2026-05-07T14:23:28-05:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 237169043 Central Montana Medical Facilities Inc CENT 4065387711 408 Wendell Avenue Lewistown MT 59457 Cody Langbehn CEO 4065387711 2026-05-07 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-04-29 2024 2025-03-06 01:10:19Z Central Montana Medical Center Cody Langbehn 408 Wendell Avenue Lewistown MT 59457 67458828 0 X www.cmmc.health X 1971 MT The mission of CMMC is to be the leader in assuring community based quality healthcare. 13 10 371 145 0 0 3644659 3196192 53651305 59669509 833190 993765 266628 -84627 58395782 63774839 0 0 0 0 25260930 28902453 0 0 167123 25532995 27123323 50793925 56025776 7601857 7749063 61038627 70156390 10952114 11887893 50086513 58268497 X The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare. 1 0 46467402 59669509 Central Montana Medical Center Facilities, Inc. operates a 25 bed critical access hospital located in Lewistown, MT.Hospital Inpatient Services for FY25:Number of beds: 25Provided 1064 acute days of care and 636 swing bed days of care for 18.63% occupancy rateEmergency Services for FY2025:Provided for 5,401 emergency visits24-hour physician and ambulance coverage availableCMMC Community Paramedic for FY2025:Saw a total of 72 patients conducting 266 community visits and 65 detention center visits.OB Services for FY2025:Provided for 87 births in Central MontanaAwards received for FY2025 were as follows:-2025 Top 20 Critical Access Hospital-Cream of the Crop Award for Best Rural Healthcare Facility/Hospital-Chartis Top 100 Critical Access Hospitals 2025 46467402 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 51 0 1 371 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Cody Langbehn 4065387711 408 Wendell Ave Lewistown MT 59457 Corry Arntzen Chairman 1.00 X X 0 0 0 Ashley Morris Treasurer 1.00 X X 0 0 0 Ryan d'Autremont Secretary 1.00 X X 0 0 0 Karen Durbin Mbr(Jul-Oct)/Vice-Chair(Oct-Curr) 1.00 X X 0 0 0 Dr Tamara Welsh Physician/Member 40.00 X 351895 0 10053 Dr Michael Sura Physician/Member 40.00 X 468842 0 37165 Christopher Goulet Member 1.00 X 0 0 0 Amy Miller Member (Joined Feb) 1.00 X 0 0 0 Megan Bartel Member 1.00 X 0 0 0 Melody Montgomery Member 1.00 X 0 0 0 Jennifer Saunders Member (Joined Feb) 1.00 X 0 0 0 Joe Eckhardt Member (Joined Feb) 1.00 X 0 0 0 Vicki Plagenz Member (Joined Feb) 1.00 X 0 0 0 Keith Cook Member (Left Dec) 1.00 X 0 0 0 Marvin Mauws Member (Left Oct) 1.00 X 0 0 0 Kathleen Quinones Member (Left May) 1.00 X 0 0 0 Carl Seilstad Vice Chair(Jul-Oct)/Mbr(Oct-Dec) 1.00 X X 0 0 0 Cody Langbehn CEO 40.00 X 0 0 0 Perry Howell CFO 40.00 X 160642 0 15775 Gardner S Smith Physician 40.00 X 428126 0 34029 Garrett H Taylor Physician 40.00 X 425119 0 31087 Amy A Lepage Physician 40.00 X 375641 0 31798 Kimberly A Schaaf Physician 40.00 X 347900 0 39772 Melanie A Hardy Physician 40.00 X 347541 0 32413 2905706 0 232092 40 0 1 0 TW Ridley LLC 609 Charles St Billings MT 59101 Construction Staff 7313894 Billings Clinic PO Box 30357 Billings MT 59107 Mgmt Fees 3540676 Synergy Surgicalist PC 12396 World Trade Dr 303 San Diego CA 92128 Physician Staffing 1005968 Cushing Terrell PO Box 30071 Billings MT 59107 Architecture-Building Services 208345 Host Healthcare Inc PO Box 855261 Minneapolis MN 55485 Medical Staffing 198507 14 3196192 3196192 Net Patient Revenue 621110 56557308 56557308 Pharmacy Revenue 456110 1614645 1614645 Special Programs 900099 1416681 1416681 Cafeteria 722514 80875 80875 59669509 730313 730313 87502 172129 -84627 -84627 -84627 3772812 2500 3511860 0 260952 2500 263452 263452 63774839 59669509 0 909138 X 1263164 1055981 207183 321137 321137 23287412 18527685 4649889 109838 590184 500267 85664 4253 1568426 1249554 299960 18912 1872130 1497704 367132 7294 422675 422675 80429 80429 64918 64918 6984033 6984033 249821 187366 51094 11361 2983340 1911429 1068230 3681 1756270 1289615 464435 2220 39820 39652 168 140350 139123 1227 19746 13611 6135 2029220 1562245 466975 715432 715432 Medical Supplies 9351286 9351258 28 Taxes and Licenses 814328 15298 799030 Equip Rental and Maint 296364 296364 1175291 809648 357502 8141 56025776 46467402 9391251 167123 18784456 17153627 1428501 843400 8339813 9264232 1073795 1114904 395330 834826 62913612 33968390 17930496 28945222 7214265 5872376 5871971 6127803 61038627 70156390 5068740 5062550 2981309 2839991 1644227 3265819 1257838 719533 10952114 11887893 X 38725047 53325495 11361466 4943002 50086513 58268497 61038627 70156390 X 