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NORTHEAST MONTANA HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST MONTANA HEALTH SERVICES INC (EIN 81-0226578)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201821319349304312
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T14:11:52-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GREEN HEALTH GROUP PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1110 5TH ST S SUITE 106AddressLine1Txt
CityGLASGOWCityNm
State AbbreviationMTStateAbbreviationCd
ZIP592302338ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810226578EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST MONTANA HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone4066536500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 KNAPP STREETAddressLine1Txt
CityWOLF POINTCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARGARET NORGAARDPersonNm
Person TitleCEOPersonTitleTxt
Phone4066536500PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL GREENPreparerPersonNm
PTINP01311679PTIN
Phone4062632615PhoneNum
Preparation2018-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARGARET NORGAARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 KNAPP STREETAddressLine1Txt
CityWOLF POINTCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$26,673,810GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEMHS.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee508TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$1,137,883TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$34,654NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,002,636PYContributionsGrantsAmt
CY Contributions Grants$627,784CYContributionsGrantsAmt
PY Program Service Revenue$24,100,851PYProgramServiceRevenueAmt
CY Program Service Revenue$25,465,763CYProgramServiceRevenueAmt
PY Investment Income$926,400PYInvestmentIncomeAmt
CY Investment Income$222,666CYInvestmentIncomeAmt
PY Other Revenue$364,885PYOtherRevenueAmt
CY Other Revenue$357,597CYOtherRevenueAmt
PY Total Revenue$26,394,772PYTotalRevenueAmt
CY Total Revenue$26,673,810CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,268,974PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,863,660CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$60,755CYTotalFundraisingExpenseAmt
PY Other Expenses$10,258,762PYOtherExpensesAmt
CY Other Expenses$11,099,476CYOtherExpensesAmt
PY Total Expenses$25,527,736PYTotalExpensesAmt
CY Total Expenses$26,963,136CYTotalExpensesAmt
PY Revenues Less Expenses$867,036PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$289,326CYRevenuesLessExpensesAmt
Total Assets BOY$36,583,670TotalAssetsBOYAmt
Total Assets EOY$36,979,769TotalAssetsEOYAmt
Total Liabilities BOY$12,766,911TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,452,336TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,816,759NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,527,433NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,676,160ExpenseAmt
Revenue$25,465,763RevenueAmt
DescPROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE.Desc
Total Program Service Expenses$21,676,160TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee508EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEMI WILKINSONPersonNm
Phone4066536500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 KNAPP STAddressLine1Txt
CityWOLF POINTCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59201ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK ZILKOSKI MD
MEDICAL STAF1.0040.00Yes (X)$0$245,734$120,381
SHARON BRAVARD
CHAIRWOMAN2.00Yes (X)$0$0$0
SHANE GIBSON
VICE CHAIRMA1.00Yes (X)$0$0$0
STEVE HACKLEY
DIRECTOR1.00Yes (X)$0$0$0
DALLAS O'CONNOR
DIRECTOR1.00Yes (X)$0$0$0
RJ DOORNEK
DIRECTOR1.00Yes (X)$0$0$0
MARGARET NORGAARD
CEO40.00$154,218$0$24,387Yes (X)
RICHARD GOERTZ
CFO40.00$77,529$0$12,510Yes (X)
VICKI HOUSTON
RN40.00$163,340$0$9,342Yes (X)
MARK ZYGMOND
CRNA20.00$142,593$0$3,796Yes (X)
ELAINE LONG
RN-VP NURSIN40.00$130,218$0$10,721Yes (X)
JO ANN HIBL
RN-DON40.00$127,109$0$11,482Yes (X)
LORI COLLINS
RN40.00$117,347$0$9,020Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$912,354TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$245,734TotReportableCompRltdOrgAmt
Total Other Compensation$201,639TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DALE PLUMBING & HEATING
PO BOX 527GLASGOWMT59230BOILER SYSTEM$711,836
BIG SKY LOCUMS
2025 LAKE HILLS DRIVEBILLINGSMT59105ER PROVIDERS$309,882
BILLINGS CLINIC
PO BOX 30277BILLINGSMT59107COMPUTER SUPP$289,984
DRAGE FAMILY PRACTICE
1912 E HICKORY POINT CIRCLESANDYUT84092ER PROVIDER SVC$266,224
CERNER
PO BOX 959156ST LOUISMO63195EHR SERVICES$243,940
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$25,368RelatedOrganizationsAmt
Government Grants$43,703GovernmentGrantsAmt
All Other Contributions$558,713AllOtherContributionsAmt
Total Contributions$627,784TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621500$22,479,572$22,479,572
RETAIL PHARMACIES446110$2,986,191$1,848,308$1,137,883
FieldValueIRS element (for citing)
Total Program Service Revenue$25,465,763TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,666TotalRevenueColumnAmt
