2025-05-14T09:04:29-05:00 2024-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2023-07-01 810231787 NORTHERN MONTANA HOSPITAL NORT 4062652211 PO BOX 1231 HAVRE MT 595011231 KEVIN HARADA MD PRESIDENT/CEO 4062652211 2025-05-06 1 1 SAM BRUNSON CPA P01696998 4067281800 2025-05-06 2023 2025-03-06 01:10:19Z KEVIN HARADA MD PO BOX 1231 HAVRE MT 595011231 96180252 0 X WWW.NMHCARE.ORG X 1921 MT PROVISION OF HEALTHCARE SERVICES. 13 9 676 25 456434 0 2904595 219295 81302321 90423815 1902319 1472391 -952 -109 86108283 92115392 62180 111634 0 0 38474494 41665933 0 0 32469 40918261 47088541 79454935 88866108 6653348 3249284 106252889 113894367 12527140 16828894 93725749 97065473 X TO DELIVER HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE HI-LINE COMMUNITIES. 0 1 72256539 111634 89967381 NORTHERN MONTANA HOSPITAL (HOSPITAL) INCLUDES 25 ACUTE CARE HOSPITAL BEDS, 135 SKILLED NURSING BEDS, 10 ASSISTED LIVING BEDS AND TWO MEDICAL CLINICS LOCATED IN HAVRE, MONTANA. THE HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE THESE ESSENTIAL SERVICES. IT IS THE HOSPITAL'S MISSION TO SERVE THE SURROUNDING AREA BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION TO ALL COMMUNITY MEMBERS.CONTINUED ON SCHEDULE O...DURING THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL PROVIDED $290,000 OF MEDICAL SERVICES, BASED ON CHARGES, TO INDIVIDUALS WHO WERE DETERMINED UNABLE TO PURCHASE SUCH SERVICES UNDER THE HOSPITAL'S CHARITY CARE POLICY AND GUIDELINES. IN ADDITION TO FREE CARE AND/OR SUBSIDIZED CARE, CARE IS ALSO PROVIDED AT BELOW COST RATES TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $74.2 MILLION FOR THE YEAR ENDED JUNE 30, 2024. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE HOSPITAL PROVIDED OVER 4,900 DAYS OF HOSPITAL SERVICES. THE NURSING HOME PROVIDED JUST OVER 17,400 FROM JULY 2023-FEBRUARY 2024. THE HOSPITAL ALSO PROVIDES COMMUNITY CARE AND SERVICES THROUGH MANY HEALTHCARE ACTIVITIES AND PROGRAMS PROVIDED TO SUPPORT THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SENIOR SERVICES, HEALTHCARE SCREENING, SPECIAL PROGRAMS FOR SPECIFIC GROUPS, PUBLISHED ARTICLES, RADIO PROGRAMS, AND A VARIETY OF COMMUNITY SUPPORTED ACTIVITIES. THE HOSPITAL ALSO RECEIVED MANY HOURS OF VOLUNTEER HELP FROM THE COMMUNITY RESIDENTS. 72256539 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 52 0 1 676 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 1 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X KIM LUCKE 4062652211 PO BOX 1231 HAVRE MT 595011231 DAVID C HENRY PRESIDENT/CEO 53.00 2.00 X X 0 0 0 RICK STEVENS CHAIR 1.00 1.00 X X 0 0 0 DAVID LEEDS VICE CHAIR 1.00 1.00 X X 0 0 0 MILES HAMILTON TREASURER 1.00 1.00 X X 0 0 0 KARRIE LIEN MD SECRETARY 40.00 1.00 X X 532465 0 40090 ANDREW CARLSON TRUSTEE 1.00 1.00 X 0 0 0 DEBBIE HEALY TRUSTEE 1.00 1.00 X 0 0 0 JENNIFER PATRICK TRUSTEE 1.00 1.00 X 0 0 0 PAUL TUSS TRUSTEE 1.00 1.00 X 0 0 0 KRISTEN KAMMERZELL TRUSTEE 1.00 1.00 X 0 0 0 KEVIN HARADA MD TRUSTEE-IPD MEMBER 40.00 1.00 X 549315 0 38682 GARY GROW PHD TRUSTEE-IPD MEDICAL DIRECTOR 40.00 1.00 X 196708 0 14634 CAMERON ACOR DPM TRUSTEE-CHIEF OF MEDICAL STAFF 40.00 1.00 X 320976 0 39245 KIM LUCKE VP OF FINANCE 53.00 2.00 X 139909 0 18477 CHRISTEN OBRESLEY VICE PRESIDENT 51.00 4.00 X 171728 0 18847 MICHAEL FARR DO DO 40.00 0.00 X 998580 0 31320 WALTER SMITH DO DO 40.00 0.00 X 750946 0 35510 DAMIAN YMZON MD MD 40.00 0.00 X 745793 0 40095 CAROLYN AKS MD MD 40.00 0.00 X 556544 0 16426 CAMERON SCRATON MD MD 40.00 0.00 X 516267 0 31664 5479231 0 324990 64 0 1 0 SLATE HEALTHCARE LLC 2100 WEST LOOP SOUTH SUITE 900 HOUSTON TX 77027 STAFFING 3589296 HAYES LOCUMS LLC 67001 N ANDREWS AVE SUITE 600 FT LAUDERDALE FL 33309 STAFFING 1470930 CORONIS HEALTH 5963 EXCHANGE RD SUITE 114 SYKEVILLE MD 21784 PURCHASE SERVICES 1394638 ALL STAR HEALTHCARE SOLUTIONS PO BOX 936725 ATLANTA GA 31193 STAFFING 724007 PARK PLACE INTERNATIONAL 8401 CHAGRIN RD SUITE 15D CHAGRIN FALLS OH 44023 PURCHASE SERVICES 591916 29 28842 46703 143750 219295 PATIENT SERVICE