2026-05-11T12:53:24-04:00 2025-06-30 272643480 GREEN HEALTH GROUP PC 405 FOURTH AVENUE NORTH GLASGOW MT 59230 990 2024-07-01 810231786 FRANCES MAHON DEACONESS HOSPITAL FRAN 4062283500 621 3RD STREET SOUTH GLASGOW MT 59230 CAMI KALINSKI CFO 4062283660 2026-05-08 true true DANIEL GREEN P01311679 4062632615 2026-05-11 2024 2025-03-06 01:10:19Z CAMI KALINSKI 621 3RD STREET SOUTH GLASGOW MT 59230 51955419 false X WWW.FMDH.ORG X 1914 MT TO ADVANCE THE COORDINATED DELIVERY OF HEALTH SERVICES, GUIDED WITH RESPECT FOR THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEREBY IMPROVING THE HEALTH OF OUR REGIONAL COMMUNITY. 9 8 345 22 228301 157125 103073 43794354 49239462 709291 2399929 50064 212955 44710834 51955419 330000 330000 0 19986917 20521130 0 47590 19694281 23037603 40011198 43888733 4699636 8066686 86877161 97161982 6161877 8639961 80715284 88522021 TO ADVANCE THE COORDINATED DELIVERY OF HEALTH SERVICES, GUIDED WITH RESPECT FOR THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEREBY IMPROVING THE HEALTH OF OUR REGIONAL COMMUNITY. false false 34505140 330000 49239462 PROVIDE QUALITY MEDICAL CARE TO PATIENTS. 34505140 true true false true false false false false false false true false true true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 32 0 345 true true true false false false false false false false false false false false X 9 8 false false false false true true false true true false false true true true true true true true true false X CAMI KALINSKI 4062283660 621 3RD ST S GLASGOW MT 59230 MAYA SANCHEZ-ROTUNNO MD 27.00 X 511665 0 29865 AMY HOPSTAD MD 27.00 X 490477 0 34069 KEVIN ROSS MD 9.00 31.00 X 463190 0 33511 DAVID KNIERIM MD 9.00 31.00 X 446332 0 24617 TYSON COCHRAN MD 11.00 29.00 X 388932 0 27374 NICKOLAS DIRKES CEO 40.00 X X 276261 0 21966 DAVID NIXDORF COO 40.00 X 190764 0 26989 CAMI KALINSKI CFO 40.00 X 181057 0 9262 BRIANNE CAPDEVILLE SECRETARY/TR 1.00 X 755 0 0 STAN OZARK TRUSTEE 1.00 X 731 0 0 GORDON BELL VICE PRESIDE 1.00 X 0 0 0 DON FAST TRUSTEE 1.00 X 0 0 0 CAMI GRAHAM TRUSTEE 1.00 X 0 0 0 DIRK MARKLE TRUSTEE 1.00 X 0 0 0 PATRICK MENGE PRESIDENT 2.00 X 0 0 0 MARISA SATHER TRUSTEE 1.00 X 0 0 0 2950164 207653 58 false true false SYNERGY SURGICALISTS PC 280 W KAGY BLVD STE D 320 BOZEMAN MT 59715 CONTRACT STAFF 3626559 CERECORE MSC 30225 PO BOX 41500 NASHVILLE TN 372415000 WEBSITE HOSTING 616381 ALL STAR RECRUITING LOCUMS LLC PO BOX 936725 ATLANTA GA 311936725 CONTRACT STAFF 557966 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 DATA PROCESSING 307169 VIRTUAL RADIOLOGIC CORPORATION 11995 SINGLETREE LANE STE 500 EDEN PRAIRIE MN 55344 RADIOLOGY SVCS 281644 16 18542 82159 2372 103073 PATIENT REVENUE 621500 48923359 48923359 GLASGOW CLINIC RENT 531120 228301 228301 OTHER RENTAL INCOME 531120 87802 87802 49239462 2399929 2399929 PARTNERSHIP INCOME 900099 178179 178179 COUNTY CONTRIBUTION 900099 34776 34776 212955 51955419 51624045 228301 330000 330000 682159 682159 16116088 12837712 3246808 31568 638448 472315 164485 1648 1779194 1363625 410937 4632 1305241 1016751 285952 2538 247570 247570 73581 73581 3681154 2322790 1358253 111 304068 304068 1384761 564791 819638 332 425144 305664 119004 476 193035 149191 42349 1495 117491 89371 27810 310 819 819 2219843 1847128 369835 2880 461060 372181 88343 536 MEDICAL SUPPLIES 10176018 10176018 REPAIRS & MAINTENANCE 2813688 2312623 500572 493 PROPERTY TAXES 505902 505902 FOOD & DIETARY SUPPLIES 325752 253336 71861 555 107717 91644 16057 16 43888733 34505140 9336003 