2018-07-31T08:19:20-05:00 2017-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2016-07-01 816016016 Glendive Medical Center GLEN 4063653306 202 Prospect Drive Glendive MT 593301999 William Robinson VP of Finance 4063653306 2018-07-09 1 Kim Hunwardsen CPA P00484560 6122536500 2018-07-09 2016 2022-09-23 18:48:47Z Parker Powell 202 Prospect Drive Glendive MT 593301999 41413636 0 X www.gmc.org X 1964 MT Committed to caring, healing, and a healthier community through the procurement of health services. 11 9 549 161 -43492 -43492 141072 389597 35871556 40446762 98321 126550 206777 212821 36317726 41175730 0 1500 0 0 21388733 19949032 0 0 104378 20515804 22984279 41904537 42934811 -5586811 -1759081 50672423 46873633 33636028 35149349 17036395 11724284 X We are committed to caring, healing, and a healthier community. 1 0 31259434 1500 41096382 Glendive Medical Center, Inc. (GMC) is a totally integrated medical center with a 25-bed Critical Access Hospital providing all primary care services to the community of Glendive and the surrounding rural service area. The Medical Center also is comprised of 151 nursing home beds, 13-suite Assisted Living Facility, Home Health, Durable Medical Equipment and Hospice services. A clinic with Rural Health Clinic designation and pharmacy services is attached. GMC is very committed to meeting the needs of the service area they serve. IRS requirements of the community benefit standard for tax-exempt organizations are integral to GMC's charitable mission of being committed to caring, healing and a healthier community. GMC is governed by an independent board with a representative composition by gender, rural/urban, professional/non-professional and geography. The Board has a history of acting with the highest integrity and proactively adopting governance best practices to ensure the organization operates with the highest of integrity for the benefit of the community they serve. During this year, the Board continued to actively oversee critical functions of the organization. During the past year:1. The annual compliance reports and education was provided to the Board as part of their mandatory education.2. Board members reviewed and signed the required annual conflict of interest statement.GMC makes medical care accessible to the entire area it serves. They operate a 24 hour emergency room, providing care regardless of the ability to pay. GMC had 3,849 emergency room visits during the past year. GMC provides clinical services including onsite providers needed to operate the Emergency Department.In addition, GMC, through its integrated group of providers and visiting specialists, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare, Medicaid, and Veterans Administration and by offering financial assistance in various ways to those who are unable to pay.GMC's Uncompensated Care policy provides discounted and free services to patients who do not have the resources to be fully responsible for the medical care they receive. GMC's policy is structured to provide various options of financial assistance depending upon the patient's needs. The applications and policies for the various financial assistance options and uncompensated care are available on the organization's website, gmc.org. GMC maintains records to identify and monitor the care provided under the uncompensated care policies. During the past year, GMC's costs for charity care, based on the amount of charges foregone, was $818,252 serving 87 members in their service area.GMC through the annual board approved strategic plan strives to meet the community needs. Further information about the services provided by GMC to the community it serves including their annual Community Benefit Report is available on their official website, gmc.org. 31259434 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 29 0 1 549 1 1 1 0 0 0 0 0 0 0 0 0 X 11 9 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X William Robinson 4063453351 202 Prospect Glendive MT 59330 Laura Glueckert Chairperson 2.00 0.00 X X 0 0 0 Troy Myers OD Vice Chairperson 1.00 0.00 X X 0 0 0 Jim Hicks Secretary 1.00 0.00 X X 0 0 0 Kevin Maxwell Radiologist Treasurer 40.00 1.00 X X 544279 0 24827 Mitch Goplen Director 1.00 0.00 X 0 0 0 Rhett Coon Director 1.00 1.00 X 0 0 0 Eileen Melby Director 1.00 0.00 X 0 0 0 Chrystal Potter MD Director/Chief of Staff 40.00 0.00 X 274227 0 21437 Jackie Schultz Director 1.00 0.00 X 0 0 0 John Schallenkamp MD Director 