Related Or Exempt Func Income$222,666RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL DISTRICT TAX900099$357,447$357,447
GAIN ON SALE OF ASSETS900099$150$150
FieldValueIRS element (for citing)
Other Revenue Total$357,597OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,673,810TotalRevenueColumnAmt
Related Or Exempt Func Income$24,908,143RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,137,883UnrelatedBusinessRevenueAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$310,004TotalAmt
Management And General$310,004ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,255,407TotalAmt
Program Services$11,769,608ProgramServicesAmt
Management And General$1,436,984ManagementAndGeneralAmt
Fundraising$48,815FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$97,498TotalAmt
Program Services$79,618ProgramServicesAmt
Management And General$17,755ManagementAndGeneralAmt
Fundraising$125FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,131,501TotalAmt
Program Services$893,645ProgramServicesAmt
Management And General$229,658ManagementAndGeneralAmt
Fundraising$8,198FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,069,250TotalAmt
Program Services$775,656ProgramServicesAmt
Management And General$290,098ManagementAndGeneralAmt
Fundraising$3,496FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$95,505TotalAmt
Management And General$95,505ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$81,905TotalAmt
Management And General$81,905ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,625,955TotalAmt
Program Services$2,625,955ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,367TotalAmt
Management And General$21,367ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$756,316TotalAmt
Program Services$416,727ProgramServicesAmt
Management And General$339,571ManagementAndGeneralAmt
Fundraising$18FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$227,011TotalAmt
Management And General$227,011ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$251,594TotalAmt
Program Services$251,594ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$101,769TotalAmt
Program Services$88,451ProgramServicesAmt
Management And General$13,265ManagementAndGeneralAmt
Fundraising$53FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$29,310TotalAmt
Program Services$24,843ProgramServicesAmt
Management And General$4,417ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$402,952TotalAmt
Program Services$3,439ProgramServicesAmt
Management And General$399,513ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,108,349TotalAmt
Management And General$1,108,349ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$274,692TotalAmt
Management And General$274,692ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,980,364$2,977,001$3,363
COGS$824,286$824,286
REPAIRS & MAINTENANCE$739,003$429,154$309,849
FOOD & DIETARY SUPPLIES$317,406$317,406

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$261,692TotalAmt
Program Services$198,777ProgramServicesAmt
Management And General$62,915ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,963,136TotalAmt
Program Services$21,676,160ProgramServicesAmt
Management And General$5,226,221ManagementAndGeneralAmt
Fundraising$60,755FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,758,430BOYAmt
EOY$5,334,965EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$250,690BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,100,044BOYAmt
EOY$5,787,058EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$920,469BOYAmt
EOY$831,777EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$278,183BOYAmt
EOY$313,746EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,433,889LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,620,432LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,238,698BOYAmt
EOY$8,813,457EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,545,058BOYAmt
EOY$5,995,848EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,492,098BOYAmt
EOY$9,902,918EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,583,670BOYAmt
EOY$36,979,769EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,170,047BOYAmt
EOY$3,356,818EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,534,445BOYAmt
EOY$9,322,698EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$62,419BOYAmt
EOY$772,820EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,766,911BOYAmt
EOY$13,452,336EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,150,026BOYAmt
EOY$22,891,229EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$666,733BOYAmt
EOY$636,204EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,816,759BOYAmt
EOY$23,527,433EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,583,670BOYAmt
EOY$36,979,769EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$289,326ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,939OtherActivitiesAmt
Total Lobbying Expenditures$1,939TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
