St Luke Community Hospital

“The executive committee shall consist of the chairman, vice chairman, immediate past chair and secretary. The executive committee shall have power to transact all regular business of the hospital during the interim between the meetings of the board of directors; provided any action taken shall not conflict with the policies and expressed wishes of the board of directors, and that it shall refer all matters of major importance to the board of directors. The executive committee shall also act as the joint conference committee to ensure liaison between the governing body and the medical staff.”

“The ceo and cfo review the 990 before it is filed. It is then presented to the full board of directors at the next meeting.”

“St. Luke community hospital maintains a comprehensive conflict of interest policy to ensure that all actual or potential conflicts are disclosed, reviewed, and appropriately managed. The policy requires directors, principal officers, and committee members with board-delegated powers to annually affirm receipt, understanding, and compliance with the policy, and to declare their independence status. If any material changes occur during the year, individuals must promptly update their disclosure forms. The executive committee is responsible for regularly and consistently monitoring compliance. This includes reviewing annual statements, overseeing the disclosure process, and taking necessary actions for effective oversight. In the event of a possible conflict, the interested person must disclose all material facts, and may recuse themselves from related discussions or decisions. The board or executive committee determines whether a conflict exists, and if so, investigates alternatives and ensures any approved transaction is fair, reasonable, and in the hospital's best interest. Meeting minutes document all disclosures, determinations, discussions, and votes related to conflicts of interest. Periodic reviews are conducted to confirm that compensation arrangements, partnerships, and transactions are reasonable, properly recorded, and further charitable purposes, without resulting in impermissible private benefit or excess benefit transactions. Outside experts may be consulted for these reviews, but the board retains ultimate responsibility for oversight. Violations of the policy are addressed through investigation and, if warranted, disciplinary and corrective action.”

“The montana association of hospitals conducts an independent survey and comparison of facilities across montana and compares data across several other states. The excecutive committee of the board of st. Luke community healthcare uses salary data from this survey to determine compensations. The process described here was last completed in 2024.”

“St. Luke community healthcare makes its governing documents, conflict of interest policy and financial statements available upon request.”

“The authority and process for selecting the financial statement auditor and for overseeing the financial statement audit did not change during the year.”