NORTHEAST MONTANA HEALTH SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST MONTANA HEALTH SERVICES INC (EIN 81-0226578)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202311329349308531
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-12T18:21:59-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HEALTH GROUP PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 FOURTH AVENUE NORTH | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810226578 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST MONTANA HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 4066536500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP STREET | AddressLine1Txt |
| City | WOLF POINT | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL POST | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4066536500 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHEAL | PersonFirstNm |
| Person Last | POST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DANIEL GREEN | PreparerPersonNm |
| PTIN | P01311679 | PTIN |
| Phone | 4062632615 | PhoneNum |
| Preparation | 2023-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL POST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP STREET | AddressLine1Txt |
| City | WOLF POINT | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,124,169 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEMHS.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 447 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $1,192,070 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,676,677 | PYContributionsGrantsAmt |
| CY Contributions Grants | $571,024 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,360,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,296,589 | CYProgramServiceRevenueAmt |
| PY Investment Income | $301,801 | PYInvestmentIncomeAmt |
| CY Investment Income | -$114,554 | CYInvestmentIncomeAmt |
| PY Other Revenue | $306,535 | PYOtherRevenueAmt |
| CY Other Revenue | $364,062 | CYOtherRevenueAmt |
| PY Total Revenue | $45,645,505 | PYTotalRevenueAmt |
| CY Total Revenue | $37,117,121 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,247,225 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,844,854 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $65,255 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,113,170 | PYOtherExpensesAmt |
| CY Other Expenses | $15,011,357 | CYOtherExpensesAmt |
| PY Total Expenses | $30,360,395 | PYTotalExpensesAmt |
| CY Total Expenses | $32,856,211 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,285,110 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,260,910 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $60,858,718 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,200,147 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,873,885 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,954,577 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $43,984,833 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $48,245,570 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,860,184 | ExpenseAmt |
| Revenue | $36,296,589 | RevenueAmt |
| Desc | PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE. | Desc |
| Total Program Service Expenses | $28,860,184 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 447 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES BACON | PersonNm |
| Phone | 4066536500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP ST | AddressLine1Txt |
| City | WOLF POINT | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MARGARET NORGAARD | ||||||||
| CEO | 40.00 | Yes (X) | $181,688 | $0 | $32,050 | |||
| LORI COLLINS | ||||||||
| RN | 40.00 | $184,679 | $0 | $14,505 | Yes (X) | |||
| MARK ZILKOSKI MD | ||||||||
| MEDICAL STAF | 1.00 | $0 | $184,485 | $1,845 | 40.00 | Yes (X) | ||
| HANZ ARNSTON | ||||||||
| RN | 40.00 | $158,191 | $0 | $11,998 | Yes (X) | |||
| ELAINE LONG | ||||||||
| RN-VP NURSIN | 40.00 | $149,618 | $0 | $13,799 | Yes (X) | |||
| DEMI WILKINSON | ||||||||
| CFO | 40.00 | Yes (X) | $134,990 | $0 | $15,300 | |||
| STEPHEN TRIMBLE | ||||||||
| RN | 40.00 | $134,173 | $0 | $13,633 | Yes (X) | |||
| ROGER FISHER | ||||||||
| COO | 40.00 | Yes (X) | $146,453 | $0 | $1,142 | |||
| NONETTE BROWN | ||||||||
| RN | 40.00 | $130,315 | $0 | $13,418 | Yes (X) | |||
| SHANE GIBSON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVE HACKLEY | ||||||||
| CHAIRMAN | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| VICTORIA MATEJOVSKY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STEPHANIE MCGOWAN | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DAN MOUDREE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DALLAS O'CONNOR | ||||||||
| VICE-CHAIRMA | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STACEY SUMMERS | ||||||||
