2026-04-22T11:36:51-05:00 2025-06-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-07-01 810240726 MARCUS DALY MEMORIAL HOSPITAL MARC 4063632211 1200 WESTWOOD DRIVE HAMILTON MT 59840 JOHN BISHOP CEO, SECRETARY AND TREASURER 4063632211 2026-04-10 1 0 JUSTIN HARTERT P02236744 5074467100 2026-04-10 2024 2025-03-06 01:10:19Z BITTERROOT HEALTH JOHN BISHOP 1200 WESTWOOD DRIVE HAMILTON MT 59840 141062090 0 X WWW.BITTERROOTHEALTH.ORG X 1929 MT OUR COMMITMENT TO THE BITTERROOT VALLEY IS QUALITY, ACCESSIBLE, PERSONALIZED HEALTHCARE. 11 10 1083 145 0 0 2543471 527769 137479313 137961319 1391090 991967 140399 1077289 141554273 140558344 58960 54200 0 0 79880486 86818013 0 0 0 54294121 52799928 134233567 139672141 7320706 886203 141987585 141112905 67527799 66543269 74459786 74569636 X OUR COMMITMENT TO THE BITTERROOT VALLEY IS QUALITY, ACCESSIBLE, PERSONALIZED HEALTHCARE. 0 0 114975163 54200 137961319 MARCUS DALY MEMORIAL HOSPITAL OWNS AND OPERATES A 25 LICENSED BED ACUTE CARE CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES ACUTE CARE SERVICES TO PATIENTS IN RAVALLI COUNTY. THE SERVICES PROVIDED INCLUDE ACUTE CARE HOSPITAL, RELATED ANCILLARY SERVICES SUCH AS LABORATORY, RADIOLOGY, THERAPY, INPATIENT AND OUTPATIENT SURGERY, EMERGENCY CARE, AMBULANCE, CLINIC, OUTPATIENT HOSPICE CARE. THE HOSPITAL PROVIDES EMS SERVICES WITH 3 CREWS PROVIDING 911 SERVICE TO THE COUNTY. THE GOAL IS TO RESPOND WITHIN 20 MINUTES OR LESS TO ANY CALL WITHIN THE COUNTY. THE HOSPITAL IS A PEDIATRIC REHABILITATION PROVIDER OF PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY USING CERTIFIED THERAPISTS. THE HOSPITAL CLINICS SEE ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY AND ENABLE THE COMMUNITY ACCESS TO PRIMARY CARE. THE HOSPITAL STRIVES TO PROVIDE ACCESS TO NECESSARY SPECIALTY SERVICES WITHIN OUR COMMUNITY AND CURRENTLY PROVIDES SEVERAL SERVICES SUCH AS PRIMARY CARE, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, UROLOGY, GENERAL SURGERY, EAR NOSE AND THROAT, GASTROENTEROLOGY, OPHTHALMOLOGY, DERMATOLOGY, NEPHROLOGY, SLEEP MEDICINE, CARDIOLOGY, NEUROSURGERY, INTERVENTIONAL PAIN, AND PAIN MEDICINE SERVICES. 114975163 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 111 0 1 1083 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X JOHN BISHOP 4063632211 1200 WESTWOOD DRIVE HAMILTON MT 59840 LINDA DODDS DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE LEWANSKI VICE CHAIR 1.00 0.00 X X 0 0 0 TIMOTHY WOODS MD DIRECTOR/PHYSICIAN 40.00 0.00 X 514866 0 66717 LAWRENCE BROUWER MD DIRECTOR/PHYSICIAN 10.00 0.00 X 183004 0 10229 BRET YOUNG CHAIR 1.00 0.00 X 0 0 0 MARK JERGENS DIRECTOR 1.00 0.00 X 0 0 0 JIM CORDLE DIRECTOR 1.00 0.00 X 0 0 0 RICHARD MARCUS DIRECTOR 1.00 0.00 X 0 0 0 CHAD BAKER DIRECTOR 1.00 0.00 X 0 0 0 SCOTT DECKER DIRECTOR 1.00 0.00 X 0 0 0 BRISTOL SCHMITZ MD DIRECTOR 1.00 0.00 X 482548 0 48897 FLORA BUOY DIRECTOR 1.00 0.00 X 0 0 0 LOIS HEDG-PETH DIRECTOR 1.00 0.00 X 0 0 0 JOHN BISHOP CEOSECRETARY TREASURER 39.00 1.00 X 507927 0 58685 KAILYN ROWE CFO 40.00 1.00 X 198538 0 19697 RICHARD DAY MD PHYSICIAN 40.00 0.00 X 1311549 0 45056 DAVID BOHLER MD PHYSICIAN 40.00 