYEES TO ASSIST WITH COMMUNITY EVENTS AND SERVE ON VOLUNTARY BOARDS. LINTON HOSPITAL PROVIDES A COMPLIMENTARY MEAL TO THE COMMUNITY AS A CUSTOMER APPRECIATION EFFORT DURING THE ANNUAL HOSPITAL WEEK CELEBRATION. PART I, LINE 7G: NOT APPLICABLE PART I, LN 7 COL(F): BAD DEBT DIFFERENCE IS $67,699. PART I, LINE 6A: LINTON HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN APRIL OF 2011. PART II, COMMUNITY BUILDING ACTIVITIES: LINTON HOSPITAL SPONSORED A MINI-HEALTH FAIR DURING HOSPITAL WEEK AND INVITED EMMONS COUNTY SOCIAL SERVICE, EMMONS COUNTY PUBLIC HEALTH, AND PRAIRIE ROSE ASSISTED LIVING TO PROVIDE INFORMATION TO ATTENDANTS. THE HOSPITAL PROVIDED FREE DIABETIC AND BLOOD PRESSURE SCREENINGS AND WELLNESS SERVICES. LINTON HOSPITAL ALSO HAD A PHYSICIAN AND A NURSE PRACTITIONER SPEAK AT THE LOCAL SENIOR CITIZENS CLUB TO PROVIDE HEALTHCARE INFORMATION ON DIABETES, OBESITY AND HEART DISEASE. LINTON HOSPITAL ALSO PROVIDES A COMPLIMENTARY MEAL TO THE COMMUNITY AS A CUSTOMER APPRECIATION EFFORT DURING THE ANNUAL HOSPITAL WEEK CELEBRATION. PART III, LINE 4: BAD DEBT EXPENSE IS CALCULATED USING THE ACCOUNTS RECEIVABLE AGING REPORT BASED UPON DISCHARGE DATES. THEREFORE, WE RECOGNIZE BALANCES LESS THAN 30 DAYS TO BE 5% UNCOLLECTIBLE AND THIS FORMULA GRADUALLY INCREASES IN 30 DAY INCREMENTS, REACHING A BALANCE EXCEEDING 180 DAYS TO BE 75% UNCOLLECTIBLE. THESE BALANCES ARE CALCULATED ON A MONTHLY BASIS. WE ESTIMATE APPROXIMATELY 10% OF THIS BALANCE TO BE ELIGIBLE TO CALCULATE LINE 3, PART III. PART III, LINE 8: THE AMOUNTS WERE DETERMINED USING AN ANALYSIS OF THE ACCOUNTS RECEIVABLE AGING REPORT. PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY, ALSO KNOWN AS THE COMMUNITY CARING PROGRAM WAS UPDATED AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS IN MARCH 2014. THIS POLICY OUTLINES THE DEFINITIONS OF THE MEDICAL ELIGIBLE INDIGENCE AND PROVIDES THE CRITERIA AND PROCEDURES INVOLVED IN DETERMINING FINANCIAL ASSISTANCE. NOTICE OF THE COMMUNITY CARING PROGRAM IS PROVIDED ON ALL MONTHLY STATEMENTS TO ALL PATIENTS. THE ENTIRE POLICY IS POSTED ON THE HOSPITAL WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. PART VI, LINE 2: TO HELP FILL THE NEEDS, THE HOSPITAL HAS ESTALISHED CLINCS IN FOUR RURAL COMMUNITIES TO BETTER PROVIDE SERVICES TO THE PUBLIC. PART VI, LINE 3: LINTON HOSPITAL AND CLINICS HAVE AN ASSISTANCE PROGRAM CALLED "COMMUNITY CARING," WHICH IS A CHARITY PROGRAM FOR PEOPLE WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. A COMMITTEE COMPRISED OF THE CHIEF FINANCIAL OFFICER, HOSPITAL BUSINESS OFFICE MANAGER AND THE CLINIC BUSINESS MANAGERS REVIEW THE APPLICATIONS TO DETERMINE ELIGIBILITY. THE FINAL DETERMINATION IS FORWARDED TO THE CHIEF EXECUTIVE OFFICER FOR APPROVAL. THE GUARANTOR OR RESPONSIBLE PARTY IS NOTIFIED BY MAIL AND THE BALANCES ASSOCIATED WITH THIS PROGRAM ARE REPORTED TO THE GOVERNING BOARD OF DIRECTORS.THE LINTON HOSPITAL EMPLOYS A PART TIME COMMUNITY RESOURCE PERSON WHO IDENTIFIES INDIGENT CUSTOMERS AND ASSISTS THEM WITH APPLYING TO DRUG COMPANIES FOR FREE PRESCRIPTION DRUGS. THE ORGANIZATION ALSO EMPLOYS A REGISTERED NURSE WHO MANAGES A "DIABETIC MANAGEMENT" PROGRAM BY COUNSELING DIABETIC PATIENTS, PROVIDING FOOT CARE, AND MONITORING PATIENTS' PROGRESS WITH THEIR MEDICAL PROVIDER. PART VI, LINE 4: LINTON HOSPITAL IS A 14 BED CRITICAL CARE ACCESS HOSPITAL LOCATED IN EMMONS COUNTY IN SOUTH CENTRAL NORTH DAKOTA. LINTON HOSPITAL OWNS ONE RURAL HEALTH CLINIC AND OPERATES THREE CLINICS WITH AGREEMENTS OF THE COMMUNITIES WHERE THESE CLINICS ARE LOCATED. THESE HEALTHCARE FACILITIES ARE THE PRIMARY SOURCE OF HEALTHCARE