REVENUE 621110 54726268 54726268 PHARMACY 456110 32436679 31980245 456434 HEALTHCARE CONSULTING 900099 394190 394190 CAFETERIA REVENUE 722514 281314 281314 2585364 2585364 90423815 1065783 1065783 9625 9734 -109 -109 -109 4201541 260193 3801453 253673 400088 6520 406608 406608 92115392 89967381 456434 1472282 X 29389 29389 82245 82245 2138633 1746565 390538 1530 34621649 28274594 6322291 24764 503558 411243 91955 360 2004202 1636779 365989 1434 2397891 1902609 493182 2100 810000 648000 162000 28152 28152 141843 141843 15309888 10901836 4408052 213602 213602 606039 157878 448116 45 2168577 1313889 854688 54568 4036 50532 2477402 1981855 493959 1588 1666563 1333250 333313 MEDICAL SUPPLIES 17706286 17276626 429012 648 HOSPITAL BED TAX 1603882 1603882 TRAVELER PER DIEM 1478823 1478823 REPAIRS & MAINTENANCE 1187527 1134858 52669 1635389 338182 1297207 88866108 72256539 16577100 32469 4702 4702 34069125 22918658 25230953 42758011 2810897 2966964 1340541 1291225 75691731 60931927 14869503 14759804 18823125 17902249 9104043 11292754 106252889 113894367 7629430 9108859 2169609 4897710 5550426 12527140 16828894 X 93725749 97065473 93725749 97065473 106252889 113894367 X 3249284 652534 -562094 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7660 7660 0 PART II-B, LINE 1: LOBBYING PORTION OF ASSOCIATION DUES. 1 16502 90122 106624 0 0 158912 7040 165952 152095 6817 158912 145017 7078 152095 138215 6802 145017 132797 5418 138215 0.00000 1.00000 0.00000 0 1 1 75272 75272 30888208 23355652 7532556 42224008 36254048 5969960 2504243 1322227 1182016 14759804 ROU ASSET 4390048 ASSET FOR PENSION BENEFITS 4285064 ACCRUED INTEREST RECEIVABLE 191246 DUE FROM AFFILIATES 2426396 11292754 ROU LIABILITY 4833642 DUE TO AFFILIATES 716784 5550426 X 92777660 652534 9734 662268 92115392 0 92115392 88875842 9734 9734 88866108 0 88866108 PART IV, LINE 1B: THE CUSTODIAL FUNDS ARE NOT REPORTED ON THE BALANCE SHEET OF NMH AS THEY ARE PERSONAL RESOURCE FUNDS OF THE RESIDENTS TO BE USED ONLY FOR THEIR PERSONAL NEEDS. IF THE RESIDENT PASSES, THE FUNDS EITHER GO TO THE FAMILY OR BACK TO THE STATE. THEY ARE IN NO WAY AN ASSET OF THE ORGANIZATION. PART V, LINE 4: THE ENDOWMENT FUNDS ARE IN THE POSSESSION OF NORTHERN MONTANA HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE FUNDS ARE USED TO PROVIDE FUNDING FOR SPECIFIC ACTIVITIES AND GENERAL OPERATIONS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 9,734. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 9,734. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURNED SCHOLARSHIPS 1 1 X 1 X 125.000000000000 1 X 225.000000000000 1 1 0 1 1 1875101 1875101 0.02110 16624021 16093220 530801 0.00600 202997 347224 0 0.00000 18702119 16440444 2405902 0.02710 16969 10982460 6000182 4982278 0.05610 34128 34128 0.00040 16969 11016588 6000182 5016406 0.05650 16969 29718707 22440626 7422308 0.08360 0 2071843 350970 17309492 17645411 -335919 X 1 1 1 1 NORTHERN MONTANA HOSPITAL 30 13TH STREET HAVRE MT 59501 WWW.NMHCARE.ORG 12835 X X X X 2 PROVIDER BASED RURAL HEALTH CLINICS NORTHERN MONTANA HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X NMHCARE.ORG/DEPARTMENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X BULLHOOK.COM AND WWW.HILLCOUNTYHEALTH.COM X X 1 24 1 NMHCARE.ORG/DEPARTMENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 125.000000000000 225.000000000000 X 1 1 X X X 1 X NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/FINANCIAL-ASSISTANCE-POLICY-1.DOCX X NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/NMHC-FINANCIAL-ASSISTANCE-APPLICATON X NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/FINANCIAL-ASSISTANCE-POLICY-1.DOCX X X X X X X X 1 X 0 X X X X 1 X 0 1 NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM PRIMARY AND SECONDARY SOURCES. DATA WAS COLLECTED FROM HILL COUNTY RESIDENTS THROUGH A SURVEY INSTRUMENT IN JUNE 2023, AND EMPLOYEES OF THE MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES ANALYZED THE RESULTS. ALONGSIDE KEY FINDINGS OF THESE COMMUNITY SURVEY RESULTS, A REVIEW OF SECONDARY COUNTY DATA AND INPUT FROM COMMUNITY STAKEHOLDERS, HEALTH PROFESSIONALS, AND HUMAN SERVICE ORGANIZATIONS LED TO THE PRIORITIZATION OF THE FOLLOWING AREAS TO BE ADDRESSED IN A SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): BEHAVIORAL HEALTH, ACCESS TO DENTAL CARE, AND OBESITY. BOTH THIS CHNA AND THE FORTHCOMING CHIP ARE INTENDED TO BE LIVING DOCUMENTS, USED AND UPDATED AS IS MOST STRATEGIC FOR THE ONGOING WORK IN HILL COUNTY OF ENSURING HEALTHY PEOPLE IN HEALTHY COMMUNITIES. