2025-11-14T09:44:44-05:00 2024-12-31 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 810303913 COMMUNITY HOSPITAL OF ANACONDA COMM 4065638512 401 W PENNSYLVANIA ANACONDA MT 59711 STEPHANIE DENHAM CFO 4065638521 2025-11-12 true true RIKKI PATCH P01472231 5092420874 2025-11-14 2024 2025-03-06 01:10:19Z MARGARET HICKEY-BOYNTON 401 W PENNSYLVANIA ANACONDA MT 59711 103032794 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. 10 8 480 12 0 138567 124907 91089266 101711525 783217 928155 252063 268207 92263113 103032794 8625 11850 0 48251664 52127101 0 0 44680202 51569522 92940491 103708473 -677378 -675679 101654751 102201989 44394588 44475273 57260163 57726716 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 96229278 101711525 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 4,134 DAYS OF INPATIENT ACUTE CARE SERVICES, 201,958 OUTPATIENT VISITS, 10,186 EMERGENCY ROOM/CONVENIENT CARE VISITS, AND 2,479 SURGERIES. THE NURSING HOME PROVIDED 6,453 DAYS OF RESIDENT SERVICES FOR THE YEAR ENDED DECEMBER 31, 2024. 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 1,119,324 FOR CHARITY CARE, 58,662,058 FOR MEDICARE, 7,497,595 FOR MEDICAID, AND 22,606,615 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2024. 11850 11850 COMMUNITY HOSPITAL OF ANACONDA ALSO SPONSORS NUMEROUS YOUTH GROUPS AND ACTIVITIES WITHIN ITS COMMUNITY. 96241128 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 true false false true 89 0 true 480 true false false false false false false false false false false false false X 10 8 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 CARL SCHILLHAMMER PHYSICIAN 40.00 X 869102 0 67173 CHRISTINA OTTOMEYER PHYSICIAN 40.00 X 860767 0 67108 JAMES HUEFTLE PHYSICIAN 40.00 X 691580 0 28040 ROBERTO CALDERON PHYSICIAN 40.00 X 676149 0 31425 TROY MALCOM PHYSICIAN 40.00 X 673452 0 33704 FREDERICK BARTOLETTI TREASURER/PH 36.00 X X 476587 0 49431 MARGARET HICKEY-BOYNTON CEO 40.00 X 439296 0 16686 STEPHANIE DENHAM CFO 40.00 X 238733 0 14705 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 1.00 X X 0 0 0 AUDREY ASPHOLM TRUSTEE 1.00 X 0 0 0 KRISTY MCKAY TRUSTEE 1.00 X 0 0 0 ERIK SWANSON TRUSTEE 1.00 X 0 0 0 SARA NOVAK TRUSTEE 1.00 X 0 0 0 LAUREN BOLTON TRUSTEE 1.00 X 0 0 0 KIRA CONN TRUSTEE 1.00 X 0 0 0 4925666 308272 119 false true false LBR GROUP PC PO BOX 1038 ANACONDA MT 59711 MANAGEMENT 1103124 FLATHEAD UROLOGY PLLC 210 SUNNYVIEW LN SUITE 106 KALISPELL MT 59901 UROLOGY 928455 MONTANA NEUROSURGERY CENTER PLLC PO BOX 1270 LOLO MT 59847 SURGEON 646285 THOMAS GROUP HOLDINGS 700 EAST FRANKLIN RD MERIDIAN ID 83642 FINANCIAL 599737 TRANSCENDENT ANESTHESIA PAIN SERV 330 TRIPLE TREE RD BOZEMAN MT 59715 ANESTHESIA 535650 31 59319 42777 22811 124907 NET PATIENT SERVICE REVENUE 624100 101701610 101701610 RENTAL INCOME 621110 9915 9915 101711525 928155 928155 CAFETERIA REVENUE 722514 147355 147355 OTHER 900099 90130 90130 MEDICAL STAFF REIMBURSEMENT 446110 30722 