40.00 0.00 X 0 0 0 A'Lynn Shields Director 1.00 0.00 X 0 0 0 Parker Powell CEO 49.00 1.00 X 0 0 0 William Robinson VP of Finance 49.00 1.00 X 130202 0 10765 Joseph Leal MD Physician 50.00 0.00 X 261999 0 11373 John Hunter MD Physician 40.00 0.00 X 260000 0 15028 Clifford Reske MD Physician 40.00 0.00 X 231349 0 4627 Richard Lewis Physician 40.00 0.00 X 354883 0 24833 James Jex MD Physician 40.00 0.00 X 325000 0 7387 Barbara Markham Former CFO 49.00 1.00 X 139975 0 10435 2521914 0 130712 9 1 1 0 Xtend Healthcare 500 W Main St Hendersonville TN 37075 Medical Billing Staff 1199786 Primetime Healthcare LLC 14811 Shepard St Omaha NE 68138 Traveler Nursing Staff 1068588 Sodexo Inc & Affiliates 9801 Washingtonian Blvd Gaithersburg MD 20878 Cafeteria 907513 Nurses Professional Services LLC Eight Greenway Plaza Ste 400 Houston TX 77046 Traveler Nursing Staff 641146 MT Health Network Inc 519 Pleasant St Miles City MT 59301 Traveler Nursing Staff 364494 8 1275 55257 333065 389597 Patient Service Revenue 621110 38986089 38986089 Other Revenue 900099 1460673 1460673 40446762 126505 126505 121685 229304 -107619 -107619 -43492 -64127 45 0 45 45 45 329042 8602 320440 320440 41175730 40446762 -43492 382863 X 1500 1500 1058257 859327 198930 15352236 12453289 2898947 229274 225079 4195 2054517 1410676 643841 1254748 928193 326555 9107 9107 92095 92095 6650110 3063490 3586620 125915 324 125591 1021059 737610 283449 205329 22761 182568 647816 78204 569612 64795 47888 16907 22363 13843 8520 1434018 7577 1426441 2865217 2823619 41598 489421 84048 405373 Medical supplies 5516609 5511221 5388 Bad Debt Expense 2067155 2067155 Food 568488 568488 Bed Tax 370527 370527 834255 -15385 745262 104378 42934811 31259434 11570999 104378 219672 105363 6224525 6951002 34179 1689243 1508153 184817 75537 65905944 43612619 23694974 22293325 4995376 5313622 8001763 4465685 5627874 6160946 50672423 46873633 7345378 9115016 435136 614931 25143013 23549849 71779 89315 1292279 640722 487959 33636028 35149349 X 17002216 11394284 34179 330000 17036395 11724284 50672423 46873633 X -1759081 -3553030 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1720 1720 0 Part II-B, Line 1: Included in dues paid to Montana Hospital Association, American Hospital Association and Leading Age was a portion for lobbying purposes totaling $1,720. 0 1 X 150051 150051 774597 43691616 26251340 18214873 17712403 14739394 2973009 3577277 2621885 955392 22293325 Investment in HealthNet, LLC 60760 F Investment in Gabert Clinic 4404925 F 4465685 Estimated Third Party Payor Settlements 803989 Due from Gabert Medical Services 5356957 6160946 Capital Lease Obligation 487959 487959 X Part IV, Line 2b: Upon written authorization of residents of GMC Extended Care and EMVH Extended Care, the organization holds, safeguards, manages and accounts for the personal funds of those residents that have been deposited in the two trust accounts. As of June 30, 2017, the balance in these accounts were $20,261 and $69,053 respectively. Part X, Line 2: Glendive Medical Center, the Auxiliary, and Properties LLC are organized and have been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Glendive Medical Center (combined with the Auxiliary and Properties LLC) is annually required to file a Return of Organization Exempt fromm Income Tax (Form 990) with the IRS. The Organization has determined it is subject to unrelated business income tax and has filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization 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 Organization 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. 1 1 X 1 X 1 X 1 1 0 1 1 622000 622000 0.01520 8320610 7487212 833398 0.02040 8942610 7487212 1455398 0.03560 13099974 4894685 8205289 0.20080 13099974 4894685 8205289 0.20080 22042584 12381897 9660687 0.23640 1 2067155 0 9310107 9285834 24273 X 1 1 1 1 Glendive Medical Center 202 Prospect Drive Glendive MT 59330 13226 X X X X Glendive Medical Center 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X See Part V, Line 7d X See Part V, Line 7d X X 1 15 1 See Part V, Line 7d 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X X 1 X www.gmc.org/docs/Financial_Assistance.doc X http://www.gmc.org/docs/Financial_Assistance_Application.pdf X www.gmc.org/getpage.php?name=poverty_income_levels X X X X 1 X 0 X X X 1 X 0 0 Glendive Medical Center Part V, Section B, Line 5: A. Needs Assessment Steering Committee Members - 1. Dawson County Health Department Director - Public Health Focus 2. Dawson County Superintendent of Schools 3. Glendive Medical Center - CEO, CFO, Community Relations coordinator, Marketing Coordinator, GMC Foundation Director, Executive AssistantB. Focus Groups - 1. Population: Low Income 2. Population: Youth 3. Population: SeniorsC. Survey - Mailing to Service Area Glendive Medical Center Part V, Section B, Line 7d: http://www.gmc.org/docs/GMC_Implementation_Plan_Report_2016.pdfIt is also available at Glendive's Public Library. Glendive Medical Center Part V, Section B, Line 11: Improving resident's access to health through better recruiting and retention of providers, improving health outcomes for chronic diseases and behavioral health, and expanding health education opportunities.These will be addressed through the following strategies:1. An Urgent Care Clinic was built with an opening scheduled for April 2018.2. Began offering telemedicine, an ENT began providing services December 2016, and is continuing to expand Pediatric services.3. Improve access to specialty services by exploring Sleep Study services at GMC.4. Improve access to transportation services in Dawson Co. through strategic partnership with community organizations.5. Decrease barriers to accessing health care services due to cost by conducting community outreach to educate community on billing and registrations process, developing new marketing materials on Navigator and Patient Advocate resources, convening community partner workgroups, partnerning with local bank to provide Patient Loan program and develop marketing for the Patient Loan Program.6. Continued towards re-opening GMC Behavioral Health Unit by completing remodeling.7. Improve access to mental health services through telehealth.8. Enhance behavioral health services for victims of sexual assault by developing a referral process protocol for victims of sexual assault and integrating behavioral health referral protocol into SANE process (Sexual Assault Nursing Exam).9. Explore development of a Safe Room at GMC.10. Expand prevention and educational offerings in schools regarding behavioral and mental health. This would include meeting with local schools to determine opportunities to work with youth.11. Increase community awareness of available educational programs and classes.12. Continue partnership with Dawson County Healthy Community Coalition.Needs Unable to Address1. "Cancer" (55%) was chosen as the second-most serious health concern by survey respondents. GMC currently provides Oncology/Chemotherapy Infusionservices. Offering additional cancer services would not be feasible from a staffing and financial standpoint.2. "Dermatology" (27.7%) was chosen as the most desired local healthcare service not currently available. At this time, GMC currently offers dermatology services through visiting physicians, approximately once a month. GMC is working with the provider to expand offerings/and or determine if telemedicine is a feasible option.3. "Women's health" (27.7%) was the third-most desired educational class/program. GMC currently offers OB/GYN services and will look to the future to expand Women's Health services for women in Dawson County and the surrounding region. 5 1 - Glendive Medical Center Nursing Home 202 Prospect Drive Glendive MT 59330 56 bed skilled nursing home 2 - Glendive Medical Center Home Health 202 Prospect Drive Glendive MT 59330 Home health for Dawson, Wibaux, McCone and Prairie Counties 3 - Eastern Montana Veterans Home 2000 Montana Avenue Glendive MT 59330 80 bed Veterans skilled nursing home 4 - The Heritage on Merrill Avenue 1313 North Merrill Avenue Glendive MT 59330 13 suite assisted living center 5 - Glendive Medical Center Hospice 202 Prospect Drive Glendive MT 59330 Hospice for Dawson and Wibaux Counties Part I, Line 6a: Currently, GMC is filing a community benefit report with the State of Montana, in conjunction with other requested information for the State of Montana's report on issues and facts related to the charitable purposes of hospitals and the protection of Montana's consumers.GMC's community benefit reports are available at all times on the gmc.org website. Part I, Line 7: The cost to charge ratio for charity care was calculated by multiplying the ratio of cost to gross charges by the uncompensated care policy without charge or at amounts less than established rates. Subsidized health services and Medicaid were determined using the Medicare cost report and applying the Medicare ratio of cost to charge for the respective cost centers. Part I, Line 7g: Subidized health services includes $6,383,438 of costs from physician clinics and a rural health clinic. Part I, Ln 7 Col(f): Bad debt expense of $2,067,155 included on Form 990, Part IX, line 25, column (a) has been subtracted for purposes of calculating the percentage in this column. Part III, Line 2: Bad debt is reported at charges. Part III, Line 4: Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 9 and 10 of the attached audit report. Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. In addition to hospital services, Home Health, Hospice, and Skilled Nursing Facility are also included in the Organization's cost report. All of these activities are subsidized health services shown on line 7 or Part I. Therefore, the Medicare piece related to these activities is shown on Part I, Line 7. As noted in the Schedule H instructions, the cost report does not reflect certain programs which GMC provides - Durable Medical Equipment, Medicare Part C, Medicare Part D, and Provider Based Services - Emergency Room Providers, Certified Nurse Anesthetists, and Radiologists. Since GMC is in a very rural area, to have 24 hour coverage by these providers for our service area is definitely a quality and safety issue, and therefore, a community benefit. Part III, Line 9b: For those that are known to qualify for financial assistance, the portion that is identified as charity care is written off to charity care. The Hospital policy states if there is a portion of the patient account that does not qualify for free care the remaining unpaid portion falls under the same collection policy as the accounts that do not qualify for financial assistance.The organization does not send balances to collections until 120 days after the date of the first invoice. If at any time in the next 120 days an individual begins the application process for financial assistance the Hospital removes them from the collection process. Part VI, Line 2: 1. Over the past years, GMC has identified and prioritized community needs through a variety of community surveys in collaboration with various organizations including the City of Glendive and Dawson County.2. Public meetings were held by GMC at various times to receive community input.3. Strategic Planning sessions are held by GMC to plan and prioritize the needs of the community on an annual basis. These sessions include the Board of Directors, the Foundation's Board of Directors, Physicians and other Medical Providers and the Administration of GMC. Areas identified and services implemented from the prior community surveys included the need for Hospice, Assisted Living and Behavior Health Services.4. Planning for a Community Assessment survey was completed with the Dawson County Public Health Department in April 2016.A review and the implementation plan based on the results of the survey were completed in June 2016. Part VI, Line 3: GMC provides information and education concerning assistance through various programs and the organization's charity care policy in a variety of ways including:1. Through the social services department, patient financial services and other areas, assistance is offered and information is given to all patients and their families about available programs. Beginning in fiscal year 2012, a Patient Advocate Liaison (PAL) was added to assist patients throughout the organization. The PAL's role is to assist all patients and provide them with information on available programs, etc. Beginning in January 2014 Emergency Department Specialists are available seven days a week after the patient has been treated to assist patients and their families to provide the financial assistance information including the charity care program and assist them with applying for these programs if appropriate.2. GMC's website, www.gmc.org, provides charity care and other financial assistance policies and procedures, including applications.3. Signage is posted throughout the facilities in admissions areas, the emergency room and waiting rooms. The signage provides information concerning charity care and other financial assistance available throughout GMC.4. A Guest Information Book for the patient and their family's use is in each patient's room and other areas providing various information including financial assistance information that is available and the appropriate personnel to contact if they