2026-05-01T17:40:29-05:00 2025-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-07-01 810233499 SIDNEY HEALTH CENTER SIDN 4064882100 216 14TH AVENUE SW SIDNEY MT 59270 TINA MONTGOMERY CFO 4064882100 2026-04-30 1 1 KURT BENNION CPA P01469618 4252506100 2026-04-14 2024 2025-03-06 01:10:19Z JENNIFER DOTY 216 14TH AVENUE SW SIDNEY MT 59270 124787060 0 X WWW.SIDNEYHEALTH.ORG X 1946 MT TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH BY PROVIDING QUALITY MEDICAL CARE. 9 7 695 114 2878050 955383 3033295 921896 114515101 114072507 2654029 3003371 1134042 753661 121336467 118751435 1910021 1819254 0 0 45572363 47077550 0 0 549512 63794694 68453896 111277078 117350700 10059389 1400735 104554765 109342196 26445146 28903350 78109619 80438846 X TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH AND WELL-BEING. 1 0 104606455 1819254 110253497 SIDNEY HEALTH CENTER IS A NOT-FOR-PROFIT COMMUNITY-BASED MEDICAL CENTER THAT HAS BEEN SERVING PEOPLE IN THE MONDAK REGION FOR MORE THAN 100 YEARS. OUR PASSION FOR CARING IS SHARED BY THE DOCTORS, NURSES, AND SEVERAL HUNDRED EMPLOYEES AND VOLUNTEERS. THIS COMMITMENT TO CARING IS OUR ALLEGIANCE TO THE COMMUNITY AS WE STRIVE TO PROVIDE "EXCEPTIONAL CARE FOR LIFE."LOCATED IN THE HEART OF RICHLAND COUNTY, THE ATTRACTIVE EASTERN MONTANA CAMPUS INCLUDES AN ACUTE CARE HOSPITAL, CLINIC, CANCER CARE, RETAIL PHARMACY AND AN EXTENDED CARE FACILITY OFFERING A COMPLETE RANGE OF SERVICES FROM BIRTH THROUGH END-OF-LIFE, WHICH IS COMPLEMENTED BY AN ARRAY OF OUTREACH SERVICES. THIS CONTINUUM OR SUCCESSION OF SERVICES IS NOT TYPICAL OF RURAL HEALTHCARE ORGANIZATIONS, BUT SIDNEY HEALTH CENTER IS NOT TYPICAL. A STRONG COMPLEMENT OF PRIMARY CARE PHYSICIANS AND A UNIQUE SELECTION OF SURGICAL SPECIALISTS, COMBINED WITH A MODERN FACILITY AND UP-TO-DATE MEDICAL EQUIPMENT, MAKES SIDNEY HEALTH CENTER A SPECIAL PLACE TO WORK, RECEIVE CARE AND PRACTICE MEDICINE.SIDNEY HEALTH CENTER ALSO PROVIDES VARIOUS COMMUNITY BENEFIT PROGRAMS FOR THE INDIVIDUALS IN OUR SERVICE REGION.RICHLAND COUNTY TRANSPORTATION - THIS PROGRAM GIVES OPPORTUNITIES FOR THOSE WHO CANNOT DRIVE THE OPTION OF A RIDE. SIDNEY HEALTH CENTER PROVIDES A DRIVER AND HELPS PAY FOR BUSSES. SINCE ITS CONCEPTION, WE HAVE GONE FROM ONE BUS AND ONE DRIVER FOR THE FULL PROGRAM TO MULTIPLE BUSSES AND DRIVERS. WE WORK WITH THE HEALTH DEPARTMENT, RICHLAND COUNTY AND THE LODGE.MILES CITY NURSING PROGRAM - WE PROVIDE THE FACILITY AND PROGRAM COSTS TO HAVE MILES CITY COMMUNITY COLLEGE RUN A SATELLITE SCHOOL HERE IN SIDNEY. THIS PROMOTES NURSING AS A PROFESSION AND KEEPS THOSE WHO ARE INTERESTED IN OUR COMMUNITY AS POSSIBLE EMPLOYEES LATER.OUTREACH CLINIC - SOME OF THE OUTLYING COMMUNITIES DO NOT HAVE ACCESS TO SPECIALTY SERVICES. SIDNEY HEALTH CENTER SENDS PROVIDERS TO THESE NEIGHBORING COMMUNITIES SO PATIENTS DO NOT HAVE TO TRAVEL. SHC ALSO HOSTS SPECIALISTS FROM LARGER FACILITIES TO OFFER QUALITY AND CONVENIENT CARE WE ARE UNABLE TO PROVIDE TO PATIENTS IN AND AROUND RICHLAND COUNTY.HEALTH SCREENINGS, EDUCATION AND MAINTENANCE SIDNEY HEALTH CENTER SUPPORTS A VARIETY OF EVENTS WHERE OUR COMMUNITY CAN BE EDUCATION ON HEALTH ISSUES. OUR CANCER CENTER SPONSORS THE "TOUGH ENOUGH TO WEAR PINK" DAY THE COUNTY FAIR; SUPPORTS "PINK NIGHTS" AT AREA SCHOOLS FOR VOLLEYBALL AND FOOTBALL DURING THE MONTH OF OCTOBER; AND HOLDS ANNUAL MENS HEALTH SCREENINGS. THE MENS SCREENING PROVIDES FREE PSA TESTS AND DRE EXAMS. IN OCTOBER, THE RADIOLOGY DEPARTMENT EXTENDS ITS HOURS TO OFFER MAMMOGRAMS A FEW EVENINGS DURING THE MONTH. SIDNEY HEALTH CENTER PROMOTES PREVENTATIVE CARE, DIABETES EDUCATION, LAB SCREENINGS AND MANY OTHER TOPICS. SIDNEY HEALTH CENTER OFTEN PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT, COALITION ON AGING, FIRE, POLICE AND MENTAL HEALTH PROFESSIONS, JUST TO NAME A FEW. SIDNEY HEALTH CENTER ALSO PARTICIPATES IN SUPPORTIVE HEALTH MAINTENANCE GROUPS, INCLUDING COMMUNITIES IN ACTION GROUPS.RICHLAND COUNTY FAIR & RODEO - SIDNEY HEALTH CENTER IS THE DAY SPONSOR AT THE COUNTY FAIR (DAILY ATTENDANCE OF AROUND 5,000), WHERE PEOPLE CAN HAVE THEIR BLOOD PRESSURE CHECKED AND RECEIVE A FREE COLD LEMONADE OR WATER DURING THE HOT AUGUST FAIR.GRIEF RECOVERY SUPPORT GROUPS - SIDNEY HEALTH CENTER ASSISTS INDIVIDUALS IN CONNECTING WITH LOCAL BEREAVEMENT SUPPORT GROUPS AND INDIVIDUAL COUNSELING AS REQUESTED OR WHEN A NEED IS IDENTIFIED. IN ADDITION, THE HOSPITAL'S BEREAVEMENT PROGRAM PROVIDES FAMILIES WITH MATERIALS AND RESOURCES FOLLOWING THE LOSS OF A