2025-04-23T08:53:15-05:00 2024-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2023-07-01 810291695 BIG SANDY MEDICAL CENTER INC BIGS 4063782188 PO BOX 530 BIG SANDY MT 59520 RON WIENS CEO 4063782188 2025-04-22 1 1 SAM BRUNSON CPA P01696998 4067281800 2025-04-22 2023 2025-03-06 01:10:19Z RON WIENS PO BOX 530 BIG SANDY MT 59520 7081376 0 X BSMC.ORG X 1963 MT TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. 5 5 76 5 0 0 117545 342375 5626285 6518565 28611 58406 191800 161500 5964241 7080846 0 1145 0 0 2894783 3433810 0 0 0 3328554 3750197 6223337 7185152 -259096 -104306 7699350 7548313 1926393 1829320 5772957 5718993 X TO PROVIDE QUALITY PATIENT CARE IN AN INNOVATIVE AND PROFESSIONAL MANNER. 0 0 5988352 1145 6680065 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. 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. 5988352 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 76 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 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 (THRU 1/2024) 1.00 X X 0 0 0 ROBERT NELSON CHAIR 1.00 X X 0 0 0 ANN BOLD VICE CHAIR 1.00 X X 0 0 0 ANN QUINN SECRETARY 1.00 X X 0 0 0 AMBER TERRY DIRECTOR 1.00 X 0 0 0 KAREN BAUMANN DIRECTOR 1.00 X 0 0 0 SARAH SCHLEPP DIRECTOR OF FINANCE 40.00 X 23134 0 0 RON WEINS CEO 40.00 X 0 0 0 DUSTY ALLDERDICE MATERIALS MANAGER 40.00 X 115816 0 9186 KARMA HALE HR DIRECTOR 40.00 X 131098 0 9832 KRYSTYL KULBECK PA 40.00 X 150030 0 32244 MICHAEL MEBRUER LAB TECH 40.00 X 112011 0 2175 532089 0 53437 4 0 1 0 CYPRESS HEALTHCARE 791 EASTSIDE ROAD DEER LODGE MT 59722 MANAGEMENT SERVICES 359601 KC CORPORATION PO BOX 1246 BIG SANDY MT 59520 CONTRACT PHYSICAL THERAPHY 124740 FAR WEST HEALTH SYSTEMS PO BOX 248 VALENTINE TX 79854 BILLING SERVICES 102616 3 112338 230037 44694 342375 PATIENT SERVICE REVENU 621110 6256713 6256713 340B REVENUE 621110 124662 124662 OTHER OPERATING REVENU 621110 119622 119622 DIETARY REVENUE 621110 17568 17568 6518565 58936 58936 530 -530 -530 -530 HOSPITAL TAX DISTRICT 621110 161500 161500 161500 7080846 6680065 0 58406 X 1145 1145 39290 35137 4153 2829204 2530184 299020 18203 16279 1924 326299 291809 34490 220814 197474 23340 13654 13654 40958 14210 26748 1924565 1395428 529137 13958 11789 2169 38750 13637 25113 73998 56157 17841 57528 29116 28412 2500 2500 81154 81154 200072 148548 51524 116852 86470 30382 SUPPLIES 918696 874224 44472 DUES & SUBSCRIPTIONS 48118 26571 21547 EQUIPMENT 41960 38291 3669 REPAIRS 40511 40511 136923 100218 36705 7185152 5988352 1196800 0 896980 330126 1427176 1007683 698503 872760 129744 113423 53045 53280 7187175 3841908 2628679 3345267 1417059 1422857 448164 402917 7699350 7548313 569409 536459 13600 7351 1343384 1285510 1926393 1829320 X 5698197 5718993 74760 0 5772957 5718993 7699350 7548313 X -104306 135 110180 -59973 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 102659 102659 85789 14792 70997 3432901 2365681 1067220 2379347 1461435 917912 1186479 1186479 3345267 PROPERTY HELD FOR SALE 160000 PATRONAGE CAPITAL CREDITS 194917 DEPOSITS 48000 402917 6991788 135 135 6991653 89193 89193 7080846 7155932 0 7155932 29220 29220 7185152 PART IV, LINE 2B: THE HOSPITAL HOLDS FUNDS FOR LONG-TERM CARE PATIENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES 29,220. IMPAIRMENT LOSS 59,973. PART XII, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES 29,220. 1 1 1 X 1 X 1 0 0 10517 10517 0.00150 1752154 1144021 608133 0.08460 1762671 1144021 618650 0.08610 5480 5480 0.00080 5480 5480 0.00080 1768151 1144021 624130 0.08690 1 0 0 3739424 3785995 -46571 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 23 1 0 0 1 X HTTPS://BSMC.ORG/CHIP X X 1 23 1 HTTPS://BSMC.ORG/CHIP 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: HAD A FOCUS GROUP MEETING WITH SENIOR MEMBERS OF THE COMMUNITY AT THE SENIOR'S CENTER. SURVEYED THE ENTIRE HIGH SCHOOL STUDENT BODY. CONDUCTED A COMMUNITY-WIDE SURVEY. ALSO SURVEYED THE EMPLOYEES OF BIG SANDY MEDICAL CENTER. BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS SHARED WITH THE BOARD AT A MEETING OPEN TO THE PUBLIC. BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 11: CREATED A THREE YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH THE KEY INITIATIVES BEING: 1. CREATING OPPORTUNITIES TO GROW NUTRIENT-DENSE FOODS IN THE COMMUNITY (VIA GREENHOUSES) 2. OPEN UP WELLNESS CENTER TO THE PUBLIC AND START OFFERING EXERCISE AND WELLNESS OPPORTUNITIES 3. LOOK AT EMERGING TECHNOLOGIES TO ASSIST SENIOR CITIZENS WITH AGING IN PLACE. 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): THERE IS NO BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24 FOR THE TAX YEAR ENDING JUNE 30, 2024 AS THE HOSPITAL RECORDED A BAD DEBT RECOVERY DURING THE YEAR. 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 15 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 150030 0 0 0 0 0 3468 0 28776 0 182274 0 0 0 X 2 44694 FMV AT CLOSE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). 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, 2024, WERE $341,152 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 1,395,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,395,428. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 529,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 529,137. FORM 990, PART XI, LINE 9: IMPAIRMENT LOSS -59,973. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.