2024-04-26T12:21:49-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 810291695 BIG SANDY MEDICAL CENTER INC BIGS 4063782188 PO BOX 530 BIG SANDY MT 59520 RON WIENS CEO 4063782188 2024-04-18 1 RON WIENS XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-04-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RON WIENS PO BOX 530 BIG SANDY MT 59520 5966544 0 X BSMC.ORG X 1963 MT TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. 4 4 68 5 0 0 170328 117545 5089697 5626285 21941 28611 93900 191800 5375866 5964241 5000 0 0 0 2450716 2894783 0 0 0 2711609 3328554 5167325 6223337 208541 -259096 6439477 7699350 407424 1926393 6032053 5772957 X TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. 0 0 5200142 0 5816285 BIG SANDY MEDICAL CENTER PROVIDES BOTH ACUTE AND SWING BED PATIENT SERVICES UNDER ONE ROOF. THE SWING BED PROGRAM HAS TWO PARTS, SKILLED AND INTERMEDIATE CARE. SKILLED SWING BED PATIENTS ARE HERE FROM 2-6 WEEKS IN WHICH THEY RECEIVED SKILLED NURSING SERVICES AND/OR SKILLED REHAB SERVICES. THE MAJORITY OF SWING BED PATIENTS ARE IN THE INTERMEDIATE CATEGORY AND REQUIRE LONG-TERM NURSING CARE SERVICES. TYPICALLY, THE MEDICAL CENTER'S 25 BED CAPACITY FLUCTUATES AROUND 80% FULL.BIG SANDY MEDICAL CENTER HAS A CERTIFIED RURAL HEALTH CLINIC WITH 3 EXAM ROOMS AND A PROCEDURE ROOM. IDEALLY, THE CLINIC IS STAFFED WITH 3 PROVIDERS, HOWEVER, WITH A NATIONAL PROVIDER SHORTAGE, THE CLINIC OFTEN UTILIZES SHORT-TERM TRAVELING PROVIDERS. THE CLINIC AVERAGES 10-12 PATIENTS A DAY SEEING A VARIETY OF AILMENTS FROM COUGHS TO CHRONIC DISEASE CONDITIONS.BIG SANDY MEDICAL CENTER PROVIDES AMAZING PHYSICAL THERAPY SERVICES FOR ITS COMMUNITY RESIDENTS. WITH A LONG-TERM LOCAL PHYSICAL THERAPIST ON STAFF, THE PROGRAM IS WELL RECEIVED AND HIGHLY UTILIZED. 5200142 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 68 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 0 1 1 0 0 1 0 1 1 1 1 0 X RON WIENS 4063782188 PO BOX 530 BIG SANDY MT 59520 HARVEY KELLER CHAIR 1.00 X X 0 0 0 ROBERT NELSON VICE CHAIR 1.00 X X 0 0 0 NICOLE ALLDERDICE SECRETARY/TREASURER (THRU 3/23) 1.00 X X 0 0 0 ANNA BOLD DIRECTOR 1.00 X 0 0 0 ANN QUINN DIRECTOR 1.00 X 0 0 0 RON WEINS CEO 40.00 X 0 0 0 LEAH GRIFFITH CEO (THRU 7/22) 40.00 X 58036 0 19720 SARAH SCHLEPP DIRECTOR OF FINANCE (THRU 4/23) 40.00 X 64558 0 6154 KRYSTYL KULBECK PA-C 40.00 X 144930 0 34903 ZANE BENDIG NP 40.00 X 140610 0 19105 408134 0 79882 2 0 1 0 CYPRESS HEALTHCARE 791 EASTSIDE ROAD DEER LODGE MT 59722 MANAGEMENT SERVICES 180599 KC CORPORATION PO BOX 1246 BIG SANDY MT 59520 CONTRACT PHYSICAL THERAPHY 117780 FAR WEST HEALTH SYSTEMS PO BOX 248 VALENTINE TX 79854 BILLING SERVICES 105000 3 117545 45000 117545 PATIENT SERVICE REVENU 621110 5100093 5100093 OTHER OPERATING REVENU 621110 331516 331516 340B REVENUE 621110 167756 167756 DIETARY REVENUE 621110 26920 26920 5626285 28664 28664 1800 0 1800 1800 1800 2250 2303 -53 -53 -53 HOSPITAL TAX DISTRICT 621110 190000 190000 190000 5964241 5816285 0 30411 X 25422 22286 3136 2464218 2160248 303970 14565 12767 1798 200409 175679 24730 190169 166702 23467 7265 7265 47672 12000 35672 1698649 1272940 425709 17241 16205 1036 34791 11753 23038 69516 52463 17053 44157 34847 9310 37748 37748 166678 123836 42842 96124 71132 24992 SUPPLIES 807199 784797 22402 BAD DEBT EXPENSES 47968 47968 EQUIPMENT 38008 38008 DUES & SUBSCRIPTIONS 36076 32949 3127 179462 125814 53648 6223337 5200142 1023195 0 314933 896980 