Explanation0.33 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 80, 21.78 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 1,835, AND 1.70 PERCENT OF DUES PAID TO MHA FOR LEADING AGE WHICH WAS 24 (1939 COMBINED) WERE USED FOR LOBBYING EXPENSES BY MHA.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,950OtherCostOrOtherBasisAmt
Book Value$28,950BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,107,298OtherCostOrOtherBasisAmt
Depreciation$9,773,865DepreciationAmt
Book Value$5,333,433BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,297,641OtherCostOrOtherBasisAmt
Depreciation$9,846,567DepreciationAmt
Book Value$3,451,074BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,813,457TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$5,002,556BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescBOND FUNDSDesc
Book Value$993,292BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$5,995,848TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RECEIVABLE-WOLF POINT CLINIC ASSOC$6,314,068
RECEIVABLE-RIVERSIDE FAMILY CLINIC$3,508,850
WORK COMP TRUST DEPOSIT$80,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,902,918TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$26,673,810TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$26,673,810RevenueSubtotalAmt
Total Revenue Per Form990$26,673,810TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,963,136TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$26,963,136ExpensesSubtotalAmt
Total Expenses Per Form990$26,963,136TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationIT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. SEE PAGE 8 IN THE NORTHEAST MONTANA HEALTH SERVICES, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2017 AND 2016.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$580,467TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$580,467NetCommunityBenefitExpnsAmt
Total Expense0.02150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,331,193TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,102,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$229,088NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,911,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,102,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$809,555NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,336,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,204,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,132,061NetCommunityBenefitExpnsAmt
Total Expense0.04200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,400NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,345,210TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,204,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,140,461NetCommunityBenefitExpnsAmt
Total Expense0.04230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,256,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,306,854DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,950,016NetCommunityBenefitExpnsAmt
Total Expense0.07230TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,100NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,100NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$446,535BadDebtExpenseAmt
Reimbursed By Medicare$4,718,140ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,641,272CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$76,868MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsInd
NEMHS - TRINITY HOSPITAL
1315 KNAPP STREETWOLF POINTMT59201WWW.NEMHS.NETYes (X)Yes (X)Yes (X)Yes (X)
NEMHS - POPLAR COMMUNITY HOSPITAL
2211 H STREET EASTPOPLARMT59255WWW.NEMHS.NETYes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndOtherOtherIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndLook Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
NEMHS - TRINITY HOSPITAL
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (true)15Yes (true)WWW.NEMHS.NETfalsefalseYes (true)Yes (X)100.000000000000200.000000000000Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)WWW.NEMHS.NETYes (X)WWW.NEMHS.NETYes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse
NEMHS - POPLAR COMMUNITY HOSPITAL
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (true)15Yes (true)WWW.NEMHS.NETfalsefalseYes (true)Yes (X)100.000000000000200.000000000000Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)WWW.NEMHS.NETYes (X)WWW.NEMHS.NETYes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5IN THE SPRING OF 2016, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN THE PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. THE SURVEY WAS MADE AVAILABLE ONLINE THROUGH SURVEY MONKEY AND ADVERTISED THROUGH FACEBOOK AND BULLETINS POSTED AROUND WOLF POINT AND POPLAR. OF THE 300 SURVEYS SENT, 228 RESULTED IN A RESPONSE. FIVE FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR DESIGNED TO REPRESENT VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS, MEDICALLY UNDERSERVED, LOW-INCOME, UNDERINSURED, MINORITY CITIZENS, LOCAL COMMUNITY MEMBERS, VARIOUS MEDICAL PROVIDERS, AND AREA CEOS FROM NEIGHBORING HOSPITALS VIA TELECONFERENCING. ALSO, SIX KEY INFORMANT INTERVIEWS WHICH INCLUDED THE PUBLIC HEALTH NURSE WERE CONDUCTED ON BEHALF OF NEMHS BY THE MONTANA OFFICE OF RURAL HEALTH.