| TRIBAL REP | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MICHAEL POST | ||||||||
| CEO | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,220,107 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $184,485 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,690 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KATHY WULF | |||||
| 51265 221ST STREET | GLENWOOD | IA | 51534 | LOCUM TENEN | $346,969 |
| BARTON & ASSOCIATES INC | |||||
| PO BOX 417844 | BOSTON | MA | 022417844 | LOCUM TENENS | $266,825 |
| DRAGE FAMILY EMERGENCY INC | |||||
| 1912 E HICKORY POINT CIRCLE | SANDY | UT | 84092 | LOCUM TENENS | $248,172 |
| SOUTHERN MT ANESTHESIA | |||||
| 430 FLESHMAN CREED RD | LIVINGSTON | MT | 59047 | CRNA | $202,671 |
| EXPERT EASE ANESTHESIA LLC | |||||
| 776 HILLSIDE DRIVE | GLASGOW | MT | 59230 | CRNA | $188,391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $12,350 | FundraisingAmt |
| Related Organizations | $97,448 | RelatedOrganizationsAmt |
| Government Grants | $414,890 | GovernmentGrantsAmt |
| All Other Contributions | $46,336 | AllOtherContributionsAmt |
| Total Contributions | $571,024 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | $32,531,163 | $32,531,163 | |
| RETAIL PHARMACIES | 446110 | $3,765,426 | $2,573,356 | $1,192,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,296,589 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$114,554 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$114,554 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $7,588 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $12,350 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,048 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $540 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL DISTRICT TAX REVENUE | 900099 | $365,146 | $365,146 |
| LOSS ON SALE OF ASSETS | 900099 | -$1,624 | -$1,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $363,522 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,117,121 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,353,487 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,192,070 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,020 | TotalAmt |
| Management And General | $480,020 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,804,979 | TotalAmt |
| Program Services | $12,971,584 | ProgramServicesAmt |
| Management And General | $1,779,981 | ManagementAndGeneralAmt |
| Fundraising | $53,414 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,053 | TotalAmt |
| Program Services | $128,599 | ProgramServicesAmt |
| Management And General | $27,149 | ManagementAndGeneralAmt |
| Fundraising | $305 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,223,434 | TotalAmt |
| Program Services | $1,015,643 | ProgramServicesAmt |
| Management And General | $203,782 | ManagementAndGeneralAmt |
| Fundraising | $4,009 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,180,368 | TotalAmt |
| Program Services | $992,761 | ProgramServicesAmt |
| Management And General | $183,034 | ManagementAndGeneralAmt |
| Fundraising | $4,573 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,501 | TotalAmt |
| Management And General | $14,501 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,250 | TotalAmt |
| Management And General | $61,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,417,488 | TotalAmt |
| Program Services | $4,326,817 | ProgramServicesAmt |
| Management And General | $90,546 | ManagementAndGeneralAmt |
| Fundraising | $125 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,853 | TotalAmt |
| Management And General | $97,853 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $689,435 | TotalAmt |
| Program Services | $469,662 | ProgramServicesAmt |
| Management And General | $219,410 | ManagementAndGeneralAmt |
| Fundraising | $363 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,625 | TotalAmt |
| Program Services | $277,926 | ProgramServicesAmt |
| Management And General | $68,378 | ManagementAndGeneralAmt |
| Fundraising | $1,321 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,484 | TotalAmt |
| Program Services | $275,833 | ProgramServicesAmt |
| Management And General | $63,651 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,041 | TotalAmt |
| Program Services | $101,707 | ProgramServicesAmt |
| Management And General | $8,330 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,042 | TotalAmt |
| Program Services | $19,473 | ProgramServicesAmt |
| Management And General | $6,561 | ManagementAndGeneralAmt |
| Fundraising | $8 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,771 | TotalAmt |
| Program Services | $174,326 | ProgramServicesAmt |
| Management And General | $43,445 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,726,906 | TotalAmt |
| Program Services | $1,487,703 | ProgramServicesAmt |