7749063 297386 135535 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 123009 123009 41253117 20529684 20723433 18578418 12149983 6428435 2959068 1288723 1670345 28945222 Long-Term Prepaid Expenses 683873 Due from Foundation 4099603 Other Receivables 1337625 Finance Lease ROU Asset 4514 Operating Lease ROU Asset 2188 6127803 Operating Lease Liability 2188 Finance Lease Obligation 5242 Construction Payable 712103 719533 X 64244354 297386 297386 63946968 -172129 -172129 63774839 56197905 172129 172129 56025776 0 56025776 Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Rental Expenses Reported in Revenue for Tax Purposes -172,129. Part XII, Line 2d - Other Adjustments: Rental Expenses Reported in Revenue for Tax Purposes 172,129. 1 1 X 1 X 1 X 1 1 1 0 1 0 1055000 1055000 0.01880 1055000 1055000 0.01880 11 50043 43415 43415 0.00080 1 12 190 190 0.00000 8532307 4771549 3760758 0.06710 1 13040 10697 10697 0.00020 13 63095 8586609 4771549 3815060 0.06810 13 63095 9641609 4771549 4870060 0.08690 2 56850 20725 20725 0.00040 2 56850 20725 20725 0.00040 1 565699 0 10754655 10764818 -10163 X 1 1 1 1 Central Montana Medical Center 408 Wendall Avenue Lewistown MT 59457 www.cmmc.health 12894 X X X X Home Health / Hospice Central Montana Medical Facilities Inc 1 1 0 1 X X X X X X X X X 24 1 0 0 1 X https://www.cmmc.health/resources/reports X 1 24 1 https://www.cmmc.health/resources/reports 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X See Part V X See Part V X See Part V X X X X X X 1 X 0 X X X X 1 X 0 0 Central Montana Medical Facilities, Inc. Part V, Section B, Line 5: Steering committee members included members from Central MT Health District, Fergus County Health Department, and a Fergus County Commissioner as well as representation from CMMC. Efforts to solicit input from a wide variety of populations included surveys, phone calls, interviews, focus groups, and key informant interviews. Surveys were sent out to residents in both Fergus and Judith Basin counties. Survey respondents had the ability to complete the survey via mailing it in or accessing the survey online through the MSU Social Data Collection and Analysis Services portal and the web address given https://www.montana.edu/socialdata/currentsurveys.html. The survey was based on a design that has been used extensively in the states of Washington, Wyoming, Alaska, Montana, and Idaho. The survey was designed to provide each facility with information from local residents regarding: -Demographics of respondents-Hospitals, primary care providers and specialists used, plus reasons for selection-Local healthcare provider usage-Services preferred locally-Perception and satisfaction of local healthcareKey informant interviews and focus groups were conducted to identify important local healthcare issues, how to improve the health of the community, and gaps in health services. It was intended that this research would help determine the awareness of local programs and services, as well as the level of satisfaction with local services, providers, and facilities. Central Montana Medical Facilities, Inc. Part V, Section B, Line 11: In the most recent CHNA conducted the following needs were identified: health concerns including expanding access to healthcare services including more primary care providers, access to specialty services, affordability and insurance, as well as increased transportation assistance. Chronic diseases identified as concerns included obesity and cancer. Other community concerns included alcohol/substance use concerns and increasing access to affordable housing. Priorities identified to address over the next 3 years are issues identified in the mental health and behavioral health services, as well as increasing access to healthcare services.The organization will not address the following need identified for affordable housing. This is a challenging issue to tackle alone. As time allows in the future, CMMC would be open to engaging with community partners for discussions related to housing affordability and accessibility.In the current year the facility has taken the following actions to address the needs identified:-Built a comprehensive Cancer Center-Currently in contract negotiations to have a mobile PET machine at CMMC every other week increasing access and reducing travel for cancer patients-Hired 2 new Family Practice/OB Physicians-Hired an additional full time ER Physician-Hired Oncology physician-Expanded Orthopedic surgical options