2021-02-12T07:49:43-06:00 2020-03-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-04-01 810241755 St John's Lutheran Hospital Inc STJO 4062837000 209 Health Park Drive Libby MT 59923 Brigid Burke CFO 4062837000 2021-02-11 1 Kim Hunwardsen CPA P00484560 6122536500 2021-02-08 2019 2022-09-23 18:48:47Z Cabinet Peaks Medical Center Bruce Whitfield 209 Health Park Drive Libby MT 59923 40839281 0 X www.cabinetpeaks.org X 1952 MT Healthcare services. 8 7 323 49 0 0 168730 774564 37068619 39738459 148886 226129 3685 -20323 37389920 40718829 2689 0 0 0 18970351 19374328 0 0 155094 16805190 17552567 35778230 36926895 1611690 3791934 55043954 56648733 26999658 25582875 28044296 31065858 X Committed to quality, compassionate care. 1 0 29309761 39738459 Cabinet Peaks Medical Center operates a 25 bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including primary care and OB/GYN services, a variety of rehab and therapy services, infusion and chemotherapy, imaging, and lab. Continued on Schedule O.Patients often do not have the luxury of time or money or the physical strength necessary to make the 90 mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. In fiscal year 2020, Cabinet Peaks Medical Center provided services to 12,849 unique patients amounting to a total of 17,373 adjusted patient days. Just over 952 surgical cases were performed. Additionally, Cabinet Peaks Medical Center delivered 97 babies during fiscal year 2020. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The amounts of charges forgone, based on established rates, were $666,373 and $518,569 during the years ended March 31, 2020 and 2019, respectively. The estimated cost of providing these services was approximately $365,000 and $282,000 for the years ended March 31, 2020 and 2019, respectively, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. 29309761 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 74 0 1 323 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Gayl Smith Controller 4062837139 209 Health Park Drive Libby MT 59923 Mark Serra DO Physician 40.00 0.00 X 400270 0 34727 Mark Harding MD Physician 40.00 0.00 X 333696 0 43359 Kathryn Cockerham MD Physician 40.00 0.00 X 324194 0 35707 Bruce Whitfield CEO 40.00 1.00 X 312674 0 43540 Brigid Burke CFO 40.00 0.00 X 299951 0 41880 Brian Bell MD Trustee/Chief Medical Officer 40.00 0.00 X 245680 0 34087 Jay Maloney MD Physician 40.00 0.00 X 238349 0 35707 Sara Mertes MD Physician 40.00 0.00 X 225724 0 21517 Anita Ivankovig CNO thru 9/6/2019 40.00 0.00 X 127109 0 23273 Doug Mudgett CNO as of 8/12/2019 40.00 0.00 X 49543 0 8211 Manuel Castaneda Chair 1.00 0.00 X X 0 0 0 Sarah Sorensen Vice Chair 1.00 0.00 X X 0 0 0 Kathy Nelson Secretary/Treasurer 1.00 0.00 X X 0 0 0 Russ Barnes Trustee 1.00 0.00 X 0 0 0 Kerry Beasley Trustee 1.00 0.00 X 0 0 0 John Konzen Trustee 1.00 0.00 X 0 0 0 Steve Sorensen OD Trustee 1.00 0.00 X 0 0 0 2557190 0 322008 17 0 1 0 Kalispell Regional Medical Center 310 Sunnyview Lane Kalispell MT 59901 Software maintenance and support, servic 2082743 Cardinal Health Pharmacy Svcs 7000 Cardinal Place Dublin OH 43017 Pharmacy Management Services 494135 Guardian Healthcare 105 West Park Drive Suite 100 Brentwood TN 37027 Contract Staffing 358805 Psychiatric Medical Care LLC PO Box 305172 Dept 141 Nashville TN 372305172 Management Fees, Contracting 345081 Medical Solutions PO Box 310737 Des Moines IA 503310737 Contract Staffing 288487 10 479662 278507 16395 528 774564 Net Patient Service Revenue 622110 38749187 38749187 Cafeteria 722210 367780 367780 Pharmacy Revenue 900099 323073 323073 Mgmt Fee Outside Clinics 541610 169204 169204 129215 129215 39738459 240259 240259 85999 106322 -20323 -20323 -20323 14130 -14130 -14130 -14130 40718829 39738459 0 205806 X 1205737 515258 690479 95466 95466 14173111 11762266 2303128 107717 481487 381740 96249 3498 2359610 1900008 442359 17243 1058917 821063 233718 4136 4030 4030 65665 65400 265 4422781 3729714 691210 1857 86767 37231 45243 4293 219910 37806 168650 13454 492832 326611 166221 191206 177368 13816 22 15187 12772 2415 936179 936179 2345168 2345168 419073 419073 Medical Supplies 4672515 4660169 12346 Repairs and Maintenance 1152037 824255 327782 Bad Debts 1033928 1033928 Licenses, Dues & Subscr 819209 89827 729188 194 676080 571883 104197 36926895 29309761 7462040 155094 8707149 5346688 8242792 9963480 905157 1009301 482199 832382 50485942 26868779 25600373 23617163 9112911 14329654 1993373 1550065 55043954 56648733 4347310 3106520 75554 95376 22576794 21870979 0 510000 