1528034 1427176 889537 698503 151852 129744 53045 6272416 3643737 1882046 2628679 1442446 1417059 230629 448164 6439477 7699350 360206 569409 15133 13600 32085 1343384 407424 1926393 X 6032053 5698197 74760 6032053 5772957 6439477 7699350 -259096 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 102659 102659 85789 3673 82116 3103073 2274017 829056 2302510 1366047 936463 678385 678385 2628679 PROPERTY HELD FOR SALE 219973 PATRONAGE CAPITAL CREDITS 180191 DEPOSITS 48000 448164 5883286 0 5883286 80955 80955 5964241 6142382 0 6142382 80955 80955 6223337 PART IV, LINE 2B: THE HOSPITAL HOLDS FUNDS FOR LONG-TERM CARE PATIENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES 32,987. BAD DEBT EXPENSES 47,968. PART XII, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES 32,987. BAD DEBT EXPENSES 47,968. 1 1 1 X 1 X 1 0 0 1679072 1172798 506274 0.08200 1679072 1172798 506274 0.08200 1400 1400 0.00020 1400 1400 0.00020 1680472 1172798 507674 0.08220 1 47968 0 2729644 2755888 -26244 X 1 1 1 1 BIG SANDY MEDICAL CENTER PO BOX 530 BIG SANDY MT 59520 BSMC.ORG 12767 X X X RURAL HEALTH CLINIC BIG SANDY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.BSMC.ORG/COMMUNITYHEALTHNEEDS.HTML X 1 20 1 WWW.BSMC.ORG/COMMUNITYHEALTHNEEDS.HTML 0 1 X 100.000000000000 200.000000000000 1 1 X X X X 1 X WWW.BSMC.ORG X WWW.BSMC.ORG X WWW.BSMC.ORG X X X X X X 1 X 0 X X 1 X 0 0 BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY LEADERS AND STAKEHOLDERS WERE INVITED TO A FOCUS GROUP SESSION HELD APRIL 27, 2021. THIS DIVERSE GROUP OF INDIVIDUALS ARE FROM VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IN BSMC'S SERVICE AREA. THE OBJECTIVE OF THE FOCUS GROUP WAS TO IDENTIFY ONE TO THREE HEALTH NEEDS TO ADDRESS IN THE IMPLEMENTATION PLAN AND TO DECIDE WHAT INFORMATION IS NEEDED FROM THE 2021 CHNA SURVEY AS PART OF THE IMPLEMENTATION PLAN. BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 11: OBJECTIVE 1: MARKET ANALYSIS CONDUCTED BY STROUDWATER.- THE RESULTS OF THE MARKET ANALYSIS WILL BE DISTRIBUTED TO ALL FOCUS GROUP ATTENDEES ALONG WITH THE COMPILED DATA FROM THE CHNA SURVEY.OBJECTIVE 2: DISPENSE THE UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL TO RESIDENTS IN THE BSMC PRIMARY AND SECONDARY SERVICE AREAS:- THE SURVEY TOOL WILL BE MAILED TO POST OFFICE BOXES AND PHYSICAL ADDRESSES OF ALL HOUSEHOLDS IN THE SERVICE AREA.- AN ONLINE PLATFORM WILL BE DEVELOPED AND ADVERTISED FOR RESPONDENTS TO USE.- THE SURVEY TOOL WILL BE POSTED ON BSMC'S WEBSITE, PROVIDING A THIRD OPTION.THE FOCUS GROUP WILL MEET AGAIN TO REVIEW AND DISCUSS THE INFORMATION OBTAINED. THIS SESSION WILL ALLOW ALL STAKEHOLDERS TO PROVIDE INPUT INTO FURTHER PHASES OF THE IMPLEMENTATION PLAN TO INCLUDE SPECIFIC STRATEGIES AND ACTIVITIES TO ADDRESS THE TWO DEFINED OBJECTIVES. THESE WILL BE ONGOING IN THE NEXT THREE YEARS WITH COMMUNICATION, COORDINATION, AND COLLABORATION BETWEEN STAKEHOLDERS. FREQUENT EVALUATIONS OF EFFECTIVENESS AND SUSTAINABILITY WILL ALSO BE PART OF THESE STRATEGIES TO ENSURE THE BIG SANDY COMMUNITY'S HEALTH NEEDS ARE BEING ADDRESSED SUFFICIENTLY AND APPROPRIATELY. PART V, SECTION B, LINE 20C WE DO NOT PROCESS INCOMPLETE APPLICATIONS. APPLICANT IS NOTIFIED IN WRITING OF WHAT DOCUMENTATION IS REQUIRED IF THE APPLICATION IS CONSIDERED INCOMPLETE. PART V, SECTION B, LINE 20D NO PRESUMPTIVE ELIGIBILITY DETERMINATIONS WERE MADE. PART I, LINE 7: THE ORGANIZATION USES THE COST-TO-CHARGE RATIO TO CALCULATE AMOUNTS ON PART I, LINE 7. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24 FOR THE TAX YEAR ENDING ON JUNE 30, 2023, IS $47,698. PART III, LINE 2: BAD DEBT EXPENSE IS DETERMINED EITHER WHEN AN ACCOUNT IS SENT TO COLLECTIONS BASED ON THE POLICIES OF THE ORGANIZATION OR WHEN THE ALLOWANCE FOR BAD DEBT IS ADJUSTED AFTER AN ANALYSIS OF PRIVATE PAY ACCOUNTS RECEIVABLE BALANCES. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES THE BAD DEBT EXPENSE IS ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: BSMC USES THE AMOUNTS FROM MEDICARE PROVIDER STATISTICAL REIMBURSEMENT (PS&R) TO DETERMINE THE MEDICARE ALLOWABLE COSTS.NONE OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE DISCOUNT AMOUNT IS APPLIED TO THE GROSS CHARGES BILLABLE TO THE PATIENT. THE PATIENT IS THEN NOTIFIED IN WRITING THE REMAINING BALANCE. IN THE EVENT THAT A PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE BUT FAILS TO TIMELY PAY THE REMAINING BALANCE DUE, THE FACILITY MAY TAKEN ANY ACTIONS DEFINED IN THE BILLING AND COLLECTIONS POLICY. PART VI, LINE 2: BSMC SENDS OUT SATISFACTION SURVEYS AND ASKS FOR INPUT ON ANY CHANGES PATIENTS WOULD LIKE TO SEE. ALSO, ONCE A YEAR, AN ANNUAL PUBLIC MEETING IS HELD AND INPUT IS SOLICITED AS WELL AS A REPORT ON HOSPITAL ACTIVITIES GIVEN. THIS PUBLIC MEETING IS WELL ADVERTISED IN THE LOCAL PRESS. PART VI, LINE 3: A NOTICE OF PATIENT ELIGIBILITY IS POSTED IN ALL WAITING AREA AND ON THE WEBSITE - BSMC.ORG. NOTICE OF FINANCIAL ASSISTANCE IS ALSO SENT OUT WITH ALL PRE-COLLECTION CORRESPONDENCE. PART VI, LINE 4: THE COMMUNITY IS MOSTLY AGRICULTURAL WITH LARGE WHEAT FARMS AND LARGE CATTLE RANCHES. THOSE WHO DO NOT WORK AT THESE AGRICULTURAL BUSINESS SITES USUALLY WORK IN A BUSINESS THAT SUPPORTS THE WHEAT AND CATTLE OPERATIONS. UNEMPLOYMENT IN THE COUNTY AND AREA IS VERY LOW, USUALLY IN THE 2-3% RANGE. MOST PATIENTS HAVE AVERAGE TO NORMAL PAYING JOBS WITH AVERAGE BENEFITS. PART VI, LINE 5: EACH WEEK AN ARTICLE IS PLACED IN THE LOCAL PAPER PROVIDING EDUCATION ON A TOPIC OF MEDICAL IMPORTANCE AND/OR SAFETY. X X 0 0 0 0 0 0 0 0 0 KRYSTYL KULBECK PA-C 144930 0 0 0 0 0 7436 0 27467 0 179833 0 0 0 ZANE BENDIG NP 140610 0 0 0 0 0 0 0 19105 0 159715 0 0 0 X 1 45000 APPRAISAL 1 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 IN FEBRUARY 2021, THE CENTER ENTERED INTO A MANAGEMENT AGREEMENT WITH CYPRESS HEALTHCARE, LLC, THROUGH FEBRUARY 2024. FEES PAID TO CYPRESS HEALTHCARE, LLC FOR THE FISCAL YEAR ENDED JUNE 30, 2023, WERE $285,687 WHICH INCLUDED ADMINISTRATION COMPENSATION, MANAGEMENT FEES, AND MISCELLANEOUS EXPENSES SUCH AS TRAVEL. FORM 990, PART VI, SECTION A, LINE 6 ANY RESIDENT AND/OR TAXPAYER OF CHOUTEAU COUNTY HOSPITAL DISTRICT II IS ELIGIBLE TO BECOME A MEMBER. MEMBERS ELECT THE GOVERNING BODY AT AN ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT THE GOVERNING BODY AT AN ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS EMAILED TO AND REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS WILL REFER TO THE MONTANA HOSPITAL ASSOCIATION ANNUAL SALARY SURVEY. FORM 990, PART VI, SECTION C, LINE 18 COPIES ARE AVAILABLE BY REQUEST AND VIA IRS.GOV. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,272,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,272,940. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 425,709. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,709. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.