| Management And General | $239,203 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,921 | TotalAmt |
| Program Services | $228,880 | ProgramServicesAmt |
| Management And General | $57,041 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $4,247,378 | $4,182,840 | $64,538 | |
| COGS | $841,125 | $841,125 | ||
| REPAIRS & MAINTENANCE | $691,698 | $546,094 | $144,516 | $1,088 |
| BED TAXES | $523,764 | $523,764 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,075 | TotalAmt |
| Program Services | $295,447 | ProgramServicesAmt |
| Management And General | $77,583 | ManagementAndGeneralAmt |
| Fundraising | $45 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,856,211 | TotalAmt |
| Program Services | $28,860,184 | ProgramServicesAmt |
| Management And General | $3,930,772 | ManagementAndGeneralAmt |
| Fundraising | $65,255 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,548,530 | BOYAmt |
| EOY | $18,351,089 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,875,254 | BOYAmt |
| EOY | $3,849,520 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,490,035 | BOYAmt |
| EOY | $8,631,934 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,522 | BOYAmt |
| EOY | $1,100,895 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,591 | BOYAmt |
| EOY | $341,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,844,225 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,686,177 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,710,022 | BOYAmt |
| EOY | $11,158,048 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,759,041 | BOYAmt |
| EOY | $6,597,985 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,270,723 | BOYAmt |
| EOY | $14,168,962 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,858,718 | BOYAmt |
| EOY | $64,200,147 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,008,555 | BOYAmt |
| EOY | $8,992,770 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,964 | BOYAmt |
| EOY | $111,455 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,256,670 | BOYAmt |
| EOY | $6,700,609 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,696 | BOYAmt |
| EOY | $149,743 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,873,885 | BOYAmt |
| EOY | $15,954,577 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,944,868 | BOYAmt |
| EOY | $48,201,161 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,965 | BOYAmt |
| EOY | $44,409 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,984,833 | BOYAmt |
| EOY | $48,245,570 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,858,718 | BOYAmt |
| EOY | $64,200,147 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,260,910 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$107,558 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $107,385 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,764 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,764 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV | FormAndLineReferenceDesc |
| Explanation | 0.83 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 286, 26.47 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 2,449, AND 2.93 PERCENT OF DUES PAID TO MHA FOR LEADINGAGE WHICH WAS 29 (2,764 COMBINED) WERE USED FOR LOBBYING EXPENSES BY MHA. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,058 | OtherCostOrOtherBasisAmt |
| Book Value | $60,058 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,177,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,970,631 | DepreciationAmt |
| Book Value | $7,206,544 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,606,992 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,715,546 | DepreciationAmt |
| Book Value | $3,891,446 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,158,048 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $5,549,896 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOND FUNDS | Desc |
| Book Value | $1,048,089 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,597,985 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLE-WOLF POINT CLINIC ASSOC | $9,254,507 |
| RECEIVABLE-RIVERSIDE FAMILY CLINIC | $4,792,455 |
| WORK COMP TRUST DEPOSIT | $122,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,168,962 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,016,611 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$107,558 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$107,558 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,124,169 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$7,048 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$7,048 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,117,121 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,863,259 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $32,863,259 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$7,048 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$7,048 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,856,211 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | NEMHS BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. SEE PAGE 11 OF THE NORTHEAST MONTANA HEALTH SERVICES, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2022 AND 2021. |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | FUNDRAISING EXPENSES NETTED AGAINST REVENUE -7,048 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | FUNDRAISING EXPENSES NETTED AGAINST REVENUE -7,048 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EMS FUNDRAISER | Event1Nm |