47590 10502060 10957782 7483464 8609549 2630755 2440957 1594730 1560598 1463088 1616715 54680016 40426350 15695160 14253666 42375108 51091763 5132796 6630952 86877161 97161982 3149237 4424047 3012640 4215914 6161877 8639961 X 80715284 88522021 80715284 88522021 86877161 97161982 X 8066686 1998607 -2258556 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6552 6552 43834591 43841143 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 4213 4063 5147 6552 19975 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A FOR TAX YEAR 2024 THERE WERE NOT ANY GRASSROOTS LOBBYING EXPENDITURES. 166264 166264 33607068 23165658 10441410 20906684 17260692 3645992 14253666 MUTUAL FUNDS 19982698 F CORPORATE DEBT SECURITIES 16796400 F EQUITIES 13322665 F BANK CERTIFICATES OF DEPOSIT 500000 C BROKERED CERTIFICATES OF DEPOSIT 490000 F 51091763 INVESTMENTS IN JOINT VENTURES 3116866 INTERCOMPANY AND OTHER RECEIVABLES 1797837 INTEREST IN FMDH FOUNDATION 957134 MEDICARE/MEDICAID RECEIVABLES 759115 6630952 MEDICARE & MEDICAID PAYABLES 4102000 LEASE PAYBLE 113914 4215914 X 53954026 1998607 1998607 51955419 51955419 43888733 43888733 43888733 SCHEDULE D, PAGE 3, PART X THE COMPANY FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. true true true X true X true true true false true true 747360 747360 0.01700 747360 747360 0.01700 182775 2200 180575 0.00410 4301187 2394852 1906335 0.04340 334550 334550 0.00760 4818512 2397052 2421460 0.05520 5565872 2397052 3168820 0.07220 true 17655959 17737788 -81829 X true true 1 1 FRANCES MAHON DEACONESS HOSPITAL 621 3RD ST S GLASGOW MT 59230 WWW.FMDH.ORG X X X X FRANCES MAHON DEACONESS HOSPITAL 1 false false true X X X X X X X X X X 24 true false true true X WWW.FMDH.ORG X true 24 true WWW.FMDH.ORG false false true X 200.000000000000 300.000000000000 X X X X true true X X X X true X WWW.FMDH.ORG X WWW.FMDH.ORG X WWW.FMDH.ORG X X X X X true X false X X X X true X false true FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 3E "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY BASED ON THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 5 TO SOLICIT INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS AND SENT TO A LIST OF RECOMMENDED PARTICIPANTS INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PRACTITIONERS AND A VARIETY OF OTHER COMMUNITY LEADERS. ALSO, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. THE PARTICIPANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 45 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THE INPUT WAS GATHERED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. ON BEHALF OF FRANCES MAHON DEACONESS HOSPITAL IN THE SPRING OF 2025. FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 6B VALLEY COUNTY PUBLIC HEALTH DEPARTMENT FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 11 THE ONLINE KEY INFORMANT SURVEY PRESENTED THE PARTICIPANTS WITH VARIOUS HEALTH TOPICS AND WERE ASKED TO RATE EACH AS A MAJOR PROBLEM, MODERATE PROBLEM, MINOR PROBLEM, OR NOT A PROBLEM AT ALL IN THEIR OWN COMMUNITY. THESE RESULTS WERE SUMMARIZED AND THROUGH A MEETING WITH INTERNAL TEAM MEMBERS AND COMMUNITY STAKEHOLDERS, PRIORITIZATION WAS ACCOMPLISHED USING A PRIORITIZATION EXERCISE THAT GAUGED THE SCOPE & SEVERITY OF THE ISSUES AS WELL AS THE ABILITY OF FRANCES MAHON DEACONESS HOSPITAL TO HAVE SIGNIFICANT IMPACT ON EACH ISSUE. THROUGH DISCUSSION, A CONSENSUS WAS REACHED TO ESTABLISH THE FOLLOWING AS PRIORITIES FOR FRANCES MAHON DEACONESS HOSPITAL TO ADDRESS IN ITS IMPLEMENTATION