2014-11-14T14:51:49-06:00 2013-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2013-01-01 810232406 PONDERA MEDICAL CENTER POND 4062713211 805 SUNSET BLVD CONRAD MT 59425 BILL O'LEARY CEO 4062713211 2014-11-14 1 KIM HUNWARDSEN CPA P00484560 6122536500 2014-11-12 2013 2015-11-30 17:44:51Z BILL O'LEARY 805 SUNSET BLVD CONRAD MT 59425 12510910 0 X WWW.PONDERAMEDICAL.COM X 1975 MT PROVIDE ACCESS TO QUALITY HEALTH CARE THROUGH ALL LIFE'S STAGES 8 8 291 150 0 0 928120 460050 13203666 12010409 28089 37442 8808 3009 14168683 12510910 0 0 0 0 8206499 8158011 0 0 0 5168154 4592164 13374653 12750175 794030 -239265 6666200 6126065 2873767 2553657 3792433 3572408 X AS AN ESSENTIAL MEMBER OF OUR REGIONAL COMMUNITY, PMC STRIVES TO BE A PROGRESSIVE HEALTHCARE BUSINESS DEVOTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE AND EXCEEDING THE EXPECTATIONS OF THOSE WE SERVE THROUGH ALL OF LIFE'S STAGES. 0 0 7942570 7008500 PONDERA MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL. THE MEDICAL CENTER PROVIDED 277 PATIENT DAYS ALONG WITH A 24-HOUR EMERGENCY ROOM THAT ACCOUNTED FOR 1,891 VISITS FOR THE YEAR. OUTPATIENT SERVICES SUCH AS LAB, X-RAY, PHYSICAL AND OCCUPATIONAL THERAPY, WELLNESS CENTER, SURGERY, AMBULANCE, CARDIAC REHAB, DME, HOME HEALTH AND RESPIRATORY THERAPY WERE PROVIDED TO MEMBERS OF OUR RURAL COMMUNITY SO THEY COULD RECEIVE THE SERVICES THEY NEEDED CLOSE TO HOME. THE SERVICES ARE ESSENTIAL FOR THE SURVIVAL OF OUR COMMUNITY.THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND EQUIVALENT SERVICE STATISTICS. THE AMOUNTS OF CHARGES FOREGONE FOR SERVICES PROVIDED UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WAS $88,033. TOTAL DIRECT AND INDIRECT COSTS RELATED TO THESE FOREGONE CHARGES WERE APPROXIMATELY $81,000 AT DECEMBER 31, 2013, BASED ON AVERAGE RATIOS OF COST TO GROSS CHARGES.THE MEDICAL CENTER PROVIDES CARE TO PATIENTS AND RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT AND RESIDENT SERVICE REVENUE. 1525545 3357227 PONDERA MEDICAL CENTER'S EXTENDED CARE FACILITY IS A 59-BED NURSING HOME OFFERING 24-HOUR CARE AND NURSING SERVICES PROVIDED BY LICENSED, CERTIFIED AND COMPASSIONATE STAFF MEMBERS. THE FACILITY HAD 18,945 TOTAL PATIENT DAYS. STAFF-TO-RESIDENT RATIO IS 1 TO 4. SPECIALIZED SERVICES ARE ALSO AVAILABLE INCLUDING THOSE OFFERED BY A PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST, REGISTERED DIETITIAN, AND MEDICAL SOCIAL WORKER. WE HAVE A REMARKABLE ACTIVITY PROGRAM. ACTIVITIES ARE OFFERED 7 DAYS A WEEK AND INCLUDE EXERCISE, SOCIALS, GAMES, THEME PARTIES, PETS, GARDENING, COOKING, LIVE MUSIC, CRAFTS AND OUTINGS.WE HAVE A 14-BED SPECIAL CARE UNIT DESIGNATED FOR RESIDENTS WITH PERVASIVE MEMORY LOSS AND CONFUSION, PROVIDING AN EXTRA TOUCH OF ATTENTION AND SUPERVISION. 