to include total hip and knee replacements-Hired Orthopedic surgeon-Initiated discussions of options surrounding locums to provide more hours in the clinic targeting reduced appointment wait times-Hired a LCPC Mental Health provider increasing daily available appointment options as well as treatment approaches for mental health-Increased marketing targeting awareness of increased access to mental health services-Purchased DEXA scanning machine to provide access for BMI calculations targeting understanding for providers and patients to provide strategies to battle obesity-Hired an additional Revenue Cycle Technician who reviews patient billing information from previous day to increase accuracy of encounter registrations and coding-Moved cashier office to main lobby entrance next to patient registration for easier access for patients-Continued to host stroke support group, cancer support groups, held community education classes such as Fall Prevention, Diabetes Prevention and CPR/BLS-Participated in community wide health fair-Continued to provide evening clinics on Tuesday-Thursdays Central Montana Medical Facilities, Inc. Part V, Section B, Line 13h: Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. Central Montana Medical Facilities, Inc. Part V, Section B, Line 16j: A summary of the financial assistance policy is also posted in the hospital facility's emergency room, waiting rooms, and admissions offices. Part V, Line 16a, FAP Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ Part V, Line 16b, FAP Application Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ Part V, Line 16c, FAP Plain Language Summary Website: https://www.cmmc.health/for-patients/billing-and-financial-assistance/ 2 1 - Central Montana Medical Center - DME 410 Wendell Ave Ste 3 Lewistown MT 59457 HME/DME Services 2 - Central Montana Medical Center-Clinic 410 Wendell Ave Lewistown MT 59457 Physician Clinic Part I, Line 3c: Eligibility is based on patient's family size, family gross income, personal assets, and other medical debts. Part I, Line 7: The Organization used an average overall ratio of costs to gross charges which addresses all patient segments in order to calculate charity care. Community health improvement services, health professions education and cash and in kind contributions were based on expenses recorded in the general ledger. Subsidized health services are reported according to costs allocated to the relevant cost centers on the Medicare cost report. Part II, Community Building Activities: Community Building activities promote the health of the communities served by providing services and donations for a healthy, active, and educated public. Central Montana Medical Center staff donated time to several Community Boards, including the Chamber of Commerce, Kiwanis, the Lewistown Downtown Association, and other meetings with volunteers servicing our community. CMMC participated in community events including Cancer Center town hall meetings, the local Youth Challenge, and the Central Montana Fair. CMMC also participated in a food drive. By contributing in these different ways, CMMC staff provide a range of knowledge to the community members with a foundation on health and medical needs. All these programs benefit central Montana and promote health and wellness. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 12-13 of the attached audited financial statements. Part III, Line 8: Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.All of the Medicare shortfall should be treated as a community benefit. The Organization treats individuals regardless of the ability to pay. Providing Medicare services promotes access to healthcare services which are vitally needed by our community.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $187,092.1,120,435 Medicare fee schedule revenue(1,307,527) Medicare estimated costs of care relating to payments(187,092) Net Surplus (shortage) Part III, Line 9b: Whenever the patient is determined eligible for financial assistance the account will be adjusted based on the determined eligibility. In the first 120 days the patient will receive a minimum of 3 letters and possibly more dependent on the status of the account; and a minimum of 3 phone calls depending on the status of the account. After 120 days, if the account has already been sent to collections and the patient is determined eligible, the account is immediately returned from the collection agency while the application is in