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 6ANORTHEAST MONTANA HEALTH SERVICES - POPLAR COMMUNITY HOSPITAL
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 7DTHE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY.
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 11NEMHS AND ASSOCIATES IDENTIFIED 14 NEEDS TO ADDRESS. THREE GOALS WITH STRATEGIES AND ACTIVITES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 14 NEEDS. NEMHS AND ASSOCIATES IDENTIFIED 4 OF THOSE NEEDS THAT COULD NOT BE ADDRESSED. NEEDS TO BE ADDRESSED: 1. HEALTHY COMMUNITY INCLUDING ACCESS TO HEALTHCARE AND OTHER SERVICES, HEALTHY BEHAVIORS AND LIFESTYLES, AND STRONG FAMILY LIFE. 2. RESPONDENTS DELAYED OR DID NOT GET NEEDED HEALTHCARE SERVICES. 3. DELAYS IN RECEIVING HEALTHCARE INCLUDING TOO LONG TO WAIT FOR AN APPOINTMENT, IT COSTS TOO MUCH, AND COULD NOT GET AN APPOINTMENT. 4. HEALTHCARE WORKFORCE SHORTAGE. 5. MOST COMMUNITY MEMBERS CONSIDER THE COMMUNITY TO BE UNHEALTHY. 6. NEED FOR MORE EXERCISE WITHIN THE COMMUNITY AS 1/3 OF COMMUNITY EXERCISES 20 MINUTES OR LESS ONE TO TWO TIMES A MONTH OR LESS. 7. HEALTH CONCERNS: ALCOHOL/SUBSTANCE ABUSE, CHILD ABUSE/NEGLECT, AND DIABETES. 8. RESPONDENTS REPORTED THEY EXPERIENCED PERIODS OF DEPRESSION FOR AT LEAST THREE MONTHS. 9. NEED FOR GREATER ACCESS TO AND QUALITY MENTAL HEALTH TREATMENT. 10. LACK OF SUBSTANCE ABUSE SERVICES AND THE AMOUNT OF DRUG AND ALCOHOL ABUSE. 11. ADDRESSING CHRONIC DISEASES IN COMMUNITY SUCH AS DIABETES, OBESITY, AND HEART DISEASE. 12. NEED TO REDUCE PERCENTAGE OF DIABETICS IN ROOSEVELT COUNTY AS IT IS DOUBLE THE STATE AVERAGE AND HIGHER THAN THE NATIONAL AVERAGE. 13. NEED FOR LOCAL DENTAL, MRI, AND DERMATOLOGY SERVICES. 14. NEED FOR LOCAL PHYSICAL THERAPY SERVICES. GOALS, STRATEGIES, AND ACTIVITIES TO ADDRESS NEEDS: 1. IMPROVE ACCESS TO HEALTHCARE SERVICES IN NEMHS SERVICE AREA. STRATEGIES FOR IMPLEMENTATION: 1.1 - ENHANCE WORKFORCE DEVELOPMENT OUTREACH THROUGH PIPELINE PROGRAMS, SUCH AS MILES CITY COMMUNITY COLLEGE AND FORT PECK COMMUNITY COLLEGE NURSING PROGRAMS. NEMHS IS PARTICIPATING IN DISCUSSIONS BETWEEN FORT PECK COMMUNITY COLLEGE AND MILES CITY COMMUNITY COLLEGE TO ALLOW STUDENTS AT FPCC TO PARTICIPATE IN MILES CITY COMMUNITY COLLEGE'S NURSING PROGRAM. NEMHS WOULD PROVIDE CLINICAL TRAINING TO STUDENTS IN THE PROGRAM OVER THE COURSE OF TWO YEARS. 1.2 - EXPAND WORKFORCE RECRUITMENT EFFORTS BY ATTENDING VARIOUS RECRUITMENT FAIRS, CONFERENCES, RESIDENCY PROGRAM "MEET AND GREETS" TO EDUCATE POTENTIAL EMPLOYEES ABOUT NEMHS. THE DIRECTOR OF NURSING HAS BEEN ATTENDING NURSING JOB FAIRS TO RECRUIT NEW GRADUATES TO COME WORK AT NEMHS. ALSO, THE TRINITY EMS DIRECTOR TEACHES CLASSES IN THE FALL TO TRAIN COMMUNITY MEMBERS IN EMERGENCY AID WITH THE GOAL TO RECRUIT MEMBERS TO EMS AFTER THE TRAINING IS COMPLETE. 