30722 268207 103032794 101711525 1196362 X 11850 11850 1235438 526018 709420 43688978 41342797 2346181 978950 923487 55463 3261519 3056949 204570 2962216 2762447 199769 1322863 1322863 92301 92301 202442 202442 11120699 10205657 915042 167456 839 166617 2689558 2415417 274141 38701 38701 834506 652983 181523 38490 37509 981 201483 199504 1979 789022 689331 99691 2605456 2401757 203699 1792540 1782839 9701 MEDICAL SUPPLIES & DRUGS 24969359 24969359 REPAIR & MAINTENANCE 2236023 2174061 61962 HOSPITAL BED TAX 1408232 1408232 DUES & SUBSCRIPTIONS 587643 318686 268957 472748 322705 150043 103708473 96241128 7467345 0 2939529 2383503 14132967 12455435 17057666 18185724 7177 17563 2931598 3159766 426844 1024322 67993071 31771320 36868715 36221751 20456959 20136768 254822 406474 6578474 8210683 101654751 102201989 10102681 8440493 2169066 2711505 24003465 22910909 8119376 10412366 44394588 44475273 X 57260163 57726716 57260163 57726716 101654751 102201989 -675679 1142232 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7406 7406 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 43638603 14961929 28676674 21228007 16121937 5106070 2181247 687454 1493793 36221751 MEDICAID SUPPLEMENTAL PAYMENTS 5423009 ESTIMATED THIRD PARTY SETTLEMENTS 1429000 OPERATING LEASE RIGHT-OF-USE ASSET 1345335 OTHER RECEIVABLES 13339 8210683 FINANCING LEASE OBLIGATIONS 6129118 ESTIMATED THIRD PARTY SETTLEMENTS 2931006 OPERATING LEASE LIABILITIES 1352242 10412366 X 104175026 1142232 1142232 103032794 103032794 103708473 103708473 103708473 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, 2024 AND 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.300000000000 true X 2.200000000000 true true false true true 447730 447730 0.00430 11378424 11378424 11826154 11378424 447730 0.00430 1999257 1999257 0.01930 27312126 11956613 15355513 0.14810 55833 55833 0.00050 29367216 11956613 17410603 0.16790 41193370 23335037 17858333 0.17220 true 1310954 28431855 28657532 -225677 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 HOSPTIAL'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 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 A 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 31,890,412 IN COLUMN C AND 8,658,319 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 COACHING, SELLING CONCESSIONS, CLEANUP AFTER EVENTS, HANDING OUT BACK TO SCHOOL BACKPACKS/SUPPLIES, PARTICIPATE ON LOCAL ADVISORY BOARDS, FESTIVALS AND SOME HEALTH SCREENINGS AT ANACONDA SCHOOLS. THE HOSPITAL SUPPORTS THE LOCAL SCHOOL'S HEALTHY SNACK AND AFTER SCHOOL TREAT PROGRAMS ALONG WITH DONATING TO OTHER COMMUNITY EVENTS. SINCE 2013, COMMUNITY HOSPITAL OF ANACONDA HAS PROUDLY SPONSORED THE DIABETES PREVENTION PROGRAM, PLAYING AN ACTIVE ROLE IN COMBATING THE GROWING PREVALENCE OF DIABETES IN MONTANA. MONTANA'S DIABETES EPIDEMIC: APPROXIMATELY 74,400 ADULTS IN MONTANA, OR 7.1% OF THE ADULT POPULATION, HAVE BEEN DIAGNOSED