0.00 X 928694 0 56687 JOEL WALTHALL MD PHYSICIAN 40.00 0.00 X 588025 0 50592 ANGELA COVINGTON MD PHYSICIAN 40.00 0.00 X 547817 0 40813 BROCK ALONZO MD PHYSICIAN 40.00 0.00 X 648279 0 42225 5911247 0 439598 149 0 1 0 WEATHERBY LOCUMS INC 7529 BINGHAM JUNSTION BLVD MIDVALE UT 84047 MEDICAL SERVICES 1168987 THE NEENAN COMPANY LLLP 3325 S TIMBERLINE ROAD SUITE 100 FORT COLLINS CO 80525 GENERAL CONTRACTOR 625918 TIGRIS NEPHROLOGY PLLC 2835 FORT MISSOULA ROAD BLDG 3 STE MISSOULA MT 59804 MEDICAL SERVICES 595945 ROCKY MOUNTAIN EAR NOSE & THROAT 700 WEST KENT MISSOULA MT 59801 MEDICAL SERVICES 473250 PRECISION EYE SERVICES 5715 W OLD SHAKOPEE ROAD SUITE 150 BLOOMINGTON MN 55437 MEDICAL SERVICES 375079 17 465909 61860 527769 NET PATIENT SERVICE REVENUE 621400 125529557 125529557 HOSPITAL UTILZTN. REV. 621400 6986720 6986720 OTHER OPERATING INCOME 621400 5445042 5445042 137961319 901953 901953 68519 68519 66150 140516 -74366 -74366 -74366 374701 10024 363230 0 11471 10024 21495 21495 MISCELLANEOUS 900099 1100101 1100101 CAFETERIA/VENDING 900099 40254 40254 EDUCATION 900099 11300 11300 1151655 140558344 137961319 0 2069256 54200 54200 2053385 1759668 293717 67961093 57953830 10007263 3222503 2743903 478600 9078650 7744140 1334510 4502382 3839783 662599 167608 167608 75803 75803 10976465 8091751 2884714 330887 175 330712 6703688 4538146 2165542 1239521 1239521 1251520 260587 990933 210131 185018 25113 1897275 2 1897273 6961639 5914814 1046825 1360541 835725 524816 MEDICAL SUPPLIES 9121507 9080530 40977 PHARMACY/LAB EXPENSES 5161236 5128558 32678 PROVISION FOR BAD DEBTS 3119897 3119897 MISCELLANEOUS EXPENSES 2240709 2042293 198416 1981501 1514535 466966 139672141 114975163 24696978 0 6864369 4791327 21246596 26708575 25652857 25253619 1099778 1134311 479294 516525 4487383 4617949 1850875 2009187 136244964 71624676 69928074 64620288 1581146 0 8797213 11461124 141987585 141112905 13317143 14558408 45180594 43050383 4290022 3902070 4740040 5032408 67527799 66543269 X 72471321 74159361 1988465 410275 74459786 74569636 141987585 141112905 X 886203 801837 -1578190 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 313190 1144856 123409 211714 1369741 313190 9688 9688 313190 313190 2201 2201 313190 313190 2089 2089 313190 313190 1065 1065 313190 0.00000 0.90273 0.09727 0 0 4188247 4188247 95573775 44103776 51469999 513170 513170 0 35878768 27007730 8871038 91004 91004 64620288 457B ASSET 4939671 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 6168349 GOODWILL 262833 RIGHT OF USE ASSET 90271 11461124 EMPLOYEE BENEFIT OBLIGATION 4939671 LEASE LIABILITY 92737 5032408 X PART V, LINE 4: THE ENDOWMENT FUND IS DESIGNATED FOR THE PURPOSE OF BUILDING AND CARRYING ON A HOSPITAL IN HAMILTON, MONTANA. THE EVANS ENDOWMENT IS TO BE USED FOR THE CARE AND TREATMENT OF CHILDREN IN NEED. PART X, LINE 2: THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT BITTERROOT HEALTH IS A TAX-EXEMPT, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 290520 290520 0.00210 15708551 12261852 3446699 0.02520 15999071 12261852 3737219 0.02730 742036 742036 0.00540 125267 125267 0.00090 3467108 3467108 0.02540 31200 31200 0.00020 4365611 4365611 0.03190 20364682 12261852 8102830 0.05920 1 3119897 340069 27917691 27400922 516769 X 1 1 1 1 MARCUS DALY MEMORIAL HOSPITAL 1200 WESTWOOD DRIVE HAMILTON MT 59840 WWW.BITTERROOTHEALTH.ORG 12911 X X X X MARCUS DALY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, LINE 7D X X 1 23 1 SEE PART V, LINE 7D 0 1 X 150.000000000000 250.