1397594 1644682 PONDERA MEDICAL CENTER CLINIC IS A FAMILY PRACTICE RURAL HEALTH CLINIC DEDICATED TO PROVIDING AND COORDINATING COMPREHENSIVE SERVICES TO THE ENTIRE FAMILY. OUR PHYSICIANS ARE BOARD CERTIFIED FAMILY PRACTITIONERS, WITH EXPERIENCE IN OBSTETRICS. BOARDED FAMILY PRACTICE PHYSICIANS MUST COMPLETE AN ADDITIONAL THREE YEARS OF SPECIALIZED TRAINING ABOVE AND BEYOND THAT OF MEDICAL SCHOOL. FAMILY PRACTITIONERS ARE TRAINED IN ALL AVENUES OF MEDICINE, SO THEY CAN PROVIDE A FULL RANGE OF CARE. PMCC PHYSICIAN ASSISTANTS ARE LICENSED BY THE STATE OF MONTANA AND SPECIALIZE IN FAMILY MEDICINE AND URGENT CARE. OUR PROVIDERS PROMOTE HEALTHY LIFESTYLES AND CONTINUALLY STRENGTHEN THE RELATIONSHIP BETWEEN THE CLINIC AND COMMUNITY, WITH EXCELLENT, TIMELY, AND COMPASSIONATE PATIENT CARE. THE CLINIC HAS 2 PHYSICIANS AND 2 PHYSICIAN ASSISTANTS AND PROVIDED 11,420 TOTAL CLINIC VISITS, 408 EXTENDED CARE VISITS AND 114 SWING BED VISITS. 10865709 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 1 291 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X BRENDA RIES 4062713211 805 SUNSET BLVD CONRAD MT 59425 X BRENT GAYLORD CHAIR 1.00 X X 0 0 0 JAYNE GOLLEHON VICE CHAIR 1.00 X X 0 0 0 KARLA STYREN SECRETARY 1.00 X X 0 0 0 BERNARD RIES TREASURER 1.00 X X 0 0 0 TED KRONEBUSCH TRUSTEE 1.00 X 0 0 0 CHERYL BAKKEN TRUSTEE (PARTIAL YEAR) 1.00 X 0 0 0 JANICE HOPPES TRUSTEE 1.00 X 0 0 0 CARLA HAUK TRUSTEE (TERMINATED 2013) 1.00 X 0 0 0 GENA MORRIS TRUSTEE (PARTIAL YEAR) 1.00 X 0 0 0 KELLY GREER TRUSTEE (PARTIAL YEAR) 1.00 X 0 0 0 WAYNE OGBURN CEO 40.00 X 64135 0 6348 BRENDA RIES INTERIM CFO 40.00 X 85230 0 5490 RANDY NIGHTENGALE CFO (PARTIAL YEAR) 40.00 X 0 0 0 MICHAEL HEWETT PHYSICIAN ASSISTANT 36.00 X 129345 0 0 ILENE HAWKINSON PHYSICIAN ASSISTANT 40.00 X 115778 0 266 PATRICIA GRENA PHYSICIAN 40.00 X 164258 0 14545 PATRICK ALDUENDA PHYSICIAN ASSISTANT 40.00 X 138870 0 0 JAY TAYLOR PHYSICIAN 40.00 X 231334 0 19024 928950 0 45673 8 0 1 0 CPSI 6600 WALL ST MOBILE AL 36695 SOFTWARE SUPPORT SERVICES 437898 KALISPELL MEDICAL CENTER 310 SUNNY VIEW LANE KALISPELL MT 59901 LAB PROFESSIONAL STAFF, RADIOLOGY 315095 HILL ANESTHESIA PC PO BOX 1006 CONRAD MT 59425 ANESTHESIA SERVICES 143817 GE HEALTHCARE FINANCIAL SERVICES PO BOX 641419 PITTSBURGH PA 15264 CT MACHINE MAINTENANCE 102414 4 277373 182677 460050 PATIENT SERVICE REVENUE 622110 8245785 8245785 NURSING HOME 623000 3357227 3357227 BED TAX REVENUE 900099 232860 232860 SUPPORTING REVENUE 900099 124427 124427 EHR INCENTIVE 900099 48650 48650 1460 1460 12010409 36942 36942 3009 0 3009 3009 3009 500 0 500 500 500 12510910 12010409 0 40451 161203 161203 6794073 6043182 750891 2000 1779 221 658828 586013 72815 541907 471597 70310 199774 199774 9456 9456 34700 34700 1117135 794284 322851 23456 4691 18765 724799 617303 107496 185474 55445 130029 280030 270468 9562 20926 20648 278 34068 28019 6049 53654 53654 654689 654689 189840 189840 BAD DEBT EXPENSE 340013 340013 MEDICAL SUPPLIES 326793 326793 FOOD 225013 225013 