26999658 25582875 X 26656509 30095259 1387787 970599 28044296 31065858 55043954 56648733 X 3791934 -316381 -453991 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 9405 21543 10860 20088 0 1409626 2261 -107676 8028 1296183 1372317 2190 55669 12860 7690 1409626 1378426 8920 135991 141348 9672 1372317 1266339 2941 152969 37573 6250 1378426 1230137 2879 39389 6066 1266339 0.25120 0.71760 0.03120 0 1 1 867280 867280 30005991 11981360 18024631 16284839 12920556 3364283 3327832 1966863 1360969 23617163 Estimated Third Party Payor Setlements 510000 510000 X 39453299 -316381 -1033928 -1350309 40803608 -84779 -84779 40718829 35988429 106322 106322 35882107 1044788 1044788 36926895 Part IV, Line 1b: The assets of St. John's Hospital Auxiliary are held by Cabinet Peaks Medical Center. The auxiliary account balances were not included in the balance sheet as they are not recorded for audit purposes. Part V, Line 4: The Endowment was created to help with the capital needs of Cabinet Peaks Medical Center as they arise. This can include but is not limited to equipment, building projects, and health related programs. A strict Endowment Income Distribution Policy is in place and adhered to. Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Provision for bad debts recorded in revenue on financial statements -1,033,928. Part XI, Line 4b - Other Adjustments: Auxiliary revenue not included in financial statements 21,543. Rent expenses recorded in expenses on financial statements -106,322. Part XII, Line 2d - Other Adjustments: Rent expenses recorded in expenses on financial statements 106,322. Part XII, Line 4b - Other Adjustments: Auxiliary expenses not included in financial statements 10,860. Provision for bad debts included in revenue in financial statements 1,033,928. 1 1 X 1 X 1 X 0 1 1 0 1 1 365000 365000 0.01020 365000 365000 0.01020 5 653 38954 1320 37634 0.00100 2739908 1011175 1728733 0.04820 3 2478 2478 0.00010 8 653 2781340 1012495 1768845 0.04930 8 653 3146340 1012495 2133845 0.05950 1 699 699 0.00000 1 699 699 0.00000 1 1033928 0 11017767 11062797 -45030 X 1 1 1 1 Cabinet Peaks Medical Center 209 Health Park Drive Libby MT 59923 www.cabinetpeaks.org 13545 X X X X 2 provider based/2 non-provider based clinics Cabinet Peaks Medical Center 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X www.cabinetpeaks.org X 1 17 1 www.cabinetpeaks.org 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X www.cabinetpeaks.org X www.cabinetpeaks.org X www.cabinetpeaks.org X X X X X X 1 X 0 X X X 1 X 0 1 Cabinet Peaks Medical Center Part V, Section B, Line 5: In July 2017, surveys were mailed out to the residents in Cabinet Peak Medical Center's service area. Additionally, two focus groups were held to identify important local healthcare issues, how to improve the health of the community and gaps in health services. It was intended that this research would help determine the awareness of local programs and services, as well as the level of satisfaction with local services, providers, and facilities.A Steering Committee was convened to assist Cabinet Peaks Medical Center in conducting CHSD. A diverse group of community members representing various organizations and populations within the community (ex. public health, elderly, uninsured) came together in May 2017. The Steering Committee met twice during the CHSD 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 prioritization of health needs to address. The Steering Committee was comprised of public leaders including members of other healthcare organizations, school system, athletic clubs, local politicians, governmental organizations, public health, community service organizations, etc.An Implementation Planning Committee was comprised of Cabinet Peaks Medical Center's leadership team. Cabinet Peaks Medical Center Part V, Section B, Line 11: Goal 1: Assure access to healthcare services in Lincoln County through increasing community knowledge of primary and specialty care services. In FY20, We have created Same Day appointment slots (a minimum of 4 per provider per day) that are available. Marketing has worked diligently to disseminate a message to the community about the availability of Same Day Appointments. Psychiatry via telehealth will now be available for utilization at the Family Medicine clinic for their patient base to provide consultations and follow up care collaboratively with the Primary Care Providers. Additional actions were accomplished in previous fiscal years.Goal 2: Enhance community collaboration