2020-07-14T19:32:08-05:00 2019-06-30 810446334 DOUGLAS WILSON & COMPANY PC 1000 FIRST AVENUE SOUTH GREAT FALLS MT 59401 990 2018-07-01 810291695 BIG SANDY MEDICAL CENTER INC BIGS 4063782188 PO BOX 530 BIG SANDY MT 59520 LEAH GRIFFITH CEO 4063782188 2020-07-14 1 HEIDI BRANDT P01728511 4067614645 72.174.36.34 2020-07-14 12:01:06 MD P E6AF496FD68CCEBD0D9A2A184469660DBAD67230 C10D37500AA378137F36BAC146330B05E857F42E 2018 2021-01-29 14:40:06Z LEAH GRIFFITH PO BOX 530 BIG SANDY MT 59520 3567301 0 X BSMC.ORG X 1963 MT TO PROVIDE THE BEST POSSIBLE CARE FOR PATIENTS AT THE MOST REASONABLE COST IN A COMPETENT, PROFESSIONAL MANNER. 5 5 77 0 0 0 130264 311884 2450782 3218838 30578 35358 1200 1221 2612824 3567301 0 0 0 0 2415595 2377623 0 0 0 1265316 1146223 3680911 3523846 -1068087 43455 4104279 4275919 193447 321632 3910832 3954287 TO PROVIDE THE BEST POSSIBLE CARE FOR PATIENTS AT THE MOST REASONABLE COST IN A COMPETENT, PROFESSIONAL MANNER. 0 0 2610737 3218838 BIG SANDY MEDICAL CENTER PROVIDES HOSPITAL AND LONG-TERM MEDICAL CARE FOR THE TOWN OF BIG SANDY AND NORTHERN CHOUTEAU COUNTY, MONTANA. 2610737 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 77 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X LEAH GRIFFITH 4063782188 PO BOX 530 BIG SANDY MT 59520 GORDON MOES CHAIRMAN 1.00 X X 0 0 0 DIANNA WEBSTER SECRETARY 1.00 X X 0 0 0 ROBERT NELSON DIRECTOR 1.00 X 0 0 0 HARVEY KELLER VICE-CHAIRMAN 1.00 X X 0 0 0 NICOLE ALLDERDICE DIRECTOR 1.00 X 0 0 0 LEAH GRIFFITH CEO 40.00 X 74629 0 1493 KRYSTAL KULBECK PA-C HIGHLY COMPENSATED EMPLOYE 40.00 X 136350 0 2727 SHANNON KERLEY PA HIGHLY COMPENSATED EMPLOYE 40.00 X 145480 0 2910 356459 0 7130 2 0 0 0 0 60994 250890 311884 PATIENT SERVICES 622110 3218838 3218838 3218838 35358 35358 1221 0 1221 1221 1221 3567301 3218838 0 36579 78662 78662 1878171 1725533 152638 12789 12789 232498 232498 175503 175503 23444 23444 210088 210088 7613 7613 91443 91443 44135 44135 REPAIRS & SUPPLIES 457435 457435 NURSING FACILITY BED TA 79698 79698 EDUCATION AND TRAVEL 71421 71421 OTHER 70886 70886 90060 82103 7957 3523846 2610737 913109 0 230545 309807 1939695 1994779 988554 923838 24683 8683 46859 27482 3931847 3099632 698304 832215 175639 179115 4104279 4275919 193447 275240 46392 193447 321632 X 3910832 3954287 3910832 3954287 4104279 4275919 43455 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22544 22544 2448076 2295581 152495 1461227 804051 657176 832215 3567301 0 3567301 0 3567301 3523846 0 3523846 0 3523846 1 1 1 X 1 X 1 0 0 6100 6100 0.00170 560066 479836 80230 0.02280 566166 479836 86330 0.02450 566166 479836 86330 0.02450 0 1458875 686769 772106 X 1 0 1 1 BIG SANDY MEDICAL CENTER PO BOX 530 BIG SANDY MT 59520 BSMC.ORG X X 8 BED CRITICAL ACCESS HOSPITAL WITH 24 HOUR EMERGENCY CARE BIG SANDY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X 0 0 1 X 100.000000000000 200.000000000000 0 1 X X X 1 X WWW.BSMC.ORG X WWW.BSMC.ORG X WWW.BSMC.ORG X X X X 1 X 0 X 1 0 0 BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 5: THE FACILITY CONDUCTED A CHNA AS PART OF A GRADUATE PROGRAM PROJECT. BIG SANDY MEDICAL CENTER PART V, SECTION B, LINE 11: SOME OF THE NEEDS ARE NOT FINANCIALLY OR GEOGRAPHICALLY FEASIBLE FOR A FACILITY THIS SIZE (I.E. MORE SPECIALISTS, INTERPRETER SERVICES). WITH LARGER FACILITIES WITHIN 35 MILES IT IS SOMETIMES MORE PRACTICAL TO REFER PATIENTS TO THE LARGER FACILITY. PART I, LINE 7: BSMC TRACKS REVENUES AND EXPENSES BY PAYER AND DEPARTMENT. THIS INFORMATION ALLOWS THE HOSPITAL TO REPORT THE AMOUNT OF HOSPITAL SERVICES PROVIDED FOR MEDICAID, HEALTHY MONTANA KIDS, CHIP & INDIAN HEALTH SERVICES DURING THE FISCAL YEAR. PART III, LINE 8: BSMC USES THE AMOUNTS FROM MEDICARE PROVIDER STATISTICAL REIMBURSEMENT (PS&R) TO DETERMINE THE MEDICARE ALLOWABLE COSTS. PART VI - 2 NEEDS ASSESSMENT BSMC SENDS OUT SATISFACTION SURVEYS AND ASKS FOR INPUT ON ANY CHANGES PATIENTS WOULD LIKE TO SEE. ALSO, ONCE A YEAR, AN ANNUAL PUBLIC MEETING IS HELD AND INPUT IS SOLICITED AS WELL AS A REPORT ON HOSPITAL ACTIVITIES GIVEN. THIS PUBLIC MEETING IS WELL ADVERTISED IN THE LOCAL PRESS. PART VI - 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A NOTICE OF PATIENT ELIGIBILITY IS POSTED IN ALL WAITING AREAS AND ON THE WEBSITE - BSMC.ORG PART VI - 4 COMMUNITY INFORMATION THE COMMUNITY IS MOSTLY AGRICULTURAL WITH LARGE WHEAT FARMS AND LARGE CATTLE RANCHES. THOSE WHO DO NOT WORK AT THESE AGRICULTURAL BUSINESS SITES USUALLY WORK IN A BUSINESS THAT SUPPORTS THE WHEAT AND CATTLE OPERATIONS. UNEMPLOYMENT IN THE COUNTY AND AREA IS VERY LOW, USUALLY IN THE 2-3% RANGE. MOST PATIENTS HAVE AVERAGE TO NORMAL PAYING JOBS WITH AVERAGE BENEFITS. PART VI - 7 STATE FILING OF COMMUNITY BENEFIT REPORT MONTANA FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS EMAILED TO AND REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE MADE AWARE OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION AND DISCUSSES SUCH ONCE A YEAR AT A REGULAR BOARD MEETING FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS WILL REFER TO THE ANNUAL MONTANA HOSPITAL ASSOCIATION ANNUAL SALARY SURVEY FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.