2023-11-07T19:39:16-05:00 2022-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-01-01 810303913 COMMUNITY HOSPITAL OF ANACONDA COMM 4065638512 401 W PENNSYLVANIA ANACONDA MT 59711 MARGARET HICKEY-BOYNTON CFO 4065638521 2023-11-07 true MARGARET HICKEY-BOYNTON 999009999 false THOMAS DINGUS P00951009 5092420874 2023-11-07 2022 2023-04-26 12:10:37Z MARGARET HICKEY-BOYNTON 401 W PENNSYLVANIA ANACONDA MT 59711 90156995 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. 9 7 507 66 0 10334457 346505 86190891 89489900 10551 108996 251412 211594 96787311 90156995 43252 105708 0 42396861 44036616 0 0 39624717 43647580 82064830 87789904 14722481 2367091 91429573 95573449 35779665 39817410 55649908 55756039 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 80639570 89489900 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 3,916 DAYS OF INPATIENT ACUTE CARE SERVICES, 158,074 OUTPATIENT VISITS, 10,060 EMERGENCY ROOM/CONVENIENT CARE VISITS, AND 2,567 SURGERIES. THE NURSING HOME PROVIDED 6,490 DAYS OF RESIDENT SERVICES FOR THE YEAR ENDED DECEMBER 31, 2022. 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 668,395 FOR CHARITY CARE, 37,336,143 FOR MEDICARE, 7,868,175 FOR MEDICAID, AND 18,294,153 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2022. 105708 105708 COMMUNITY HOSPITAL OF ANACONDA ALSO SPONSORS NUMEROUS YOUTH GROUPS AND ACTIVITIES WITHIN ITS COMMUNITY. 80745278 true true false true false false false false false false true false false true true true true false false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true false false false true 38 0 true 507 true false false false false false false false false false false false false X 9 7 true false false false true false false true true false false true true true true true true true true false X STEPHANIE DENHAM 4065638512 401 W PENNSYLVANIA ANACONDA MT 59711 CHRISTINA OTTOMEYER PHYSICIAN 40.00 X 796631 0 75723 CARL SCHILLHAMMER PHYSICIAN 40.00 X 701103 0 64665 JAMES HUEFTLE PHYSICIAN 40.00 X 599708 0 26690 TROY MALCOM PHYSICIAN 40.00 X 558376 0 17133 JONATHON SCHELLENBERGER PHYSICIAN 36.00 X 495685 0 34256 FREDERICK BARTOLETTI TRUSTEE/PHYS 36.00 X 482349 0 47304 JOELLEN VILLA CEO 40.00 X 367793 0 15937 MARGARET HICKEY-BOYNTON CFO 40.00 X 299822 0 15840 LEE ANN BARTOLETTI CHAIR 1.00 X X 0 0 0 STAN BLAZ VICE CHAIR 1.00 X X 0 0 0 CHRISTINE CONNORS SECRETARY/TR 1.00 X X 0 0 0 KRISTY MCKAY TRUSTEE 1.00 X 0 0 0 SARA NOVAK TRUSTEE 1.00 X 0 0 0 BILL FINNEGAN TRUSTEE 1.00 X 0 0 0 AUDREY ASPHOLM TRUSTEE 1.00 X 0 0 0 ERIK SWANSON TRUSTEE 1.00 X 0 0 0 4301467 297548 90 false true false LBR GROUP PC PO BOX 1038 ANACONDA MT 59711 MANAGEMENT 1194378 FLATHEAD UROLOGY PLLC 210 SUNNYVIEW LN SUITE 106 KALISPELL MT 59901 UROLOGY 775054 MOUNTAIN MEDICAL STAFFING 115 E 7TH ST ANACONDA MT 59711 STAFFING 593003 DR JONATHAN PINE 305 W PENN AVE ANACONDA MT 59711 SURGEON 582068 MONTANA NEUROSURGERY CENTER PLLC 2835 FORT MISSOULA RD STE 202 MISSOULA MT 59804 SURGEON 575471 28 2375 222541 121589 346505 NET PATIENT SERVICE REVENUE 