LOVED ONE WHO RECEIVED CARE IN OUR FACILITY. BIRTHDAY HEALTH FAIR - PATIENTS WHO SIGN UP CAN GET AN ANNUAL HEALTH SCREEN AT A DISCOUNTED RATE DURING THEIR BIRTHDAY MONTH. THE LAB SCREENING INCLUDES A CHEMISTRY PANEL THAT EVALUATES KIDNEY AND LIVER FUNCTION, BLOOD SUGAR AND ELECTROLYES, A BLOOD COUNT WITH IDENTIFIES ANEMIA OR INFECTION AS WELL AS LIPIS (CHOLESTROL) PANEL.VISITING NURSE SERVICE - INITIAL NURSE VISIT AND POST DISCHARGE MEDICATION RECONCILIATION ALONG WITH ONGOING MEDICATION SETUPS TO THOSE IN NEED.MEDICATION ASSISTANCE THE MEDICATION ASSISTANCE PROGRAM OFFERS A 30-DAY SUPPLY OF SOME MEDICATIONS PRESCRIBED BY SIDNEY HEALTH CENTER PHYSICIANS AND ADVANCED PRACTICE PROVIDERS FREE OF CHARGE TO THOSE WHO QUALIFY. THIS PROGRAM WORKS WITH PATIENTS WHO ARE UNINSURED OR UNDERINSURED TO SECURE ONGOING COVERAGE FOR MEDICATIONS. THE PROGRAM WAS EXPANDED IN 2020 TO INCLUDE THE LIFELINE SERVICES FOR THOSE WHO FIT WITHIN THE 200% FPG. RX BOXES - PHARMACY SETS UP PILLS IN MEDICATION BOXES SO THAT GROUP HOME RESIDENTS GET THE CORRECT PILLS FOR EACH ADMINISTRATION TIME.CHAMBER OF COMMERCE - VARIOUS DONATIONS FOR COMMUNITY AND CHAMBER FUNCTIONS.CHILDBIRTH CLASSES - CLASSES OFFERED ON A QUARTERLY BASIS TO THE COMMUNITY.INTERACTIVE TOUR FOR ELEMENTARY STUDENTS - AS REQUESTED, LOCAL ELEMENTARY CLASSES PARTICIPATE IN INTERACTIVE STATIONS THAT ARE HOSTED BY VARIOUS SIDNEY HEALTH CENTER DEPARTMENTS.REACH TOUR - EVERY OTHER YEAR, SIDNEY HEALTH CENTER HOSTS R.E.A.C.H. (RESEARCH AND EXPLORE AWESOME CAREERS IN HEALTHCARE) TOUR THROUGH AHEC FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTHCARE CAREERS. STUDENTS SPEND THE DAY AT SIDNEY HEALTH CENTER PARTICIPATING IN INTERACTIVE DEMONSTRATIONS, VISITING WITH HEALTHCARE PROFESSIONALS AND MORE.FITNESS CENTER - SIDNEY HEALTH CENTER PARTNERED WITH HEALTHWORKS FITNESS CENTER TO SUBSIDIZE MEMBERSHIPS TO LOW INCOME INDIVIDUALS WITH DOCTOR ORDERED FITNESS REGIMENS.SIDNEY HEALTH CENTER CARE FLIGHT OFFERS HIGH QUALITY, AFFORDABLE, AIR MEDICAL TRANSPORTATION FOR PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE THAT IS NOT PROVIDED LOCALLY. APPROXIMATELY 24 PATIENTS ARE FLOWN OUT EACH MONTH FOR CRITICAL MEDICAL CONDITIONS INCLUDING HEART, STROKE, TRAUMA AND PEDIATRIC NEEDS. 1301604 0 1040611 SIDNEY HEALTH CENTER CARE FLIGHT OFFERS HIGH QUALITY, AFFORDABLE, AIR MEDICAL TRANSPORTATION FOR PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE THAT IS NOT PROVIDED LOCALLY. APPROXIMATELY 24 PATIENTS ARE FLOWN OUT EACH MONTH FOR CRITICAL MEDICAL CONDITIONS INCLUDING HEART, STROKE, TRAUMA AND PEDIATRIC NEEDS. 105908059 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 145 0 1 695 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 X TINA MONTGOMERY 4064882117 216 14TH AVE SW SIDNEY MT 59270 LISA ROSS MD CHIEF OF MEDICAL STAFF 39.00 1.00 X X 388008 0 27062 MALUA TAMBI MD - CHIEF OF MEDICAL STAFF (THROUGH DEC. 2024) 39.00 1.00 X X 590129 0 36717 ROBERT BURNISON PRESIDENT 1.00 1.00 X X 0 0 0 ERIC BEENKEN VICE PRESIDENT 1.00 1.00 X X 0 0 0 REBECCA BRADLEY - SECRETARY /TREASURER (THROUGH NOV. 2024) 1.00 1.00 X X 0 0 0 SUSAN DUFFEY - TRUSTEE THEN SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 ROBERT BREUER TRUSTEE 1.00 1.00 X 0 0 0 RANDY JOHNSON TRUSTEE 1.00 1.00 X 0 0 0 STEPHANIE LIVERS TRUSTEE 1.00 1.00 X 0 0 0 CHERYL VANEVERY TRUSTEE 1.00 1.00 X 0 0 0 MIKE WEBER TRUSTEE 1.00 1.00 X 0 0 0 DEBORAH HARRIS MD VICE CHIEF OF STAFF 39.00 1.00 X 610219 0 0 RAJOHN KARANJAI MD TRUSTEE/CMO 39.00 1.00 X 1252747 0 0 HERVE NGUEWOUN MD - VICE CHIEF OF STAFF (THROUGH DEC. 2024) 40.00 1.00 X 558378 0 25986 JENNIFER DOTY CEO 39.00 1.00 X 332113 0 37260 TINA MONTGOMERY CFO 39.00 1.00 X 208066 0 29534 PETE COUNCIL MD PHYSICIAN 40.00 0.00 X 799676 0 1949 JEROME KESSLER MD PHYSICIAN 40.00 0.00 X 576124 0 4380 JOHN MORGAN MD PHYSICIAN 40.00 0.00 X 585166 0 12299 PETER DEVEAUX MD PHYSICIAN 40.00 0.00 X 551006 0 53246 DANIEL ANDERSON MD PHYSICIAN 40.00 0.00 X 673458 0 29263 LESZEK JASZCZAK MD FORMER TRUSTEE/CMO 19.00 1.00 X 191272 0 7344 7316362 0 265040 76 1 1 0 BRETT BENNION 214 14TH AVE SW SIDNEY MT 59270 MEDICAL PROVIDER 2929725 MEDIKAR PC 1398 14TH ST SW SIDNEY MT 59270 MEDICAL PROVIDER 1252747 DEBORAH HARRIS PO BOX 164 ALFORD FL 32420 MEDICAL PROVIDER 610219 ROBERT ANDREWS 815 W E ST APT 1 BASIN WY 82410 MEDICAL PROVIDER 565220 SRIDHAR NAIDU 1205 15TH AVE SW MINOT ND 58701 MEDICAL PROVIDER 478500 20 149151 423644 349101 921896 PATIENT REVENUES 621500 99803129 99803129 CLINIC