| Gross Receipts Event1 | $19,938 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $12,350 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $7,588 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,471 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $1,454 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $750 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,373 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $19,938 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $12,350 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $7,588 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,471 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $1,454 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $750 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,373 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,048 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $540 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $595,374 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $595,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $595,374 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $595,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,429,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,987,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,442,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,429,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,987,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,442,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,025,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,987,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,038,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09250 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,442 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,442 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $6,680,444 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,555,174 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $125,270 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|
| NEMHS - TRINITY HOSPITAL | |||||||||
| 1 | 315 KNAPP STREET | WOLF POINT | MT | 59201 | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| NEMHS - POPLAR COMMUNITY HOSPITAL | |||||||||
| 2 | 211 H STREET EAST | POPLAR | MT | 59255 | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEMHS - TRINITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (true) | 21 | Yes (true) | WWW.NEMHS.NET | false | false | Yes (true) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.NEMHS.NET | Yes (X) | WWW.NEMHS.NET | Yes (X) | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| NEMHS - POPLAR COMMUNITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (true) | 21 | Yes (true) | WWW.NEMHS.NET | false | false | Yes (true) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.NEMHS.NET | Yes (X) | WWW.NEMHS.NET | Yes (X) | WWW.NEMHS.NET | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. |
| FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5 | IN APRIL 2022, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN THE PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. THE SURVEY WAS ALSO MADE AVAILABLE ONLINE THROUGH SURVEY MONKEY AND MARKETED VIA THE FACILITY'S WEBSITE AND FACEBOOK PAGE. MAIL RETURNS AND ON-LINE SURVEYS WERE COMBINED WHICH RESULTED IN 133 SURVEYS BEING RETURNED. CONSULTATIONS WITH INDIVIDUALS WHO REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS, PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW INCOME, UNDERINSURED, MINORITY CITIZENS, LOCAL COMMUNITY MEMBERS, AND STUDENTS WERE CONDUCTED TO SOLICIT THEIR INPUT. |
| FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 6A | NORTHEAST MONTANA HEALTH SERVICES - POPLAR COMMUNITY HOSPITAL. |
| FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 7D | THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. |
| FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 11 | THE PRIORITIZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE FACILITY WILL BE ADDRESSING RELATES TO THE FOLLOWING HEALTHCARE ISSUES: 1. ACCESS TO HEALTHCARE SERVICES 2. EDUCATION AND AWARENESS OF SERVICES THE FIRST HEALTHCARE ISSUE IS TO INCREASE ACCESS TO HEALTHCARE SERVICES IN THE NEMHS SERVICE AREA. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO INCREASE ACCESS TO PRIMARY CARE SERVICES AT NEMHS BY PROVIDING LOCAL NURSE TRAINING OPPORTUNITIES AND PARTNERING WITH THE COMMUNITY COLLEGE IN FORT BELKNAP TO HOST NURSING CLINIC SITE ROTATIONS FOR STUDENTS, CONTINUING TO OFFER AND EXPLORING EXPANDING INTERNAL PAIN MANAGEMENT SERVICES WITH ON STAFF CRNA, ATTEMPTING TO RECRUIT PRIMARY CARE PHYSICIANS AND A PHYSICAL THERAPIST, ASSESSING THE FEASIBILITY OF EXPANDING OCCUPATIONAL THERAPY SERVICES(HOURS AND/OR ADDITIONAL STAFF), AND AIMING TO RECRUIT A NURSE PRACTITIONER TO ADDRESS THE INCREASED NUMBER OF PAIN MANAGEMENT PATIENTS. THE SECOND STRATEGY IS TO INCREASE ACCESS TO SPECIALTY CARE SERVICES AT NEMHS BY BRINGING IN PODIATRY ONCE A MONTH FOR TWO OR THREE DAYS, EXPLORING INCREASING THE HOURS OF MENTAL HEALTH TELEMEDICINE, EXPANDING PHYSICAL THERAPY SERVICES TO INCLUDE PELVIC FLOOR TRAINING, EXPLORING OFFERING AQUATIC THERAPY SESSIONS, EXPLORING THE FEASIBILITY OF IMPLEMENTING A CARDIAC REHAB PROGRAM, AND CONDUCTING A FEASIBILITY STUDY REGARDING HIPAA COMPLIANCE IN THE E.R. THE SECOND HEALTHCARE ISSUE IS TO ENHANCE THE KNOWLEDGE OF SERVICES AND RESOURCES PROVIDED BY NEMHS. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO EXPAND EDUCATION AND OUTREACH EFFORTS TO IMPROVE AWARENESS OF AVAILABLE SERVICES AT NEMHS BY CONTINUING OUTREACH VIA RADIO AND SOCIAL MEDIA OUTLETS(FACEBOOK, INSTAGRAM, WEBSITE), CONTINUING TO PLACE HEALTH EDUCATION MATERIALS IN WAITING ROOMS AND HEALTH EDUCATION KIOSKS IN EXAM ROOMS, IMPROVING AWARENESS OF SLEEP STUDIES CONDUCTED BY THE FACILITY, CONTINUING TO HOST THE EMS BASH TO PROMOTE HOSPITAL AND EMS SERVICES, INCREASING COMMUNITY AWARENESS OF EMS SERVICES VIA BILLBOARD, CONTINUING TO HOST THE ANNUAL HEALTH FAIR AND GOLF TOURNAMENT, AND PARTNERING WITH REGIONAL ORGANIZATIONS TO SUPPORT STUDENT INTERESTS IN HEALTHCARE CAREERS. THE HEALTH NEEDS IDENTIFIED BY NEMHS THAT THEY ARE UNABLE TO ADDRESS: FIRST, THERAPY SERVICES WERE IDENTIFIED AS HIGH AREAS OF CONCERN IN BOTH SURVEY AND KEY INFORMANT DATA. THESE SERVICES ARE AVAILABLE TO TRIBAL MEMBERS THROUGH INDIAN HEALTH SERVICES AND HEALTH PROMOTION DISEASE PREVENTION. SECOND, 14% OF RESPONDENTS SAID THAT MEDICATION COSTS HAD PROHIBITED THEM FROM GETTING OR TAKING THEIR PRESCRIPTIONS REGULARLY. TRIBAL MEMBERS CAN GET THEIR MEDICATIONS THROUGH INDIAN HEALTH SERVICES FREE OF CHARGE. THE COPAY FOR THE MEDICATIONS IS DECIDED BY THE INSURANCE COMPANY OF THE PATIENT AND THERE ARE A COUPLE FACTORS FOR EACH PRESCRIPTION SUCH AS DEDUCTIBLE, PRICE OF MEDICATION, ETC. THIRD, DENTAL SERVICES WERE IDENTIFIED AS NEEDED SERVICES NOT CURRENTLY AVAILABLE FOR BOTH ADULTS AND CHILDREN. THESE SERVICES ARE AVAILABLE TO TRIBAL MEMBERS THROUGH INDIAN HEALTH SERVICES AND HEALTH PROMOTION DISEASE PREVENTION. THERE IS ALSO A PRIVATE, LOCAL DENTIST. PROVIDING DENTAL SERVICES IS BEYOND THE SCOPE OF NEMHS AT THIS TIME. FOURTH, 28.3% OF ADULTS IN ROOSEVELT COUNTY ARE BELOW THE POVERTY LEVEL; 26% OF ADULTS ARE UNINSURED. TSHIP(TRIBAL SPONSORED HEALTH INSURANCE PROGRAM) IS AVAILABLE TO ALL MEMBERS WHO ARE UNDERINSURED OR NOT INSURED. NEMHS HAS A SLIDING-FEE SCALE THROUGH WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC. FIFTH, THE PERCENTAGE OF SMOKING DURING PREGNANCY IN ROOSEVELT COUNTY IS 30.7% COMPARED TO 16.5% FOR THE STATE. THIS ISSUE IS BEING ADDRESSED BY NEMHS AND INDIAN HEALTH SERVICES. IT IS AN ONGOING ISSUE AND EDUCATION IS PROVIDED FOR EVERY PATIENT. SIXTH, ROOSEVELT COUNTY HAS A RATE OF 2159.2 PER 100,000 PEOPLE WITH SEXUALLY TRANSMITTED DISEASES COMPARED TO 551.6 FOR THE STATE. SEXUALLY TRANSMITTED DISEASES ARE TRADITIONALLY HIGH WITHIN ROOSEVELT COUNTY AND THE RESERVATION. SOME STEPS HAVE BEEN TAKEN TO ADDRESS THIS ISSUE; INDIAN HEALTH SERVICES HAS IMPLEMENTED A NEEDLE EXCHANGE TO HELP FIGHT THE STD CRISIS. |
| FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. |
| FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 5 | IN APRIL 2022, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN THE PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. THE SURVEY WAS ALSO MADE AVAILABLE ONLINE THROUGH SURVEY MONKEY AND MARKETED VIA THE FACILITY'S WEBSITE AND FACEBOOK PAGE. MAIL RETURNS AND ON-LINE SURVEYS WERE COMBINED WHICH RESULTED IN 133 SURVEYS BEING RETURNED. CONSULTATIONS WITH INDIVIDUALS WHO REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS, PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW-INCOME, UNDERINSURED, MINORITY CITIZENS, LOCAL COMMUNITY MEMBERS, AND STUDENTS WERE CONDUCTED TO SOLICIT THEIR INPUT. |
| FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 6A | NORTHEAST MONTANA HEALTH SERVICES - TRINITY HOSPITAL. |
| FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 7D | THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. |
| FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 11 | THE PRIORITZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE FACILITY WILL BE ADDRESSING RELATES TO THE FOLLOWING HEALTHCARE ISSUES: 1. ACCESS TO HEALTHCARE SERVICES 2. EDUCATION AND AWARENESS OF SERVICES THE FIRST HEALTHCARE ISSUE IS TO INCREASE ACCESS TO HEALTHCARE SERVICES IN THE NEMHS SERVICE AREA. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO INCREASE ACCESS TO PRIMARY CARE SERVICES AT NEMHS BY PROVIDING LOCAL NURSE TRAINING OPPORTUNITIES AND PARTNERING WITH THE COMMUNITY COLLEGE IN FORT BELKNAP TO HOST NURSING CLINIC SITE ROTATIONS FOR STUDENTS, CONTINUING TO OFFER AND EXPLORING EXPANDING INTERNAL PAIN MANAGEMENT SERVICES WITH ON STAFF CRNA, ATTEMPTING TO RECRUIT PRIMARY CARE PHYSICIANS AND A PHYSICAL THERAPIST, ASSESSING THE FEASIBILITY OF EXPANDING OCCUPATIONAL THERAPY SERVICES(HOURS AND/OR ADDITIONAL STAFF), AND AIMING TO RECRUIT A NURSE PRACTITIONER TO ADDRESS THE INCREASED NUMBER OF PAIN MANAGEMENT PATIENTS. THE SECOND STRATEGY IS TO INCREASE ACCESS TO SPECIALTY CARE SERVICES AT NEMHS BY BRINGING IN PODIATRY ONCE A MONTH FOR TWO OR THREE DAYS, EXPLORING INCREASING THE HOURS OF MENTAL HEALTH TELEMEDICINE, EXPANDING PHYSICAL THERAPY SERVICES TO INCLUDE PELVIC FLOOR TRAINING, EXPLORING OFFERING AQUATIC THERAPY SESSIONS, EXPLORING THE FEASIBILITY OF IMPLEMENTING A CARDIAC REHAB PROGRAM, AND CONDUCTING A FEASIBILITY STUDY REGARDING HIPAA COMPLIANCE IN THE E.R. THE SECOND HEALTHCARE ISSUE IS TO ENHANCE THE KNOWLEDGE OF SERVICES AND RESOURCES PROVIDED BY NEMHS. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO EXPAND EDUCATION AND OUTREACH EFFORTS TO IMPROVE AWARENESS OF AVAILABLE SERVICES AT NEMHS BY CONTINUING OUTREACH VIA RADIO AND SOCIAL MEDIA OUTLETS(FACEBOOK, INSTAGRAM, WEBSITE), CONTINUING TO PLACE HEALTH EDUCATION MATERIALS IN WAITING ROOMS AND HEALTH EDUCATION KIOSKS IN EXAM ROOMS, IMPROVING AWARENESS OF SLEEP STUDIES CONDUCTED BY THE FACILITY, CONTINUING TO HOST THE EMS BASH TO PROMOTE HOSPITAL AND EMS SERVICES, INCREASING COMMUNITY AWARENESS OF EMS SERVICES VIA BILLBOARD, CONTINUING TO HOST THE ANNUAL HEALTH FAIR AND GOLF TOURNAMENT, AND PARTNERING WITH REGIONAL ORGANIZATIONS TO SUPPORT STUDENT INTERESTS IN HEALTHCARE CAREERS. THE HEALTHCARE NEEDS IDENTIFIED BY NEMHS THAT THEY ARE UNABLE TO ADDRESS: FIRST, THERAPY SERVICES WERE IDENTIFIED AS HIGH AREAS OF CONCERN IN BOTH SURVEY AND KEY INFORMANT DATA. THESE SERVICES ARE AVAILABLE TO TRIBAL MEMBERS THROUGH INDIAN HEALTH SERVICES AND HEALTH PROMOTION DISEASE PREVENTION. SECOND, 14% OF RESPONDENTS SAID THAT MEDICATION COSTS HAD PROHIBITED THEM FROM GETTING OR TAKING THEIR PRESCRIPTIONS REGULARLY. TRIBAL MEMBERS CAN GET THEIR MEDICATIONS THROUGH INDIAN HEALTH SERVICES FREE OF CHARGE. THE COPAY FOR THE MEDICATIONS IS DECIDED BY THE INSURANCE COMPANY OF THE PATIENT AND THERE ARE A COUPLE FACTORS FOR EACH PRESCRIPTION SUCH AS DEDUCTIBLE, PRICE OF MEDICATION, ETC. THIRD, DENTAL SERVICES WERE IDENTIFIED AS NEEDED SERVICES NOT CURRENTLY AVAILABLE FOR BOTH ADULTS AND CHILDREN. THESE SERVICES ARE AVAILABLE TO TRIBAL MEMBERS THROUGH INDIAN HEALTH SERVICES AND HEALTH PROMOTION DISEASE PREVENTION. THERE IS ALSO A PRIVATE, LOCAL DENTIST. PROVIDING DENTAL SERVICES IS BEYOND THE SCOPE OF NEMHS AT THIS TIME. FOURTH, 28.3% OF ADULTS IN ROOSEVELT COUNTY ARE BELOW THE POVERTY LEVEL; 26% OF ADULTS ARE UNINSURED. TSHIP(TRIBAL SPONSORED HEALTH INSURANCE PROGRAM) IS AVAILABLE TO ALL MEMBERS WHO ARE UNDERINSURED OR NOT INSURED. NEMHS HAS A SLIDING-FEE SCALE THROUGH WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC. FIFTH, THE PERCENTAGE OF SMOKING DURING PREGNANCY IN ROOSEVELT COUNTY IS 30.7% COMPARED TO 16.5% FOR THE STATE. THIS ISSUE IS BEING ADDRESSED BY NEMHS AND INDIAN HEALTH SERVICES. IT IS AN ONGOING ISSUE AND EDUCATION IS PROVIDED FOR EVERY PATIENT. SIXTH, ROOSEVELT COUNTY HAS A RATE OF 2159.2 PER 100,000 PEOPLE WITH SEXUALLY TRANSMITTED DISEASES COMPARED TO 551.6 FOR THE STATE. SEXUALLY TRANSMITTED DISEASES ARE TRADITIONALLY HIGH WITHIN ROOSEVELT COUNTY AND THE RESERVATION. SOME STEPS HAVE BEEN TAKEN TO ADDRESS THIS ISSUE; INDIAN HEALTH SERVICES HAS IMPLEMENTED A NEEDLE EXCHANGE TO HELP FIGHT THE STD CRISIS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| WOLF POINT CLINIC ASSOCIATION | ||||
| 301 KNAPP STREET | WOLF POINT | MT | 59201 | RURAL HEALTH CLINIC |
| RIVERSIDE FAMILY CLINIC | ||||
| PO BOX 629 | POPLAR | MT | 59255 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | THERE WAS NO BAD DEBT EXPENSE TO REMOVE FROM THE COMMUNITY BENEFIT IN COLUMN C. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTHCARE SERVICES. |
| SCHEDULE H, PART I, LINE 7 | USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND WORKFORCE DEVELOPMENT EXPENSE. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. |