624100 89456840 89456840 RENTAL INCOME 621110 33060 33060 89489900 108996 108996 MEDICAL STAFF REIMBURSEMENT 900099 97329 97329 CAFETERIA REVENUE 722514 68146 68146 PHARMACY SALES 446110 25939 25939 20180 20180 211594 90156995 89489900 320590 X 105708 105708 1229045 529654 699391 36827324 34540378 2286946 807479 755392 52087 2755979 2552175 203804 2416789 2228767 188022 1281869 1281869 64888 64888 26138 26138 10741598 10091927 649671 406513 772 405741 2715434 2421144 294290 586545 586545 1801067 1607591 193476 39034 31577 7457 194312 189449 4863 459929 387055 72874 1974969 1810427 164542 1435518 1426918 8600 MEDICAL SUPPLIES & DRUGS 19985898 19985898 HOSPITAL BED TAX 1193176 1193176 DUES & SUBSCRIPTIONS 646079 300725 345354 94613 94613 87789904 80745278 7044626 0 4025592 4461067 33244955 28565781 12297781 15285394 14961 6472 1978454 2470207 509640 707822 51040299 27047684 21386889 23992615 13807613 11547039 391049 311887 3772639 8225165 91429573 95573449 6508442 7815448 1911451 2321223 26093578 25076021 1266194 4604718 35779665 39817410 X 55649908 55756039 55649908 55756039 91429573 95573449 2367091 -2260960 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 5418 5418 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 945214 945214 27583293 12122141 15461152 18778048 14312530 4465518 3733744 613013 3120731 23992615 MEDICAID SUPPLEMENTAL PAYMENTS 4642445 OPERATING LEASE RIGHT-OF-USE ASSET 2760203 ESTIMATED THIRD PARTY SETTLEMENTS 795361 OTHER RECEIVABLES 27156 8225165 OPERATING LEASE LIABILITIES 2767111 ESTIMATED THIRD PARTY SETTLEMENTS 1622961 FINANCING LEASE OBLIGATIONS 214646 4604718 X 87896035 -2260960 -2260960 90156995 90156995 87789904 87789904 87789904 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 DECEMBER 31, 2022 AND 2021, THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.300000000000 true X 2.200000000000 true true false true true 280726 280726 0.00320 11988975 11988975 12269701 11988975 280726 0.00320 2051432 2051432 0.02340 25190128 12846786 12343342 0.14060 110523 110523 0.00130 27352083 12846786 14505297 0.16520 39621784 24835761 14786023 0.16840 true 489476 24221410 24243320 -21910 X true true NA 1 1 COMMUNITY HOSPITAL OF ANACONDA 401 W PENNSYLVANIA ANACONDA MT 59711 WWW.COMMUNITYHOSPITALOFANACONDA.ORG X X X X COMMUNITY HOSPITAL OF ANACONDA 1 false false true X X X X X X X X 22 true false true true X WWW.COMMUNITYHOSPITALOFANACONDA.ORG X true 22 true WWW.COMMUNITYHOSPITALOFANACONDA.ORG false true X 130.000000000000 220.000000000000 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 X X X true X false false FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 50 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY INCLUDING ZIP CODES WITH THE LARGEST NUMBER OF ADMISSIONS IN THE SURVEY SAMPLE. THE PROCESS INCLUDED A RANDOM, WRITTEN SURVEY MAILED TO 800 RESIDENTS FROM THESE ZIP CODES. RESIDENCE WAS STRATIFIED IN THE INITIAL SAMPLE SELECTION SO THAT EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVED POPULATION AND THE PROPORTION