PHARMACY 456110 10579358 8550680 2028678 OTHER PATIENT CARE 621500 2070622 2070622 JOINT VENTURE 900002 1619398 869677 749721 114072507 1192034 1192034 3968 3968 99651 0 99651 99651 99651 7020870 173083 5317100 65516 1703770 107567 1811337 1811337 686537 653009 33528 33528 MEAL INCOME 900099 421527 421527 MISCELLANEOUS REVENUE 900099 194987 194987 616514 118751435 111294108 2878050 3657381 X 26318 26318 1792936 1792936 2298240 1734278 512104 51858 35718459 33005759 2517594 195106 704788 643754 55302 5732 5806426 5276439 473318 56669 2549637 2327957 203945 17735 154852 154852 160418 24885 134933 600 154871 154871 25806964 23046298 2622391 138275 1128744 770315 350199 8230 3640557 2645148 969169 26240 1120280 5501 1114779 986862 972069 6657 8136 665168 622713 42455 467416 441752 25664 4193588 3955172 216016 22400 1633940 1633940 PHARMACY/LAB EXPENSE 21562946 21562861 82 3 BAD DEBT 2798626 2798626 GOOD CENTS STORE 515717 515717 UBI TAXES 118504 118504 3344443 1987117 1338798 18528 117350700 105908059 10893129 549512 9356736 16283352 16856 13750 22588815 19335486 3529926 3711402 1224544 1764013 94549068 62412857 34260715 32136211 29224648 30467956 744559 584356 1472512 3389895 2135454 1655775 104554765 109342196 7745768 9506623 600000 400000 15112366 13349030 16856 13750 2970156 5633947 26445146 28903350 X 77700494 79248669 409125 1190177 78109619 80438846 104554765 109342196 X 1400735 618214 310278 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8714 8714 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND LEADINGAGE ARE USED FOR LOBBYING. THESE ARE ALLOCATED ON A PERCENTAGE BASIS TO LOBBYING ACTIVITIES. 0 1 X 268261 268261 60759245 39741432 21017813 2067720 1388742 678978 28235600 21282683 6952917 3218242 3218242 32136211 ESTIMATED THIRD-PARTY PAYOR PAYABLES 4901295 OPERATING LEASE LIABILITY 574787 FINANCING LEASE LIABILITY 157865 5633947 X 116220372 618214 2074863 2693077 113527295 154871 5069269 5224140 118751435 114611530 2007263 2007263 112604267 154871 4591562 4746433 117350700 PART IV, LINE 2B: RESIDENT TRUST ACCOUNT: THIS IS THE EXTENDED CARE RESIDENT TRUST ACCOUNT, WHICH IS MADE UP OF THE RESIDENTS' MONEY THAT SIDNEY HEALTH CENTER HOLDS ON THEIR BEHALF. THESE MONIES ARE KEPT IN A SEPARATE BANK ACCOUNT FROM THE ORGANIZATION'S FUNDS AND ARE DUE BACK TO THE RESIDENTS UPON LEAVING THE FACILITY. PART X, LINE 2: THE IRS HAS DETERMINED THAT THE HEALTH CENTER IS A TAX-EXEMPT, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE IRC. THE HEALTH CENTER FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. THE HEALTH CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 653,009. LONE TREE REVENUE PER CONSOLIDATED AFS 1,620,389. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -198,535. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 2,798,626. CHARITY CARE 1,792,936. CHANGE IN VALUE OF FAIR VALUE SWAP 477,707. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 653,009. LONE TREE EXPENSES PER CONSOLIDATED AFS 1,552,786. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -198,532. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 2,798,626. CHARITY CARE 1,792,936. 1 1 X 1 X 1 X 1 1 0 1 1 754382 754382 0.00660 12022727 10227064 1795663 0.01570 12777109 10227064 2550045 0.02230 152081 152081 0.00130 20800 20800 0.00020 32989934 17609916 15380018 0.13430 33162815 17609916 15552899 0.13580 45939924 27836980 18102944 0.15810 0 2798626 0 24082932 24177828 -94896 X 1 1 1 1 SIDNEY HEALTH CENTER 216 14TH AVENUE SW SIDNEY MT 59270 WWW.SIDNEYHEALTH.ORG 12709 X X X X SIDNEY HEALTH CENTER 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, SECTION C X X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 1 1 X X X X 1 X WWW.SIDNEYHEALTH.ORG/BILLING X WWW.SIDNEYHEALTH.ORG/BILLING X WWW.SIDNEYHEALTH.ORG/BILLING X X X X X X 1 X 0 X X X X 1 X 0 0 SIDNEY HEALTH CENTER PART V, SECTION B, LINE 5: IN MARCH 2022, SURVEYS WERE MAILED OUT TO A RANDOM SAMPLE OF 800 RESIDENTS OF RICHLAND COUNTY, MONTANA, THE HOSPITAL'S COMMUNITY. 65 COMPLETED SURVEYS WERE RETURNED. IN ADDITION, 3 FOCUS GROUP INTERVIEWS WERE CONDUCTED. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE MONTANA OFFICE OF RURAL HEALTH. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 7D: THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 11: SIDNEY HEALTH CENTER (SHC) IS DEDICATED TO ENHANCING THE HEALTH AND WELL-BEING OF RICHLAND COUNTY AND SURROUNDING COMMUNITIES. THIS REPORT SUMMARIZES PROGRESS MADE DURING FISCAL YEAR 2025 (JULY 1, 2024, THROUGH JUNE 30, 2025) TOWARD THE GOALS ESTABLISHED IN THE 2022-2025 COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN, WITH A FOCUS ON IMPROVING HEALTHCARE ACCESS, STRENGTHENING BEHAVIORAL HEALTH SERVICES, AND ENHANCING COMMUNITY ENGAGEMENT.GOAL 1: ENHANCE ACCESS TO HEALTHCARE SERVICESPRIMARY AND SPECIALTY CARE EXPANSIONIN FY2025, SIDNEY HEALTH CENTER STRENGTHENED ACCESS TO CARE BY RECRUITING ADDITIONAL MEDICAL PROVIDERS AND EXPANDING SPECIALTY SERVICES: -DR. FRED WEIGAND, GENERAL SURGEON - JOINED IN FEBRUARY 2025 AND PROVIDES SURGICAL COVERAGE AND CLINIC SERVICES 7-10 DAYS PER MONTH, IMPROVING LOCAL ACCESS TO GENERAL SURGERY. -JESSICA SWEETSER, FNP - JOINED THE CANCER CARE TEAM IN JANUARY 2025 AS A LOCUM PROVIDER DELIVERING MEDICAL ONCOLOGY SERVICES, WITH PLANS TO TRANSITION TO FULL-TIME EMPLOYMENT IN DECEMBER 2025. -DR. SRIDHAR NAIDU, INTERVENTIONAL RADIOLOGIST - TRAVELS MONTHLY FROM MINOT, ND, PROVIDING SPECIALIZED INTERVENTIONAL RADIOLOGY PROCEDURES, REDUCING THE NEED FOR PATIENTS TO TRAVEL OUTSIDE THE REGION.LABOR & DELIVERY UNIT RENOVATIONIN APRIL 2025, SIDNEY HEALTH CENTER CELEBRATED THE GROUNDBREAKING OF ITS LABOR & DELIVERY UNIT RENOVATION. THIS PROJECT WILL CREATE A MODERN, FAMILY-CENTERED BIRTHING ENVIRONMENT DESIGNED TO ENHANCE PATIENT COMFORT, PRIVACY, AND SAFETY WHILE SUPPORTING IMPROVED CLINICAL CARE FOR MOTHERS AND NEWBORNS. THE PROJECT IS EXPECTED TO BE COMPLETED IN 2027.PROFESSIONAL BUILDING EXPANSIONTHE PROFESSIONAL BUILDING RENOVATION PROJECT EXPANDED ACCESS TO CARE BY PROVIDING MODERNIZED CLINIC SPACE FOR PEDIATRICS AND OUTREACH CLINICS, AS WELL AS EDUCATION AND ADMINISTRATIVE AREAS. THIS RENOVATION ENHANCES PATIENT ACCESS TO SPECIALTY SERVICES LOCALLY WHILE SUPPORTING CONTINUED ORGANIZATIONAL GROWTH AND IMPROVED CARE DELIVERY.PREVENTIVE SERVICES ACCESSSIDNEY HEALTH CENTER EXPANDED PREVENTIVE SERVICES AND SCREENINGS TO PROMOTE EARLY DETECTION AND IMPROVE HEALTH OUTCOMES: -EXTENDED MAMMOGRAPHY HOURS: THE IMAGING DEPARTMENT EXTENDED SCREENING HOURS ON OCTOBER 7, 17, 22, AND 30, 2024, FROM 7:00 AM TO 6:00 PM TO IMPROVE ACCESSIBILITY. COMBINED WITH WEEKLY BREAST HEALTH AWARENESS EDUCATION ON SOCIAL MEDIA, THESE EFFORTS RESULTED IN A SIGNIFICANT INCREASE IN SCREENINGS, WITH 60 ADDITIONAL MAMMOGRAMS COMPLETED COMPARED TO PREVIOUS MONTHS. -MEN'S HEALTH SCREENING EVENT: IN MARCH 2025, 37 MEN PARTICIPATED IN THE FREE SCREENING. OF THOSE, 25 PARTICIPANTS HAVE HAD A COLONOSCOPY IN THE LAST 10 YEARS, 3 MEN SAID THEY WOULD NEVER GET A COLONOSCOPY, AND 7 FIT KITS WERE HANDED OUT. FOLLOW-UP FROM FIT KITS, 2 WERE ABNORMAL AND SCHEDULED COLONOSCOPIES. -SUN BUS SKIN CANCER SCREENING EVENT: IN AUGUST 2024, SHC PARTNERED WITH THE RICHLAND COUNTY HEALTH DEPARTMENT AND FOUNDATION FOR COMMUNITY CARE TO HOST A TWO-DAY FREE SKIN SCREENING EVENT SERVING 98 PARTICIPANTS, WITH 35 REFERRED FOR FURTHER EVALUATION. SHC SUPPORTED THE EVENT WITH A $2,000 SPONSORSHIP, DEMONSTRATING ITS COMMITMENT TO CANCER PREVENTION AND EARLY DETECTION. -CLINIC PHARMACY VACCINATION SERVICES: IN AUGUST 2024, SIDNEY HEALTH CENTER CLINIC PHARMACY LAUNCHED COMPREHENSIVE VACCINATION SERVICES TO INCREASE COMMUNITY ACCESS TO ESSENTIAL IMMUNIZATIONS. THIS SERVICE PROVIDES A CONVENIENT, RELIABLE, AND ACCESSIBLE OPTION FOR INDIVIDUALS TO RECEIVE RECOMMENDED VACCINATIONS, INCLUDING SEASONAL INFLUENZA AND OTHER PREVENTIVE IMMUNIZATIONS. BY OFFERING VACCINATIONS DIRECTLY THROUGH THE CLINIC PHARMACY, SHC REDUCES BARRIERS TO CARE AND HELPS PROTECT THE COMMUNITY AGAINST PREVENTABLE DISEASES.GOAL 2: STRENGTHEN BEHAVIORAL HEALTH SERVICESBEHAVIORAL HEALTH INTEGRATIONSIDNEY HEALTH CENTER CONTINUED INTEGRATING BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE, ENHANCING SCREENING PROCESSES, IMPROVING EARLY IDENTIFICATION OF MENTAL HEALTH CONCERNS, AND STRENGTHENING REFERRAL PATHWAYS FOR APPROPRIATE TREATMENT AND SUPPORT.TELEHEALTH PSYCHIATRY SERVICESTELEHEALTH PARTNERSHIPS WITH INTERMOUNTAIN HEALTHCARE AND ARRAY BEHAVIORAL HEALTH EXPANDED ACCESS TO PSYCHIATRIC SERVICES, PROVIDING 24/7 CRISIS EVALUATIONS IN THE EMERGENCY DEPARTMENT. THESE SERVICES ADDRESS URGENT MENTAL HEALTH CONDITIONS SUCH AS SEVERE DEPRESSION, ANXIETY, AND SUBSTANCE-RELATED CRISES, ENSURING TIMELY INTERVENTION AND APPROPRIATE CARE.COMMUNITY EDUCATION AND SUICIDE PREVENTIONSHC REMAINED COMMITTED TO SUICIDE PREVENTION AND MENTAL HEALTH AWARENESS THROUGH EDUCATION AND TRAINING: -QPR (QUESTION, PERSUADE, REFER) TRAINING: OFFERED QUARTERLY TO NEW EMPLOYEES, EQUIPPING