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, LINE 16J X SEE PART V, LINE 16J X SEE PART V, LINE 16J X X X X X X X 1 X 0 X X X 1 X 0 0 MARCUS DALY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: MDMH GATHERED QUALITATIVE INFORMATION AND PERSPECTIVES ON COMMUNITY HEALTH NEEDS THROUGH TWO ONE-ON-ONE INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS IN NOVEMBER 2023. 804 SURVEYS WERE ALSO SENT OUT TO A RANDOM LIST IN OUR SERVICE AREA, WITH 114 SURVEYS RETURNED. THE FOLLOWING AGENCIES, ORGANIZATIONS AND BUSINESSES, LISTED IN ALPHABETICAL ORDER, PARTICIPATED IN MDMH'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS AND OBSERVATIONS.- BITTERROOT HEALTH- CORVALLIS SCHOOL DISTRICT- DARBY SCHOOL DISTRICT- HAMILTON POLICE DEPARTMENT- HAMILTON SCHOOL DISTRICT- MONTANA STATE UNIVERSITY COLLEGE OF NURSING- RAVALLI COUNTY COUNCIL ON AGING- RAVALLI COUNTY PUBLIC HEALTH DEPARTMENT- RAVALLI COUNTY SHERIFFS OFFICE- WESTERN MONTANA MENTAL HEALTH (RIVERFRONT) MARCUS DALY MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.BITTERROOTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/CHNA DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/MARCUS-DALY-SITE-390 MEDIA/05E46FE932E1454D81B882E87D2CBB61/IMPLEMENTATION-PLAN-REPORT-FINAL_HAMILTON.PDFIMPLEMENTATION DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/MARCUS-DALY-SITE-390/MEDIA FE659268F93242E4A8A337C484BC7F22/BITTERROOT-HEALTH-2024-CHNA-FINAL.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. MARCUS DALY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: BITTERROOT HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2024 THAT HELPED TO OUTLINE OUR TOP 3 PRIORITY GOALS FOR THE NEXT THREE YEARS. THE GOALS AND SOME OF THE EFFORTS THAT HAVE TAKEN PLACE TOWARD MEETING THEM ARE OUTLINED BELOW: GOAL 1: ENHANCE BITTERROOT HEALTH'S EFFORTS IN PREVENTION, COMMUNITY ENGAGEMENT AND EDUCATION. BITTERROOT HEALTH CONTINUES TO WORK WITH LOCAL SCHOOLS TO PROMOTE SPORTS PHYSCIALS TO ENCOURAGE YOUTH PARTICIPATION IN ACTIVITIES. BITTERROOT HEALTH CONTINUES TO PROMOTE YOUTH HEALTHCARE PATHWAYS PROGRAMS AND HAS IMPLEMENTED CNA AND CMA TRAINING PROGRAMS IN THE COMMUNITY. GOAL 2: IMPROVE ACCESS TO PRIMARY CARE SERVICES IN RAVALLI COUNTY.BITTERROOT HEALTH HAS OPENED A NEW MULTI-DISCIPLINARY CLINIC IN STEVENSVILLE AND ENHANCED OUR CURRENT SERVICE OFFERINGS WITH A NEW CLINIC IN DARBY TO MAKE SURE THAT CARE IS READILY AVAILABLE AT BOTH ENDS OF OUR VALLEY. ALSO, BITTERROOT HEALTH HAS IMPLEMENTED A DIGITAL FRONT DOOR PLATFORM TO IMPROVE DIGITAL ACCESS OPTIONS FOR CARE. THE NEW PLATFORM ALLOWS FOR PATIENT SELF-SCHEDULING. GOAL 3: SUPPORT EFFORTS IN RAVALLI COUNTY ADDRESSING SOCIAL DRIVERS OF HEALTH.BITTERROOT HEALTH HAS A POPULATION HEALTH CARE TEAM THAT IS WORKING