2024-05-14T17:53:59-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-07-01 810384618 BIG HORN HOSPITAL ASSOCIATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2024-05-14 1 KRISTI GATRELL 999009999 0 KURT BENNION CPA P01469618 6123764500 2024-05-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTI GATRELL 17 NORTH MILES AVENUE HARDIN MT 59034 28509518 0 X WWW.BIGHORNHOSPITAL.ORG X 1980 MT TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS. 10 9 189 10 0 0 1104298 2442549 18221648 16707754 261923 -1172385 9019 -1743 19596888 17976175 62107 45280 0 0 11112141 10796149 0 0 0 8724581 9093085 19898829 19934514 -301941 -1958339 26345522 23134513 13052527 11736970 13292995 11397543 X BIG HORN HOSPITAL ASSOCIATION PROVIDES QUALITY SERVICES AND PROMOTES RESPONSIBLE CHOICES TO ENHANCE THE HEALTH OF OUR COMMUNITIES. 0 1 17117929 45280 16707754 BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL AND BIG HORN SENIOR LIVING. BIG HORN HOSPITAL IS A 18-BED ACUTE CARE HOSPITAL. BIG HORN SENIOR LIVING IS A 36-BED NURSING CARE FACILITY AND A 10-UNIT ASSISTED LIVING AND 10-UNIT INDEPENDENT LIVING.DURING THE YEAR ENDED JUNE 30, 2023, BIG HORN HOSPITAL PROVIDED 238 DAYS OF INPATIENT SERVICES, 7,639 OUTPATIENT VISITS (INCLUDING 4,816 ER VISITS) AND 3,619 DAYS OF RESIDENT SERVICES. BIG HORN SENIOR LIVING PROVIDED 1,120 DAYS OF LONG TERM CARE RESIDENT SERVICES AND 273 DAYS OF ASSISTED LIVING RESIDENT SERVICES.BIG HORN HOSPITAL ASSOCIATION PROVIDES CARE TO PERSON COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF CARE TO THESE PATIENTS WAS $31,003 FOR THE YEAR ENDED JUNE 30, 2023. 17117929 1 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 12 0 1 189 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X ROXIE CAIN CONTROLLER 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 40.00 0.20 X 237169 0 23115 ANGELA SMITH PROVIDER 40.00 0.00 X 177088 0 9000 MARTHA ARAMBEL-JUDICE PROVIDER 40.00 0.00 X 180646 0 4972 PAULINE KING PROVIDER 40.00 0.00 X 178941 0 4500 CHARLOTTE JEFFERSON PHARMACIST 40.00 0.00 X 169435 0 9000 ROXIE CAIN CONTROLLER 39.00 1.00 X 137862 0 19965 KRISTI GATRELL CEO 39.00 1.00 X 0 0 0 THOR TORSKE BOARD CHAIR 0.40 0.20 X X 0 0 0 COLLEEN SCHAAK BOARD VICE CHAIR 0.40 0.00 X X 0 0 0 JAMES SEYKORA SECRETARY 0.40 0.20 X X 0 0 0 MATT TORSKE TREASURER 0.40 0.00 X X 0 0 0 TERRY BULLIS MEMBER 0.40 0.20 X 0 0 0 DAVID MARK MEMBER 0.40 0.00 X 0 0 0 NICHOLE MEHLING MEMBER 0.40 0.00 X 0 0 0 SANDY MORSE MEMBER 0.40 0.00 X 0 0 0 JERRY SMITH MEMBER 0.40 0.00 X 0 0 0 LARRY VANDERSLOOT MEMBER 0.40 0.00 X 0 0 0 1081141 0 70552 18 0 1 0 BILLINGS CLINIC 2800 10TH AVENUE N BILLINGS MT 59101 MANAGEMENT & IMAGING SERVICES 803681 RN NETWORK 4700 EXCHANGE COURT 124 BOCA RATON FL 33431 STAFFING AGENCY 612179 REPUBLIC HEALTH RESOURCES 290 E JOHN W CARPENTER FWY STE 120 IRVING TX 75062 STAFF AND MANAGEMENT SERVICES 323864 AUREUS 332 MINNESOTA STREET SUITE W1360 ST PAUL MN 55101 STAFFING AGENCY 249892 CLIFTONLARSONALLEN LLP 220 S SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 ACCOUNTING SERVICES 246019 13 