STAFF WITH THE SKILLS TO RECOGNIZE WARNING SIGNS OF SUICIDE AND RESPOND APPROPRIATELY. -SUICIDE PREVENTION MONTH AWARENESS: DURING SEPTEMBER, SHC SHARED WEEKLY EDUCATIONAL CONTENT ON SUICIDE AWARENESS THROUGH SOCIAL MEDIA PLATFORMS. SHC ALSO SERVED AS AN ADVOCATE SPONSOR FOR THE OUT OF THE DARKNESS WALK EASTERN MONTANA, HELD SEPTEMBER 21, 2024, AT VETERANS MEMORIAL PARK IN SIDNEY, SUPPORTING PREVENTION, EDUCATION, AND ADVOCACY EFFORTS.GOAL 3: ENHANCE COMMUNITY ENGAGEMENT AND COLLABORATIONCOMMUNITY PARTNERSHIPS AND WORKFORCE DEVELOPMENTSIDNEY HEALTH CENTER ACTIVELY ENGAGED WITH COMMUNITY PARTNERS TO SUPPORT WORKFORCE DEVELOPMENT AND IMPROVE COMMUNITY HEALTH: -SHC STAFF PARTICIPATED IN LOCAL COALITIONS FOCUSED ON CHRONIC DISEASE PREVENTION, CANCER AWARENESS, AND INJURY PREVENTION. -SHC HOSTED A HEALTHCARE CAREER EXPLORATION DAY IN DECEMBER 2024, PROVIDING HIGH SCHOOL STUDENTS FROM SIDNEY, LAMBERT, CULBERTSON, AND BAINVILLE WITH HANDS-ON LEARNING EXPERIENCES AND EXPOSURE TO HEALTHCARE CAREERS. -SHC PARTNERED WITH WILLISTON STATE COLLEGE AND SIDNEY HIGH SCHOOL TO LAUNCH AN 11-MONTH PRACTICAL NURSING PROGRAM. GRADUATES ARE ELIGIBLE TO TAKE THE NCLEX EXAM AND ENTER THE WORKFORCE AS LICENSED PRACTICAL NURSES (LPNS), HELPING ADDRESS REGIONAL WORKFORCE SHORTAGES AND IMPROVE ACCESS TO CARE.HEALTH EDUCATION AND COMMUNITY OUTREACHSHC PROVIDED EDUCATIONAL PROGRAMS AND SUPPORT SERVICES TO EMPOWER COMMUNITY MEMBERS TO MANAGE THEIR HEALTH: -MEDICARE 101 EDUCATIONAL SESSION: HOSTED IN AUGUST 2024 IN PARTNERSHIP WITH THE RICHLAND COUNTY COMMISSION ON AGING, COVERING ENROLLMENT, BENEFITS, FRAUD PREVENTION, AND COST ASSISTANCE. -DIABETES EDUCATION SERVICES: CONTINUED OFFERING INDIVIDUALIZED DIABETES EDUCATION AND SUPPORT, HELPING PATIENTS IMPROVE DISEASE MANAGEMENT AND HEALTH OUTCOMES. -NURTURE NEST CAF: OFFERED MONTHLY BY THE OB CLINIC, PROVIDING EDUCATION, INFANT WEIGHT CHECKS, AND PARENTING SUPPORT FOR FAMILIES WITH YOUNG CHILDREN AT NO COST. -CHILDBIRTH EDUCATION CLASSES: OFFERED QUARTERLY FREE CHILDBIRTH CLASSES LED BY REGISTERED NURSES, COVERING LABOR, DELIVERY, INFANT CARE, AND BREASTFEEDING EDUCATION.PATIENT AND FAMILY ADVISORY COUNCIL (PFAC)THE PFAC CONTINUED MEETING BI-MONTHLY TO PROVIDE VALUABLE PATIENT AND FAMILY FEEDBACK, HELPING IMPROVE PATIENT EXPERIENCE AND ORGANIZATIONAL RESPONSIVENESS. PFAC MEMBERS ALSO PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH FOCUS GROUPS AND INDIVIDUAL INPUT.OUTCOMES AND IMPACTUTILIZATION OF SERVICESSIDNEY HEALTH CENTER MAINTAINED STRONG SERVICE UTILIZATION: -EMERGENCY DEPARTMENT VISITS REMAINED STEADY, WITH OVER 6,000 VISITS. -CLINIC VISITS INCREASED BY 2.6% COMPARED TO THE PREVIOUS YEAR, REFLECTING IMPROVED ACCESS AND CONTINUED COMMUNITY TRUST IN SHC SERVICES.RECOGNITION AND QUALITY ACHIEVEMENTSSIDNEY HEALTH CENTER RECEIVED NUMEROUS LOCAL, REGIONAL, AND NATIONAL RECOGNITIONS FOR QUALITY AND PATIENT SAFETY, INCLUDING: -CMS 5-STAR HOSPITAL RATING -TOP 75 BEST HOSPITALS IN THE U.S. - MONEY MAGAZINE -AMERICA'S BEST-IN-STATE HOSPITAL - NEWSWEEK AND STATISTA -QUALITY AWARD - YELLOWSTONE INSURANCE EXCHANGE, RRG -PATIENT SAFETY AWARD - PERFORMANCE IMPROVEMENT NETWORKTHESE RECOGNITIONS REFLECT SHC'S COMMITMENT TO DELIVERING SAFE, HIGH-QUALITY CARE.ENHANCED COMMUNITY AWARENESSSHC CONTINUED EXPANDING COMMUNITY OUTREACH THROUGH SOCIAL MEDIA, EDUCATIONAL PROGRAMMING, AND COMMUNITY EVENTS, INCREASING AWARENESS OF AVAILABLE SERVICES AND IMPROVING ACCESS TO HEALTHCARE RESOURCES.LOOKING FORWARDSIDNEY HEALTH CENTER REMAINS COMMITTED TO IMPROVING ACCESS TO CARE, STRENGTHENING BEHAVIORAL HEALTH SERVICES, AND ENHANCING COMMUNITY PARTNERSHIPS. THE COMPLETION OF THE PROFESSIONAL BUILDING RENOVATION SUPPORTS EXPANDED CLINICAL SERVICES, IMPROVED PATIENT ACCESS, AND CONTINUED ORGANIZATIONAL GROWTH.SHC WILL CONTINUE IMPLEMENTING STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT TO ADDRESS EVOLVING COMMUNITY HEALTH PRIORITIES AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE REGION. 