WITH DIABETES. EVERY YEAR, AN ESTIMATED 6,000 ADULTS IN MONTANA ARE DIAGNOSED WITH DIABETES. THE SERIOUS COMPLICATIONS OF DIABETES INCLUDE HEART DISEASE, STROKE, AMPUTATION, END-STAGE KIDNEY DISEASE, BLINDNESS AND DEATH, ACCORDING TO THE AMERICAN DIABETES ASSOCIATION. OUR PROGRAM IS DESIGNED TO EMPOWER PARTICIPANTS BY FOSTERING A DEEPER UNDERSTANDING OF THEIR HEALTH CONDITIONS AND EQUIPPING THEM WITH THE KNOWLEDGE AND TOOLS TO ADVOCATE FOR THEIR WELL-BEING. FOCUSED ON EDUCATION AND PROMOTING HEALTHIER LIFESTYLES, WE AIM TO PREVENT THE PROGRESSION OF PREDIABETES INTO TYPE 2 DIABETES. OVER THE PAST YEAR, WE HAVE SEEN A SIGNIFICANT INCREASE IN ATTENDANCE AND NOW OFFER SIX CLASS TIMES FOR THIS COMPREHENSIVE 12-MONTH CURRICULUM. AT COMMUNITY HOSPITAL OF ANACONDA, WE REMAIN STEADFAST IN OUR COMMITMENT TO PROVIDE THE RESOURCES, EDUCATION, AND SUPPORT NECESSARY TO COMBAT PREVENTABLE DISEASES LIKE DIABETES, HELPING TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS THROUGHOUT OUR COMMUNITY. 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 2024, WE SPONSORED A CROSS COUNTRY SKI PROGRAM AND DONATED TO THE DISCOVERY AREA RACE TEAM; LOCAL TRI COUNTY FAIR; DONATED TO THE LOCAL INTERMEDIATE AND ELEMENTARY SCHOOLS; LOCAL AND ARE HIGH SCHOOLS FOR CHEMICAL-FREE ALL NIGHT GRADUATION PARTIES; SPONSORED THE COMMUNITY MARKET AND FREE SWIM DAYS; DONATED TO LOCAL FUNCTIONS LIKE FIREWORKS, THE LIBRARY, TRAILS SOCIETY AND ARTS. IN ADDITION, CHA SPONSORED TWO LOCAL FUN RUNS/BIKE RACES IN 2024. IN 2024, CHA SPONSORED 3 EMPLOYEES TO ATTEND SCHOOL TO BECOME CERTIFIED SURGICAL FIRST ASSISTS. CHA ALSO HOSTED SEVERAL NURSING, NURSE ANESTHETIST, MEDICAL RESIDENTS, MID-LEVEL STUDENTS AS WELL AS HIGH SCHOOL STUDENTS LOOKING FOR JOB SHADOWING OPPORTUNITIES. CHA ALSO PROVIDED APPROXIMATELY 87 FREE OR REDUCED FEE SPORTS PHYSICALS TO JUNIOR AND SENIOR HIGH SCHOOL STUDENTS IN ANACONDA AND BUTTE. 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 10 BEGINNING ON PAGE 20 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 DO 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 RELIEVED 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 IN FEBRUARY 2023: GOAL 1: IMPROVE THE AWARENESS & ACCESS TO HEALTHCARE SERVICES/RESOURCES THROUGHOUT THE SERVICE AREA. STRATEGY 1: ENHANCE ACCESS TO LOCAL HEALTHCARE SERVICES AND RESOURCES. PROGRESS: MYCHART ACTIVATION CODES ARE NOW LOCATED WITHIN THE AFTER-VISIT SUMMARY. PHONE IMPROVEMENTS HAVE BEEN MADE FOR AUTO-TRANSFER OF CALLS WHICH DISPERSE INCOMING CALL VOLUMES MORE EQUALLY FOR BETTER COVERAGE. CARE COORDINATOR HAS IMPLEMENTED AN ANNUAL WELLNESS VISIT CAMPAIGN. PROVIDER IS AVAILABLE FOR DERMATOLOGY APPOINTMENTS. PROVIDERS IN CLINICS HAVE TRIALED EXPANDED CLINIC HOURS. CHA IS ACTIVELY RECRUITING FOR AN LCSW. STRATEGY 2: ENHANCE AWARENESS OF LOCAL HEALTHCARE SERVICES AND RESOURCES. PROGRESS: CHA LAUNCHED A NEW WEBSITE WHICH IS EASIER TO NAVIGATE FOR PATIENTS AND EASIER TO UPDATE FOR OUR STAFF. WE HAVE ADOPTED USING POSTCARDS, DIRECT MAIL CAMPAIGNS AND ADVERTISEMENTS TO RAISE AWARENESS OF AVAILABLE SERVICES AND RESOURCES. WE ALSO CONTINUE TO ENGAGE WITH LOCAL COMMUNITY GROUPS SUCH AS HOSA, ASD, ANACONDA FAMILY RESOURCE CENTER AND MORE TO SHARE AND DISPERSE A CONSISTENT MESSAGE. 