to promote community health in Lincoln County. A Cabinet Peaks employee serves as a member of the Lincoln City/County health board and continues to ensure appropriate stakeholders/projects are included through this forum. CPMC continues to participate in the Lincoln County Health Alliance Project working to improve population health through integrated health information exchange platforms. LCHA received an Outreach Grant for 2018-2021 and completed multiple projects aimed at improving interoperability within the Alliance. Additional actions were accomplished in previous fiscal years.Goal 3: Increase Cabinet Peaks Medical Center's education and outreach to improve the community's health as well as knowledge of available and affordable healthcare services. CPMC has continued our employment of Patient Account representatives to assist patients. Additionally, registration In-Services have been held to educate staff about insurances. Additional actions were accomplished in previous fiscal years. CPMC continues to participate in events such as CHC Fundraiser, Youth Runnerfell, PIP Fun Run, STOKR ,etc and plan to continue to do so for the foreseeable future. CPMC hosted our annual Community Health Fair. The Fair was well received and over 500 community members were served. Cabinet Peaks hosted annual "Paint it Pink" event. This year, the month held a fun run, logger week, dessert, PNAC week, Bling a bra, Hava Java, Flocking Season, Ladies Night Out, Jeans Day, Brews for Benefits, Paint the Town Pink Day, Chick Flick Night, Bracelet Sales, Etc. Proceeds from this year Paint it Pink events went towards providing mammograms and breast ultrasounds for the uninsured in our services area. Additionally, Cabinet Peaks hosted its annual Breast Health Awareness Dessert. Cabinet Peaks also continued its medical mentorship program for area high school students.Goal 4: Enhance outreach to the community by promoting healthy living for Seniors in Lincoln County. CPMC continues to educate the community on the new behavioral health program 'Senior Life Solutions.' CPMC partnered with LCCP to develop a senior resource directory and assisted with dissemination of the directory. The Palliative Care program is up and running at Cabinet Peaks Medical Center.Goal 5: Enhance and support community programs and activities that address behavioral health, mental health and chemical dependency services in Lincoln County. CPMC continues its 'Senior Life Solutions' program focusing on intensive outpatient therapy for seniors (65+). CPMC continues its participation on Unite for Youth Board and Coalition. CMPC continues its participation on Lincoln County Mental Health Coalition. CPC started providing telepsychiatry services November 2019 for direct patient care and BHC consultations. CPMC meets monthly with other healthcare/community partners with local chemical dependency program to enhance care transitions for patients in need. CPMC calls AA and Al-Anon to provide onsite support and education at CPMC as needed. CPMC continues supporting the prescription disposal program. Cabinet Peaks Medical Center Part V, Section B, Line 13h: Cabinet Peaks Medical Center also uses an asset test. A patient must meet both the income and asset criteria. Cabinet Peaks Medical Center Part V, Section B, Line 16j: A summary of the financial assistance policy is provided with billing invoices and is posted in the facility's emergency room and waiting rooms and a summary brochure is also posted on the Hospital's website. Cabinet Peaks Medical Center Part V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for emergency and other medically necessary care. FAP-eligible patients without insurance may be charged gross charges on elective procedures. Part I, Line 3c: Cabinet Peaks Medical Center also uses an asset test. A patient must meet both the income and asset criteria. Part I, Line 6a: The Organization's community benefit report can be found on its website at www.cabinetpeaks.org. Part I, Line 7: Charity care expense was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Community health improvement services, line 7e, health professions education, line 7f, and cash and in-kind contributions, line 7i, are reported based on actual expenses. The cost for subsidized health services on line 7g was determined using the Medicare cost report. 