OF PAST ADMISSIONS. THE SURVEY WAS FOLLOWED BY KEY INFORMANT INTERVIEWS. STEERING COMMITTEE MEETINGS AND KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED TO IDENTIFY IMPORTANT LOCAL HEALTHCARE ISSUES, HOW TO IMPROVE THE HEALTH OF THE COMMUNITY, AND GAPS IN HEALTH SERVICES. FACILITY 1, COMMUNITY HOSPITAL OF ANACONDA - PART V, LINE 6B IN 2022, THE HOSPITAL COLLABORATED WITH THE MONTANA OFFICE OF RURAL HEALTH TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS OF ANACONDA-DEER LODGE COUNTY AND SURROUNDING AREA OF SOUTHWEST MONTANA. 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 HAVING STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE NEEDS IDENTIFIED BUT NOT SPECIFICALLY ADDRESSED INCLUDE PATIENTS HAVING DIFFICULTY GETTING A PRESCRIPTION OR TAKING THEIR MEDICATION REGULARLY AND RESPONDENTS STATING THEIR STRESS LEVEL OVER THE PAST YEAR WAS "HIGH- OR "MODERATE." BY PARTNERING WITH OTHER LOCAL SERVICES, CHA IS ABLE TO ASSIST PATIENT POPULATIONS WITH DETERMINING ADDITIONAL COMMUNITY RESOURCES TO ASSIST WITH PRESCRIPTION NEEDS. BECAUSE CHA IS NOT A RETAIL PHARMACY, WE ARE UNABLE TO IMPLEMENT ADDITIONAL SERVICES ON-SITE. CHA ASSISTS PATIENTS WITH PATIENT ASSISTANCE PROGRAMS THROUGH MANUFACTURERS AND OFFERS A CARE COORDINATOR TO ASSIST WITH DIRECTING PATIENTS TO RESOURCES SUCH AS DRUG ASSISTANCE PROGRAMS. CHA IS COMMITTED TO PROVIDING EXEMPLARY BEHAVIORAL HEALTH SERVICES TO OUR COMMUNITY. BECAUSE WE NOW OFFER SUCH SERVICES LOCALLY, PATIENTS NO LONGER NEED TO TRAVEL LONG DISTANCES IN ORDER TO RECEIVE CARE. CHA ALSO OFFERS ADDITIONAL COMMUNITY RESOURCES, SUCH AS HEALTHY LIFESTYLES PROGRAM, TO ASSIST WITH POSITIVELY IMPACTING OUR PATIENT POPULATION. 2 COMMUNITY NURSING HOME OF ANACONDA 600 MAIN ANACONDA MT 59711 NURSING HOME PINTLER HOME OPTIONS 118 EAST SEVENTH 1A ANACONDA MT 59711 HOME HEALTH AGENCY SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 15,386,994 IN COLUMN C AND 6,758,671 IN COLUMN D. SCHEDULE H, PART I, LINE 7 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). SCHEDULE H, PART II CHA IS COMMITTED TO SUPPORTING SOCIAL SERVICE PROGRAMS THAT BENEFIT LOCAL RESIDENTS, WITH SPECIAL FOCUS ON HEALTHY LIFESTYLES, THE ELDERLY AND YOUTH. CHA ALSO ENCOURAGES HOSPITAL EMPLOYEES TO VOLUNTEER IN THE COMMUNITY. EMPLOYEES VOLUNTEER THEIR TIME TO TEACHING BASIC LIFE SUPPORT COURSES AND PARTICIPATING WITH CONCESSIONS, AND CLEANUP FOR ORGANIZATIONS. THE HOSPITAL SUPPORTS THE LOCAL SCHOOL'S HEALTHY SNACK PROGRAMS ALONG WITH DONATING TO OTHER COMMUNITY EVENTS. CHALLENGES REGARDING COMMUNITY BUILDING ACTIVITIES THAT WERE DISCONTINUED OR HELD VIRTUALLY HAVE OPENED BACK UP IN 2022. COMMUNITY HOSPITAL OF ANACONDA HAS SPONSORED THE DIABETES PREVENTION PROGRAM FOR THE PAST SEVERAL YEARS. NEW CLASSES BEGAN TWICE A YEAR AND RAN A TOTAL OF 12 MONTHS EACH. THERE ARE NEARLY 40 MILLION AMERICANS WHO HAVE DIABETES, OF THOSE APPROXIMATELY 30 MILLION ARE DIAGNOSED AND 9 MILLION ARE UNDIAGNOSED. THERE ARE OVER 96 MILLION PEOPLE WITH PREDIABETES. OUR 