STRATEGY IN THE COMING YEARS: MENTAL HEALTH, HEART DISEASE & STROKE, AND DIABETES. THE FIRST HEALTHCARE ISSUE IS TO EXPAND ACCESS TO MENTAL HEALTH CARE AND STRENGTHEN PREVENTION, EARLY INTERVENTION, AND ONGOING SUPPORT. THE GOALS ARE TO REDUCE STIGMA AND INCREASE COMMUNITY AWARENESS OF AVAILABLE MENTAL HEALTH RESOURCES AND BUILD AND RETAIN A QUALIFIED MENTAL HEALTH WORKFORCE THROUGH SIX STRATEGIES WHICH ARE SERVICE AWARENESS AND ACCESS, INCREASE AWARENESS OF SELF REFERRAL OPTIONS, COMMUNITY STIGMA REDUCTION CAMPAIGN, MENTAL HEALTH AWARENESS WALK, SLASH THE STIGMA ICE HOCKEY TOURNAMENT, AND STEPPING ON FALLS PREVENTION CLASS. THE SECOND HEALTHCARE ISSUE IS TO REDUCE CARDIOVASCULAR EVENTS THROUGH BLOOD PRESSURE CONTROL, RAPID EMERGENCY RECOGNITION, AND STRONG REHABILITATION SUPPORT. THE GOALS ARE TO INCREASE DETECTION AND CONTROL HYPERTENSION AND OTHER RISK FACTORS, IMPROVE QUALITY OF ACUTE CARDIAC AND STROKE CARE, AND ENHANCE ADHERENCE TO CARDIAC REHAB AND LIFESTYLE CHANGE PROGRAMS THROUGH FOUR STRATEGIES WHICH ARE COMMUNITY BLOOD PRESSURE CLINICS, WEEKLY CORE COMPONENT CLASSES, SUPPORT PERSON MODEL IN CARDIAC REHAB, AND CCM REFERRAL REVIEW FOR REHAB ENROLLMENT. THE THIRD HEALTHCARE ISSUE IS TO PREVENT TYPE 2 DIABETES AND IMPROVE MANAGEMENT AMONG DIAGNOSED PATIENTS THROUGH LIFESTYLE CHANGE, EDUCATION, AND COORDINATED CARE. THE GOALS ARE TO INCREASE EARLY IDENTIFICATION OF PRE-DIABETES AND DIABETES AND IMPROVE SELF MANAGEMENT AND A1C CONTROL THROUGH THREE STRATEGIES WHICH ARE LIFESTYLE & NUTRITION EDUCATION, WEEKLY CORE COMPONENT CLASSES, AND SCHOOL & YOUTH PREVENTION INITIATIVE. THE FOLLOWING ELEVEN SIGNIFICANT HEALTH NEEDS THAT EMERGED FROM THE CHNA PROCESS WILL NOT BE ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY, BUT FMDH IS ALREADY PROVIDING CERTAIN SERVICES AND RESOURCES RELATED TO THESE NEEDS WHICH ARE LISTED AFTER EACH HEALTH NEED BELOW. 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT (RANKED 6TH) - THE ADVISORY COMMITTEE BELIEVES INITIATIVES OUTLINED FOR HEART DISEASE & STROKE AND DIABETES WILL ALSO DRIVE IMPROVEMENTS IN DIET, ACTIVITY, AND WEIGHT. CREATING A SEPARATE PROGRAM WOULD DUPLICATE EFFORT AND STRAIN LIMITED STAFF AND FISCAL RESOURCES. FMDH SPONSORED HEALTHY MENU TIPS IN THE GLASGOW COURIER, MONTHLY DANCES AND COMMUNITY GARDEN AT PRAIRIE RIDGE VILLAGE, AND THE SCHOOL FRESH FRUIT AND VEGGIE PROGRAM. ALSO, WE PROVIDED FREE BLOOD PRESSURE CLINICS SIX TIMES PER MONTH AND DONATED TO THE CITY OF GLASGOW'S RECREATION DEPARTMENT. 2. SUBSTANCE ABUSE (RANKED 2ND) - SUBSTANCE USE TREATMENT AND PREVENTION IN OUR REGION ARE LED BY THE VALLEY COUNTY HEALTH DEPARTMENT AND EASTERN MT COMMUNITY MENTAL HEALTH CENTER. GIVEN FMDH'S LACK OF INPATIENT DETOX OR MAT SERVICES AND THE AVAILABILITY OF EXISTING COMMUNITY RESOURCES, THE ADVISORY COMMITTEE RANKED THIS A LOWER PRIORITY FOR DIRECT HOSPITAL ACTION. FMDH OFFERED FREE NARCAN TRAININGS DURING THE FISCAL YEAR. 3. CANCER (RANKED 5TH) - REGIONAL ONCOLOGY SERVICES ALREADY PROVIDE SCREENING, INFUSION, AND NAVIGATION. ADVISORY COMMITTEE MEMBERS AGREED THAT, RELATIVE TO OTHER AREAS OF OPPORTUNITY, CANCER PRESENTED A LOWER GAP FMDH COULD UNIQUELY FILL WITH CURRENT RESOURCES. FMDH CONTINUES TO PROVIDE MAMMOGRAPHY SERVICES, A CHEMOTHERAPY DEPARTMENT (SUBSIDIZED SERVICES), AND WE STAFF GENERAL SURGEONS. WE ALSO BRING IN AN ONCOLOGIST IN THE OUTREACH CLINIC ON A MONTHLY BASIS. THESE SERVICES HELP WITH EARLY DETECTION AND TREATMENT. 