2 1 - SIDNEY HEALTH CENTER EXTENDED CARE 216 14TH AVE SW SIDNEY MT 59270 NURSING HOME 2 - THE LODGE AT LONE TREE 1015 7TH AVE SW SIDNEY MT 59270 ASSISTED LIVING COMPLEX PART I, LINE 3C: FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE ONLY. PRIOR TO QUALIFYING FOR FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST (A) RECEIVE QUALIFYING MEDICAL SERVICES FROM SIDNEY HEALTH CENTER; (B) EXHAUST ALL ALTERNATIVE PAYMENT RESOURCES INCLUDING THIRD-PARTY AND FEDERAL AND STATE PROGRAMS; AND (C) SUBMIT A COMPLETED APPLICATION WITH THE REQUIRED SUPPORTING DOCUMENTATION. PART I, LINE 7: IN ORDER TO CALCULATE THE OVERALL HOSPITAL'S COST TO CHARGE RATIO USED FOR PART I, LINE 7, THE HOSPITAL FIRST DETERMINED A COST-TO-CHARGE RATIO BASED ON THE JUNE 30, 2025 FILED MEDICARE COST REPORT SEPARATELY FOR INPATIENT SERVICES, OUTPATIENT SERVICES, AND TOTAL SERVICES. TO CALCULATE THE COSTS INCLUDED ON LINES 7A AND 7B, THE HOSPITAL TOOK EACH OF THE SEPARATE COST-TO-CHARGE RATIOS DESCRIBED IN THE PRECEEDING PARAGRAPH AND APPLIED THEM ONLY TO THE RELATED CHARGES BY SERVICE TYPE. THE AMOUNTS IN LINES 7E-7I ARE BASED ON ACTUAL COST. PART I, LINE 7G: THE FOLLOWING SUBSIDIZED HEALTH SERVICES WERE INCLUDED IN PART I, LINE 7G:OBSERVATION, NURSERY, SPEECH PATHOLOGY, AUDIOLOGY, CARDIAC REHAB, MEDICAL ONCOLOGY, CLINIC FACILITY, EMERGENCY ROOM, AMBULANCE SERVICES, ENT/RADIOLOGY/ONCOLOGY CLINIC, AND PROVIDER-BASED CLINIC. $20,799,628 OF COMMUNITY BENEFIT EXPENSES AND $9,830,275 OF DIRECT OFFSETTING REVENUES WERE ATTRIBUTABLE TO CLINICS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,798,626. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE HEALTH CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. PART III, LINE 3: THE HEALTH CENTER IS UNABLE TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF THEY WERE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 (PAGE 12) OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 IS DERIVED FROM USING THE JUNE 30, 2025 FILED MEDICARE COST REPORT. THE SHORTFALL OCCURS DUE TO VARIOUS EXPENSES INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED, IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. PART III, LINE 9B: IF THE PATIENT INDICATES THEIR INABILITY TO PAY ACCORDING TO THE HOSPITAL CREDIT TERMS THEY WILL BE ASKED TO FILL OUT A FINANCIAL STATEMENT. THE HOSPITAL MAY PULL A CREDIT REPORT TO CONFIRM OR SUPPLEMENT INFORMATION PROVIDED TO THE HOSPITAL ON THE FINANCIAL STATEMENT. THE PATIENT CAN THEN BE EVALUATED TO DETERMINE WHETHER THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR AN EXTENDED PAYMENT PROGRAM.IF THE FINANCIAL STATEMENT SHOWS THAT THE PATIENT HAS ASSETS OR POTENTIAL SOURCES OF INCOME THAT WOULD ENABLE THEM TO PAY THE HOSPITAL BILL WITHIN A YEAR, THEY WILL BE DENIED THE EXTENDED PAYMENT WAIVER. IF A PATIENT REFUSES TO FURNISH A COMPLETED FINANCIAL STATEMENT, THEIR ACCOUNT WILL BE DEEMED DELINQUENT AND FURTHER COLLECTION ACTION WILL BE TAKEN. PRIOR TO ADMISSION, AT THE TIME OF ADMISSION, OR AS SOON AS POSSIBLE THEREAFTER, THE HOSPITAL WILL MAKE AN INITIAL ASSESSMENT OF POTENTIAL ELIGIBILITY BASED ON THE VERBAL APPLICATION FOR FINANCIAL ASSISTANCE. IF POTENTIAL ASSISTANCE IS INDICATED WITH INITIAL ASSESSMENT, THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR DEPOSITS PENDING THE RECEIPT OF THE COMPLETED APPLICATION AND FINAL ELIGIBILITY DETERMINATION. THE RESPONSIBLE PARTY MUST BE COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A DETERMINATION OF ELIGIBILITY WITH OTHER ASSISTANCE PROGRAMS AND TO VALIDATE THE INFORMATION NEEDED.SIDNEY HEALTH CENTER WILL MAKE A CONCERTED EFFORT TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE. EDUCATIONAL MATERIALS ABOUT THE PROGRAM WILL BE AVAILABLE TO PATIENTS THROUGH THE ADMISSIONS PROCESS. AS SOON AS A PATIENT EVIDENCES INABILITY TO PAY HE OR SHE WILL BE REFERRED TO THE PATIENT FINANCIAL SERVICES COUNSELOR FOR AN APPLICATION. APPLICATIONS ARE ALSO AVAILABLE AT THE ADMISSIONS AREA, AND THROUGH SOCIAL SERVICES. PART VI, LINE 2: THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE YEAR ENDED JUNE 30, 2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN. PART VI, LINE 3: SIDNEY HEALTH CENTER HAS NOTICES LOCATED AT THE ADMISSIONS OFFICE INFORMING PATIENTS ABOUT THEIR FINANCIAL ASSISTANCE POLICY. THE PROGRAM IS ALSO STATED ON THE ORGANIZATION'S WEBSITE AND INCLUDED IN THE PATIENT'S PACKET UPON DISCHARGE FROM THE FACILITY. PART VI, LINE 4: LOCATED IN THE HEART OF RICHLAND COUNTY, SIDNEY HEALTH CENTER SERVES PEOPLE IN ALL OF THE MONDAK REGION. PART VI, LINE 5: THE HEALTH CENTER DEFINES AND MEASURES THEIR INVESTMENT IN AND PARTNERSHIP WITH THE COMMUNITY PRIMARILY THROUGH VARIOUS COMMUNITY-BASED SERVICES PROGRAMS, PROVIDING HEALTH EQUIPMENT IN AREA SCHOOLS, AND COMMUNITY PROGRAMS AND EDUCATION. A NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. 