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. CLASS ATTENDANCE HAS GROWN OVER THE PAST YEAR. ANNUALLY, CHA CONTRIBUTES TO LOCAL ORGANIZATIONS FOCUSED ON PROMOTING POSITIVE YOUTH DEVELOPMENT IN STUDENTS BY PROVIDING A SAFE PLACE WITH CARING ADULTS AND FUN ACTIVITIES WHERE YOUTH CAN SPEND THEIR FREE TIME. IN 2022, WE AGAIN SPONSORED A CROSS COUNTRY SKI PROGRAM FOR ELEMENTARY SCHOOL CHILDREN; LOCAL 4-H PROGRAMS; AND THE LOCAL SCHOOL SUPPLY DRIVE. IN ADDITION, CHA SPONSORED TWO LOCAL FUN RUNS/BIKE RACES IN 2022. IN 2022, CHA SPONSORED 2 EMPLOYEES TO FURTHER THEIR EDUCATION TO ATTEND SCHOOL TO BECOME CERTIFIED FIRST ASSISTS. CHA ALSO HOSTED SEVERAL NURSING, NURSE ANESTHETIST, MEDICAL RESIDENTS, MID-LEVEL STUDENTS AS WELL AS HIGH SCHOOL STUDENTS LOOKING FOR SHADOWING OPPORTUNITIES. IN 2022, CHA PROVIDED APPROXIMATELY 323 FREE OR REDUCED FEE SPORTS PHYSICALS TO JUNIOR AND SENIOR HIGH SCHOOL STUDENTS IN ANACONDA AND BUTTE. STAFF VOLUNTEERED THEIR TIME AND TALENT TO LOCAL ADVISORY BOARDS, FESTIVALS AND COACHING YOUTH ACTIVITIES. SCHEDULE H, PART III, LINE 2 THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 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. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 15 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 11 BEGINNING ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 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. SCHEDULE H, PART III, LINE 9B IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED TO DETERMINE THEIR FINANCIAL STATUS. IF THEY ARE SELF PAY WITHOUT INSURANCE AND DO NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE, SSI, ETC, 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 PROCEDURE TO DETERMINE IF THEY QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM IS ALSO FOLLOWED. 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, CHA 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 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 TO NOT HAVE INSURANCE COVERAGE MUST MEET WITH A PATIENT ACCOUNT REPRESENTATIVE PRIOR TO HAVING THEIR SERVICE PROVIDED. AN INTERVIEW IS CONDUCTED 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 A PARTIAL OR FULL PAYMENT, WE TRY TO DETERMINE IF THE PATIENT QUALIFIES FOR ANY GOVERNMENT PROGRAMS. 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, A PARTIAL (PAYMENT PLAN) OR FULL PAYMENT IS REQUIRED. IF THE PATIENT DOES NOT HAVE THE ABILITY TO PAY, THE ACCOUNT IS RELIVED UNDER THE PATIENT FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART VI, LINE 2 COMMUNITY HOSPITAL OF ANACONDA COMPLETED A COMMUNITY NEEDS ASSESSMENT IN THE SUMMER OF 2022. THE LAST ASSESSMENT WAS COMPLETED IN 2019. 