MT BED TAX 172344 172344 12750175 10865709 1884466 0 967673 774934 1165565 1195616 135653 124054 67765 49305 12421269 9815858 3127372 2605411 447590 466830 6836 747746 909915 6666200 6126065 1601933 1713352 1081322 716385 89367 101145 123920 2873767 2553657 X 1224869 1135080 2567564 2437328 3792433 3572408 6666200 6126065 X -239265 19240 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 5500 8340 9037 4803 0 48854 48854 7261782 5689730 1572052 4909413 3975144 934269 201220 150984 50236 2605411 INVESTMENT IN PERPETUAL TRUST 466830 F 466830 OTHER ASSETS 62662 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 338683 WORKER'S COMPENSATION DEPOSIT 122328 OTHER ACCOUNTS RECEIVABLE 386242 909915 COMPENSATED ABSENCES 123920 123920 X 11966213 -374427 -374427 12340640 170270 170270 12510910 12356508 0 12356508 393667 393667 12750175 PART IV, LINE 1B: THE FUNDS ARE THE PERSONAL FUNDS OF THE NURSING HOME RESIDENTS AND ARE TO BE USED ONLY FOR SPECIFIC PERSONAL EXPENDITURES AS REQUESTED BY THE RESIDENTS. PART X, LINE 2: THE MEDICAL CENTER IS ORGANIZED AS A MONTANA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE MEDICAL CENTER IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. THE MEDICAL CENTER 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 MEDICAL CENTER 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: BAD DEBT EXPENSE RECORDED IN REVENUE FOR FINANCIAL STATEMENTS -340,013. INTEREST EXPENSE RECORDED IN NON-OPERATING REVENUE FOR FINANCIAL STATEMENTS -53,654. GAIN ON PERPETUAL TRUST RECORDED IN NON-OPERATING REVENUE FOR FINANCIAL STMT 19,240. PART XI, LINE 4B - OTHER ADJUSTMENTS: CAPITAL GRANTS AND RESTRICTED CONTRIBUTIONS RECORDED IN REVENUE FOR FORM 990 170,270. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE RECORDED IN TOTAL EXPENSES FOR FORM 990 340,013. INTEREST EXPENSE RECORDED IN TOTAL EXPENSES FOR FORM 990 53,654. 1 1 X 1 X 1 X 175.000000000000 0 1 0 0 81000 81000 0.00650 81000 81000 0.00650 6166809 4680663 1486146 0.11980 6166809 4680663 1486146 0.11980 6247809 4680663 1567146 0.12630 1 340013 0 2426310 2438538 -12228 X 1 1 1 1 PONDERA MEDICAL CENTER 805 SUNSET BLVD CONRAD MT 59425 WWW.PONDERAMEDICAL.COM 13510 X X X X PROVIDER BASED RURAL HEALTH CLINIC PONDERA MEDICAL CENTER 1 0 1 1 50000 1 1 100.000000000000 1 175.000000000000 1 X X X 1 1 X 1 0 X X X 1 X 0 1 PONDERA MEDICAL CENTER PART V, SECTION B, LINE 12I: PONDERA MEDICAL CENTER UTILIZES THE FEDERAL POVERTY GUIDELINES (FPG) AS THE PRIMARY FINANCIAL MEASUREMENT TOOL. FINANCIAL DETERMINATION IS BASED ON FAMILY SIZE AND INCOME. ALL FORMS OF INCOME ARE CONSIDERED, INCLUDING BUT NOT LIMITED TO: WORKMAN'S COMPENSATION PAYMENTS, SOCIAL SECURITY BENEFITS, UNEMPLOYMENT WAGES, CHILD SUPPORT PAYMENTS, ETC. PONDERA MEDICAL CENTER PART V, SECTION B, LINE 14G: PATIENTS ARE INFORMED ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE DURING CONVERSATIONS AT REGISTRATION AND DURING FOLLOW-UP ON OUTSTANDING ACCOUNT BALANCES. INFORMATION REGARDING FINANCIAL ASSISTANCE AND APPLICATIONS ARE AVAILABLE AT OUR BUSINESS OFFICE. THE FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE ON OUR WEBSITE. PONDERA MEDICAL CENTER PART V, SECTION B, LINE 22: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. 