1 CHARITY CARE 304 1792936 0 N/A N/A PART I, LINE 2: SIDNEY HEALTH CENTER CONFIRMS THAT EACH RECIPIENT ORGANIZATION IS A QUALIFIED GOVERNMENT OR CHARITY ORGANIZATION. CONTRIBUTED FUNDS ARE INTENDED FOR GENERAL OPERATING SUPPORT, SO SIDNEY HEALTH CENTER DOES NOT CONDUCT ANY FOLLOW-UP MONITORING ACTIVITIES. SIDNEY HEALTH CENTER DOES NOT PROVIDE CASH ASSISTANCE TO INDIVIDUALS. RATHER THAN GIVING CASH OR NON-CASH ITEMS TO INDIVIDUALS, SIDNEY HEALTH CENTER PROVIDES DISCOUNTS ON ITS SERVICES, IN THE FORM OF CHARITY CARE, TO INDIVIDUALS WHO MEET SPECIFIED ELIGIBILITY CRITERIA. SIDNEY HEALTH CENTER PROVIDES CARE, WITHOUT CHARGE, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A PATIENT'S DEMONSTRATED INABILITY TO PAY BASED ON FAMILY SIZE AND HOUSEHOLD INCOME RELATED TO FEDERAL INCOME POVERTY GUIDELINES. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR FREE CARE TO THOSE RANGING UP TO AND EXCEEDING 200% OF THE FEDERAL POVERTY LEVEL. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR REDUCED-COST CARE FOR THOSE RANGING FROM 201 % TO 399% OF THE FEDERAL POVERTY LEVEL. PATIENTS WITH INCOME OVER 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR INTEREST FREE PAYMENTS FOR UP TO 36 MONTHS. X 1 1 X X 0 0 0 1 0 1 0 0 0 RAJOHN KARANJAI MD TRUSTEE/CMO 1252747 0 0 0 0 0 0 0 0 0 1252747 0 0 0 PETE COUNCIL MD PHYSICIAN 799676 0 0 0 0 0 0 0 1949 0 801625 0 0 0 DANIEL ANDERSON MD PHYSICIAN 673458 0 0 0 0 0 0 0 29263 0 702721 0 0 0 MALUA TAMBI MD - CHIEF OF MEDICAL STAFF (THROUGH DEC. 2024) 570129 0 20000 0 0 0 10350 0 26367 0 626846 0 0 0 DEBORAH HARRIS MD VICE CHIEF OF STAFF 610219 0 0 0 0 0 0 0 0 0 610219 0 0 0 PETER DEVEAUX MD PHYSICIAN 550981 0 25 0 0 0 10350 0 42896 0 604252 0 0 0 JOHN MORGAN MD PHYSICIAN 585166 0 0 0 0 0 10350 0 1949 0 597465 0 0 0 HERVE NGUEWOUN MD - VICE CHIEF OF STAFF (THROUGH DEC. 2024) 538278 0 20100 0 0 0 10350 0 15636 0 584364 0 0 0 JEROME KESSLER MD PHYSICIAN 576124 0 0 0 0 0 0 0 4380 0 580504 0 0 0 LISA ROSS MD CHIEF OF MEDICAL STAFF 387908 0 100 0 0 0 10350 0 16712 0 415070 0 0 0 JENNIFER DOTY CEO 331863 0 250 0 0 0 10081 0 27179 0 369373 0 0 0 TINA MONTGOMERY CFO 207516 0 550 0 0 0 6414 0 23120 0 237600 0 0 0 LESZEK JASZCZAK MD FORMER TRUSTEE/CMO 191272 0 0 0 0 0 5733 0 1611 0 198616 0 0 0 PART I, LINE 1A DANIEL ANDERSON RECEIVED A HOUSING ALLOWANCE OF $19,200. LISA ROSS RECEIVED A HOUSING ALLOWANCE OF $9,600. THESE AMOUNTS WERE INCLUDED IN TAXABLE INCOME. PART I, LINE 5 PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS. PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES. PART I, LINE 6 FOR THE EXECUTIVES, ANNUAL RAISES ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN. A RICHLAND COUNTY 816001419 2011-09-15 24370000 REDEEMING AND RETIRING PREVIOUSLY ISSUED DEBT (2006, 2007A AND 2007B) 0 0 0 B RICHLAND COUNTY 816001419 2018-01-09 5700000 HOSPITAL CAPITAL IMPROVEMENTS 0 0 0 A 14005000 24370000 300000 24070000 2012 1 0 1 1 B 2701000 5700000 5700000 2018 0 0 1 1 A 1 0 0 0 0 0 0 B 1 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 0 1 1 1 US BANK 3.800000000000 0 0 0 0 0 A 0 B 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: RICHLAND COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/23/2022 ROBERT MONTGOMERY SPOUSE OF TINA MONTGOMERY, CFO 63403 EMPLOYEE COMPENSATION 0 SEAN MONTGOMERY CHILD OF TINA MONTGOMERY, CFO 50985 EMPLOYEE COMPENSATION 0 SCOTT DOTY SPOUSE OF JENNIFER DOTY, CEO 92804 EMPLOYEE COMPENSATION 0 NANCY STEFFAN MOTHER OF JENNIFER DOTY, CEO 17300 EMPLOYEE COMPENSATION 0 TIFFANY STEFFAN SISTER-IN-LAW OF JENNIFER DOTY, CEO 74482 EMPLOYEE COMPENSATION 0 SUSAN VANEVERY DAUGHTER-IN-LAW OF CHERYL VANEVERY 164887 EMPLOYEE COMPENSATION 0 FORM 990, PART III, LINE 2 OSTEOARTHRITIS RADIATION THERAPY AT THE CANCER CENTER FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND ONE OTHER MEMBER OF THE BOARD APPOINTED BY THE PRESIDENT. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE ARTICLES OF INCORPORATION, BYLAWS AND STATE POLICIES. ANY OFFICIAL ACTION TAKEN BY THE EXECUTIVE COMMITTEE IS SUBMITTED TO THE BOARD FOR RATIFICATION AT THE NEXT BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 6 NATURAL PERSONS, CORPORATIONS, OR UNINCORPORATED ASSOCIATIONS MAY BECOME MEMBERS OF SIDNEY HEALTH CENTER BY: A. PAYMENT TO SIDNEY HEALTH CENTER A SUM OF NOT LESS THAN $100 CASH OR BY AN EQUIVALENT CONTRIBUTION OR METHOD AS APPROVED BY THE BOARD; B. RESIDING IN OR HAVING ITS PRINCIPAL PLACES OF BUSINESS IN THE SERVICE AREA OF SIDNEY HEALTH CENTER; AND C. AGREEING TO BE BOUND BY THE BYLAWS OF SIDNEY HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF DIRECTORS IS HELD AT