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 6B: THIS ASSESSMENT WAS LED BY THE HILL COUNTY HEALTH CONSORTIUM (HCHC), WHOSE PRINCIPAL PARTNERS ARE THE HILL COUNTY HEALTH DEPARTMENT, NORTHERN MONTANA HEALTH CARE, BULLHOOK COMMUNITY HEALTH CENTER, DISTRICT 4 HUMAN RESOURCES DEVELOPMENT COUNCIL, AND THE HELP COMMITTEE AND BOYS & GIRLS CLUB OF THE HI-LINE. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS ELECTRONICALLY DELIVERED TO EVERY MEMBER OF THE CONSORTIUM AND NMH. BULL HOOK COMMUNITY HEALTH CENTER AND THE HILL COUNTY HEALTH DEPARTMENT ALL RECEIVED HARD COPIES AVAILABLE FOR DISTRIBUTION. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 11: PRIORITY ISSUE ONE: FACILITY AND COMMUNITY SAFETYNORTHERN MONTANA HOSPITAL (NMH) HEALTH LEADERS CONTINUE TO IDENTIFY FACILITY AND COMMUNITY SAFETY AS THEIR TOP PRIORITY. AT THE FOREFRONT OF SAFETY IS A SAFE WORKING ENVIRONMENT FOR ALL NMH EMPLOYEES. NMH IS WELL STOCKED WITH PERSONAL PROTECTIVE EQUIPMENT (PPE) ON-SITE AND HAS COMPREHENSIVE POLICIES AND PROCEDURES ON ITS USE AND DISPOSAL. BACKUP GENERATORS FOR NORTHERN MONTANA CARE CENTER (NMCC) ARE MAINTAINED, AND ADEQUATE FUEL SUPPLY IS AVAILABLE FOR THE GENERATORS. TOUCH FREE, FOAM HAND SANITIZERS WERE IMPLEMENTED IN THE CARE CENTER FOR IMPROVED SAFETY AND INFECTION PREVENTION. SAFETY IS ALL ABOUT EDUCATION AND NMH EDUCATES ALL EMPLOYEES ON SAFETY AND DISASTER RELATED PROTOCOLS. IN FY 2024, EDUCATION ABOUT VACCINATIONS CONTINUE ACCORDING TO FEDERAL GUIDELINES. NMH CONTINUES THE DRIVE-THROUGH COMMUNITY FLU SHOT CLINIC AND EMPLOYEE FLU CLINIC. VOLUNTARY STAFF COVID-19 VACCINATIONS CONTINUE. MOCK CODE DRILLS WERE INTRODUCED IN THE HOSPITAL AND CONTINUE IN THE CARE CENTER TO FACILITATE TRAINING OF STAFF IN CODE RESPONSE. NORTHERN MONTANA HEALTH CARE (NMHC) WAS TESTED IN REAL TIME WHEN THE ENTIRE COMMUNITY WAS UNDER A BOIL WATER ADVISORY FOR AN EXTENDED TIME DURING THE YEAR. ADDITIONALLY, NMH PARTICIPATED IN FOUR OTHER SAFETY DRILLS. A MEDITECH OUTAGE TESTED THE FACILITY. A TABLETOP DRILL OF A FOODBORNE ILLNESS AND MARBERG VIRUS DRILL INVOLVED NMH AND THE COMMUNITY OF HAVRE. FINALLY, NMH WAS INVOLVED IN A STATEWIDE DISASTER DRILL. HAND HYGIENE AND INFECTION PREVENTION CONTINUE TO BE MANDATORY AND IMPORTANT EDUCATION FOR ALL STAFF MEMBERS. NMH CONTINUES TO BE ACTIVE WITH THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) WHICH INCLUDES OTHER COMMUNITY MEMBERS WHO FOCUS ON SAFETY AND DISASTER PLANS. COORDINATION AMONG THESE KEY ENTITIES IS ESSENTIAL TO THE SAFETY OF THE COMMUNITY.NMH LEADERS BELIEVE PART OF A SAFE AND CONSIDERATE WORKING ENVIRONMENT IS DEVELOPING CAMARADERIE THROUGH ACTIVITIES. NMH HOSTS THE EMPLOYEE FAMILY PICNIC, OCTOBERFEST, AND ACTIVITIES DURING HOSPITAL WEEK TO BUILD RELATIONSHIPS. IN FY 2024, EDUCATION ON CONSIDERATE COMMUNICATION WAS ADDED TO THE ANNUAL EDUCATIONAL BOOKS. PRIORITY ISSUE 2: EMPLOYEE RETENTION AND RECRUITMENTALTHOUGH DECLINING, THE VACANCY RATES IN MONTANA HOSPITALS REMAIN HIGH IN THIS POST PANDEMIC ERA ILLUMINATING THE REASON NMH HEALTH LEADERS CONTINUE TO IDENTIFY EMPLOYEE RETENTION AND RECRUITMENT AS THEIR SECOND PRIORITY. IN FY 2024, NMH WAS ABLE TO RECRUIT A SURGEON AMONG OTHER STAFF MEMBERS. SUCCESSFUL RECRUITMENT AND RETENTION PRACTICES MINIMIZE THE NUMBER AND DURATION OF VACANCIES, WHICH IMPROVES THE QUALITY OF CARE PROVIDED TO OUR PATIENTS AND ENSURES SERVICES ARE PROVIDED LOCALLY TO THE COMMUNITY.TO ADDRESS RECRUITMENT OF QUALIFIED, LICENSED MEDICAL STAFF, NMH HAS PARTNERED WITH SEVERAL