| SCHEDULE H, PART II | THE STAFF AT NEMHS DESIGNATES TIME FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. THESE ACTIVITIES/INITIATIVES OFTEN TARGET ENVIRONMENTAL STRATEGIES, ECONOMIC DEVELOPMENT AND LEADERSHIP, ADVOCACY AND SUPPORT THAT INDIRECTLY AFFECT THE HEALTH OF THE COMMUNITY. PART II, LINE 8: NEMHS IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA AND SPENT 99,442 TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS NEEDED IN THE COMMUNITY. THE COST IS COMPRISED OF PAYMENTS TO RECRUITING FIRMS, NEWSPAPER AND PERIODICALS ADVERTISING, LEGAL FEES FOR FOREIGN PROFESSIONALS, AND TRAVEL AND LODGING FOR SITE VISITS. |
| SCHEDULE H, PART III, LINE 2 | THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT EXPENSE, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES, NOT INCLUDING IMPLICIT PRICE CONCESSIONS, TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS AND IMPLICIT PRICE CONCESSIONS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF IMPLICIT PRICE CONCESSIONS OR BAD DEBT, WHICH REDUCE IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. PATIENT OBLIGATIONS WHICH QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT RECORDED AS IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 4 | THERE IS NO BAD DEBT EXPENSE RECORDED AND THEREFORE NO RELATED BAD DEBT FOOTNOTE. AFTER ADOPTING THE NEW REVENUE RECOGNITION GUIDANCE IN FASB ASU 2014-09, MOST TRANSACTIONS THAT PREVIOUSLY WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE ARE NOW RECORDED AS IMPLICIT PRICE CONCESSIONS, WHICH ARE REDUCTIONS OF REVENUE VERSUS BAD DEBT EXPENSE. NOTE 10 TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS DISCUSSES IMPLICIT PRICE CONCESSIONS ON PAGES 19 AND 20. |
| SCHEDULE H, PART III, LINE 8 | THERE IS A MEDICARE SURPLUS SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE AND THE 2 PERCENT SEQUESTRATION ADJUSTMENT WAS REINSTATED IN APRIL 2022. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT, PLUS AMBULANCE MEDICARE COSTS BASED ON THE AMBULANCE COST-TO-CHARGE RATIO ON THE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT, PLUS AMBULANCE MEDICARE REVENUE FROM THE MEDICARE PS&R REPORT. |
| SCHEDULE H, PART III, LINE 9B | THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, AND ALSO A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS FINANCIAL ASSISTANCE UNLESS THE PATIENT QUALIFIES FOR DISCOUNTED CARE AND THEN DEFAULTS ON THE PAYMENT PLAN ON THE BALANCE OF THE ACCOUNT. THIS IS A SPECIFIC POLICY FOR PATIENTS QUALIFYING FOR FREE OR DISCOUNTED CARE. |
| SCHEDULE H, PART VI, LINE 2 | PURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, NEMHS ADOPTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND AN IMPLEMENTATION PLAN DURING FISCAL YEARS 2022, 2019 AND 2016 (TAX YEARS 2021, 2018 AND 2015). THESE ARE A CONTINUATION AND EXPANSION OF WHAT WE ARE ALREADY DOING TO BETTER SERVE OUR COMMUNITY. WE ARE DILIGENTLY TRACKING LOCAL TRENDS IN HEALTH CARE NEEDS THROUGH AN CUSTOM SURVEY SOLUTIONS PATIENT SATISFACTION SURVEY GIVEN TO ALL INPATIENTS AS WELL AS THE USE OF OUR INTERNAL BALANCED SCORE CARD. A SELECTED TEAM OF MANAGERS MEET QUARTERLY TO DISCUSS OUTCOMES FROM OUR SURVEY REPORTS AND BALANCED SCORE CARD FINDINGS. |
| SCHEDULE H, PART VI, LINE 3 | NORTHEAST MONTANA HEALTH SERVICES EMPLOYS TWO SOCIAL SERVICE EMPLOYEES TO ASSIST PATIENTS WITH THEIR FINANICAL NEEDS AND OPTIONS. COMMUNITY ADVERTISEMENT IS USED TO EDUCATE PATIENTS AND SUPPORT IS GIVEN ON A ONE-ON-ONE BASIS TO ASSIST COMMUNITY MEMBERS. PATIENTS ARE NOTIFIED BY THE BILLING DEPARTMENT OF OUR POLICY FOR FINANCIAL ASSISTANCE AND ARE SENT A SIMPLE APPLICATION. OUR WEBSITE PROVIDES DETAILS OF OUR FINANCIAL ASSISTANCE POLICY AND THE FINANCIAL ASSISTANCE AVAILABLE. THE PATIENT INVOICES INCLUDE A STATEMENT ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO FIND FURTHER INFORMATION. |
| SCHEDULE H, PART VI, LINE 4 | THE ORGANIZATION OPERATES ON THE FORT PECK RESERVATION. GEOGRAPHICALLY THIS IS A REMOTE LOCATION WHERE ACCESS TO OTHER HEALTH FACILITIES IS AT LEAST 50 MILES AWAY. WITH SEVERE WEATHER CONDITIONS OFTEN RESULTING IN BLIZZARDS AND IMPASSABLE ROADS, NORTHEAST MONTANA HEALTH SERVICES IS THE FRONTLINE OF CARE FOR THE COMMUNITY. THE POPULATION OF SIOUX AND ASSINIBOINE TRIBAL MEMBERS MAKE UP OUR HIGHEST CONCENTRATION OF PATIENTS WITH DISPARITIES THAT INCLUDE CULTURAL BARRIERS, LOW HOUSEHOLD INCOME, HIGH UNEMPLOYMENT RATES, HIGHER RATES OF TOBACCO, ALCOHOL AND ILLEGAL DRUG USE, AS WELL AS HIGHER THAN AVERAGE RATES OF HEART DISEASE, DIABETES, FETAL ALCOHOL SYNDROME, AND SUICIDE. AS WE CONTINUE OUR EFFORTS TO SERVE THE PUBLIC THROUGH HEALTHCARE AND EDUCATION, THERE IS PROGRESS BEING MADE TO IMPROVE THE QUALITY OF LIFE FOR COMMUNITY MEMBERS. |