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: CHA HAS RECRUITED A FULL-TIME OBSTETRICS MANAGER TO BOOST COMMUNITY ENGAGEMENT. WE CONTINUE TO OFFER SUCCESSFUL DIABETES PREVENTION PROGRAMS FOR THE COMMUNITY. CHA'S REHAB DEPARTMENT HAS LAUNCHED A JOINT REPLACEMENT CLASS FOR PATIENTS HAVING TOTAL KNEE AND HIP REPLACEMENTS. WE ALSO PROMOTE AND SPONSOR COMMUNITY RECREATIONAL ACTIVITIES AND OFFER SPORTS PHYSICALS AT A DISCOUNTED PRICE FOR LOCAL ATHLETES. 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: CHA WILL CONTINUE TO PARTICIPATE IN COMMUNITY AND COUNTY LEVEL CONVERSATIONS TO DETERMINE HOW WE CAN PARTNER TOGETHER. 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. 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 COMMUNITY HOSPITAL OF ANACONDA (CHA) IS A PRIVATELY OWNED, NON-PROFIT, 25 BED CRITICAL ACCESS HOSPITAL. 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 IN EXCESS OF 43 MILLION. COMMUNITY HOSPITAL OF ANACONDA SERVES DEER LODGE COUNTY AND SURROUNDING AREA OF SOUTHWEST MONTANA OF APPROXIMATELY 2,000 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO A SERVICE POPULATION OF APPROXIMATELY 10,000 PEOPLE. COMMUNITY HOSPITAL OF ANACONDA IS THE ONLY HOSPITAL IN DEER LODGE COUNTY. CHA'S PRIMARY SERVICE AREA INCLUDES THE COMMUNITIES OF ANACONDA, GALEN, GEORGETOWN, OPPORTUNITY, AND WARM SPRINGS; WITH MOST OF THE COUNTY'S POPULATED COMMUNITIES LOCATED ALONG I-90 OR US 1. DEER LODGE COUNTY HAS A LOW POPULATION DENSITY AND IS CONSIDERED FRONTIER (SIX OR LESS PEOPLE PER SQUARE MILE) BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. 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 CARL SCHILLHAMMER PHYSICIAN 869102 6900 60273 936275 CHRISTINA OTTOMEYER PHYSICIAN 860767 6900 60208 927875 JAMES HUEFTLE PHYSICIAN 691580 6900 21140 719620 ROBERTO CALDERON PHYSICIAN 676149 31425 707574 TROY MALCOM PHYSICIAN 673452 6900 26804 707156 FREDERICK BARTOLETTI TREASURER/PHYSICIAN 476587 6900 42531 526018 MARGARET HICKEY-BOYNTON CEO 439296 6900 9786 455982 STEPHANIE DENHAM CFO 238733 4919 9786 253438 A MONTANA FACILITY FINANCE AUTHORITY 364615155 2021-08-01 26615000 HOSPITAL IMPROVEMENTS false false true A 3265000 26615000 494766 396869 527812 6958009 18242904 2024 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 FREDERICK BARTOLETTI MD TRUSTEE 526018 EMPLOYMENT false FORM 990, PAGE 6, PART VI, LINE 2 LEE ANN BARTOLETTI FREDERICK 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-TE 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 10,205,657 915,042 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 CHANHA FOUNDATION C 59319 GAAP