COLLEGES INCLUDING BUT NOT LIMITED TO MONTANA STATE UNIVERSITY (MSU), MSU-NORTHERN, UNIVERSITY OF MONTANA, UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (WWAMI), FLATHEAD VALLEY COLLEGE, AANIIH NAKODA COLLEGE, WEBER UNIVERSITY, GREAT FALLS COLLEGE, AND ROCKY MOUNTAIN COLLEGE. NMH HAS PARTNERED WITH THE STATE OF MONTANA TO OFFER AN APPRENTICESHIP FOR MEDICAL ASSISTANTS WISHING TO BECOME CERTIFIED MEDICAL ASSISTANTS. THIS PROGRAM PROVIDES CURRENT STAFF MEMBERS THE OPPORTUNITY TO GROW THEIR KNOWLEDGE, SKILLS, AND CAPABILITIES, WHILE STILL PERMITTING THEM TO WORK FULL TIME. SUBSEQUENTLY, THIS WILL INCREASE THE LEVEL OF CARE PROVIDED TO OUR PATIENTS AND OUR COMMUNITY. NMCC CONTINUES TO OFFER CERTIFIED NURSING ASSISTANT (CNA) CLASSES.NMH BELIEVES THE BEST AMBASSADORS FOR RECRUITMENT ARE CURRENT EMPLOYEES, AND SINCE GREAT PEOPLE SURROUND THEMSELVES WITH OTHER HIGHLY CAPABLE PROFESSIONALS, NMH CONTINUES TO ENLIST THEIR STAFF FOR ASSISTANCE IN RECRUITMENT. WE OFFER REFERRAL BONUSES TO OUR EMPLOYEES AND SIGN-ON BONUSES TO OUR CANDIDATES. NMH CONTINUES TO EXPAND THEIR OUTREACH EFFORTS BY UTILIZING SOCIAL MEDIA, ADVERTISING ON MULTIPLE JOB BOARDS, AND PARTICIPATING IN SEVERAL CAREER FAIRS ANNUALLY. IN FY 2024, JOB FAIRS WERE EXTENDED INTO HIGH SCHOOLS IN SEARCH OF SUMMER AND AFTER SCHOOL WORKERS. OUR DIRECTORS PROMOTE AND EMBRACE FLEXIBILITY IN SCHEDULING AND SUPPORT AND ENCOURAGE A DIVERSE AND INCLUSIVE WORKPLACE CULTURE.NMH UNDERSTANDS THE IMPORTANCE OF HAVING A COMPETITIVE ADVANTAGE; THUS, NMH WILL CONTINUE TO EVALUATE WAGES AND INCREASE SCALES WHERE APPROPRIATE TO REMAIN COMPETITIVE IN THE COMMUNITY AND THE HEALTHCARE INDUSTRY. EMPLOYEES ARE THE NUMBER ONE ASSET AT NMH. WE BELIEVE THAT EMPLOYEE RETENTION INVOLVES STRATEGIC ACTION FOR EMPLOYEES TO REMAIN MOTIVATED AND ENGAGED SO THEY ELECT TO REMAIN WITH THE ORGANIZATION, REDUCING EMPLOYEE TURNOVER. NMH HAS ESTABLISHED AN EMPLOYEE ENGAGEMENT PROGRAM TO ADVANCE CO-WORKER RELATIONSHIPS, ELEVATE HEALTH AND WELLNESS AND ENCOURAGE COMMUNITY INVOLVEMENT. NMH BELIEVES STRONG LEADERSHIP IS ESSENTIAL FOR RECRUITMENT AND RETENTION SUCCESS. TO IMPROVE THE DIRECTOR'S KNOWLEDGE, NMH IMPLEMENTED A NEW DIRECTOR ONBOARDING PROGRAM TO EXPEDITE THE EDUCATION AND GROWTH OF NEW LEADERSHIP. WE BELIEVE THE SOONER WE EQUIP OUR LEADERS WITH THE INFORMATION AND TOOLS THEY NEED, THE MORE SUCCESSFUL WE WILL BE AS AN ORGANIZATION.WE CONTINUE TO RECOGNIZE OUR EMPLOYEES' EFFORTS INDIVIDUALLY THROUGH THE C.A.R.E (COMPASSIONATELY ACHIEVING REMARKABLE EXCELLENCE) AWARD AND THE "PICKLE BARREL". BOTH ARE RECOGNITION PROGRAMS THAT ALLOW EMPLOYEES AND PATIENTS TO RECOGNIZE OUR STAFF MEMBERS. NMH UNDERSTANDS THE VALUE IN EMPLOYMENT LONGEVITY AND CELEBRATES EVERY FIVE-YEAR INTERVAL OF AN EMPLOYEE'S CAREER AT NMH THROUGH OUR ANNUAL EMPLOYEE AWARDS BANQUET AND MILESTONE GIFTS. ADDITIONALLY, WE RECOGNIZE EMPLOYEES AND THEIR FAMILY MEMBERS DURING GRADUATION SEASON. THE BRIDGE WEEKLY NEWSLETTER PROMOTES THE WINNERS OF THE C.A.R.E. AND PICKLE BARREL AWARDS AND CELEBRATES AND HIGHLIGHTS ACTIVITIES AND NEW HIRES WITHIN THE ORGANIZATION. MANDATORY OVERTIME IS NOT UTILIZED TO COVER SHIFTS TO SUPPORT STAFF'S WORK FAMILY BALANCE. STAFF MEMBERS SUPPORT EACH OTHER WHEN THEY HAVE TIME TO RECHARGE. DE-ESCALATION TRAINING WAS ADDED INTO THE NEW HIRE ORIENTATION. DE-ESCALATION TRAINING FACILITATES STAFF'S ABILITY TO DEAL WITH FRUSTRATED OR ANGRY INDIVIDUALS AND DECREASES STRESS WHICH IMPROVES RETENTION. NMH CHAMPIONS A BEHAVIORAL HEALTH NEWSLETTER FOR ITS EMPLOYEES. PRIORITY ISSUE 3: BEHAVIORAL HEALTHNMH HEALTH LEADERS IDENTIFIED BEHAVIORAL HEALTH AS THEIR THIRD PRIORITY. THE COVID-19 PANDEMIC INCREASED ANXIETY AND DEPRESSION WORLDWIDE. NOW IN THE POST PANDEMIC ERA, BEHAVIORAL HEALTH IS A SIGNIFICANT PRIORITY AS MENTAL HEALTH ISSUES AFFECT INDIVIDUALS OF ALL AGES, RACES, AND SOCIOECONOMIC STATUS. NMH HAS SERVICES AVAILABLE TO SUPPORT THOSE STRUGGLING WITH MENTAL HEALTH AND CONTINUES TO FINETUNE THE SERVICES THAT WILL IMPROVE THE WELL-BEING OF