TO FIND WAYS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITHIN OUR COMMUNITY AND IMPLEMENT EVIDENCE-BASED INTERVENTIONS THAT ALLOW PROVIDERS TO SCREEN FOR DETERMINANT AND FIND WAYS TO CONNECT THOSE PATIENTS TO CARE AND RESOURCES. WE ALSO CONTINUE TO PARTNER WITH STAKEHOLDERS SUCH AS PUBLIC HEALTH, LOCAL SCHOOLS AND LOCAL CIVIC GROUPS TO PROVIDER EDUCATION AND RESOURCES NECESSARY TO IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY. MARCUS DALY MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: ELIGIBILITY FOR PATIENT ASSISTANCE SHALL BE MADE REGARDLESS OF RACE, GENDER, AGE, SEXUAL ORIENTATION, RELIGIOUS AFFILIATION, AND SOCIAL OR IMMIGRANT STATUS. MAJOR AREAS OF CONSIDERATIONS 1) RELATIONSHIP TO FEDERAL INCOME POVERTY GUIDELINES ADJUSTED FOR FAMILY SIZE 2) FAMILY NET ASSETS 3) DEMONSTRATION OF INABILITY TO WORK 4) COMPLETED APPLICATION AND 5) RESIDENT OF RAVALLI COUNTY MONTANA WITH EXCEPTIONS. MARCUS DALY MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT:HTTPS://WWW.BITTERROOTHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/FINANCIAL ASSISTANCE POLICY DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/MARCUS-DALY-SITE-390/MEDIA/7CA5875851D64FD6AEB6CFCC7CF26261/FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE POLICY APPLICATION DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIHIMAGEUPLOADMARCUSDALYSITE-390MEDIA/53F5A7DA63714827859E7CBFD36E780E/FINANCIAL-ASSISTANCE-APPLICATION-UPDATED-JULY-2025.PDFPLAIN LANGUAGE SUMMARY DIRECT LINK: HTTPS://RES.CLOUDINARY.COMDPMYKPSIHIMAGEUPLOADMARCUSDALYSITE-390MEDIA/89F8A83D4F6C49CAB8C69BD45F5AB0D7PLAIN_LANGUAGE_SUMMARY_OF_FINANCIAL_ASSISTANCE_ATTACHMENT_4-11-2022.PDF 13 1 - BITTERROOT HEALTH SURGICAL ASSOCIATES 1200 WESTWOOD DR STE F HAMILTON MT 59840 SURGICAL CLINIC 2 - BITTERROOT HEALTH HAMILTON 1200 WESTWOOD DR STE I HAMILTON MT 59840 RURAL HEALTH CLINIC 3 - BITTERROOT HEALTH ORTHOPEDICS AND SPORTS 1200 WESTWOOD DR STE H HAMILTON MT 59840 ORTHOPEDIC CLINIC 4 - BITTERROOT HEALTH STEVENSVILLE 3975 US HIGHWAY 93 N STEVENSVILLE MT 59870 RURAL HEALTH CLINIC 5 - BITTERROOT HEALTH EYE CLINIC 300 N 10TH ST STE A HAMILTON MT 59840 OPHTHALMOLOGY CLINIC 6 - BITTERROOT HEALTH PAIN MANAGEMENT 1103 WESTWOOD DR STE B HAMILTON MT 59840 PAIN MEDICINE CLINIC 7 - BITTERROOT HEALTH NEUROSURGERY 1200 WESTWOOD DR STE A HAMILTON MT 59840 NEUROSURGERY CLINIC 8 - BITTERROOT HEALTH OBGYN 1200 WESTWOOD DR STE G HAMILTON MT 59840 OB/GYN CLINIC 9 - BITTERROOT HEALTH CORVALLIS 1037 MAIN STREET CORVALLIS MT 59828 RURAL HEALTH CLINIC 10 - BITTERROOT HEALTH DERMATOLOGY 1103 WESTWOOD DR STE A HAMILTON MT 59840 DERMATOLOGY CLINIC 11 - BITTERROOT HEALTH HOSPICE 1200 WESTWOOD DR HAMILTON MT 59840 HOSPICE SERVICES 12 - BITTERROOT HEALTH DARBY 820 N MAIN STREET DARBY MT 59829 RURAL HEALTH CLINIC 13 - BITTERROOT HEALTH VICTOR 2386 US HIGHWAY 93 N VICTOR MT 59875 RURAL HEALTH CLINIC PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON MULTIPLE FACTORS, INCLUDING THE NATURE OF THE CONDITION AND CARE REQUIRED, INSURANCE COVERAGE OR OTHER SOURCES OF PAYMENT, INCOME (FEDERAL POVERTY LEVEL GUIDELINES ARE USED TO DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE OFFERED), FAMILY SIZE, ASSETS, AND RESIDENCY IN RAVALLI COUNTY UNLESS SERVICES WERE FOR EMERGENCY CARE.FULL FINANCIAL ASSISTANCE WILL BE GRANTED BASED ON INCOME EQUAL TO OR LESS THAN 150% OF FEDERAL POVERTY LEVEL GUIDELINES. PARTIAL ASSISTANCE MAY BE GRANTED BASED ON INCOME BETWEEN 150% AND 250% OF FEDERAL POVERTY LEVEL GUIDELINES. VALUE OF ASSETS MAY BE CONSIDERED IN DETERMINING THE LEVEL OF ASSISTANCE. PART I, LINE 7: EXPLANATION OF COSTING METHOD:FINANCIAL ASSISTANCE AT COST AND MEDICAID AMOUNTS REPORTED IN PART I, LINE 7 ARE COMPUTED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS. COMMUNITY HEALTH IMPROVEMENTS SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONAL EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ARE REPORTED AT COST GENERAL SUBSIDIZED SERVICES ARE COMPUTED USING THE IRS GUIDELINES OF COST ADJUSTED NET PAYMENTS RECEIVED. THE MEDICARE COST REPORT AND DIRECT IDENTIFIABLE OFFSETTING REVENUES WERE USED TO DETERMINE THE TOTAL SUBSIDY FOR THE HOSPICE AND PALLATIVE CARE, IN-PATIENT OBSTETRICS, AMBULANCE SERVICES, SCHOOL BASED THERAPY PROGRAMS, POPULATION HEALTH SERVICES, OB/GYN CLINIC, AND IN-PATIENT HOSPITALIST PROGRAM. PART I, LINE 7G: INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING DEPARTMENTS: HOSPICE AND PALLATIVE CARE, IN-PATIENT OBSTETRICS, AMBULANCE SERVICES, SCHOOL BASED THERAPY PROGRAMS, POPULATION HEALTH SERVICES, OB/GYN CLINIC, IN-PATIENT HOSPITALIST PROGRAM, NEPHROLOGY, DERMATOLOGY, DARBY CLINIC, CORVALLIS CLINIC, OCOLOGY/INFUSION, AND PAIN MEDICINE PROGRAM. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSES THAT WAS EXCLUDED FROM THE CALCULATION TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSES AS A PERCENT OF TOTAL EXPENSES WAS $3,119,897 PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PARTICIPATION IN BOTH ECONOMIC AND COALITION BUILDING EVENTS. THE HOSPITAL PARTNERS WITH LOCAL HIGH SCHOOLS, WITH A "JOB SHADOW" PROGRAM. THE GOAL IS TO EXPOSE THOSE AREA YOUTH WHO MAY BE INTERESTED IN PURSUING A CAREER IN HEALTHCARE. WE HAVE ADDED RESIDENCY TRAINING OPPORTUNITIES TO THOSE NEW PHYSICIANS WHO ARE INTERESTED IN EXPERIANCING MEDICAL PRACTICE IN A RUAL SETTING. THE HOSPITAL CONTINUES TO RECRUIT NEW PHYSICIANS TO THE AREA TO PROVIDE BASIC AND EXPANDED SERVICES TO BETTER SERVE THE NEEDS OF THE LOCAL COMMUNITY. PART III, LINE 2: BAD DEBT EXPENSE IS CALCULATED BY REVIEWING PAYMENT ARRANGEMENTS WHICH INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. PART III, LINE 3: THE HOSPITAL ESTIMATED THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 12% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: SEE THE "PATIENT SERVICE REVENUE" PARAGRAPHS ON PAGES 16-20 OF THE HOSPITAL'S ATTACHED AUDITED FINANCIAL STATEMENTS FOR AN EXPLANATION OF THE ORGANIZATION'S BAD DEBT EXPENSE. PART III, LINE 8: MDMH HAS A MEDICARE SURPLUS IN EXCESS OF APPROXIMATELY $516,800. THE HOSPITAL HAS CRITICAL ACCESS HOSPITAL STATUS AND IS REIMBURSED BY MEDICARE FOR INPATIENT AND OUTPATIENT SERVICES ON A COST BASIS AS DEFINED AND LIMITED BY THE MEDICARE PROGRAM. MDMH PROVIDES A SIGNIFICANT RURAL LINK