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 16% RESPONSE RATE, WHICH IS DEEMED STATISTICALLY SIGNIFICANT. THE TOP THREE ISSUES/OPPORTUNITIES WERE IDENTIFIED: IMPROVE THE AWARENESS & ACCESS TO HEALTHCARE SERVICES/RESOURCES THROUGHOUT THE SERVICE AREA; ENHANCE ACCESS TO HEALTH EDUCATION AND HEALTHY LIFESTYLE OPPORTUNITIES THROUGHOUT THE SERVICE AREA; STRENGTHEN LOCAL PARTNERSHIPS AND COLLABORATIONS THROUGHOUT THE SERVICE AREA TO ENHANCE THE COMMUNITY'S ACCESS TO SERVICES AND RESOURCES. THE CHA BOARD OF TRUSTEES APPROVED THE NEEDS ASSESSMENT IMPLEMENTATION PLAN AT THE FEBRUARY 2023 BOARD MEETING. THE PLAN ESTABLISHES GOALS, STRATEGIES FOR EACH GOAL, ANTICIPATED IMPACT, PLAN TO EVALUATE IMPACT AND MEASURE OF SUCCESS. ACTIVITIES AND STRATEGIES WERE DEVELOPED FOR EACH GOAL WITH A CORRESPONDING IMPLEMENTATION GRID. THE FOLLOWING GOALS AND STRATEGIES WERE APPROVED: GOAL 1: IMPROVE THE AWARENESS & ACCESS TO HEALTHCARE SERVICES/RESOURCES THROUGHOUT THE SERVICE AREA. STRATEGY 1: ENHANCE ACCESS TO LOCAL HEALTHCARE SERVICES AND RESOURCES. STRATEGY 2: ENHANCE AWARENESS OF LOCAL HEALTHCARE SERVICES AND RESOURCES. PROGRESS: CHA CONTINUES TO EXPAND SURGICAL AND ORTHOPEDIC SERVICES TO IMPROVE TIMELY ACCESS TO SERVICES. IN ADDITION, CHA CONTINUES TO PARTNER WITH OTHER COMMUNITY GROUPS OR LOCAL AGENCIES (ANACONDA DEER LODGE PUBLIC HEALTH, DISCOVER ANACONDA, ETC.) TO ENSURE THAT INFORMATION ON AVAILABILITY OF SERVICES IS ACCURATE AND ACCESSIBLE TO THE SURROUNDING COMMUNITY. GOAL 2: ENHANCE ACCESS TO HEALTH EDUCATION AND HEALTHY LIFESTYLE OPPORTUNITIES THROUGHOUT THE SERVICE AREA. STRATEGY 1: CHAMPION LOCAL HEALTH EDUCATION AND HEALTHY LIFESTYLE OPPORTUNITIES. PROGRESS: THROUGHOUT 2022, CHA CONTINUED TO HOST HEALTHY LIFESTYLES GROUPS FOR COMMUNITY MEMBERS AND PATIENTS WHO HAVE BEEN REFERRED TO DIABETES EDUCATION BY THEIR PROVIDER. BECAUSE OF ONGOING PROVIDER EDUCATION, REFERRALS ARE TRENDING UPWARD. REGISTERED DIETITIANS CONTINUE TO MEET WITH PROVIDERS TO SUGGEST PROGRAM PARTICIPATION AND SUPPORT REFERRAL NETWORKS. SINCE 2021, CHA HAS ALSO OFFERED VIRTUAL PRENATAL/POSTNATAL EDUCATION THROUGH PARTNERSHIP WITH BIRTHLY. BY OFFERING VIRTUAL EDUCATION, PATIENTS CAN ENROLL IN LIVE OR RECORDED COURSES AT A TIME CONVENIENT FOR THEM RATHER THAN SEASONAL OFFERINGS. GOAL 3: STRENGTHEN LOCAL PARTNERSHIPS AND COLLABORATIONS THROUGHOUT THE SERVICE AREA TO ENHANCE THE COMMUNITY'S ACCESS TO SERVICES AND RESOURCES. STRATEGY 1: CHAMPION LOCAL INITIATIVES THAT ASSESS GAPS AND ALIGN RESOURCES. PROGRESS: IN 2022, CHA DEVELOPED CONTINUED COLLABORATIVE RELATIONSHIPS WITH LOCAL FIRE/EMS IN EFFORTS TO INCREASE COMMUNICATION AND EXPAND SERVICES AND ABILITY FOR GROUND TRANSFERS. CHA IS COMMITTED TO ONGOING EFFORTS TO CHAMPION HOW TO BEST IMPROVE SUCH SERVICES GIVEN OUR RURAL LOCATION. 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. CHA WILL CONDUCT ANOTHER COMMUNITY NEEDS ASSESSMENT IN 2025. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/DOCS/CHA_2022_CHNA_REPORT_FINAL .PDF HTTPS://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/GETPAGE.PHP? NAME=ANNUAL_RPT&SUB=ABOUT%20US SCHEDULE H, PART VI, LINE 3 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 AND IS MADE AVAILABLE TO LOCAL AGENCIES THAT ASSIST WITH LOW INCOME POPULATIONS. A COPY OF THE LATEST FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.COMMUNITYHOSPITALOFANACONDA.ORG/GETPAGE.PHP?NAME=CHARITY SCHEDULE H, PART VI, LINE 4 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 2022 POPULATION WAS 9,371 RESIDENTS COMPARED TO A 2020 POPULATION PER THE US CENSUS OF 9,421. THE MAJOR COMMUNITY IN ANACONDA-DEER LODGE COUNTY IS ANACONDA, WITH A MEDIAN AGE OF 49 YEARS. 