THE COMMUNITY MEMBERS.IN FY 2024 THE NEED FOR ASSISTANCE FOR SUBSTANCE USE DISORDERS FOR ADULTS AND BEHAVIORAL HEALTH SERVICES FOR ADULTS, ADOLESCENTS AND CHILDREN IS GREAT AS EVER. CHEMICAL DEPENDENCY TREATMENT SERVICES (CDTS) AND BEHAVIORAL HEALTH SERVICES (BHS) CONTINUE TO BE OFFERED VIA TELEHEALTH. THE PROVIDERS AT THE FAMILY MEDICAL CENTER AND SPECIALTY MEDICAL CENTER CONTINUE TO USE NUMEROUS TOOLS TO ASSESS PATIENTS' MENTAL HEALTH ANNUALLY AND AS INDICATED, INCLUDING: THE PHQ-9 (DEPRESSION), GAD-7 (ANXIETY), CRAFTT (SUBSTANCE ABUSE IN ADOLESCENTS), AND THE C-SSRS (SUICIDE SEVERITY). INTEGRATED BEHAVIORAL HEALTH BENEFITS THE PATIENTS BY PROVIDING WARM HANDOFFS TO A LICENSED CLINICAL PROFESSIONAL COUNSELOR (LCPC) TO OFFER MENTAL HEALTH INTERVENTION IN THE PATIENTS' TIME OF NEED. WARM HANDOFFS AND TIMELY CARE ENSURE BETTER OUTCOMES AND PRIORITIZE MENTAL HEALTH FOR EACH PATIENT. DURING THE SPORTS PHYSICAL JAMBOREE, STAFF PROVIDED INFORMATION ON ALCOHOL USE, STDS, AND HOW TO SEEK BEHAVIORAL HEALTH SERVICES FOR THE YOUTH.THE MEADOWLARK INITIATIVE, SPONSORED BY NMH AND THE MONTANA HEALTHCARE FOUNDATION, INTEGRATES PRENATAL AND POSTNATAL CARE, AND BEHAVIORAL HEALTH TO IMPROVE MATERNAL AND NEONATAL OUTCOMES USING THE EPSD POSTNATAL DEPRESSION SCREENING TOOL. IN FY 2024, IT WAS EXPANDED TO PROVIDE SERVICES DURING THE BABY'S FIRST YEAR OF LIFE. CONSIDERING THE INCREASING AWARENESS OF AND NEED FOR BEHAVIORAL HEALTH, IT IS ONLY RIGHT TO FOCUS EFFORTS ON WOMEN AND THEIR INFANTS DURING THIS TIME OF TRANSITION TO HELP THEM OBTAIN HELP FOR MENTAL HEALTH PROBLEMS AND SUBSTANCE ABUSE.TO INCREASE COLLABORATION WITH NMH'S PARTNERS IN THE PROVISION OF MENTAL HEALTH SERVICES AND IMPROVE THE CONTINUITY OF CARE FOR PATIENTS, NMH MEETS WITH PROVIDERS FROM ROCKY BOY HEALTH CENTER, BEAR PAW RECOVERY, AND BULLHOOK COMMUNITY HEALTH CENTER. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 16J: IN ADDITION, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE FACILITY'S EMERGENCY ROOM AND WAITING ROOMS AS WELL AS ADMISSIONS OFFICES. THE HOSPITAL'S "CONDITIONS OF TREATMENT" ALSO INCLUDES INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 24: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. 1 1 - NORTHERN MONTANA CARE CENTER 24 13TH STREET HAVRE MT 59501 NURSING HOME PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID, LINE 7B, WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONAL EDUCATION, LINE 7F, AND CASH AND IN-KIND DONATIONS, LINE 7I, ARE ACTUAL COSTS REPORTED IN THE GENERAL LEDGER. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. PART III, LINE 2: THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS AND RESIDENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BY USING THE PERCENT OF POPULATION IN THE ORGANIZATION'S SERVICE AREA BELOW FPG. THE ORGANIZATION FEELS IT IS REASONABLE TO ASSUME AT LEAST THE SAME PERCENTAGE OF IMPLICIT PRICE CONCESSIONS IS ATTRIBUTABLE TO THOSE THAT WOULD HAVE QUALIFIED FOR CHARITY CARE, HAD THE ORGANIZATION HAD THE INFORMATION AVAILABLE TO DETERMINE ELIGIBILITY. PART III, LINE 4: PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT NOT ALL COSTS ASSOCIATED WITH PROVIDING THESE SERVICES WILL BE RECOVERED. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. THEREFORE, THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES INFORMATION ON COLLECTION PRACTICES FOR THOSE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE POLICY STATES "DURING THE PATIENT REGISTRATION OR COLLECTION PROCESS, THE HOSPITAL WILL MAKE AN INITIAL DETERMINATION OF ELIGIBILITY BASED ON VERBAL OR WRITTEN APPLICATION FOR CHARITY CARE. PENDING FINAL ELIGIBILITY DETERMINATION, THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUEST FOR DEPOSITS, PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A DETERMINATION OF STATUS." THE COLLECTION POLICY CURRENTLY SENDS ALL PATIENT ACCOUNTS WITH A PRIVATE PAY BALANCE TO A BILLING SERVICE AFTER 120 DAYS. THE BILLING SERVICE WORKS DIRECTLY WITH THE PATIENT TO MAKE A PAYMENT