4. ACCESS TO HEALTH CARE SERVICES (RANKED 12TH) - ACCESS BARRIERS (INSURANCE, TRANSPORTATION, WORKFORCE) ARE BEING TACKLED THROUGH ONGOING INITIATIVES. THE COMMITTEE FELT DESIGNATING AN ADDITIONAL, STAND-ALONE OBJECTIVE WOULD DILUTE EFFORT WITHOUT ADDING MEASURABLE BENEFIT. FMDH OFFERED CPR/AED/FIRST AID TRAINING AND PROVIDED EMT CLASSES TO THE COMMUNITY. WE HAD 24/7 COVERAGE FOR SPECIALTY CARE (OBGYN, ORTHO, AND GENERAL SURGERY) INCLUDING OUTREACH CLINICS IN BOTH MALTA AND WOLF POINT. WE SPONSORED THE CAMP MED PROGRAM, BLOOD DRIVES, SAIL AND STEPPING ON CLASSES, AND THE VALLEY COUNTY BACKPACK PROGRAM. ALTHOUGH THE COMMUNITY INTEGRATED HEALTH PROGRAM WITH THE STATE OF MONTANA ENDED DURING THE PRIOR FISCAL YEAR, OUR ORGANIZATION CONTINUED TO PROVIDE AN EMERGING FIELD IN HEALTHCARE TO NORTHEAST MONTANA. IN THIS FIELD EMTS OPERATE IN EXPANDED ROLES TO CONNECT UNDERUTILIZED RESOURCES WITH UNDERSERVED POPULATIONS OR GAPS IN CARE IN A COMMUNITY. EMPHASIS IS PLACED ON CHRONIC DISEASE MANAGEMENT INCLUDING DIABETES, HEART DISEASE, AND ASTHMA. 5. INFANT HEALTH & FAMILY PLANNING (RANKED 11TH) - VALLEY COUNTY, WIC, VCHD, AND TRIBAL PUBLIC HEALTH PROGRAMS ALREADY LEAD PRENATAL, POSTPARTUM, AND FAMILY PLANNING SERVICES. FMDH WILL CONTINUE TO REFER PATIENTS BUT LACKS THE CAPACITY TO LAUNCH NEW, HOSPITAL-LED PROGRAMMING IN THIS AREA DURING THE CURRENT CYCLE. FMDH OFFERED SIX CHILDBIRTH EDUCATION CLASSES AND MONTHLY OB/NEWBORN PRE-REGISTRATION OPPORTUNITIES. WE PROVIDED THE NURTURING NOOK AT THE NEMT FAIR TO ALLOW FOR A PRIVATE, CLEAN & COOL PLACE FOR MOTHERS TO NURSE OR PARENTS TO CHANGE DIAPERS. ALSO, WE PROVIDED CHILD SEAT SAFETY CHECKS AND DISTRIBUTED FREE CAR SEATS/BOOSTER SEATS TO ELIGIBLE FAMILIES VIA A 2024 AAA CHILD PASSENGER SAFETY GRANT. 6. TOBACCO USE (RANKED 3RD) - EXISTING TUPP, QUIT LINE, AND SCHOOL PROGRAMS ALREADY COVER CESSATION AND PREVENTION; WITH LIMITED ADDITIONAL CAPACITY, THE ADVISORY COMMITTEE PLACED THIS BELOW OUR SELECTED PRIORITIES. FMDH CONTINUES TO HAVE A RESPIRATORY REHAB PROGRAM THAT INCLUDES SMOKING CESSATION AND IS ALSO INCLUDED IN SUBSIDIZED HEALTH SERVICES. WE ALSO OFFERED FREE NARCAN TRAINING BUT NO ONE PARTICIPATED. 7. RESPIRATORY DISEASE (RANKED 14TH) - COPD/ASTHMA HOSPITALIZATION RATES IN THE SERVICE AREA ARE LOWER THAN STATE AVERAGES, AND MAJOR DRIVERS (TOBACCO, AIR QUALITY) OVERLAP WITH OTHER PRIORITES. LIMITED RESOURCES AND LOWER RELATIVE BURDEN LED THE COMMITTEE TO DEFER FOCUSED RESPIRATORY-DISEASE INIATIVES. FMDH CONTINUES TO OFFER A RESPIRATORY REHAB PROGRAM THAT INCLUDES SMOKING CESSATION WHICH IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. 8. SEXUAL HEALTH (RANKED 10TH) - SEXUAL HEALTH EDUCATION AND STI SERVICES ARE COORDINATED BY COUNTY PUBLIC HEALTH NURSES AND TRIBAL CLINICS. CULTURAL CONSIDERATIONS AND THE AVAILABILITY OF SPECIALIZED PROGRAMS INDICATE A LOW INCREMENTAL IMPACT FROM HOSPITAL LED EFFORTS IN THE CURRENT PLAN. TWO PRACTITIONERS FROM FMDH GAVE TALKS ON HYGIENE AND PUBERTY TO THE 5TH GRADERS AT IRLE SCHOOL, AND THEY DISTRIBUTED HYGIENE KITS. 9. INJURY & VIOLENCE (RANKED 13TH) - THE ADVISORY COMMITTEE DETERMINED THAT PRIMARY PREVENTION OF INJURY AND VIOLENCE IS BEST ADDRESSED BY LAW ENFORCEMENT AND COMMUNITY COALITIONS. FMDH'S ROLE REMAINS CLINICAL TREATMENT; LIMITED RESOURCES AND LOW ABILITY TO INFLUENCE UPSTREAM FACTORS PRECLUDE A DEDICATED HOSPITAL INITIATIVE. FMDH CONTINUES TO COORDINATE RESPONSE EFFORTS WITH THE LOCAL LAW ENFORCEMENT ENTITIES THROUGH AN ANNUAL DRILL. THE PEDIATRIC WELLNESS EXAMS INCLUDE QUESTIONS ABOUT FIREARMS IN THE HOME. WELLNESS EXAMS INCLUDE VIOLENCE RELATED QUESTIONS REGARDING IF THE PATIENT FEELS SAFE IN THEIR HOME AND WE WILL MAKE THE NECESSARY REFERRALS BASED ON THE RESPONSE. THE WELLNESS EXAMS ALSO INCLUDE SCREENINGS OF SEATBELT/RESTRAINT USE FROM NEWBORNS TO THE ELDERLY. WE ALSO HELD A SHRED SAFE SAFETY EVENT TO DISCUSS DIFFERENT TYPES OF SAFETY GEAR AND FACILITATE HELMET SAFETY CHECKS. 