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 $ 1,033,928. Part II, Community Building Activities: The Hospital is involved in various community activities that are indirectly related to the health and well-being of the community. Employees actively participate on the boards of other non-profits and organizations that promote economic development. Community building activities are essential to the economic growth of the community which in turn affects access to healthcare and overall better health for all individuals in the area. Part III, Line 2: Bad debt is the unpaid obligation for care provided to patients who may be unable or unwilling to pay or who do not qualify for charity care. Prior to any account being classified as bad debt, all payments are applied including contractual allowances and discounts from Medicare, Medicaid, and insurance companies. Accounts from patients qualifying for charity care or the SharePay sliding scale financial assistance program are not written off to bad debt. Every effort is made with the patient in an attempt to collect the outstanding balance. Payments on accounts that were written off as bad debt reduces bad debt expense.The Organization's bad debt is reported as charges incurred during the year. Part III, Line 3: Cabinet Peaks Medical Center budgets for and monitors the level of charity care it provides. The estimated amount of the Organization's bad debt expense attributable to patients eligible under the Organization's charity care policy cannot be estimated due to the expectation that all eligible individuals would apply for financial assistance. Part III, Line 4: The footnote to the Organization's financial statements that describes bad debt expense is located on pages 12-13 of the attached financial statements. Part III, Line 8: The expenses represent an overall shortfall for the Medicare patient population. The costs themselves are a community benefit as the community would not receive these services if we did not provide them.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: There are no collection efforts for patients that qualifed for Share Pay. However, there may be collection actions on their personal portion not covered by Share Pay. Our sliding scale financial assistance program is designed to meet the medical financial obligations of the uninsured and underinsured. Part VI, Line 2: CPMC utilizes a third party to collect patient input and perspective. This company calls a sample of our patients who received services in Acute Care, Emergency Department and Surgery to see if we are meeting their expectations. CPMC reviews the compiled data and comments monthly. Additionally, CPMC holds a yearly Patient and Family Advisory Council (PFAC) Focus Group meeting to listen to what our patients have to say about the care and services they receive. This group participates by openly answering questions about their experience, what worked and what did not as well as an opportunity for them to make suggestion on ways we can improve in the future.Thirdly, annually we invite a patient who received less than excellent care to attend one of CPMC's Board of Director's meetings to speak about their experiences and offer insight into ways we can improve.In addition to these formal methods for feedback, we are continuously rounding with patients to ensure their needs are met and we regularly attend community events and meetings to stay abreast on our community's needs and initiative. A complete community health needs assessment was conducted and completed during the 2018 fiscal year. Cabinet Peaks Medical Center participated in the Community Health Services Development (CHSD) process, a Community Health Needs Assessment (CHNA), conducted by the Montana Office of Rural Health (MORH). Community involvement in steering committee meetings and focus groups enhanced the community's engagement in the assessment process. The hospital also completed and the Board approved our implementation plan with MORH for the CHNA in FY18. Over the past two years CPMC has made significant progress on achieving the items identified in the implementation plan. Part VI, Line 3: CPMC publicizes the availability of financial assistance through the following methods:A. Postage of signage in the Patient Admitting and Registration areas as well as the Emergency Department and other areas throughout the Hospital's facilities offering meaningful visibility;B. Posting the Financial Assistance Policy, the Financial Assistance Application, and the Plain-Language Summary on CPMC's website;C. Including the Plain-Language Summary in patient registration materials and inpatient handbooks; andD. Including the Plain-Language Summary