have not been contacted. Contact information for the social services department is included in the information book if the patient needs assistance or has questions about various government and other programs available in the area. 5. GMC's monthly statement provides information for the person(s) to contact if financial assistance is needed. The credit and collection department includes financial assistance information including an application and the contact person at GMC who can assist them with all collection letters.6. GMC employees are aware of the financial assistance programs and are able to provide direction to patients or their families in their departments concerning charity care. Quarterly, at the CEO forums, the employees are provided with the amount of charity care provided by the facility while expressing the importance of providing the free care for people that are in need. Part VI, Line 4: GMC's primary service area is Dawson County on the eastern edge of Montana. GMC's secondary service areas are surrounding counties, McCone, Richland, Fallon, Prairie and Wibaux.Projections by the National Planning Association Data Services, Inc. projected that Dawson County would experience a decrease in population from the 2000 Census until after 2020 when a slow and steady growth pattern was projected. Instead, the population of Dawson County based on the 2010 census increased to 8,966, compared to the projected population of 8,520. By 2014 Dawson County population has grown to 9,518, an increase of 6.2% since 2010. At the same time the State of Montana as a whole showed an increase of 3.5%. Approximately 23,000 persons are now in the area GMC serves. The increase in population and area's health care services is related to the increase in the senior population and the energy-related services which continue to show strong growth. Based on the current trends, Dawson County will continue to see growth due to the outlying energy related services.Glendive is a medical, retail and agricultural trade center for the county and the surrounding communities within a 30-60 mile radius. Glendive's economic base continues to be closely tied to agriculture and the transportation industry, particularly rail services. GMC is the largest employer in Glendive. Other significant employers in the GMC's service area are state, county and city governments, Burlington Northern Santa Fe Railway, Glendive Public Schools, Dawson County Community College and Williston Basin Interstate Pipeline.Dawson County is designated as a Health Professional Shortage Area (HPSA) with shortages of mental health providers. The service area residents see GMC and its providers as a place to come to receive treatment, without regard to whether they have insurance or are uninsured, knowing they will be treated and cared for in a respectful and caring manner.GMC also provides outreach in various ways to the very small critical access frontier facilities as small as one bed facilities in neighboring counties and to four counties in the service area for home care services in sparsely populated areas.There are no other providers in GMC's primary service area. Sidney Health Center, a critical access hospital located 50 miles north of Glendive, and Holy Rosary Medical Center, a critical access hospital located 70 miles south of Glendive, are the closest facilities. Part VI, Line 5: GMC Board of Directors:The governing body of GMC is its Board of Directors (the "Board"), which consists of eleven members. The Board includes the Chief of Medical Staff and one member of GMC's active medical staff. Other members are selected to promote a representative composition of the Board by gender, rural/urban, professional/non-professional and geography. Board members are selected from GMC's service area by the Board's nominating committee and approved by the existing Board members. The members of the Board serve in a voluntary capacity and receive no compensation for their services. Members of the Board have various relationships with services or products, which may, from time to time, have dealings with the GMC, but these relationships are not considered to be material. The Chief of Staff and member of the medical staff are employed by the GMC as physicians and medical advisors. The Board has an established conflict of interest policy to detect and manage such relationships.GMC Medical Staff:The active medical staff of GMC currently is comprised of seven (7) physicians and twelve (12) allied health professionals. These providers are all employed by GMC and provide services at all of GMC facilities, including the attached for profit clinic, Gabert Medical Services, outreach clinic in Wibaux, Montana. Six (6) of the seven (7) physicians are board certified. A full time orthopedic surgeon began providing services at the medical center beginning in August 2014. A Specialty Clinic at GMC is utilized by physicians from Billings, Montana and Bismarck, North Dakota to provide services that are not available by the GMC Medical Staff. The patients are able to stay at home in Glendive and have the services provided by out of town physicians locally without traveling great distances.Tele Health is also utilized by GMC providers and providers in Billings and other locations. This allows the patients to have follow up visits with providers via video conferencing instead of traveling great distances to see the providers.GMC extends medical staff privileges to all qualified physicians in the area. GMC also extends those privileges to the qualified specialty physicians who provide services through the Specialty Clinic.GMC Surplus Funds:All funds in excess of expenses are utilized in the following ways:1. The facilities' debt service payments on the 2008 $30,000,000 bond issue (refinanced in 2017) obtained to provide a much needed expansion and renovation of the Surgery Suite, an additional nursing home wing and expansion and renovation of the emergency department.2. A substantial amount of funds are needed each year and utilized for the ongoing capital needs of the facility to ensure the appropriate equipment is available to meet the needs of the community. All departments have a three to five year plan in place to forecast these needs.3. Continued assistance to providers and professional staff for education to maintain GMC's standards to provide the care needed in the community.4. To increase reserve funds to ensure the ability to continue meeting the above obligations in future years when surplus funds are not available. Part VI, Line 6: GMC in September, 2013 began an affiliation with Billings Clinic. This affiliation provides resources to Glendive Medical Center which should assist in retaining providers and staff which will assist us to continue to provide quality care to our community. 0 1 0 0 0 0 0 0 0 Kevin Maxwell Radiologist Treasurer 544279 0 0 0 0 0 5000 0 20426 0 569705 0 0 0 Chrystal Potter MD Director/Chief of Staff 274227 0 0 0 0 0 5000 0 17025 0 296252 0 0 0 Joseph Leal MD Physician 261999 0 0 0 0 0 3426 0 8546 0 273971 0 0 0 John Hunter MD Physician 260000 0 0 0 0 0 5000 0 10627 0 275627 0 0 0 Clifford Reske MD Physician 231349 0 0 0 0 0 4627 0 623 0 236599 0 0 0 Richard Lewis Physician 334883 0 20000 0 0 0 5000 0 20505 0 380388 0 0 0 James Jex MD Physician 325000 0 0 0 0 0 4250 0 3611 0 332861 0 0 0 Barbara Markham Former CFO 138968 0 0 0 1007 0 2820 0 8179 0 150974 0 0 0 Part I, Line 3 The CEO's compensation is set by Billings Clinic, an affiliated management company. Glendive Medical Center employs all of the methods indicated above to determine that the CEO compensation is reasonable and appropriate given the size and complexity of the organization. Part I, Line 4b J. Kevin Maxwell and Joseph Leal participated in a nonqualified retirement plan under 457(f). Amounts from their base wages were deferred into the plan at their discretion. For the fiscal year 2017 and calendar year 2016, there were no current year contributions for either J. Kevin Maxwell or Joseph Leal. A Montana Facility Finance Authority 364615155 612043GD5 2008-07-01 29716927 Various Capital Projects 0 0 0 A 5625000 29716927 2098388 1586116 594338 21701172 3736914 2011 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 1 GE Funding Capital Market Services 25.000000000000 1 0 0 A 0 Date Rebate Computation Performed Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 07/01/2013 Form 990, Part III, line 2 ENT services began in December 2016. The Coumadin Clinic began in early 2017. Form 990, Part VI, Section A, line 1 The Executive Committee is comprised of the Board President, Vice-President, Secretary, Treasurer and the immediate Past Chair. The Executive Committee will, in the interim between meetings of the Board of Directors, exercise the powers of that body necessary for efficient operation of the Hospital in accordance with the general policy of the Hospital and