FOR BOTH THE HEALTH AND WELL-BEING OF RAVALLI COUNTY RESIDENTS. WE ARE COMMITTED TO LOCAL HEALTHCARE CLOSE TO HOME AND WORK HARD TO EARN AND KEEP THE TRUST OF THE LOCAL COMMUNITY. TO ENSURE THAT A VARIETY OF CLINIC, HOSPITAL AND EMERGENCY SERVICES ARE OPEN AND AVAILABLE TO ALL THOSE WITHIN OUR SERVICE AREA WE STRIVE TO OPERATE AT THE HIGHEST LEVEL OF FISCAL RESPONSIBILITY AND TO BE A GOOD STEWARD OF OUR RESOURCES. THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 WAS DERIVED USING THE 2025 FILED MEDICARE COST REPORT. PART III, LINE 9B: IF A PATIENT IS PRESUMED TO BE FINANCIALLY INDIGENT, THE PATIENT REPRESENTATIVE WILL OFFER A PERSONAL FINANCIAL STATEMENT (PFS) TO BE FILLED OUT. THE PFS WILL BE FORWARDED TO THE PATIENT FINANCIAL ASSISTANCE COMMITTEE FOR REVIEW AND DETERMINATION OF PATIENT FINANCIAL ASSISTANCE STATUS. A PATIENT MAY REQUEST A MONTHLY PAYMENT ARRANGMENT. A MINIMUM PAYMENT OF $50 MUST BE PAID MONTHLY, WITH THE GOAL OF THE BALANCE BEING PAID IN FULL WITHIN 5 YEARS. ACCOUNTS THAT CANNOT BE COLLECTED AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY, MAGISTRATE OR ATTORNEY FOR FURTHER COLLECTION ACTION. PART VI, LINE 2: BY LISTENING TO OUR PATIENTS, FRIENDS, FAMILY AND NEIGHBORS AS WE INTERACT WITH THEM DAILY, WE HEAR THEIR CARES AND CONCERNS. WE ALWAYS ARE LOOKING FOR NEW WAY TO RESPOND TO, AND PROVIDE BETTER CARE FOR, THE LOCAL COMMUNITY. PART VI, LINE 3: THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS POSTED ON THEIR WEBSITE AT HTTPS://WWW.BITTERROOTHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ IN ADDITION THE HOSPITAL INFORMS PATIENTS UNABLE TO PAY THEIR BILLS ABOUT THEIR FINANCIAL ASSISTANCE WHILE TALKING TO THEM OVER THE PHONE AND SENDS THEM A FINANCIAL ASSISTANCE PACKET. PART VI, LINE 4: THE HOSPITAL SERVES A RURAL POPULATION WHERE THE AVERAGE ANNUAL WAGE IS $39,624. THE PAYER MIX IS 54.57% MEDICARE, 11.64% MEDICAID, 2.46% SELF PAY, NO INSURANCE, WITH THE BALANCE AT OTHER COMMERCIAL PAYORS. THE UNEMPLOYMENT RATE IN RAVALLI COUNTY IS CURRENTLY AT 2.3% ACCORDING TO THE MONTANTA DEPARTMENT OF LABOR AND INDUSTRY. PART VI, LINE 5: THE HOSPITAL IS PROUD OF ITS EFFORTS TO PROMOTE COMMUNITY HEALTH AND WELLNESS. THE COLORS OF CANCER PROGRAM IS A COMMUNITY-WIDE PROGRAM TO RAISE AWARENESS FOR ALL TYPES OF CANCER. THE HOSPITAL CONTINUES TO PROVIDE NO-COST MAMMOGRAMS TO QUALIFIED LOW-INCOME AREA RESIDENTS. THE HOSPITAL COORDINATES AND SPONSORS THE ANNUAL SPORTS PHYSICAL CLINIC TO SUPPORT AND ENCOURAGE AREA YOUTH TO PARTICIPATE IN PHYSICAL ACTIVITIES. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 HAMILTON SCHOOL DISTRICT 217 DALY AVENUE HAMILTON MT 59840 816000830 GOVERNMENTAL 7500 0 SUPPORT FOR SCHOOL RN PROGRAM AND BIOMEDICAL SCIENCE COURSE FLORENCE CARLTON SCHOOL DISTRICT 5602 OLD HWY 93 FLORENCE MT 59833 816000836 GOVERNMENTAL 7500 0 SUPPORT FOR SCHOOL RN PROGRAM 2 0 PART I, LINE 2: THE HOSPITAL IS COMMITTED TO SUPPORT THE HEALTH AND WELL-BEING OF AREA SCHOOL AGED CHILDREN BY PROVIDING FUNDING GRANTS RESTRICTED TO THE DISTRICT'S SCHOOL NURSE PROGRAM. THE HOSPITAL HAS ALSO COMMITTED TO SUPPORT STUDENT ATHLETICS BY PROVIDING A VOLUNTEER