2017-05-15T12:40:39-05:00 2016-06-30 810446334 DOUGLAS WILSON & COMPANY PC 1000 FIRST AVENUE SOUTH GREAT FALLS MT 59401 990 2015-07-01 810291695 BIG SANDY MEDICAL CENTER INC BIGS 4063782188 PO BOX 530 BIG SANDY MT 59520 LEAH GRIFFITH CEO 4063782188 2017-05-12 1 HEIDI BRANDT P01728511 4067614645 2015 2021-01-29 14:40:06Z LEAH GRIFFITH PO BOX 530 BIG SANDY MT 59520 3142560 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 82 0 0 0 126878 225294 3484890 2896794 19627 19272 1200 1200 3632595 3142560 0 0 0 0 2214763 2186110 0 0 0 1209027 1212738 3423790 3398848 208805 -256288 5367559 5094373 476384 459486 4891175 4634887 TO PROVIDE THE BEST POSSIBLE CARE FOR PATIENTS AT THE MOST REASONABLE COST IN A COMPETENT, PROFESSIONAL MANNER. 0 0 2860365 2896794 BIG SANDY MEDICAL CENTER PROVIDES HOSPITAL AND LONG-TERM MEDICAL CARE FOR THE TOWN OF BIG SANDY AND NORTHERN CHOUTEAU COUNTY, MONTANA. 2860365 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 6 0 1 82 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 NORA GRUBB 4063782188 PO BOX 530 BIG SANDY MT 59520 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 LEAH GRIFFITH CEO 40.00 X 59773 0 3455 KRYSTAL KULBECK PA-C HIGHLY COMPENSATED EMPLOYEE 40.00 X 118278 0 0 AMBER BEAUDETTE DON HIGHLY COMPENSATED EMPLOYEE 40.00 X 113005 0 0 291056 0 3455 2 0 0 0 0 74692 150602 225294 PATIENT SERVICES 622110 2896794 2896794 2896794 19272 19272 1200 0 1200 1200 1200 3142560 2896794 0 20472 65390 65390 1772001 1612521 159480 13449 12239 1210 166200 151242 14958 169070 153854 15216 24286 24286 228961 203567 25394 14816 14816 190331 190331 47666 47666 REPAIRS & SUPPLIES 402171 365976 36195 OTHER 99422 99422 UTILITIES 66413 60436 5977 NURSING FACILITY BED TA 52589 52589 86083 9944 76139 3398848 2860365 538483 0 2095472 1864817 1616821 1634921 450381 443845 32911 44957 43868 21489 3655623 2766096 1018413 889527 141515 162995 5367559 5094373 476384 459486 476384 459486 X 4891175 4634887 4891175 4634887 5367559 5094373 -256288 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22544 22544 2396155 1891279 504876 1202309 860042 342267 34615 14775 19840 889527 3142560 0 3142560 0 3142560 3398848 0 3398848 0 3398848 1 1 0 1 X 1 0 1 1 13608 13608 0.00000 657977 482586 175391 0.05000 528 0 528 0.00000 672113 482586 189527 0.05000 672113 482586 189527 0.05000 0 775355 840967 -65612 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 ER 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 0 0 0 0 0 0 0 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. 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 11 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.