the Board of Directors. The committee shall be empowered to act in only those areas of responsibility as the Board of Directors authorizes. It shall not have the power to amend the bylaws nor adopt or amend the Hospital's annual budget or long range plan and with the understanding that all matters of major importance will be referred to the governing board. Form 990, Part VI, Section A, line 3 Glendive Medical Center, paid a management company, Billings Clinic, for CEO services for Parker Powell. Glendive Medical Center paid Billings Clinic $236,496 for the services of the CEO for calendar year ending December 31, 2016. In addition, Billings Clinic received a management fee totaling $122,400 for calendar year ending December 31, 2016. Form 990, Part VI, Section A, line 7a Under an affiliation agreement, Billings Clinic (paid a management fee) appoints two members to the Board. They get sole discretion for choosing the two members, and how long they serve. Form 990, Part VI, Section B, line 11b A copy of the 990 was reviewed by the VP of Finance and distributed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Any director, officer, key employee or committee member having an interest in a contract or other transaction presented to the Board of Directors or a committee thereof for authorization, approval or ratification shall make a prompt, full and frank disclosure of his interest to the board or committee prior to its acting on such contract or transaction. The body to which such disclosure is made shall thereupon determine, by majority vote, whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict is deemed to exist, such person shall not vote on, nor use his personal influence on, nor participate in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted up. The minutes of the meeting shall reflect the disclosure made, the vote thereon and where applicable, the abstention from voting and participation, and whether a quorum was present. A statement from directors and officers and key members of the medical staff is completed and signed annually. Conflict of Interest is normally handled at the executive or board level. In the majority of the cases, no vote is necessary since the Board member or GMC staff voluntarily excuses themselves. But, the Board Chair and the CEO monitors proposed or ongoing transactions of the organization for conflicts of interest and discloses them to the Board and staff, as appropriate. Form 990, Part VI, Section B, line 15 Starting in September 2013, the CEO was compensated by Billings Clinic, an unrelated management company. The Organization paid Billings Clinic for his services as CEO. The VP of Finance compensation is reviewed and approved by the CEO. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements are kept at the Hospital and are available upon request. The annual Community Benefit report includes a consolidated financial statement for Glendive Medical Center and its Affiliates and is mailed to all service area households. It is also posted on the Hospital website. Form 990, Part IX, line 11g Contract Labor: Program service expenses 525,211. Management and general expenses 1,897,627. Fundraising expenses 0. Total expenses 2,422,838. Repair & Maintenance: Program service expenses 433,683. Management and general expenses 692,823. Fundraising expenses 0. Total expenses 1,126,506. Other Purchased Services: Program service expenses 2,104,596. Management and general expenses 996,170. Fundraising expenses 0. Total expenses 3,100,766. Form 990, Part XI, line 9: Change in Gabert Investment -3,553,030. GMC Properties LLC 202 Prospect Drive Glendive MT 593301999 Apartment Rental Management MT 46293 6325 Glendive Medical Center Glendive Medical Center Foundation 202 Prospect Drive Glendive MT 59330 810440518 Raising Funds for Glendive Medical Center and Community Medical Needs MT 501(c)(3) Line 7 Glendive Medical Center Inc 1 HealthNet LLC 11 South 7th Street Suite 241 Miles City MT 59301 810506005 Operating integrated computer and software MT Glendive Medical Center Related -1709 60761 1 1 0.50000 Gabert Medical Services Inc 107 Dilworth Glendive MT 59330 810477745 Provides Comprehensive Medical Care and Related Services MT Glendive Medical Center C 6443032 861305 1.00000 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 Glendive Medical Center Foundation C 55257 Actual Gabert Medical Services Inc A 90730 Actual Gabert Medical Services Inc Q 4166462 Actual