4 PONDERA MED CTR EXTENDED CARE FACILITY 805 SUNSET BLVD CONRAD MT 59425 LONG TERM CARE PONDERA MEDICAL CENTER EYE CLINIC PLLC 403 S DELAWARE ST CONRAD MT 59425 EYE CARE AND OPTICAL PONDERA MED CTR DURABLE MEDICAL EQUIP 809 SUNSET BLVD CONRAD MT 59425 DURABLE MEDICAL EQUIPMENT PONDERA MEDICAL CENTER HOME HEALTH 809 SUNSET BLVD CONRAD MT 59425 HOME HEALTH CARE PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. THE COST FOR SUBSIDIZED HEALTH SERVICES WAS DETERMINED USING THE MEDICARE COST REPORT. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE WAS $340,013. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. WE ARE USING THE BAD DEBT EXPENSE AS REPORTED ON THE FINANCIAL STATEMENTS. PAYMENTS ON ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT EXPENSE REDUCE BAD DEBT EXPENSE IN THE CURRENT YEAR. THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: 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 THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.THE MEDICARE SHORTFALL REPRESENTS A COST ABSORBED BY THE HOSPITAL AS A RESULT OF PROVIDING CARE TO MEDICARE PATIENTS. THE COST OF PROVIDING THIS BENEFIT TO THE COMMUNITY SHOULD BE REPORTED AS SUCH. PART III, LINE 9B: PATIENTS MUST COMPLETE A FINANCIAL ASSISTANCE APPLICATION TO BE CONSIDERED FOR CHARITY CARE. THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE OR THAT HAVE CONTACTED THE BUSINESS OFFICE AND ARE IN THE PROCESS OF COMPLETING AN APPLICATION OR SETTING UP A PAYMENT SCHEDULE WILL NOT RECEIVE ADDITIONAL COLLECTION NOTICES. PART VI, LINE 2: A COMMUNITY SURVEY WAS PREPARED AND ADMINISTERED BY AN INDEPENDENT THIRD PARTY. WE ALSO OBTAINED HEALTH FAIR REQUESTS AND RESULTS, PHYSICIAN STUDIES OF TRENDS AND PATIENT SATISFACTION SURVEYS. OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS DUE DECEMBER 31, 2013 AND WAS IN DRAFT FORM OF COMPLETION. THE FINAL REPORT AND AN IMPLEMENTATION STRATEGY WERE APPROVED BY THE BOARD IN 2014. PART VI, LINE 3: PATIENTS ARE INFORMED ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE DURING CONVERSATIONS AT REGISTRATION AND DURING FOLLOW-UP ON OUTSTANDING ACCOUNT BALANCES. FINANCIAL ASSISTANCE IS OFFERED IF A PATIENT IS UNABLE TO MAKE A PAYMENT. PART VI, LINE 4: PONDERA MEDICAL CENTER SERVES THE POPULATION OF PONDERA COUNTY, MONTANA. THE POPULATION OF PONDERA COUNTY IN 2013 WAS 6,211 AND IS CONSIDERED RURAL. THE MEDIAN HOUSEHOLD INCOME FOR 2008 - 2012 WAS $39,223 IN WHICH 18.1% OF THE POPULATION WAS BELOW THE POVERTY GUIDELINES. THE RACIAL MAKEUP CONSISTS OF 82% WHITE, 