393663 1933994 114892 2442549 PATIENT REVENUE 621110 16669060 16669060 OTHER PATIENT REVENUE 541900 38694 38694 16707754 103386 103386 82149 109368 -27219 -27219 -27219 4738533 4409671 4732450 5691525 6083 -1281854 -1275771 -1275771 CAFETERIA 722210 25476 25476 25476 17976175 16707754 0 -1174128 X 45280 45280 288912 288912 8866395 7724766 1141629 259845 214525 45320 784501 640712 143789 596496 491966 104530 20922 20922 175250 175250 3498972 3487419 11553 4009 4009 53516 47154 6362 330825 275882 54943 78686 43172 35514 364953 364953 1678170 1678170 191238 191238 MEDICAL SUPPLIES 1066915 1028955 37960 REPAIRS & MAINTENANCE 674687 613889 60798 TAXES & LICENSES 319049 240024 79025 BAD DEBT 217637 217637 418256 364369 53887 19934514 17117929 2816585 0 739496 2540543 2344911 898465 2292695 2347572 93000 93000 512703 458731 145328 125589 26721161 15356933 12558346 11364228 1066489 1052925 6592554 4253460 26345522 23134513 2052922 3245184 1920579 0 8000000 8000000 222407 75286 745114 416500 111505 0 13052527 11736970 X 13222381 11389070 70614 8473 13292995 11397543 26345522 23134513 -1958339 62887 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1215 1215 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND LEADING AGE (FORMERLY AAHSA) ARE USED FOR LOBBYING PURPOSES. 0 1 X 252903 252903 18548899 9627548 8921351 7919359 5729385 2189974 11364228 THIRD PARTY SETTLEMENT RECEIVABLE 4253460 4253460 PART IV, LINE 2B: THE HOSPITAL ACTS AS A CUSTODIAN FOR THE FUNDS OF THE NURSING HOME RESIDENTS. THOSE FUNDS APPEAR AS RESTRICTED CASH AND ACCOUNTS PAYABLE IN THE BALANCE SHEET. 1 1 X 1 X 1 X 1 1 1 0 0 33319 33319 0.00170 8036131 6935793 1100338 0.05580 8069450 6935793 1133657 0.05750 8069450 6935793 1133657 0.05750 1 217637 0 3413868 3793714 -379846 X 1 0 1 1 BIG HORN HOSPITAL ASSOCIATION 17 NORTH MILES AVENUE HARDIN MT 59034 WWW.BIGHORNHOSPITAL.ORG 12469 X X X BIG HORN HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X HTTPS://WWW.BIGHORNHOSPITAL.ORG X 1 21 1 HTTPS://WWW.BIGHORNHOSPITAL.ORG 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.BIGHORNHOSPITAL.ORG X HTTPS://WWW.BIGHORNHOSPITAL.ORG X HTTPS://WWW.BIGHORNHOSPITAL.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST BIG HORN HOSPITAL ASSOCIATION IN CONDUCTING THEIR CNHA. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED) CAME TOGETHER IN MARCH 2022. SEE LIST BELOW OF ALL GROUPS REPRESENTED ON THE STEERING COMMITTEE. THE STEERING COMMITTEE MET TWICE DURING THE CHNA'S PROCESS FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT AND AGAIN TO REVIEW RESULTS OF THE SURVEY AND FOCUS GROUPS AND TO ASSIST IN THE PRIORITIZATIONS OF HEALTH NEEDS TO ADDRESS.GROUPS REPRESENTED ON THE STEERING COMMITTEE:1. BIG HORN COUNTY PUBLIC HEALTH2. CITY OF HARDIN3. BHCMH AUXILIARY4. BIG HORN HOSPITAL ASSOCIATION5. BIG HORN VALLEY HEALTH CENTER6. BIG HORN SENIOR LIVING AUXILIARY.7. I.H.S.8. SCL HARDIN CLINIC BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: MONTANA STATE UNIVERSITY AND MONTANA OFFICE OF RURAL HEALTH BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY IDENTIFIED ACCESS TO HEALTHCARE AND OTHER SERVICES, GOOD JOBS AND A HEALTHY ECONOMY AS THE MOST IMPORTANT THINGS FOR A HEALTHY COMMUNITY: WHILE WE HAD TO MAKE THE DIFFICULT DECISION TO CLOSE OUR LONG TERM CARE FACILITIES, THIS DECISION WAS MADE TO PRESERVE THE CURRENT SERVICES IN BIG HORN COUNTY. BHHA CONSOLIDATED IT'S STAFF AND REDUCED THE AMOUNT OF CONTRACT STAFF BEING UTILIZED IN OUR COMMUNITY. THE CLOSURE ALLOWED BIG HORN COUNTY TO CONTINUE TO HAVE AN INPATIENT HOSPITAL WITH SWING BED CARE, EIGHT LONG-TERM CARE RESIDENTS AND AN EMERGENCY ROOM.BHHA APPLIED FOR AND RECEIVED MULTIPLE GRANTS AND DONATIONS TO PURCHASE A NEW VAN AND A NEW BUS. ONCE THE PURCHASE IS COMPLETED FOR THESE VEHICLES, BHHA WILL BE ABLE TO RESURRECT OUR COMMUNITY TRANSPORTATION SERVICES. THESE SERVICES WILL PROVIDE SOME TRANSPORTATION FOR MEDICAL, DENTAL, VISION, PHARMACY, AND CHIROPRACTIC CARE WITHIN HARDIN CITY LIMITS.BHHA IS REVITALIZING EMPLOYEE EDUCATION AFTER THEIR DIFFICULTY ACCESSING ADVANCED EDUCATION DURING THE COVID-19 PANDEMIC TO CONTINUE TO PROVIDE OUR COMMUNITY WITH QUALITY HEALTH CARE. IN APRIL 2023, ST VINCENT HEALTHCARE NOTIFIED BHHA THAT THEY WOULD NOT BE RENEWING THEIR LEASE TO PROVIDE CLINIC SERVICES AT THE HARDIN CLINIC BUILDING OWNED BY BHHA. BHHA IMMEDIATELY REACHED OUT TO ONE HEALTH AND BILLINGS CLINIC TO ATTEMPT TO FIND A TENANT THAT WOULD CONTINUE CLINIC SERVICES IN OUR UNDERSERVED COMMUNITY. AN AGREEMENT WAS MADE WITH ONE HEALTH TO LEASE THE HARDIN CLINIC AND CONTINUE SERVICES IN THAT LOCATION. BIG HORN HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16J: WHEN OUR PATIENT ACCOUNTS REPRESENTATIVE BECOMES AWARE OF A PATIENT'S POTENTIAL FINANCIAL HARDSHIP AND/OR SELF-PAY STATUS, A COMMUNITY CARE APPLICATION IS SENT TO THAT INDIVIDUAL. 1 1 - BIG HORN SENIOR LIVING NURSING HOME 200 N MITCHELL AVENUE HARDIN MT 59034 NURSING HOME WITH ASSISTED LIVING AND INDEPENDENT LIVING UNITS PART I, LINE 3C: CHARITY CARE MAY BE GRANTED TO A PATIENT ON A CASE BY CASE BASIS AS DETERMINED BY THE CEO AND CONTROLLER UPON SPECIAL REQUEST BY THE PATIENT DUE TO UNFORSEEN CIRCUMSTANCES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON (A) HOUSEHOLD INCOME RELATIVE TO FEDERAL POVERTY GUIDELINES, THE RECEIPT OF MEDICALLY NECESSARY CARE, AND COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: A COST-TO-CHARGE RATIO DERIVED USING WORKSHEET 2 FROM THE IRS WAS USED TO CALCULATE THE AMOUNTS IN PART I, LINE 7. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 217,637. PART III, LINE 2: BHHA USES HISTORICAL DATA TO ESTIMATE BAD DEBT EXPENSE BASED ON THE PAYOR TYPE AND AGE OF THE ACCOUNT. PART III, LINE 3: BIG HORN HOSPITAL ASSOCIATION CANNOT REASONABLY ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 ON PAGE 18 OF THE FINANCIAL STATEMENTS FOR A DESCRIPTION OF BIG HORN HOSPITAL ASSOCIATION'S BAD DEBT EXPENSE. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 WERE DERIVED FROM THE JUNE 2023 FILED MEDICARE COST REPORT. PART III, LINE 9B: CATASTROPHIC COMMUNITY CARE: BHHA MAY ALSO WRITE OFF AS COMMUNITY CARE AMOUNTS FOR PATIENTS WITH FAMILY INCOME IN EXCESS OF THE FEDERAL POVERTY STANDARDS WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS AS DETERMINED BY BHHA. EXAMPLES OF THIS WOULD INCLUDE, BUT ARE NOT LIMITED TO, LOSS OF A JOB AFTER TAXES WERE FILED, EXTENSIVE HEALTH ISSUES CAUSING LARGE BILLS, ETC. PART VI, LINE 2: BHHA CONTINUALLY ASSESSES THE NEEDS OF OUR COMMUNITY THRU SEVERAL AVENUES. IN ADDITION TO PERFORMING A COMMUNITY HEALTH NEEDS ASSESSMENT, BHHA WORKS CLOSELY WITH THE VARIOUS CLINICS IN TOWN TO DISCUSS TRENDS AND SOLUTIONS FOR A VARIETY OF ISSUES INCLUDING HEALTH TRENDS, STAFFING NEEDS AND MAKING PATIENT CARE AS SEAMLESS AS POSSIBLE. BHHA ALSO REVIEWS OUR INTERNAL UTILIZATION TO HELP ASSESS THE NEEDS OF OUR COMMUNITY. THIS ALLOWS BHHA STAFF AND OUR BOARD OF DIRECTORS TO MAKE DECISIONS ABOUT IMPROVEMENT AREAS SUCH AS WHAT EQUIPMENT TO UPGRADE AND WHICH SERVICES TO EXPAND IF POSSIBLE. BHHA IS VERY COMMITTED TO KEEPING AS MANY OF THE COMMUNITY HEALTH CARE NEEDS LOCAL AS POSSIBLE. PART VI, LINE 3: THE FACILITY KEEPS FORMS ON HAND THAT ARE AVAILABLE (IN PLAIN SIGHT) FOR DIFFERENT GOVERNMENT PROGRAMS SUCH AS HEALTHY MT KIDS. THE ADMINISTRATIVE STAFF WILL INFORM ANY PRIVATE PAY PATIENT OF OUR COMMUNITY CARE AND WILL ALSO RELAY THIS INFORMATION TO CUSTOMERS WHEN DISCUSSING PAYMENT OPTIONS FOR OUTSTANDING BILLS. WHEN OUR PATIENT ACCOUNTS REPRESENTATIVE BECOMES AWARE OF A PATIENT'S POTENTIAL FINANCIAL HARDSHIP AND/OR SELF-PAY STATUS, A COMMUNITY CARE APPLICATION IS SENT TO THAT INDIVIDUAL. PART VI, LINE 4: BHHA SERVES A HIGH POVERTY LEVEL. WE ARE ON THE EDGE OF THE CROW INDIAN RESERVATION AND HAVE A LOT OF CUSTOMERS WHO UTILIZE INDIAN HEALTH SERVICES AS A PAYOR SOURCE FOR HEALTH CARE. OUR POPULATION HAS A LARGE POPULATION OF MEDICARE AND MEDICAID CUSTOMERS. AS WE SERVE A SMALL TOWN IN MONTANA, THE POPULATION CONSISTS OF A LOT OF CHILDREN AS WELL AS ELDERLY, BOTH OF WHICH UTILIZE OUR HEALTHCARE SYSTEM. PART VI, LINE 5: BHHA DOES HAVE A COMMUNITY BOARD TO HELP NOT ONLY "RUN" THE FACILITY WITH POLICIES AND PROCEDURES, BUT TO GIVE INPUT TO THE MANAGEMENT TEAM ABOUT THE NEEDS THEY SEE FOR THE COMMUNITY IN WHICH THEY LIVE. BHHA IS DEVELOPING MORE EDUCATIONAL PROGRAMS FOR ITEMS SUCH AS WOMEN'S HEALTH, DIABETES MANAGMENT AND SMOKING CESSATION.BHHA USES THE LOCAL PAPERS AND SOCIAL MEDIA (FACEBOOK) AS AN OUTLET FOR GIVING THE PUBLIC INFORMATION ON DIFFERENT TYPES OF HEALTH CONCERNS, SUCH AS DIABETES, WEIGHT LOSS, ETC. BHHA ALSO USED THE COMMUNITY HEALTH NEEDS ASSESSMENT TO TRACK ITEMS THE COMMUNITY WANTS AND/OR NEEDS. 1 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 501(C)(3) 9750 0 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 501(C)(3) 9750 0 TO SUPPORT GENERAL OPERATIONS BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 NORTH MILES AVENUE HARDIN MT 59034 810504410 501(C)(3) 19500 0 TO SUPPORT GENERAL OPERATIONS 3 0 PART I, LINE 2: THE GRANTS MADE WERE AN EQUITY TRANSFER AND PASSING ALONG DONATIONS TO RELATED ORGANIZATIONS. THESE FUNDS ARE TRACKED THROUGH THE ORGANIZATION'S INTERNAL FINANCIAL