FOR RESIDENTS IN THE COMMUNITIES OF LINTON, STRASBURG, AND HAGUE IN EMMONS COUNTY, ZEELAND IN MCINTOSH COUNTY, AND BRADDOCK, KINTYRE, AND NAPOLEON IN LOGAN COUNTY IN NORTH DAKOTA. THE COMMUNITY OF LINTON IS LOCATED APPROXIMATELY 25 MILES FROM THE SOUTH DAKOTA BORDER, SO WE PROVIDE HEALTHCARE TO RESIDENTS OF HERREID AND POLLOCK, CAMPBELL COUNTY, SOUTH DAKOTA AS WELL.LINTON HOSPITAL AND CLINICS HAVE BEEN PROVIDING HEALTHCARE TO THE RESIDENTS OF THE SERVICE AREA SINCE 1953. ACCORDING TO THE 2000 CENSUS, THE TOTAL POPULATION OF EMMONS COUNTY WAS 4,331. 26% OF THIS POPULATION WAS OVER THE AGE OF 65. CAMPBELL COUNTY, SD REPORTED A TOTAL POPULATION OF 1,782 WITH 25.3% OF THE AGE OF 65.LINTON HOSPITAL IS LOCATED IN A DESIGNATED MEDICALLY UNDERSERVED AREA AND IN A HEALTH PROFESSIONAL SHORTAGE AREA IN NORTH DAKOTA. PART VI, LINE 5: LINTON HOSPITAL HOSTS A CUSTOMER APPRECIATION DAY, IN WHICH PEOPLE FROM THE ENTIRE SERVICE AREA ARE INVITED TO THE HOSPITAL CAMPUS FOR A COMPLIMENTARY MEAL. PROFESSIONAL STAFF ARE AVAILABLE TO MONITOR BLOOD SUGAR OF ALL PARTICIPANTS AT NO CHARGE. CLINICS IN HAZELTON, POLLOCK, AND HERREID PROVIDE BLOOD PRESSURE CHECKS AND ASSIST WITH ADMINISTRATION OF SELF-ADMINISTERED MEDICATIONS AT NO CHARGE.LINTON HOSPITAL EMPLOYS A RISK MANAGER AND BIOTERRISM COORDINATOR WHO MEET WITH THE LOCAL EMERGENCY PLANNING COMMITTEE AND ALSO PARTICIPATE IN THE EMMONS COUNTY MULTI-HAZARD MITIGATION PLAN FOR PREVENTION AND PLANNING FOR DISASTERS. LINTON HOSPITAL IS A MEMBER AND HAS AN EMPLOYEE WHO IS ACTIVELY INVOLVED WITH THE LINTON INDUSTRIAL DEVELOPMENT COMMITTEE. THE LINTON HOSPITAL ALSO OPERATES THE EMMONS COUNTY AMBULANCE SERVICE. THE DEPARTMENT RESPONDS TO FIRE CALLS, PROVIDES CPR TRAINING TO SCHOOL CHILDREN, IS ON STAND-BY AT LOCAL FOOTBALL GAMES AND COMMUNITY EVENTS AS A COURTESY TO THE COMMUNITY. X X X 0 0 0 0 0 0 0 0 0 ROBERT BLACK CEO - CONTRACTED 0 0 0 0 0 0 0 0 0 0 0 0 JACQUELINE GRUNEFELDER PROVIDER 189358 0 0 0 0 0 0 0 408 0 189766 0 0 0 ALICE MANN PROVIDER 152909 0 0 0 0 0 0 0 9173 0 162082 0 0 0 PART I, LINE 3 ROBERT BLACK, THE CEO / EXECUTIVE DIRECTOR, IS PAID FOR BY ST. ALEXIUS MEDICAL CENTER. THE HOSPITAL HAS A MANAGEMENT SERVICES AGREEMENT WITH ST. ALEXIUS TO PROVIDE THESE CEO SERVICES TO THE HOSPITAL. SHEILA KELSCH DAUGHTER OF BOARD MEMBER 18822 WAGES 0 FORM 990, PART VI, SECTION A, LINE 3 THE FOLLOWING WERE THE MANAGING DUTIES PERFORMED BY A MANAGING AGENT: HIRING EMPLOYEES, FIRING EMPLOYEES, SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS/FINANCIAL OPERATIONS, SUPERVISING EXEMPT OPERATIONS, AND SUPERVISING UNRELATED TRADES OR BUSINESSES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE TAX RETURN IS INCLUDED IN EACH BOARD MEMBER'S PACKET BEFORE IT IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT IS RESPONSIBLE FOR HONORING AND ENFORCING THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES THE SALARY BASED UPON THE STATE AVERAGE FROM SIMILAR-SIZED ORGANIZATIONS. THE CEO IS RESPONSIBLE FOR DETERMINING THE SALARIES OF KEY EMPLOYEES. HE/SHE USED THE NDNA SALARY SURVEY AS A REFERENCE WHICH INCLUDES ALL ND FACILITIES WHO REPORT ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY THE ORGANIZATION'S WEBSITE, ANOTHER'S WEBSITE, AND UPON REQUEST. MANAGEMENT IS RESPONSIBLE FOR HONORING THESE REQUESTS. FORM 990, PART XII, LINE 2C THE HOSPITAL DID NOT CHANGE ITS OVERSIGHT PROCESS OF THE AUDIT DURING THE YEAR. LINTON HOSPITAL FOUNDATION 518 N BROADWAY LINTON ND 58552 141842061 CHARITABLE FOUNDATION ND 501(C)(3) LINE 9 N/A 0 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 LINTON HOSPITAL FOUNDATION K 28800