10. DISABLING CONDITIONS (RANKED 8TH) - LONG TERM MANAGEMENT OF DISABLING HINGES ON SOCIAL SERVICE NETWORKS, HOUSING, AND STATE POLICY. WITH LIMITED RESOURCES AND MINIMAL LEVERAGE OVER THESE DETERMINTS, THE COMMITTEE CONCLUDED FMDH HAS A LOW CAPACITY TO EFFECT CHANGE IN THIS AREA DURING THIS CYCLE. 11. ORAL HEALTH (RANKED 7TH) - FMDH DOES NOT PROVIDE DENTAL SERVICES, AND PRIVATE DENTISTS/PUBLIC HEALTH DENTAL PROGRAMS SERVE THE COMMUNITY. ADVISORY COMMITTEE MEMBERS RATED ORAL HEALTH A LOWER PRIORITY RELATIVE TO MENTAL HEALTH, HEART DISEASE, AND DIABETES GIVEN LIMITED HOSPITAL CAPACITY TO INTERVENE DIRECTLY. DURING PEDIATRIC WELLNESS EXAMS AT FMDH, THERE ARE CONVERSATIONS ABOUT FLUORIDE SUPPLEMENTS AND DENTAL CARE, AND WE WILL REFER TO THE VALLEY COUNTY HEALTH DEPARTMENT FOR FLUORIDE VARNISH WHEN APPROPRIATE. FACILITY 1, FRANCES MAHON DEACONESS HOSPITAL - PART V, LINE 24 SOME SERVICES PROVIDED BY THE HOSPITAL ARE CONSIDERED ELECTIVE. ELECTIVE SERVICES ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE THUS A PERSON QUALIFYING FOR A DISCOUNT FOR MEDICALLY NECESSARY SERVICES MAY NEED TO PAY FULL PRICE FOR ELECTIVE SERVICES. 1 GLASGOW CLINIC INC 621 THIRD STREET SOUTH GLASGOW MT 59230 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7G THERE IS NO COST OF BAD DEBT TO REMOVE FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C. SCHEDULE H, PART I, LINE 7 USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 2 THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT EXPENSE, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE IS APPLIED TO GROSS BAD DEBT CHARGES, NOT INCLUDING IMPLICIT PRICE CONCESSIONS, TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS AND IMPLICIT PRICE CONCESSIONS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF IMPLICIT PRICE CONCESSIONS OR BAD DEBT, WHICH REDUCE IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. PATIENT OBLIGATIONS WHICH QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT RECORDED AS IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 THERE WERE NO BAD DEBT EXPENSES RECORDED AND THEREFORE NO RELATED FOOTNOTE AFTER ADOPTING THE NEW REVENUE RECOGNITION GUIDANCE IN FASB ASU 2014- 09. MOST TRANSACTIONS WHICH PREVIOUSLY WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE ARE CLASSIFIED AS IMPLICIT PRICE CONCESSIONS WHICH ARE RECORDED AS REDUCTIONS IN REVENUE VERSUS BAD DEBT EXPENSE. NOTE 4 OF THE AUDITED FINANCIAL STATEMENTS DISCUSSES IMPLICIT PRICE CONCESSIONS ON PAGE 18. SCHEDULE H, PART III, LINE 8 THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE, LESS THE 2 PERCENT SEQUESTRATION ADJUSTMENT. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, COMBINED WITH AN ASSET TEST AND A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS FINANCIAL ASSISTANCE. FOR PATIENTS THAT HAVE HAD A PORTION OF THEIR ACCOUNT WRITTEN OFF AS FINANCIAL ASSISTANCE AND THAT LATER DEFAULT ON THE PORTION THAT WAS DETERMINED TO BE THEIR RESPONSIBILITY, AND THEREFORE IS NOT CONSIDERED FINANACIAL ASSISTANCE, THE ORGAINIZATION DOES ATTEMPT TO COLLECT THIS BALANCE. SCHEDULE H, PART VI, LINE 2 PURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, FRANCES MAHON DEACONESS HOSPITAL COMPLETED A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION PLAN DURING FISCAL YEARS 2019, 2022, & 2025 (TAX YEARS 2018, 2021, & 2024). THESE ASSESSMENTS ARE LOCATED ON THE ENTITY'S WEBSITE. HOWEVER, FRANCES MAHON DEACONESS HOSPITAL (FMDH) HAS TRADITIONALLY INCLUDED COMMUNITY NEEDS ASSESSMENTS IN ITS PLANNING FOR MANY YEARS AND UTILIZES MANY METHODS OF ASSESSING THE PATIENT SERVICES NEEDS FOR OUR SERVICE AREA. THESE INCLUDE BUT ARE NOT LIMITED TO: ANALYSIS OF OUTMIGRATION STATISTICS OBTAINED THROUGH ACCESS TO THE COMPDATA DATABASE PROVIDED THROUGH THE MONTANA HOSPITAL ASSOCIATION AND MODELING OF PATIENT TO POPULATION RATIOS TO IDENTIFY AND PLAN FOR THE APPROPRIATE PHYSICIAN/PRACTITIONER MIX TO SERVE THE COMMUNITY. IN ADDITION, FMDH PARTICIPATED IN AN AREA HEALTH EDUCATION CENTER LEAD COMMUNITY HEALTH SERVICES DEVELOPMENT ASSESSMENT. IDEAS GENERATED OUT OF EACH OF THESE EFFORTS ARE THEN EVALUATED AS TO THE CAPABILITIES OF OUR ORGANIZATION TO DEVELOP IDENTIFIED SERVICES. MINIMUM CRITERIA FOR DEVELOPMENT OF NEW OR MODIFICATION OF EXISTING SERVICES ARE: THE NEW OR MODIFIED SERVICE CAN REASONABLY FINANCIALLY SUPPORT ITS OPERATION; WE HAVE OR CAN ACQUIRE THE NECESSARY PERSONNEL WITH THE CREDENTIALS TO DELIVER THE SERVICE AND RETAIN ENOUGH PERSONNEL WITH THE REQUIRED SKILL SETS TO AVOID INTERRUPTION OF SERVICE DELIVERY IF SAID PERSONNEL TURN OVER; THE SERVICES CAN BE DELIVERED IN A MANNER THAT ACHIEVES APPROPRIATELY HIGH LEVELS OF PATIENT SATISFACTION. SCHEDULE H, PART VI, LINE 3 FRANCES MAHON DEACONESS HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO HAS THE SOLE RESPONSIBILITY TO WORK WITH PATIENTS TO NAVIGATE OUR FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS ARE SENT INFORMATION AT THE INITIAL BILLING FOR DELIVERED PATIENT SERVICES THAT DESCRIBES OUR FINANCIAL ASSISTANCE PROGRAM. OUR WEBSITE HAS INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM ALONG WITH ACCESS TO THE APPLICATION. FRANCES MAHON DEACONESS HOSPITAL ALSO EMPLOYS A STAFF MEMBER THAT IS A CERTIFIED APPLICATION COUNSELOR THAT HELPS COMMUNITY MEMBERS WITH APPLYING FOR INSURANCE AND MEDICAID ON THE MARKETPLACE. SCHEDULE H, PART VI, LINE 4 FRANCES MAHON DEACONESS HOSPITAL IS LOCATED IN GLASGOW MONTANA WHICH IS OVER FOUR HOURS HIGHWAY TRAVEL TIME AWAY FROM ANY TERTIARY MEDICAL CENTER. WHILE OUR PRIMARY SERVICE AREA CONSISTS OF GLASGOW MONTANA AND VALLEY COUNTY, OUR FACILITY AND SPECIALTY SERVICES ALSO DRAW FROM PORTIONS OF THE SURROUNDING COUNTIES OF DANIELS, ROOSEVELT, AND PHILLIPS. THE AREA IS PRIMARILY AGRICULTURAL BASED WITH LOW POPULATION DENSITIES WHICH HOUSES A TOTAL POPULATION OF 24,119 RESIDENTS OVER 13,847.41 SQUARE MILES. THE DIFFERENT AGE GROUPS OF THE SERVICE AREA ARE AS FOLLOWS: 27.4% ARE INFANTS, CHILDREN OR ADOLESCENTS AGES 0-17; ANOTHER 54.2% ARE AGES 18 TO 64, WHILE 18.5% ARE AGES 65 AND OLDER. THE POPULATION IS MOSTLY WHITE, BUT PORTIONS OF OUR EXTENDED SERVICE AREA HAVE HIGH POPULATIONS OF NATIVE AMERICAN ANCESTRY (30.9% IN THE TOTAL SERVICE AREA) TO WHICH WE PROVIDE SERVICES. THE STATISTICS PROVIDED ABOVE ARE BASED ON THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES (2018-2022). SCHEDULE H, PART VI, LINE 5 FRANCES MAHON DEACONESS HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. WE ARE GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY PERSONS REPRESENTING MOST OF THE INDIVIDUAL TOWNS OR GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. FOR