15% AMERICAN INDIAN OR ALASKA NATIVE WITH THE REMAINDER BEING OTHER RACES. THE LARGEST INCOME PRODUCING SEGMENT OF PONDERA COUNTY IS AGRICULTURE AND WHILE THERE ARE A COUPLE LARGE EMPLOYERS IN THE COUNTY INCLUDING PONDERA MEDICAL CENTER, SMALL BUSINESS, AND OIL AND NATURAL GAS PRODUCERS MAKE UP THE MAJORITY OF EMPLOYERS. THE NEAREST HOSPITAL IS MARIAS MEDICAL CENTER, A 20-BED ACUTE CARE HOSPITAL LOCATED IN SHELBY, MT. MARIAS MEDICAL CENTER IS LOCATED APPROXIMATELY 27 MILES NORTH OF CONRAD, MT. PART VI, LINE 5: THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS THROUGHOUT PONDERA COUNTY AND ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC. SURPLUSES OF CASH, WHEN AVAILABLE, ARE INVESTED BACK INTO THE HOSPITAL FOR EQUIPMENT PURCHASES AND WAGE CONSIDERATIONS.PONDERA MEDICAL CENTER OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, 20 ACUTE CARE BEDS FOR HOSPITAL STAYS, SURGERY CENTER, 59 BED EXTENDED CARE CENTER, SPECIAL CARE UNIT, RURAL HEALTH CLINIC, WELLNESS CENTER, CARDIAC REHAB, HOME HEALTH AGENCY, PHYSICAL THERAPY AND NUMEROUS OTHER SERVICES TO MEET YOUR DAILY AND LONG-TERM HEALTH CARE NEEDS. PONDERA MEDICAL CENTER SEEKS AND ENCOURAGES COMMUNITY MEMBERS TO BECOME INVOLVED AND VOLUNTEER IN OUR EXTENDED CARE FACILITY. X 0 0 0 1 0 0 0 0 0 PATRICIA GRENA PHYSICIAN 164258 0 0 0 0 0 0 0 14545 0 178803 0 0 0 JAY TAYLOR PHYSICIAN 231334 0 0 0 0 0 0 0 19024 0 250358 0 0 0 PART I, LINE 5 PROVIDERS RECEIVE ADDITIONAL INCOME BASED ON THEIR BILLED CHARGES AFTER ACHIEVING THEIR BASE AMOUNT. PHYSICIAN BONUS IS BASED ON GROSS REVENUE OVER $375,000; FOR EVERY $10,000 GROSS REVENUE IS OVER THE THRESHOLD THEY GET $5,000 BONUS COMPENSATION. THERE IS NO CAP ON THE AMOUNT OF BONUS ATTAINABLE. SCHEDULE J, PART I, LINE 5A: NO BONUSES WERE PAID DURING 2013. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CEO AND CFO. AFTER THEIR REVIEW A DRAFT COPY OF THE 990 IS PROVIDED BY E-MAIL TO THE BOARD MEMBERS FOR REVIEW. THE FINAL COPY OF THE FORM 990 IS E-MAILED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND TRUSTEES ANNUALLY DISCLOSE POTENTIAL CONFLICTS, WHICH ARE DISCUSSED AT A BOARD OF TRUSTEES MEETING. SEGREGATION OF DUTIES IS STRICTLY ENFORCED FOR ANY POTENTIAL FAMILY OR BUSINESS CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT AT A BOARD MEETING, THE BOARD MEMBER IS NOT ALLOWED TO VOTE ON THE CONFLICTING ISSUE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES BY USING THE MONTANA HOSPITAL SALARY SURVEY FOR LIKE HOSPITALS IN THE STATE AND ADJUSTED FOR BUDGET LIMITATIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII: RANDY NIGHTENGALE WAS THE CFO PROVIDED BY KALISPELL AT THE END OF 2013 BUT WAS NOT COMPENSATED BY PONDERA MEDICAL CENTER UNTIL A MANAGEMENT AGREEMENT WAS ESTABLISHED IN 2014. FORM 990, PART XI, LINE 9: GAIN ON PERPETUAL TRUST 19,240. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.