process. The account will be adjusted immediately based on determined eligibility. Financial assistance can have a presumptive eligibility without receiving an application from the patient. Presumptive eligibility is listed in charity care policy outlining the 7 criteria for presumptive eligibility qualifications. If a patient does provide an application and is determine ineligible for financial assistance, denials are written and include instructions for appeals or reconsideration. Collection actions may be pursued after patients are found ineligible. These collection practices follow the Fair Debt Collection Practice Act. Also, in the written denial notification there will be a deadline no earlier than 30 days after the written response of the outlined Extraordinary Collection Action (ECA) that will be initiated. Part VI, Line 2: Currently, CMMC assesses the health care needs of the community by the number of responses to ads and articles released through the local media. Also tracked were the kinds of support requested of CMMC such as children's safety, wellness initiatives and healthcare assessments. In FYE 2025 CMMC completed a Community Health Needs Assessment with the help of Montana State University. Mail and phone surveys were completed and "town hall" type meetings were held in Lewistown. Part VI, Line 3: CMMC has financial assistance signage posted in the admissions areas and the ER waiting area. A pamphlet explaining our financial assistance program, the application process and contact information is available at all hospital registration areas. The Charity Care policy and application along with a checklist and contact information is posted on our website on the internet. Prior to discharge someone from discharge planning discusses with the patient the availability of various government benefits, such as Medicaid, and assists the patient with qualifications for such programs, where applicable. Assistance with filling out the Charity Care application is also provided at this time. Private Pay in-patients are informed of Charity Care either prior to scheduled admission by physician referral or prior to discharge from the facility. We also send out information with first time statements. All other patients are informed upon inquiry. Part VI, Line 4: Lewistown is an agricultural community and the county seat for Fergus County Montana. Lewistown is located in the center of Montana and is surrounded by five mountain ranges: the Snowies, the Judiths, the Moccasins, the Belts and the Highwoods. Lewistown's elevation is 3,963 feet with 3,194 people per square mile (average).The city of Lewistown and the surrounding rural towns are supported by one hospital, Central Montana Medical Center. Fergus County is located in a federally designated medically underserved area.As of the census of 2022, the population of Lewistown MT is 6,076 (2,879 female and 3,197 male). The county's population was 11,872 and there are 2.73 persons per square mile.March 2022 cost of living index in our zip code (59457) is 87.4%, U.S. average is 100.Real estate property taxes paid for housing units with mortgages in 2022 was $1,765. Renter-occupied apartments were 35% compared to the state average of 31%.The median resident age for this zip code is 48.1 years old with an average household size of 2.2 people.The population 25 years and over in 59457 shows High school or higher: 93.3%, Bachelor's degree or higher: 23.0%, Graduate or professional degree: 4.2%, Unemployed:6.0%Information obtained from www.city-data.com/city/Lewistown-Montana.html Part VI, Line 5: The CMMC Governing Board consisted of 12 members; 4 who left during the year and 5 who joined during the year, ending with a total of 13 members. including members from surrounding communities and 1 member from our affiliate, Billings Clinic.CMMC extends medical staff privileges to qualified physicians based upon community needs.Surplus funds, when available, are applied to patient care needs, equipment and building maintenance and medical education requirements. The expenditure of these funds is approved by the Governing Board which meets on a monthly basis.CMMC operates a 24 ER that is available to anyone determined to be in need of care, regardless of their ability to pay. There is representation on the CMMC Governing Board from both the immediate and surrounding communities. There is also a diverse representation from across the immediate and surrounding communities which serve on