NONELECTIVE SERVICES, WE TREAT PATIENTS WITHOUT REGARD TO ABILITY TO PAY, CONSISTENT WITH OUR ORIGINS AS A HILL BURTON FUNDED FACILITY. ALTHOUGH OUR HILL BURTON OBLIGATION WAS SATISFIED MANY YEARS AGO, WE STILL ADHERE TO THE PRINCIPLES INHERENT IN THAT OBLIGATION. SURPLUS FUNDS ARE RETAINED WITHIN THE ORGANIZATION TO ASSURE FULFILLMENT OF OUR CHARITABLE MISSION BOTH IN THE PRESENT AND IN THE FUTURE. SCHEDULE H, PART VI, LINE 6 FRANCES MAHON DEACONESS HOSPITAL PROVIDES HOSPITAL INPATIENT AND OUTPATIENT SERVICES. GLASGOW CLINIC INC PROVIDES PROFESSIONAL PRIMARY CARE PHYSICIAN, MIDLEVEL PRACTITIONER, SPECIALTY PHYSICIAN, AND RETAIL PHARMACY SERVICES. SCHEDULE H, PART VI PART I, LINE 6A: THE FORM 990 SCHEDULE H IS CONSIDERED AN ANNUAL COMMUNITY BENEFIT REPORT AND IT IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE. PART 1, LINE 7E: FMDH CONDUCTED A NEW CHNA, HELD CPR/AED/FIRST AID CLASSES FOR THE GENERAL PUBLIC, CONTRIBUTED TO THE VALLEY COUNTY SCHOOL SNACK PROGRAM, SPONSORED A HEALTHY MENU TIP WEEKLY IN THE GLASGOW COURIER, AND HELD FREE BLOOD PRESSURE SCREENINGS. WE OFFERED EMT CLASSES, SAIL AND STEPPING ON CLASSES, CAR SEAT SAFETY CHECKS, AND HYGIENE & PUBERTY TALKS. WE SPONSORED A DISPLAY AT THE CHILDREN'S MUSEUM, A SUICIDE PREVENTION HOCKEY TOURNAMENT, A MENTAL HEALTH AWARENESS WALK, BLOOD DRIVES, VALLEY COUNTY BACKPACK PROGRAM, AND CAMP MED PROGRAM. WE RAN ADS FOR SHRED SAFE, WIC ELIGIBILITY, NARCAN TRAINING, OB PRE-REGISTRATION, PRENATAL CLASSES, AND VALLEY COUNTY POOL CAMPAIGN. WE SPONSORED DANCES AND A COMMUNITY GARDEN AT PRAIRIE RIDGE, SKATEBOARDS, UPKEEP FOR THE WIX WEBSITE, COMMUNITY INTEGRATED HEALTH VISITS, AND STANDBY EVENTS. PART I, LINE 7I: FMDH CONTRIBUTED TO VALLEY VIEW HOME, CITY OF GLASGOW'S RECREATION DEPARTMENT, AND THE VALLEY COUNTY POOL CAMPAIGN. PART V: GLASGOW CLINIC INC IS A SEPARATE ORGANIZATION THAT IS A RURAL HEALTH CLINIC WHICH INCLUDES SPECIALTY PHYSICIAN PRACTICES AND A RETAIL PHARMACY. FMDH WHOLLY OWNS AND MANAGES THIS ENTITY AND SUBSIDIZES THE PHYSICIAN PRACTICES AS NEEDED TO ASSURE ACCESS TO AS FULL OF A SCOPE OF SERVICES AS IS APPROPRIATE GIVEN THE NEEDS OF THE COMMUNITY WE SERVE. GLASGOW CLINIC'S REVENUES AND EXPENSES ARE NOT INCLUDED ON FMDH'S FORM 990. true VALLEY VIEW HOME 1225 PERRY LANE GLASGOW MT 59230 810295816 501C3 300000 SUPPORT OF OPERATION CITY OF GLASGOW 319 3RD STREET SOUTH GLASGOW MT 59230 816001267 GOV 30000 SUPPORT OF OPERATION 2 SCHEDULE I, PAGE 1, PART I, LINE 2 PROVIDED FINANCIAL ASSISTANCE TO VALLEY VIEW HOME FOR THE PURPOSE OF SUPPORTING THEIR OPERATIONS SO THAT THEY CAN CONTINUE TO PROVIDE QUALITY EXTENDED CARE SERVICES TO THEIR RESIDENTS. PROVIDED FINANCIAL ASSISTANCE TO THE CITY OF GLASGOW'S RECREATION DEPARTMENT FOR THE PURPOSE OF SUPPORTING THEIR OPERATIONS SO THAT THEY CAN CONTINUE TO OFFER VARIOUS PHYSICAL ACTIVITIES. X X X false false false false false false false false false MAYA SANCHEZ-ROTUNNO MD 511665 16618 13247 541530 AMY HOPSTAD MD 490477 17250 16819 524546 KEVIN ROSS MD 463190 16692 16819 496701 DAVID KNIERIM MD 446332 15916 8701 470949 TYSON COCHRAN MD 388932 13355 14019 416306 NICKOLAS DIRKES CEO 276261 13264 8702 298227 DAVID NIXDORF COO 190764 10170 16819 217753 CAMI KALINSKI CFO 181057 9213 49 190319 SCHEDULE J, PART III A PERCENTAGE OF THE COMPENSATION PAID TO KEVIN ROSS, M.D. (78%), DAVID KNIERIM, M.D. (78%), TYSON COCHRAN, M.D. (72%), MAYA SANCHEZ- ROTUNNO, M.D. (100%), AND AMY HOPSTAD, M.D. (100%) IS AN EXPENSE OF GLASGOW CLINIC INC, A RELATED