Glendive Medical Center

What it reported doing in 2024

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 116 nursing home beds which includes 36 extended care beds and 80 beds with the Eastern Montana Veterans Home, 13-suite Assisted Living Facility, Visiting Nurse Program, and Hospice services. A clinic with Rural Health Clinic designation 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 Continued on Schedule O...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 4,203 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 $322,576 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, WWW.gmc.org.

Financial Efficiency

• Mission deployment rate: 74.4%; rating input score 74
• Program expense ratio: 75.8%; rating input score 76
• Fundraising efficiency: $0.89 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 75%; rating input score 75; 24th percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.1%; rating input score 43; 43rd percentile among comparable filings
• Total-asset coverage ratio: 0.93; rating input score 37; 37th percentile among comparable filings
• Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
• Officer compensation ratio: 7.6%; rating input score 6; 6th percentile among comparable filings

Growth

• Program expense growth: 2.9% per year; rating input score 100; 21st percentile among comparable filings
• Revenue growth: 3.9% per year; rating input score 100; 31st percentile among comparable filings
• Asset growth: -1.9% per year; rating input score 0; 4th percentile among comparable filings