the CMMC PFAC (Advocacy Committee). Benefits Health System established and open an urgent care clinic. CMMC remains the only hospital in the community. CMMC now provides cancer treatment options for Central Montana. The Medical Center Foundation awarded $566,648 in grants for patient care, health education for the community, and staff education.This fiscal year CMMC will be promoting cancer center services. This is targeting a health demographic not previously served by the organization. The intent is to make cancer treatment options more easily accessible, servicing a larger geographical area.Community care and services are also provided through the many reduced-price services and free clinics, fairs, and programs offered throughout the year. Care and services provided this year includes but is not limited to the following (all costs are estimates):Services provided for fiscal year 24-25:*Concussion Testing:-628 Students Tested-Established baseline cognitive functioning for all area schools' athletic programs (Lewistown High School and Junior High, Winifred, Roy, Hobson, Moore, Grass Range and Winnett)-Educated on importance of brain health and injury prevention-151 staff hours (included in estimated cost)-Estimated Cost: $7,078.00*Sports Physical Clinics:-249 students provided sports physical exams - included a musculoskeletal exam by CMMC Rehab department: Donated proceeds back to individual school athletic programs-Estimated cost: $9,063.60 (includes staff hours)*CPR / First Aid:-78 Students taught at Fergus High School: 7-day class / 6 class periods per day-Educated on 9-1-1 emergency calls; basic adult / infant CPR; AED training; seizure care; allergic reactions and training in use of an Epi-pen; Stop the Bleed training; diabetic s / sx and response to abnormal issues; total of 175 staff hours-Estimated cost: $2,460.45 (in-kind) / TOTAL program cost: $6,204.07 (includes staff hours)*Rural EMS volunteer services:-28 Volunteers provided CPR and First Aid training-Estimated cost: $525.00 (includes staff hours)*Volunteer Services (Hospice / Auxiliary):-19 volunteers served-Lab testing, Flu and other vaccines, TB testing-4 staff and supplies used; 10.5 staff hours-Estimated cost: $2,557.29 (does not include staff time) *Student and Traveler Services:-37 students / 24 travelers served (Nursing, Residents, FHS EMT, CMMC travelers, etc)-Drug testing, Lab testing, Vaccinations, TB testing, Respirator Fit Testing-4 staff used; supplies used-36 Staff hours (not included in estimated cost)-Estimated cost: $1,193.55 (students); $754.16 (travelers) TOTAL: $1,947.71*Hospice / Auxiliary Volunteer Training:-20 volunteers served-Educated on immunizations, appropriate PPE, Covid / Flu precautions / symptoms of Flu / Covid; OSHA bloodborne pathogens-Estimated cost: $140.29 Part VI, Line 6: CMMC is part of an affiliated health care system with Billings Clinic. Central Montana Medical Center is involved in promoting community health by participating in Population Health programs offered by Medicare and other third party insurers. Billings Clinic and CMMC collaborate on Population Health and Care Coordination initiatives that are provided to the community. CMMC has an independent Care Coordination department focused on promoting the health of the individuals in our community. Part VI, Line 7, Reports Filed With States MT X 0 0 0 0 0 0 0 0 0 Dr Michael Sura Physician/Member 468842 0 0 0 0 0 11500 0 25665 0 506007 0 0 0 Gardner S Smith Physician 428126 0 0 0 0 0 8364 0 27188 0 463678 0 0 0 Garrett H Taylor Physician 425119 0 0 0 0 0 5818 0 25269 0 456206 0 0 0 Amy A Lepage Physician 375641 0 0 0 0 0 6133 0 25665 0 407439 0 0 0 Kimberly A Schaaf Physician 347900 0 0 0 0 0 14503 0 26411 0 388814 0 0 0 Melanie A Hardy Physician 347541 0 0 0 0 0 9042 0 23371 0 379954 0 0 0 Dr Tamara Welsh Physician/Member 351895 0 0 0 0 0 10053 0 1523 0 363471 0 0 0 Perry Howell CFO 160642 0 0 0 0 0 6566 0 10825 0 178033 0 0 0 A Fergus County Montana 816001358 000000000 2014-05-01 4500000 Emergency and laboratory expansion and remodel of existing facility 0 0 0 A 1660009 4500000 4500000 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 Amie D'Autremont Sister of board member, Ryan D'Autremont 110414 Employee compensation 0 Amy D'Autremont Wife of board member, Ryan D'Autremont 134309 Employee compensation 0 Amy Howell Wife of CFO, Perry Howell 62438 Employee compensation 0 Darian Howell Daughter of CFO, Perry Howell 13976 Employee compensation 0 Form 