22% OF THE PEOPLE IN THE COUNTY LIVE BELOW THE POVERTY LEVEL COMPARED TO THE NATIONAL AVERAGE OF 12.4%. 29% OF THE COUNTY POPULATION IS ENROLLED IN MEDICAID. 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, OBSTETRICS, GYNECOLOGY, BEHAVIORAL HEALTH, PEDIATRICS AND ONCOLOGY, A LONG-TERM CARE FACILITY, AND HOSPICE/HOME HEALTH SERVICES. CHA EMPLOYS OVER 400 INDIVIDUALS, WITH AN ANNUAL PAYROLL (SALARIES AND BENEFITS) IN EXCESS OF 44 MILLION. SCHEDULE H, PART VI, LINE 5 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 APPLY 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. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 MONTANA X X X X false false false false false false false false false CHRISTINA OTTOMEYER PHYSICIAN 796631 6100 69623 872354 CARL SCHILLHAMMER PHYSICIAN 701103 6100 58565 765768 JAMES HUEFTLE PHYSICIAN 599708 6100 20590 626398 TROY MALCOM PHYSICIAN 558376 17133 575509 JONATHON SCHELLENBERGER PHYSICIAN 495685 6100 28156 529941 FREDERICK BARTOLETTI TRUSTEE/PHYSICIAN 482349 6100 41204 529653 JOELLEN VILLA CEO 367793 6100 9837 383730 MARGARET HICKEY-BOYNTON CFO 299822 6054 9786 315662 A MONTANA FACILITY FINANCE AUTHORITY 364615155 2021-08-01 26615000 HOSPITAL IMPROVEMENTS false false false A 1045000 26615000 492403 213659 527812 128360 18242904 7012859 false false false true A false false false false false false true A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION MONTANA FACILITY FINANCE AUTHORITY HOSPITAL IMPROVEMENTS FREDRICK BARTOLETTI MD TRUSTEE 529654 EMPLOYMENT false LBR GROUP PC OWNED BY FORMER 1194378 CONSULTING false SCHEDULE L, PART V LB&R GROUP, PC DBA CAH SOLUTIONS GROUP IS AN ENTITY MORE THAN 35% OWNED BY JOHN MCNEECE, FORMER PRESIDENT AND LAURA AUSTIN, FORMER SENIOR VP. 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 CFO 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 CFO SIGNS FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. 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 SALARY DATA PUBLISHED BY THE ECONOMIC RESEARCH INSTITUTE (ERI), THE MONTANA HOSPITAL ASSOCIATION (MHA) ANNUAL SALARY SURVEY AND EXECUTIVE COMPENSATION SURVEYS PUBLISHED BY CRITICAL DATA, INC. 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. ERI CALCULATES BASED ON POSITION AND LOCATION. 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 BENEFITS COSTS WITHIN ESTABLISHED TARGETS. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 CHA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 10,091,927 649,671 0 CHANHA FOUNDATION PO BOX 1245 ANACONDA MT 59711 810504127 SUPPORT MT 501C3 12B COMMUNITY HOSPITAL OF ANACONDA true false false true false false false false false false false false false false false false false false false false