BASED, LOW-COST SPORTS PHYSICAL CLINIC DURING THE SUMMER. THE PROCEEDS ARE GIVEN TO THE PARTICIPATING STUDENTS' HOME DISTRICT TO SUPPORT THE DISTRICT'S ATHLETIC PROGRAMS. OTHER COMMUNITY ORGANIZATIONS MAY SUBMIT A GRANT PROPOSAL DIRECTLY TO THE HOSPITAL CEO FOR CONSIDERATION. THE REQUESTS ARE EVALUATED BASED UPON BROAD BASED COMMUNITY SUPPORT AND THE URGENCY OF NEED. X 0 0 X X X X X 0 1 0 0 0 0 0 0 0 RICHARD DAY MD PHYSICIAN 1221299 0 36750 0 53500 0 23546 0 21510 0 1356605 0 0 0 DAVID BOHLER MD PHYSICIAN 633278 0 264916 0 30500 0 35230 0 21457 0 985381 0 0 0 BROCK ALONZO MD PHYSICIAN 355864 0 246415 0 46000 0 23546 0 18679 0 690504 0 0 0 JOEL WALTHALL MD PHYSICIAN 559255 0 5770 0 23000 0 21009 0 29583 0 638617 0 0 0 ANGELA COVINGTON MD PHYSICIAN 416592 0 116718 0 14507 0 22303 0 18510 0 588630 0 0 0 TIMOTHY WOODS MD DIRECTOR/PHYSICIAN 461366 0 0 0 53500 0 30850 0 35867 0 581583 0 0 0 JOHN BISHOP CEOSECRETARY TREASURER 364427 0 97500 0 46000 0 26610 0 32075 0 566612 0 0 0 BRISTOL SCHMITZ MD DIRECTOR 436548 0 28996 0 17004 0 15609 0 33288 0 531445 0 0 0 KAILYN ROWE CFO 190340 0 0 0 8198 0 5690 0 14007 0 218235 0 0 0 LAWRENCE BROUWER MD DIRECTOR/PHYSICIAN 139453 0 14551 0 29000 0 9860 0 369 0 193233 0 0 0 PART I, LINE 1A THE EMPLOYEES REPORTED IN FORM 990, PART VII, SECTION A RECEIVED TAX GROSS-UP PAYMENTS FOR THEIR TAXABLE COMPENSATION RELATED TO LONG-TERM DISABILITY INSURANCE PROVIDED BY MARCUS DALY MEMORIAL HOSPITAL. THE TOTAL VALUE OF THE PAYMENTS DURING CALENDAR YEAR 2024 WAS $628. PART I, LINE 4B SELECT EXECUTIVES OF MARCUS DALY MEMORIAL HOSPITAL AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION. A MT FACILITY FINANCE AUTHORITY 364615155 2017-12-15 15000000 FINANCE CONSTRUCTION OF A NEW SURGERY CENTER 0 0 0 B MT FACILITY FINANCE AUTHORITY 364615155 2021-10-01 27000000 REFINANCE TO CONSTRUCT NEW PROCEDURE ROOMS, CANCER CENTER, AND CLINICS 0 0 0 C MT FACILITY FINANCE AUTHORITY 364615155 2021-10-01 10000000 REFINANCE TO CONSTRUCT NEW PROCEDURE ROOMS, CANCER CENTER, AND CLINICS 0 0 0 A 4800000 15000000 1040407 300000 13659593 2019 0 0 1 1 B 1026224 27000000 540000 13502240 12957760 2023 1 0 1 1 C 1485000 10000000 623794 200000 9176206 2023 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 JOHN BISHOP CEO SPLIT DOLLAR LIFE INSURANCE POLICY X 1039106 1134311 0 1 1 1134311 PART II, COLUMN C: MARCUS DALY MEMORIAL HOSPITAL PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN--NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, MARCUS DALY MEMORIAL HOSPITAL RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR MARCUS DALY MEMORIAL HOSPITAL. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD MARCUS DALY MEMORIAL HOSPITAL RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.CASD WORKS AS FOLLOWS. MARCUS DALY MEMORIAL HOSPITAL DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS ARE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. FORM 990, PART VI, SECTION B, LINE 11B A REPRESENTATIVE FROM CLIFTONLARSONALLEN, THE PAID PREPARER, PRESENTED THE FORM 990 TO THE HOSPITAL FINANCE COMMITTEE. UPON APPROVAL, THE FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR ACCEPTANCE AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, CORPORATE OFFICER, SENIOR MANAGER, TRUSTEE OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, IS AN INTERESTED PERSON. IF A PERSON IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE HEALTH CARE SYSTEM OF WHICH THE HOSPITAL IS A PART, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. UPON APPOINTMENT, HIRE OR TRANSFER AND ANNUALLY THEREAFTER, EACH INTERESTED PERSON SHALL EXECUTE AND SUBMIT TO THE HOSPITAL'S CEO A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; B. HAS READ AND UNDERSTANDS THE POLICY; C. HAS AGREED TO COMPLY WITH THE POLICY; AND D. UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL AND STATE TAX EXEMPTIONS IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE CONFLICTING FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ANY OTHER MEMBER OF THE BOARD OR COMMITTEE MAY RAISE THE QUESTION OF WHETHER A CONFLICT EXISTS, DISCLOSE FACTS RELATING TO THE CONFLICT AND REQUEST THE INTERESTED PERSON TO PROVIDE FURTHER DETAILS. THE BOARD CHAIR (OR VICE CHAIR ACTING IN THE PLACE OF THE CHAIR) OR THE HOSPITAL'S LEGAL COUNSEL MAY, BASED ON THEIR INFORMATION ABOUT THE CONFLICT, DISCLOSE THE CONFLICT AND REQUEST THE INTERESTED PERSON TO WITHDRAW FROM DISCUSSION OF THE TRANSACTION AND/OR NOT VOTE. THE INTERESTED PERSON SHALL LEAVE THE MEETING OR REQUEST A DETERMINATION BY THE BOARD OR COMMITTEE OF WHETHER A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE CONFLICTING INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING, DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS BEFORE CONSIDERING OR ACTING UPON ANY OTHER BUSINESS. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE HOSPITAL CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A AT THE DISCRETION OF THE BOARD OF DIRECTORS BUT NO LESS THAN EVERY TWO YEARS, THE NON-CONFLICTED HOSPITAL BOARD MEMBERS (COMPENSATION COMMITTEE) MEET TO REVIEW THE ANNUAL COMPENSATION AND BENEFITS PACKAGE OF THE CEO. THE BOARD USES APPLICABLE COMPENSATION SURVEY DATA PROVIDED BY SEVERAL SOURCES INCLUDING OTHER HOSPITAL 990'S, MHA SURVEY, AND THIRD-PARTY CONSULTANTS. USING THIS INFORMATION, THE COMPENSATION COMMITTEE THEN PROVIDES A RECOMMENDATION FOR CEO COMPENSATION TO THE FULL HOSPITAL BOARD. THE CEO HAS THE AUTHORITY TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE HOSPITAL. FOR PHYSICIAN COMPENSATION, THE HOSPITAL USES A THIRD-PARTY CPA FIRM TO GATHER COMPENSATION DATA FROM MGMA AND NON-PHYSICAN COMPENSATION INFORMATION IS FROM THE MHA COMPENSATION SURVEY. THIS PROCESS WAS LAST CONDUCTED IN 2024. FORM 990, PART VI, SECTION C, LINE 18 IN ADDITION TO BEING AVAILABLE UPON REQUEST, A COPY OF THE FORM 990 IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF DALY HOSPITAL FOUNDATION -1,581,146. AIDE FOR MAMMOGRAPHY RELEASE 2,956. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. DALY HOSPITAL FOUNDATIONINC 1200 WESTWOOD DRIVE HAMILTON MT 59840 363766000 CHARITABLE SERVICES MT 501(C)(3) LINE 7 MARCUS DALY MEMORIAL HOSPITAL 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 DALY HOSPITAL FOUNDATION C 465909 FMV