990, Part III, line 2 CMMC opened up a new Cancer Center in June 2025, which provides both infusion and radiation cancer treatment options. Form 990, Part VI, Section A, line 1a The Executive Committee includes the President or Chair, Vice President or Vice Chair, Secretary and Treasurer and 2 members-at-large and their authority is similar to that of the full governing board. Form 990, Part VI, Section A, line 3 Cody Langbehn is a contract employee of Billings Clinic. Central Montana Medical Center is affiliated with Billings Clinic and Cody serves as the CEO. Billings Clinic was paid a total of $415,068 for Cody's services during calendar year 2024. Compensation: $344,480 Benefits: $70,588 The organization pays Billings Clinic a management fee of $35,223 per month for our affiliation. Form 990, Part VI, Section A, line 6 The organization has two classes of membership: Class A general membership and Class B membership, with the sole member of the Class B Membership being Billings Clinic. Class A Membership in the Corporation shall consist of residents of Central Montana residing within the counties of Fergus, Judith Basin and Petroleum who are at least eighteen (18) years of age and who have or shall indicate their interest in the maintenance of adequate medical facilities and high standards of medical care in the area, served by CMMC, and who indicate a willingness and desire to be a member of the Corporation by attending and signing the register at the Corporation's annual meeting. Form 990, Part VI, Section A, line 7a The board has two classes of directors. Class A Directors are elected by the Class A Members and Class B Directors are appointed by the Billings Clinic. There shall be at last nine but no more than thirteen Class A Directors. There shall be at least one but no more than two Billings Clinic Directors, as determined by Billings Clinic from time to time. Each Class A Director must reside within the counties of Fergus, Judith Basin or Petroleum. Two Class A Directors must be physicians holding privileges on CMMC's active Medical Staff. Further, so long as the Corporation remains obligated for the repayment of any long-term tax-exempt financing, underwritten through Fergus County, Montana, one Class A Director shall be selected from the Fergus County Commissioners. The Board and Billings Clinic shall communicate concerning the appointment of Billings Clinic Directors with the objective of selecting individuals who will work cooperatively with the Class A Directors for the benefit of CMMC. Form 990, Part VI, Section A, line 7b Any amendment to the bylaws affecting the voting rights and powers of membership, must be approved by both a two-thirds majority of the board present at any regular or special meeting of the board and Billings Clinic. Additionally, Billings Clinic must consent to any amendment of the bylaws relating to CMMC's purpose, the membership, the members of the board, including but not limited to the number of directors, the composition of the board, the term of office of directors or the method or way in which directors are elected or selected. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 is reviewed by the CFO and Board of Directors prior to its filing. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by discussing at the Board of Director Meetings and obtaining signed statements from members. All officers, board members, and key employees are covered by the policy. The board determines whether conflicts exist and all potential conflicts are reviewed by the board. Any person with a conflict is not allowed to vote on conflicted issues. Form 990, Part VI, Section B, line 15a Cody Langbehn, CEO, is employed by Billings Clinic. Billings Clinic provided market data to the Board and the Board takes action annually to set his compensation level. CFO compensation was determined by the CEO after looking at market data from MHA and consulting with a recruitment company about market data for the CFO pay range. The specific pay rate was then set based on the market range and relevant experience. These processes take place 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 upon request. A copy may be requested by calling, emailing, walk-in or via mail. Form 990, Part IX, line 11g Other Professional Fees: Program service expenses 6,984,033. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,984,033. Form 990, Part XI, line 9: Change in Interest in Central Montana Foundation 135,535.