in materials offered to each patient as part of the intake or discharge process.CPMC also includes in each billing statement sent to the patient a statement regarding the availability of financial assistance, including a website address where the Financial Assistance Policy, Financial Assistance Application, and the Plain Language Summary can be found as well as a phone number for information about the Financial Assistance Policy and application process. In addition, the hospital employs self-pay account representatives to assist patients in determining if they qualify for free or discounted care. The account representatives also provide hands-on assistance to patients applying for other financial assistance such as CHIP's, heating assistance, Medicaid, and WIC. Applications for charity care are also discussed at registration and discharge and with patients who have bills that are past due. Part VI, Line 4: Cabinet Peaks Medical Center is located in Libby, a very remote town in northwestern Montana. Libby is 72 miles south of the Canadian border, 89 miles northwest of Kalispell, Montana, and 35 miles east of the Idaho border. Libby is the county seat for Lincoln County. Due to its remote nature, Libby relies upon transport services, including helicopter and fixed wing transports, to ensure patients requiring specialized care can travel the longer distances to access larger facilities, usually in Spokane, Kalispell, or Missoula. The closest hospital is Bonner General Hospital about 47 miles from Libby in Sandpoint, ID, which is also of a somewhat limited scope of practice. The next largest hospital with more specialized and high acuity services is Kalispell Regional Medical Center 90 miles from Libby.CPMC has been designated a Medically Underserved Population and a Health Professional Shortage Area due to our economic challenges, lack of resources and remote location. We are a relatively poor county, with 22.8% of Libby population being at or below the poverty level, compared to a state average of 15.2%. Part VI, Line 5: Cabinet Peaks Medical Center operates a 25 bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including a variety of rehab and therapy services, infusion and chemotherapy, family medicine, imaging, and lab. Patients often do not have the luxury of time or money or the physical strength necessary to make the 90 mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care. Emergency and other medically necessary services are provided to all persons, regardless of their ability to pay.In addition to the services provided within the Hospital campus, Cabinet Peaks also does a considerable amount of outreach to promote the health of the community. Organizing and funding a community health fair, providing discounted services for mammography and laboratory tests, providing speakers for health lectures, promoting hospital tours for the schools, and providing internship opportunities for the schools are just a few ways Cabinet Peaks partners to promote the health of the community. Cabinet Peaks' mission is to provide quality compassionate care to its community. A majority of Cabinet Peaks' Board of Directors is comprised of residents and/or business owners of Lincoln County. With the exception of the Medical Staff representative on the Board, none of the Board members are Cabinet Peak's contractors or employees, meaning they truly do serve the needs of the community. In order to ensure the appropriate medical staff and services are available for patients, Cabinet Peak's medical staff privileges are open to all qualified, licensed physicians in the community and are also extended to physicians who visit Lincoln County in order to offer additional services to our residents. Additionally, in order to ensure the future success of Cabinet Peaks, any and all surplus funds generated by the Hospital are reinvested into operations, capital equipment and infrastructure, including facility upkeep. X X 0 1 0 0 0 0 0 1 0 Mark Serra DO Physician 400270 0 0 0 0 0 14000 0 20727 0 434997 0 0 0 Mark Harding MD Physician 327029 0 6667 0 0 0 13251 0 30107 0 377054 0 0 0 Kathryn Cockerham MD Physician 324194 0 0 0 0 0 5600 0 30107 0 359901 0 0 0 Bruce Whitfield CEO 236830 0 46351 0 29493 0 16365 0 27175 0 356214 0 0 0 Brigid Burke CFO 133419 0 15667 0 150865 0 26505 0 15375 0 341831 0 36500 0 Brian Bell MD Trustee/Chief Medical Officer 223180 0 22500 0 0 0 10039 0 24048 0 279767 0 0 0 Jay Maloney MD Physician 238349 0 0 0 0 0 10816 0 24891 0 274056 0 0 0 Sara Mertes MD