THE ANNUAL MEETING OF THE MEMBERS BY WRITTEN BALLOT LISTING THE CANDIDATES NOMINATED BY THE NOMINATING COMMITTEE OF THE MEMBERS. EACH MEMBER OF SIDNEY HEALTH CENTER, PRESENT IN PERSON OR BY PROXY, IS ENTITLED TO VOTE FOR ONE CANDIDATE FOR EACH DIRECTOR VACANCY TO BE FILLED. THE CANDIDATES RECEIVING THE HIGHEST NUMBER OF VOTES AT THE MEETING ARE CONSIDERED ELECTED AS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ANY PROPOSED AMENDMENTS APPROVED BY THE BOARD OR BY VERIFIED PETITION TO THE ARTICLES OF INCORPORATION OR BYLAWS SHALL BE SUBMITTED FOR VOTE BY THE MEMBERS AT THE NEXT SPECIAL OR ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR, CHIEF FINANCIAL OFFICER, AND CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER WILL REVIEW THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY OF THE CORPORATION IS TO REQUIRE THAT EACH INDIVIDUAL SUBJECT TO THIS POLICY STATEMENT PROMPTLY AND FULLY DISCLOSE ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST, AND THAT THE CORPORATION WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION, OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS (ACTING AT A DULY CONSTITUTED MEETING THEREOF) DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF THE CORPORATION HAVE BEEN IMPLEMENTED. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED ANNUALLY TO ALL INTERESTED PERSONS (BOARD MEMBERS, OFFICERS, AND COMMITTEE MEMBERS). AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. "DISCLOSURE" MEANS PROMPTLY PROVIDING A WRITTEN DESCRIPTION OF THE MATERIAL FACTS OF THE ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST TO THE EXECUTIVE COMMITTEE ON THE CONFLICTS-OF-INTEREST QUESTIONNAIRE. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. AT ANY TIME THAT AN ACTUAL, APPARENT, OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE EXECUTIVE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE EXECUTIVE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. THE EXECUTIVE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION FROM ALL REASONABLE SOURCES AND MAY INVOLVE THE GENERAL COUNSEL IN ITS DELIBERATIONS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, EXECUTIVE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. ONCE THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS HAVE DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: (I) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, SHALL APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT. (II) IN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT, THE BOARD OF DIRECTORS MAY APPROVE SUCH A CONTRACT, TRANSACTION, OR ARRANGEMENT ONLY IF THE DISINTERESTED DIRECTORS DETERMINE BY A MAJORITY VOTE THAT: (A) THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTERESTS AND FOR THE CORPORATION'S OWN BENEFIT; AND (B) THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. (III) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS DISCUSSED. THE INTERESTED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON AND ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES SALARIES USING THE MHA SALARY SURVEY FOR MARKET INFORMATION AND ALSO PERFORMS A WRITTEN EVALUATION ANNUALLY. ADDITIONALLY, THE CEO USES MHA MANAGEMENT SURVEY, AS WELL AS OTHER COMPENSATION SURVEYS, TO DETERMINE ANNUAL PAY INCREASES FOR ADMINISTRATION. A WRITTEN EVALUATION IS PERFORMED. ALL ESTIMATED ANNUAL INCREASES ARE INCLUDED IN THE BUDGET, WHICH IS APPROVED BY THE BOARD OF DIRECTORS. THIS PROCEDURE WAS LAST PERFORMED IN JUNE OF 2025. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 23,046,298. MANAGEMENT AND GENERAL EXPENSES 2,622,391. FUNDRAISING EXPENSES 138,275. TOTAL EXPENSES 25,806,964. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 787,985. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -477,707. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. LONE TREE SENIOR LIVING 1015 7TH AVE SW SIDNEY MT 59270 810518821 ASSISTED LIVING MT 501(C)(3) LINE 10 SIDNEY HEALTH CENTER 1 FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY 221 2ND ST NW SIDNEY MT 59270 810417465 FUNDRAISING MT 501(C)(3) LINE 12A, I SIDNEY HEALTH CENTER 1 SHC 2021 LLC 1429 KINGS VIEW DRIVE GRAND FORKS ND 58201 863920806 AIR AMBULANCE ND N/A RELATED 668380 5015444 0 708950 0 0.49000 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 LONE TREE SENIOR LIVING A 24335 CONTRACTED INTEREST RATE FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY C 149151 CASH LONE TREE SENIOR LIVING L 174197 FAIR MARKET VALUE