COMPANY. THE COMPENSATION WAS PAID THROUGH FRANCES MAHON DEACONESS HOSPITAL AS A COMMON PAYMASTER. FORM 990, PAGE 1, PART I, LINE 6 BOARD MEMBERS AND EMTS. FORM 990, PAGE 6, PART VI, LINE 6 MEMBERSHIP IN THE FRANCES MAHON DEACONESS HOSPITAL CORPORATION (FMDH) IS ACHIEVED BY VIRTUE OF DONATING AT LEAST 100 TO FMDH, TO THE FRANCES MAHON DEACONESS HOSPITAL FOUNDATION (ALTHOUGH THE FOUNDATION IS A SEPARATE CHARITABLE ENTITY AND NOT CONTROLLED BY THE FMDH CORPORATION, ITS STATED PURPOSE IS TO SUPPORT FMDH AND THE DELIVERY OF HEALTHCARE SERVICES IN VALLEY COUNTY, MONTANA, THROUGH CHARITABLE DONATIONS SUPPORTING SERVICES DEVELOPMENT AND EQUIPMENT PURCHASES), AND LUKE'S 100 (ANOTHER LOCAL CHARITABLE ORGANIZATION SEPARATE FROM FMDH BUT WHICH SUPPORTS FMDH THROUGH ANNUAL DONATIONS). THERE ARE NO DISTINCT CLASSES OF MEMBERS; ALL MEMBERS ARE PART OF A SINGLE MEMBERSHIP CLASS. FMDH CORPORATION MEMBERS EXERCISE NO GOVERNANCE CONTROL OVER FMDH WITH THE EXCEPTION OF THE ABILITY TO BRING CHARGES AGAINST A BOARD MEMBER FOR MALFEASANCE OR NONFEASANCE OF THE DUTIES AND RESPONSIBILITIES OF THE ENTITY WHICH, THROUGH A DUE PROCESS, CORPORATE MEMBERS CAN VOTE A BOARD MEMBER OUT WITH A VOTE OF 2/3 OF CORPORATE MEMBERS PRESENT AND CORPORATE MEMBERS TOTAL AT LEAST 50 MEMBERS OR 5% OF THE TOTAL CORPORATE MEMBERS, WHICHEVER IS FEWER. FORM 990, PAGE 6, PART VI, LINE 7A THERE ARE NO DISTINCT CLASSES OF MEMBERS; ALL MEMBERS ARE PART OF A SINGLE MEMBERSHIP CLASS. THE MEMBERS ELECT ALL MEMBERS OF THE FMDH BOARD OF TRUSTEES. ELECTION OF THE GOVERNING BOARD IS GRANTED TO THE FMDH BOARD OF TRUSTEES. HOWEVER, THE FMDH CORPORATION MEMBERS MAY VOTE OUT A TRUSTEE UPON DUE PROCESS. THEY EXERCISE NO OTHER GOVERNANCE OR CONTROL OVER FMDH. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND CFO AND IS MADE AVAILABLE FOR THE BOARD'S REVIEW PRIOR TO BEING FILED. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICTS OF INTEREST ARE REQUIRED TO BE REPORTED AT THE FIRST MEETING OF EACH CALENDAR YEAR. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE REQUIRED TO LEAVE THE BOARD MEETING WHILE THE BUSINESS IS BEING DISCUSSED OR ACTED UPON. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF TRUSTEES APPROVES THE CEO'S COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF TRUSTEES APPROVES THE COMPENSATION FOR ALL PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND OTHER PRACTITIONERS EMPLOYED AND CONTRACTED BY FMDH. THE CEO APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 ALL WRITTEN POLICIES ARE KEPT IN THE OFFICE OF THE CFO AND ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CONTRIBUTED CAPITAL TO GLASGOW CLINIC INC -2,258,556 FMDH FOUNDATION 621 3RD STREET SOUTH GLASGOW MT 59230 810406872 SUPPORT MT 501C3 7 NA false PRAIRIE RIDGE VILLAGE LLP 521 4TH AVE S GLASGOW MT 59230 810515202 ASSTLIVING MT 501C3 10 NA false NE MT STAT AIR AMBULANCE COOPERATIV 81 AIRPORT ROAD GLASGOW MT 59230 204748673 AIR AMBULA MT 501C3 12B NA false GLASGOW CLINIC INC 621 THIRD STREET SOUTH GLASGOW MT 59230 810341714 CLINIC MT N/A false true true true true false false false false false false false false false false true false false false false FMDH FOUNDATION O 39108 STAFF & OTHER ITEMS GLASGOW CLINIC INC A 228301 RENTAL INCOME PRAIRIE RIDGE VILLAGE LLP D 2438894 LOAN BALANCE PRAIRIE RIDGE VILLAGE LLP A 131617 INTEREST RECEIVED ON LOAN FMDH FOUNDATION C 18542 SUPPORT GLASGOW CLINIC INC B 2258556 CONTRIBUTED CAPITAL FOR TAX YEAR 2024 THERE WERE NOT ANY GRASSROOTS LOBBYING EXPENDITURES.