Physician 220243 0 5481 0 0 0 11387 0 10130 0 247241 0 0 0 Anita Ivankovig CNO thru 9/6/2019 109562 0 17547 0 0 0 6545 0 16728 0 150382 0 0 0 Part I, Line 4b Bruce Whitfield and Brigid Burke both participate in a non-qualified 457 SERP plan through Kalispell Regional Health. KRH makes annual contributions to that plan. Part I, Line 7 Bruce Whitfield, Brigid Burke, and Anita Ivankovig have "compensation at risk" that is provided based on performance metrics. Melanie Courteau Daughter of Board Member 55249 Employment 0 Morgan Bell Daughter of Board Member 22160 Employment 0 Michelle Mudgett Spouse of Officer 18056 Employment 0 Form 990, Part III, line 2 The organization acquired a General Surgery clinic in August 2019. Form 990, Part VI, Section A, line 1 The Executive Committee has the delegated authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair, Secretary/Treasurer, Chief of Staff, Past Chair and one Member at Large. All members of the Executive Committee are also members of the governing body. Form 990, Part VI, Section A, line 2 Steve Sorensen and Sarah Sorensen have a family relationship. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 will be reviewed in detail by the CFO. The entire board is then provided a copy for review prior to filing of the Form 990 return. Form 990, Part VI, Section B, line 12c The organization reviews the policies for conflict of interest annually for all officers, directors, and key employees along with an annual submission of a conflict of interest form. The board oversees the process and any potential conflicts are discussed by the board. Should a conflict be determined, the conflicted individual abstains from voting on the conflicted issue. Form 990, Part VI, Section B, line 15 Cabinet Peak Medical Center's (CPMC) Board of Trustees has contracted with Kalispell Regional Medical Center (KRMC) for purposes of employing CPMC's CEO and CFO. KRMC passes on the associated employment expenses to CPMC. While the CEO and CFO are employed by KRMC, the CPMC Board retains control of these positions and of related decisions. The CFO reports to the CEO, and the CEO reports to CPMC's Board. The CEO and CFO are considered common law employees of Cabinet Peaks Medical Center. Administration reviews independent salary surveys and other comparability data to determine fair market compensation amounts and also takes into account local economic factors and specific job responsibilities. This is done on an annual basis as part of the budgeting process, The Board reviews Administration's recommendations for rate adjustments annually during the budget process. The Board also determines compensation for the CEO. The Board determines compensation for the CEO based on independent salary surveys and other comparability data to determine fair market compensation, taking into account local economic factors and specific job responsibilities. In addition to CPMC's Board determining compensation for the CEO, Kalispell Regional Medical Center also has a process in place to review the market reasonableness of the CEO and CFO positions. Form 990, Part VI, Section C, line 19 Our Mission and Vision statement, conflict of interest policy, and annual financial statements are available to the public upon request. Requests may be in person, by e-mail, in writing, or by telephone. Form 990, Part IX, line 11g Contract Labor: Program service expenses 1,695,083. Management and general expenses 124,971. Fundraising expenses 0. Total expenses 1,820,054. Purchased Services: Program service expenses 1,321,454. Management and general expenses 417,135. Fundraising expenses 0. Total expenses 1,738,589. Professional Fees: Program service expenses 675,875. Management and general expenses 127,552. Fundraising expenses 1,857. Total expenses 805,284. Recruitment: Program service expenses 37,302. Management and general expenses 21,552. Fundraising expenses 0. Total expenses 58,854. Form 990, Part XI, line 9: St. John's Hospital Auxiliary activity -10,683. Change in Interest in Net Assets of Foundation -443,308. St John's Lutheran Hospital Foundation 350 Louisiana Avenue Libby MT 59923 810425832 Support the development of Cabinet Peaks Medical Center MT 501(c)(3) Line 7 N/A 0 St John's Real Estate Corporation 350 Louisiana Avenue Libby MT 59923 201538952 Support the development of Cabinet Peaks Medical Center MT 501(c)(2) N/A Cabinet Peaks Medical Center 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 Cabinet Peaks Medical Center Foundation C 479662 General Ledger