2018-05-15T15:50:57-05:00 2017-06-30 810446334 DOUGLAS WILSON & COMPANY PC 1000 FIRST AVENUE SOUTH GREAT FALLS MT 59401 990 2016-07-01 810291695 BIG SANDY MEDICAL CENTER INC BIGS 4063782188 PO BOX 530 BIG SANDY MT 59520 LEAH GRIFFITH CEO 4063782188 2018-05-15 1 HEIDI BRANDT P01728511 4067614645 2016 2022-09-23 18:48:47Z LEAH GRIFFITH PO BOX 530 BIG SANDY MT 59520 4097694 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 79 0 0 0 225294 244259 2896794 3833571 19272 18664 1200 1200 3142560 4097694 0 0 0 0 2186110 2336902 0 0 0 1212738 1416760 3398848 3753662 -256288 344032 5094373 5350419 459486 371500 4634887 4978919 TO PROVIDE THE BEST POSSIBLE CARE FOR PATIENTS AT THE MOST REASONABLE COST IN A COMPETENT, PROFESSIONAL MANNER. 0 0 3131001 3833571 BIG SANDY MEDICAL CENTER PROVIDES HOSPITAL AND LONG-TERM MEDICAL CARE FOR THE TOWN OF BIG SANDY AND NORTHERN CHOUTEAU COUNTY, MONTANA. 3131001 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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 6 0 1 79 1 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 X GORDON MOES CHAIRMAN 1.00 X X 0 0 0 DIANNA WEBSTER DIRECTOR 1.00 X 0 0 0 ROBERT NELSON DIRECTOR 1.00 X 0 0 0 SHARON ROBERTSON SECRETARY 1.00 X X 0 0 0 HARVEY KELLER VICE-CHAIRMAN 1.00 X X 0 0 0 KRYSTAL KULBECK PA-C HIGHLY COMPENSATED EMPLOYE 40.00 X 115913 0 2366 115913 0 2366 1 0 0 0 0 78000 166259 244259 PATIENT SERVICES 622110 3833571 3833571 3833571 18664 18664 1200 0 1200 1200 1200 4097694 3833571 0 19864 68989 68989 1851747 1685090 166657 13547 12328 1219 210706 191742 18964 191913 174641 17272 35369 35369 369276 304974 64302 16919 16919 178950 178950 45501 45501 REPAIRS & SUPPLIES 451546 410907 40639 OTHER 83370 83370 EDUCATION AND TRAVEL 78081 78081 UTILITIES 71304 64887 6417 86444 61981 24463 3753662 3131001 622661 0 1864817 1310185 1634921 2352591 443845 661563 32911 24683 43868 42520 21489 3690959 2908051 889527 782908 162995 175969 5094373 5350419 459486 371500 459486 371500 X 4634887 4978919 4634887 4978919 5094373 5350419 344032 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22544 22544 2430770 1949653 481117 1237645 958398 279247 782908 4097694 0 4097694 0 4097694 3753662 0 3753662 0 3753662 1 1 0 1 X 1 0 0 3360 0 3360 0.00000 537781 393973 143808 0.04000 541141 393973 147168 0.04000 541141 393973 147168 0.04000 0 1839799 871962 967837 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 15 1 0 0 1 X BSMC.ORG X 1 15 1 BSMC.ORG 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: A STEERING COMMITTEE WAS CONVENED. THE MEMBERS WERE A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY. ALSO CONSULTED WITH THE CHOUTEAU COUNTY PUBLIC HEALTH NURSE WHO WAS A MEMBER OF THE 13-PERSON STEERING COMMITTEE. 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.