| SCHEDULE H, PART VI, LINE 5 | NORTHEAST MONTANA HEALTH SERVICES IS GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY MEMBERS REPRESENTING THE GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. OUR HOSPITALS PROVIDE 24/7 EMERGENCY SERVICE COVERAGE TO TREAT PATIENTS, INCLUDING THOSE THAT ARE UNABLE TO PAY. |
| SCHEDULE H, PART VI, LINE 6 | TWO AFFILIATED RURAL HEALTH CLINICS, WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC, PROVIDE PROFESSIONAL PHYSICIAN AND OTHER PROVIDER SERVICES WHILE NORTHEAST MONTANA HEALTH SERVICES PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND SKILLED NURSING SERVICES. THE TWO RURAL HEALTH CLINICS ARE OPERATED, AND SUBSIDIZED IF NEEDED, BY NORTHEAST MONTANA HEALTH SERVICES. |
| SCHEDULE H, PART VI | PART V: WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC ARE RURAL HEALTH CLINICS THAT ARE OPERATED AND SUBSIDIZED IF NEEDED BY NORTHEAST MONTANA HEALTH SERVICES. THEIR REVENUES AND EXPENSES ARE NOT INCLUDED ON NORTHEAST MONTANA HEALTH SERVICES' FORM 990. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|
| MARGARET NORGAARD | |||||||
| CEO | $181,688 | $3,634 | $28,416 | $213,738 | |||
| LORI COLLINS | |||||||
| RN | $184,679 | $3,693 | $10,812 | $199,184 | |||
| MARK ZILKOSKI MD | |||||||
| MEDICAL STAFF REP | $184,485 | $1,845 | $186,330 | ||||
| HANZ ARNSTON | |||||||
| RN | $158,191 | $1,186 | $10,812 | $170,189 | |||
| ELAINE LONG | |||||||
| RN-VP NURSING | $149,618 | $2,987 | $10,812 | $163,417 | |||
| DEMI WILKINSON | |||||||
| CFO | $134,990 | $4,488 | $10,812 | $150,290 | |||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | MARK ZILKOSKI, MD 0 -209,253 0 |
| SCHEDULE J, PART III | MARK ZILKOSKI, MD PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED PLAN IN TAX YEAR 2021, BUT THE VALUE OF THE RELATED INVESTMENTS DECLINED IN TAX YEAR 2021 RESULTING IN A CONTRA-EXPENSE OF 209,253. THE COMPENSATION OF MARK ZILKOSKI, MD IS AN EXPENSE OF WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MT FACILITY FINANCE AUTHORITY BONDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 364615155 | BondIssuerEIN |
| Bond Issued | 2017-01-31 | BondIssuedDt |
| Issue Price | $9,820,000 | IssuePriceAmt |
| Purpose | REFUNDING OF 2007B REVENUE BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $9,820,000 | TotalProceedsAmt |
| In Reserve Fund | $794,798 | InReserveFundAmt |
| Refunding Escrow | $8,827,353 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $196,400 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $1,449 | OtherSpentProceedsAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | MT FACILITY FINANCE AUTHORITY BONDS REFUNDING OF 2007B REVENUE BONDS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS ASSIST WITH RESIDENT ACTIVITIES AT FAITH LUTHERAN HOME |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY MANAGEMENT AND IS DISTRIBUTED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE MEMBERS OF THE GOVERNING BOARD SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY IN WHICH THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT DOES EXIST, THE BOARD CHAIRMAN WILL REMIND MEMBERS AND ASK THEM TO ABSTAIN FROM VOTING. THESE CONFLICTS ARE DULY NOTED IN THE MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST. |
| FORM 990, PART VII | THE MEDICAL STAFF REPRESENTATIVE ON THE GOVERNING BOARD, MARK ZILKOSKI, M.D., IS EMPLOYED BY WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY, AS A FULL TIME PHYSICIAN WHICH IS INCLUDED AT 40 HOURS PER WEEK. |
| FORM 990, PART IX, LINE 11G | PURCH SVCS & CONTRACT STAFF 2,925,196 90,546 125 CONTRACT NURSING STAFF 1,130,151 0 0 CONTRACT LAB STAFF 271,470 0 0 TOTAL 4,326,817 90,546 125 |
| FORM 990, PART XI, LINE 9 | FUNDRAISING EXPENSES NETTED AGAINST REVENUE 7,048 FUNDRAISING EXPENSES NETTED AGAINST REVENUE -7,048 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE FAMILY CLINIC | |||||||||||
| PO BOX 629 | POPLAR | MT | 59255 | 810474760 | CLINIC | MT | 501C3 | 3 | NEMHS | Yes (true) | |
| WOLF POINT CLINIC ASSOCIATION | |||||||||||
| 301 KNAPP STREET | WOLF POINT | MT | 59201 | 810386812 | CLINIC | MT | 501C3 | 3 | NEMHS | Yes (true) | |
| NEMHS CHARITABLE FOUNDATION INC | |||||||||||
| PO BOX 341 | POPLAR | MT | 59255 | 383732814 | SUPPORT | MT | 501C3 | 7 | false | N/A | |
| NE MT STAT AIR AMB COOP | |||||||||||
| 81 AIRPORT ROAD | GLASGOW | MT | 59230 | 204748673 | AIR AMBUL | MT | 501C3 | 12B | false | N/A | |
| FAITH LUTHERAN HOME FOUNDATION INC | |||||||||||
| 1000 6TH AVE N | WOLF POINT | MT | 59201 | 810483586 | SUPPORT | MT | 501C3 | PF | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NEMHS CHARITABLE FOUNDATION | ||
| O | $59,012 | DIRECT EXPENSE |
| FAITH LUTHERAN HOME FOUNDATION | ||
| C | $10,500 | CASH GIFTS |
| RIVERSIDE FAMILY CLINIC | ||
| R | $927,761 | INCREASE IN RECEIVABLE |
| WOLF POINT CLINIC ASSOCIATION | ||
| R | $943,478 | INCREASE IN RECEIVABLE |
| NEMHS CHARITABLE FOUNDATION | ||
| C | $86,948 | CASH GIFTS |