ARRANGEMENT. IF THEY DEFAULT ON THE PAYMENT PLAN THE BILLING SERVICE RECOMMENDS TO THE HOSPITAL TO SEND THE ACCOUNT TO COLLECTIONS; HOWEVER, IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF THE DATE OF THE FIRST INVOICE THE HOSPITAL PULLS THE ACCOUNT BACK FROM COLLECTIONS AND THE BILLING SERVICE TO REVIEW AND COMPLETE THE APPLICATION PROCESS. PART VI, LINE 2: IN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, NORTHERN MONTANA HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITY IT SERVES IN SEVERAL WAYS. NMH REVIEWS THE TOP TEN DIAGNOSIS IN IT'S TWO RURAL HEALTH CLINICS AT LEAST QUARTERLY. WE ALSO MONITOR "LEFT WITHOUT BEING SEEN" PATIENTS IN THE EMERGENCY DEPARTMENT. WE MONITOR BLOOD PRESSURE AND TOBACCO AND ALCOHOL STATUS WITH EVERY PATIENT VISIT. WE ALSO HAVE A DIABETES PREVENTION PROGRAM THAT MEETS AT LEAST MONTHLY WITH ENROLLED PATIENTS. IN ADDITION, WE HAVE A CHRONIC CARE MANAGEMENT PROGRAM IN WHICH OUR TWO CARE COORDINATORS MONITOR HIGH RISK PATIENTS VIA PHONE CALLS AND A SOFTWARE PROGRAM CALLED CHRONIC CARE IQ THAT PATIENTS IN THE PROGRAM INTERACT WITH AND RECORD THEIR VITAL SIGNS BACK TO NMH REGULARLY. PART VI, LINE 3: NORTHERN MONTANA HOSPITAL INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE THROUGH SIGNS POSTED AT OUR ADMISSIONS DESK, NOTES IN THE BROCHURE WE GIVE PATIENTS AT OUR CLINICS, AND SIGNS POSTED AT OUR CLINIC REGISTRATION DESK. IN ADDITION, OUR COLLECTION STAFF OFFERS CHARITY CARE AS AN OPTION WHEN THEY ARE DISCUSSING THE PATIENT'S BALANCE AS WELL AS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS. NMH HAS CONTRACTED WITH A COMPANY TO ASSIST THE PATIENT WITH QUALIFICATION FOR PROGRAMS SUCH AS MEDICAID AND DISABILITY DETERMINATION. WE ALSO PUBLISH A COMMUNITY BENEFIT REPORT ANNUALLY WHICH STATES HOW MUCH FINANCIAL ASSISTANCE WE HAVE GIVEN AWAY, AND WE POST OUR COMMUNITY BENEFIT REPORT ON OUR WEBSITE NOTING THAT WE PROVIDE FINANCIAL ASSISTANCE. PART VI, LINE 4: THE HOSPITAL'S SERVICE AREA CONSISTS OF HILL, BLAINE, LIBERTY, PHILIPS AND THE BIG SANDY CENSUS DISTRICT OF CHOTEAU COUNTIES. THE POPULATION OF THIS SERVICES AREA IS APPROXIMATELY 35,300. THE MEDIAN HOUSEHOLD INCOME IS ABOUT $55,600. APPROXIMATELY 17% OF THE POPULATION ARE IN POVERTY BASED ON THE FEDERAL POVERTY GUIDELINES. APPROXIMATELY 21% OF THE POPULATION IS COVERED BY MEDICAID AND 43% BY MEDICARE. ADDITIONALLY, ANOTHER 2% OF THE POPULATION IS COVERED BY INDIAN HEALTH SERVICES. THE ENTIRE SERVICE AREA IS CONSIDERED RURAL AND HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA FOR ALL PRIMARY MEDICAL CARE, MENTAL HEALTH AND DENTAL. IN ADDITION, THE ENTIRE SERVICE AREAS IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NORTHERN MONTANA HOSPITAL IS THE ONLY LOCAL HOSPITAL IN ITS SERVICE AREA; HOWEVER, THERE ARE 4 CRITICAL ACCESS HOSPITALS, 4 RURAL HEALTH CLINICS, 3 COMMUNITY HEALTH CLINICS AND 3 IHS-TRIBAL CLINICS WITHIN ITS SERVICE AREA. PART VI, LINE 5: MORE THAN 50% OF NORTHERN MONTANA HOSPITAL'S GOVERNING BOARD CONSISTS OF VARIOUS LOCAL BUSINESS PEOPLE WHO RESIDE WITHIN OUR SERVICES AREA AND ARE NOT EMPLOYED OR CONTRACTED BY THE ORGANIZATION. NORTHERN MONTANA HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE BY KEEPING ITS MEDICAL EQUIPMENT UP TO DATE, SENDING ITS EMPLOYED PHYSICIANS FOR FURTHER CONTINUING EDUCATION, SUPPORTING NURSING EDUCATION THROUGH LOAN REPAYMENT ASSISTANCE AND SCHOLARSHIP PROGRAMS AND SUPPORTING HEALTH CARE EDUCATION THROUGH AN EDUCATION ASSISTANCE PROGRAM. IN ADDITION, THE HOSPITAL SUBSIDIZES ITS EMERGENCY DEPARTMENT BY OFFERING 24/7 EMERGENCY CARE COVERAGE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. NORTHERN MONTANA HOSPITAL OFFERS DIALYSIS SERVICES TO PATIENTS IN OUR SERVICE AREA, DESPITE THE FACT THAT THIS SERVICE IS PROVIDED AT A LOSS TO NMH. WITHOUT THIS SERVICE, PATIENTS WOULD HAVE TO TRAVEL WELL OVER 100 MILES EACH WAY, 3 TIMES PER WEEK TO RECEIVE THIS SERVICE. NORTHERN MONTANA HOSPITAL HAS SOLE COMMUNITY DESIGNATION. THE NEAREST PPS HOSPITAL IS LOCATED 110 MILES FROM HAVRE. NORTHERN