REPORTING PROCESS. X X X 0 0 0 0 0 0 0 0 0 SHANNON WAGENMAN DIRECTOR OF PROVIDER SERVICES 237169 0 0 0 0 0 4500 0 18615 0 260284 0 0 0 ANGELA SMITH PROVIDER 177088 0 0 0 0 0 9000 0 0 0 186088 0 0 0 MARTHA ARAMBEL-JUDICE PROVIDER 180646 0 0 0 0 0 4500 0 472 0 185618 0 0 0 PAULINE KING PROVIDER 178941 0 0 0 0 0 4500 0 0 0 183441 0 0 0 CHARLOTTE JEFFERSON PHARMACIST 169435 0 0 0 0 0 9000 0 0 0 178435 0 0 0 ROXIE CAIN CONTROLLER 137862 0 0 0 0 0 1350 0 18615 0 157827 0 0 0 A MONTANA FACILITY FINANCE AUTHORITY 364615155 2018-11-01 8000000 HOSPITAL REMODEL 0 0 0 A 8000000 708645 160000 7131355 2019 0 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 ANGELA SMITH SPOUSE OF JERRY SMITH, BOARD MEMBER 165349 EMPLOYEE COMPENSATION 0 FORM 990, PART III, LINE 3 THE ORGANIZATION'S SENIOR LIVING FACILITY, BIG HORN SENIOR LIVING, CLOSED DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 3 BIG HORN HOSPITAL ASSOCIATION'S CEO IS PROVIDED THROUGH A SERVICES AGREEMENT WITH BILLINGS CLINIC. FORM 990, PART VI, SECTION A, LINE 7A TWO BOARD MEMBERS ARE APPOINTED BY BILLINGS CLINIC AND MAY BE REMOVED FROM THE BOARD AT ANY TIME BY BILLINGS CLINIC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL BY THE CONTROLLER AND CEO. THE FORM 990 WAS PRESENTED TO THE BOARD MEMBERS AT A BOARD MEETING AFTER BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C REGULAR COMPLIANCE MEETINGS DISCUSS ANY ACTUAL CONFLICTS OR POTENTIAL CONFLICTS. THERE IS ALSO A HOTLINE NUMBER TO CALL FOR COMPLIANCE OR HIPAA ISSUES THAT IS OPERATED BY MONTANA HOSPITAL ASSOCIATION, NOT BIG HORN HOSPITAL ASSOCIATION. BOARD MEMBERS SIGN YEARLY CONFLICT OF INTEREST STATEMENTS AND IF A CONFLICT OCCURS ON A SPECIFIC ITEM, THEY ABSTAIN FROM THE VOTE ON THAT ITEM. THERE IS ONE BOARD MEMBER THAT HAS A SPOUSE EMPLOYED BY BIG HORN HOSPITAL ASSOCIATION. THEY ABSTAIN FROM ANY VOTES THAT WOULD AFFECT WAGES AND BENEFITS FOR EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15A BIG HORN HOSPITAL ASSOCIATION UTILIZES THE MONTANA HOSPITAL ASSOCIATION SALARY SURVEY TO MAKE SURE EMPLOYEE WAGES ARE COMPARABLE TO SIMILAR JOBS IN SIMILAR AREAS. EXPERIENCE IS ALSO A FACTOR IN THE WAGE. THIS IS REVIEWED EACH FEBRUARY WHEN THE MHA SALARY SURVEY IS AVAILABLE FOR REVIEW. WAGES ARE ADJUSTED WITH THE SCALE IF NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,487,419. MANAGEMENT AND GENERAL EXPENSES 11,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,498,972. BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTHCARE FOUNDATION 17 N MILES AVENUE HARDIN MT 59034 810504410 HOSPITAL FUNDRAISING MT 501(C)(3) LINE 12A, I BIG HORN HOSPITAL ASSOCIATION 1 BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY HC 36 BOX 2065 HARDIN MT 59034 810428249 FUNDS TO BENEFIT BIG HORN COUNTY MEMORIAL HOSPITAL MT 501(C)(3) LINE 12B, II N/A 0 HERITAGE ACRES AUXILIARY LIMITED PO BOX 474 HARDIN MT 59034 810444017 FUNDS TO BENEFIT HERITAGE ACRES NURSING HOME MT 501(C)(3) LINE 12B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 BIG HORN COUNTY HOSPITAL AND HEALTH CARE FOUNDATION C 147406 CASH