MONTANA HOSPITAL ALSO PARTICIPATES IN ALL GOVERNMENT SPONSORED HEALTH PROGRAMS, SUCH AS CHIP, HEALTHY MONTANA KIDS AND THE MONTANA CERVICAL AND BREAST CANCER PROGRAM, WHERE IT ACCEPTS PAYMENTS FOR SERVICES AT GREATLY DISCOUNTED RATES. SEVERAL MEMBERS OF NORTHERN MONTANA HOSPITAL'S LEADERSHIP TEAM SERVE ON OTHER COMMUNITY BOARDS, SUCH AS: HAVRE CHAMBER OF COMMERCE, HILL COUNTY HEALTH CONSORTIUM, LOCAL EMERGENCY PLANNING, FETAL/INFANT/CHILD MORTALITY REVIEW BOARD, HAVRE/HILL COUNTY PLANNING BOARD, HILL AND BLAINE COUNTY ADULT PROTECTIVE SERVICES COMMITTEE, HILL COUNTY UNITED WAY, HRDC MEDICAL ADVISORY BOARD, MSU-N NURSING ADVISORY BOARD, AND THE SAFE KIDS SAFE COMMUNITIES COMMITTEE. PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 EDUCATIONAL ASSISTANCE 17 40339 NURSE LOAN REPAYMENTS 2 16906 NURSING SCHOLARSHIPS 5 25000 PART I, LINE 2: THE ORGANIZATION PROVIDES EDUCATION ASSISTANCE TO QUALIFIED EMPLOYEES. THE ORGANIZATION MONITORS THE USE OF THE ASSISTANCE BY DISBURSING THE FUNDS DIRECTLY TO THE INSTITUTION. PART III: THE ORGANIZATION WILL PAY UP TO $5,250 PER PERSON PER YEAR FOR EDUCATIONAL ASSISTANCE IN A HEALTHCARE RELATED FIELD. NOT ALL RECIPIENTS REQUEST THE TOTAL AMOUNT. THE ORGANIZATION ANTICIPATES 3-8 RECIPIENTS PER YEAR. THE ORGANIZATION WILL PAY UP TO $5,000 PER PERSON FOR NURSING SCHOLARSHIPS. THE ORGANIZATION ANTICIPATES 3-6 PER YEAR. THE ORGANIZATION WILL PAY UP TO $7,500 PER PERSON FOR LOAN REPAYMENTS. THE ORGANIZATION ANTICIPATES 2-4 PER YEAR. 0 0 0 1 0 0 0 0 0 MICHAEL FARR DO DO 998097 0 0 0 483 0 6600 0 24720 0 1029900 0 0 0 WALTER SMITH DO DO 749758 0 0 0 1188 0 6600 0 28910 0 786456 0 0 0 DAMIAN YMZON MD MD 745500 0 0 0 293 0 6600 0 33495 0 785888 0 0 0 KEVIN HARADA MD TRUSTEE-IPD MEMBER 549120 0 0 0 195 0 6600 0 32082 0 587997 0 0 0 CAROLYN AKS MD MD 554258 0 0 0 2286 0 6600 0 9826 0 572970 0 0 0 KARRIE LIEN MD SECRETARY 531626 0 0 0 839 0 6600 0 33490 0 572555 0 0 0 CAMERON SCRATON MD MD 516105 0 0 0 162 0 6600 0 25064 0 547931 0 0 0 CAMERON ACOR DPM TRUSTEE-CHIEF OF MEDICAL STAFF 320527 0 0 0 449 0 6600 0 32645 0 360221 0 0 0 GARY GROW PHD TRUSTEE-IPD MEDICAL DIRECTOR 194231 0 0 0 2477 0 3948 0 10686 0 211342 0 0 0 CHRISTEN OBRESLEY VICE PRESIDENT 170924 0 0 0 804 0 3555 0 15292 0 190575 0 0 0 KIM LUCKE VP OF FINANCE 139056 0 0 0 853 0 2925 0 15552 0 158386 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. A RELATED ORGANIZATION AND THE MANAGEMENT COMPANY HAVE A PROCESS IN PLACE TO DETERMINE THE CEO'S COMPENSATION USING THE FORM 990 OF OTHER ORGANIZATIONS, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND THE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 5 KARRIE LIEN, KEVIN HARADA, J. GARY GROW, AND CAMERON ACOR ARE COMPENSATED AS A PERCENTAGE OF THE PRIOR THREE MONTHS' AVERAGE GROSS REVENUE EARNED FOR THE HOSPITAL BY THE PHYSICIAN, WITH THE PERCENTAGE BEING BASED ON THEIR SPECIALTY. FORM 990, PART III, LINE 3 NORTHERN MONTANA CARE CENTER BECAME ITS OWN ENTITY SEPARATE FROM NORTHERN MONTANA HOSPITAL DURING THE TAX YEAR ENDING JUNE 30, 2024. FORM 990, PART VI, SECTION A, LINE 3 DAVID C. HENRY, PRESIDENT/CEO IS EMPLOYED BY FUNDAMENTAL FINANCIAL GROUP, AN UNRELATED MANAGEMENT COMPANY. NORTHERN MONTANA HOSPITAL (NMH) PAYS THE UNRELATED MANAGEMENT COMPANY FOR DAVID'S SERVICES PROVIDED TO THE HOSPITAL, NORTHERN MONTANA HEALTH CARE, INC. AND NORTHERN MONTANA HEALTH CARE FOUNDATION. THE PRESIDENT/CEO'S RESPONSIBILITIES INCLUDE IMPLEMENTING DECISIONS AND SUPERVISING THE MANAGEMENT, ADMINISTRATION AND OPERATION OF THE HOSPITAL AND THE RELATED, EXEMPT ORGANIZATIONS. THE AMOUNT OF COMPENSATION PAID DURING THE CALENDAR YEAR 2023 WAS $579,000. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS NORTHERN MONTANA HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES OF INCORPORATION, THE BYLAWS OF THE ORGANIZATION AND THE LAWS OF THE STATE OF MONTANA, INCLUDING BUT NOT LIMITED TO, THE EXCLUSIVE POWER: (A) TO REMOVE ANY TRUSTEE FROM ANY OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE; (B) TO PROPOSE AND APPROVE (I) A PLAN OF DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION OR (II) A PLAN OF MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER CORPORATION; (C) TO PROPOSE AND APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND OR THE BYLAWS; (D) TO ADOPT AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OR ANY CHANGES THEREIN EXCEEDING $75,000; (E) TO AUTHORIZE THE ORGANIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHICH IS NOT PROVIDED FOR IN AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION WHERE THE AMOUNT INVOLVED EXCEEDS $50,000; (F) TO ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE ORGANIZATION; (G) TO AUTHORIZE THE ORGANIZATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (H) TO ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE ORGANIZATION; (J) TO APPROVE LONG-TERM BORROWING OF MONEY BY THE ORGANIZATION OR AUTHORIZE THE ORGANIZATION TO INCUR INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN ON ASSETS; OR (K) TO APPROVE THE TRUSTEES OR THE PRESIDENT OF THE ORGANIZATION FROM A SLATE PREPARED BY THE NOMINATING COMMITTEE OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF FINANCE REVIEWS THE FORM. THE BOARD OF DIRECTORS RECEIVES A COPY OF THE REVIEWED FORM 990 VIA E-MAIL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE BOARD IDENTIFIES POTENTIAL CONFLICTS FROM ANNUAL DISCLOSURES. DISCLOSURES ARE REVIEWED BY ADMINISTRATION AFTER ALL ARE GATHERED. THE BOARD DISCUSSES THE POTENTIAL CONFLICTS AND DETERMINES IF VOTING ON RELATED ITEMS WOULD BE A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, THE CONFLICT INDIVIDUAL IS EXCLUDED FROM VOTING ON THE CONFLICTED ITEM. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. THE UNRELATED MANAGEMENT COMPANY RECEIVES A FEE FOR SERVICE FOR THE CEO'S SERVICE PROVIDED TO THIS ORGANIZATION AND RELATED ORGANIZATIONS, NORTHERN MONTANA HEALTH CARE, INC. (NMHC) AND NORTHERN MONTANA HEALTH CARE FOUNDATION, INC. (NMHCF). IN DETERMINING THE CEO'S COMPENSATION, THE GOVERNING BOARD, WITH THE EXCEPTION OF THE CEO, MEETS AND REVIEWS NMH AND NMHC FINANCIAL RESULTS, CEO'S CURRENT YEAR PRIORITIES, DISCUSSES EVALUATION TOOLS TO BE USED FOR THE CEO'S EVALUATION, HOW COMPARATIVE SALARIES WILL BE OBTAINED AND DISCUSSES THE HISTORY OF COMPENSATION TO THE CEO. AT A SECOND MEETING THE BOARD REVIEWS NON-FINANCIAL ACTIVITY OF NMH AND NMHC AND THE RESULTS OF THE CEO EVALUATIONS COMPLETED BY THE BOARD MEMBERS. THEN THEY REVIEW AND DISCUSS A COMPENSATION COMPARATIVE SUMMARY OF MONTANA CEO'S COMPENSATION. THEY AGREE UPON A LIST OF THE COMING YEAR'S PRIORITIES FOR THE CEO AND PROPOSED COMPENSATION, WITH THE COMPENSATION SET BY BOARD VOTE. THIS ANNUAL PROCESS WAS COMPLETED DURING THE FISCAL YEAR 2024. THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR ALL OTHER OFFICERS AND PHYSICIANS. 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. THE FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 PER THE IRS INSTRUCTIONS. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,102,563. MANAGEMENT AND GENERAL EXPENSES 4,408,052. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,510,615. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,799,273. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,799,273. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT -62,094. EQUITY TRANSFER TO AFFILIATE - NMHC, INC. -500,000. FORM 990, PART XII, LINE 2C: THE CONTROLLING ORGANIZATION, NORTHERN MONTANA HEALTH CARE, INC'S. BOARD HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. NORTHERN MONTANA HEALTH CARE INC PO BOX 1231 HAVRE MT 59501 810428854 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12B, II N/A 0 NORTHERN MONTANA HEALTH CARE FOUNDATION INC PO BOX 1231 HAVRE MT 59501 363464641 FUNDRAISING MT 501(C)(3) LINE 7 NORTHERN MONTANA HEALTH CARE INC 0 NORTHERN MONTANA CARE CENTER PO BOX 1231 HAVRE MT 59501 932157998 LONG TERM CARE MT 501(C)(3) LINE 10 NORTHERN MONTANA HEALTH CARE INC 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 1