1.3 - IMPROVE ACCESS TO MENTAL HEALTH SERVICES BY IDENTIFYING LOCAL MENTAL HEALTH PROGRAMS AND STAKEHOLDERS; CATALOGUE AVAILABLE RESOURCES. 2. IMPROVE COMMUNITY HEALTH AND WELLNESS IN ROOSEVELT COUNTY. STRATEGIES FOR IMPLEMENTATION: 2.1 - INCREASE HEALTH AND WELLNESS OPPORTUNITIES AND RESOURCES FOR NEMHS STAFF BY WORKING WITH THE FFCC WELLNESS PROGRAM STAFF. 2.2 - IMPROVE ACCESS TO HEALTH AND WELLNESS OPPORTUNITIES FOR NEMHS COMMUNITY BY SPONSORING/HOLDING COMMUNITY HEALTH EVENTS SUCH AS A COLOR RUN. 2.3 - NEMHS IS IN TALKS WITH THE ROOSEVELT COUNTY JAIL TO OFFER CORRECTIONAL HEALTH SERVICES TO INMATES PREVENTING THE NEED FOR THE OFFICERS TO BRING INMATES TO THE HOSPITAL OR CLINIC. 3. IMPROVE ACCESS TO PHYSICAL THERAPY SERVICES IN ROOSEVELT COUNTY. STRATEGY FOR IMPLEMENTATION: 3.1 - ENHANCE PHYSICAL THERAPY SERVICES AVAILABLE THROUGH NEMHS BY CONDUCTING A FEASIBILITY STUDY FOR DEVELOPMENT OF PHYSICAL THERAPY SERVICES AT NEMHS - ASSESS FUNDING NEEDS AND POTENTIAL BARRIERS. THIS PROCESS BEGAN IN FY2017 BY INTERVIEWING PHYSICAL THERAPIST CANDIDATES ABOUT STARTING TO OFFER THIS SERVICE IN THE WOLF POINT AREA AND PULLING TOGETHER A COMMITTEE TO IDENTIFY THE BEST LOCATION FOR THE DEPARTMENT. NEEDS THAT COULD NOT BE ADDRESSED: 1. STRONG FAMILY LIFE, CHILD ABUSE/NEGLECT, CRIME AND SAFE NEIGHBORHOODS, AND SAFE WALKING TRAILS/PATHS - NEMHS WORKS AND REFERS INCIDENTS TO FAMILY RESOURCES CENTER AND CHILD PROTECTIVE SERVICES BUT IS UNABLE TO PROVIDE HELP ON THE SCOPE THE COMMUNITY WANTS. 2. SURVEY RESPONDENTS DELAYED OR DID NOT RECEIVE NEEDED MEDICAL SERVICES BECAUSE IT COSTS TOO MUCH - NEMHS CURRENTLY OFFERS A SLIDING FEE SCHEDULE AND A FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WITHIN THE 200% POVERTY GUIDELINES. AGING SERVICES HAS A REPRESENTATIVE AVAILABLE AT NEMHS TO PROVIDE ASSISTANCE WITH THE INSURANCE EXCHANGE AND BOTH INDIAN HEALTH AND NEMHS HAVE REPRESENTATIVES AVAILABLE TO ASSIST WITH MEDICAID APPLICATIONS. 3. SURVEY RESPONDENTS INDICATED A DESIRE FOR BETTER ACCESS TO DENTAL SERVICES - HP/DP PROVIDES DENTAL SERVICES FOR THOSE TRIBAL COMMUNITY MEMBERS. RECRUITING ADDITIONAL DENTAL PROVIDERS WOULD NOT BE FEASIBLE FOR NEMHS DUE TO FINANCIAL, STAFFING, AND LOGISTICAL BARRIERS. 4. MRI AND DERMATOLOGY WERE TWO SPECIALTY SERVICES IDENTIFIED AS A NEEDED SERVICE BY SURVEY RESPONDENTS - NEMHS HAS BEEN WORKING ON EXPANDING BOTH MRI AND DERMATOLOGY SERVICES. MRI HAS PROVEN TO BE TOO RESOURCE AND STAFF INTENSIVE FOR OUR FACILITY AT THIS TIME. ADDITIONALLY, DERMATOLOGY VIA TELEMEDICINE HAS BEEN ATTEMPTED BUT THUS FAR WE HAVE BEEN UNSUCCESSFUL IN SECURING A DERMATOLOGIST TO PROVIDE SERVICES.
FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 5IN THE SPRING OF 2016, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN THE PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. THE SURVEY WAS MADE AVAILABLE ONLINE THROUGH SURVEY MONKEY AND ADVERTISED THROUGH FACEBOOK AND BULLETINS POSTED AROUND WOLF POINT AND POPLAR. OF THE 300 SURVEYS SENT, 228 RESULTED IN A RESPONSE. FIVE FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR DESIGNED TO REPRESENT VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS, MEDICALLY UNDERSERVED, LOW-INCOME, UNDERINSURED, MINORITY CITIZENS, LOCAL COMMUNITY MEMBERS, VARIOUS MEDICAL PROVIDERS, AND AREA CEOS FROM NEIGHBORING HOSPITALS VIA TELECONFERENCING. ALSO, SIX KEY INFORMANT INTERVIEWS WHICH INCLUDED THE PUBLIC HEALTH NURSE WERE CONDUCTED ON BEHALF OF NEMHS BY THE MONTANA OFFICE OF RURAL HEALTH.
FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 6ANORTHEAST MONTANA HEALTH SERVICES - TRINITY HOSPITAL
FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 7DTHE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY.
FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 11NEMHS AND ASSOCIATES IDENTIFIED 14 NEEDS TO ADDRESS. THREE GOALS WITH STRATEGIES AND ACTIVITES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 14 NEEDS. NEMHS AND ASSOCIATES IDENTIFIED 4 OF THOSE NEEDS THAT COULD NOT BE ADDRESSED. NEEDS TO BE ADDRESSED: 1. HEALTHY COMMUNITY INCLUDING ACCESS TO HEALTHCARE AND OTHER SERVICES, HEALTHY BEHAVIORS AND LIFESTYLES, AND STRONG FAMILY LIFE. 2. RESPONDENTS DELAYED OR DID NOT GET NEEDED HEALTHCARE SERVICES. 3. DELAYS IN RECEIVING HEALTHCARE INCLUDING TOO LONG TO WAIT FOR AN APPOINTMENT, IT COSTS TOO MUCH, AND COULD NOT GET AN APPOINTMENT. 4. HEALTHCARE WORKFORCE SHORTAGE. 5. MOST COMMUNITY MEMBERS CONSIDER THE COMMUNITY TO BE UNHEALTHY. 6. NEED FOR MORE EXERCISE WITHIN THE COMMUNITY AS 1/3 OF COMMUNITY EXERCISES 20 MINUTES OR LESS ONE TO TWO TIMES A MONTH OR LESS. 7. HEALTH CONCERNS: ALCOHOL/SUBSTANCE ABUSE, CHILD ABUSE/NEGLECT, AND DIABETES. 8. RESPONDENTS REPORTED THEY EXPERIENCED PERIODS OF DEPRESSION FOR AT LEAST THREE MONTHS. 9. NEED FOR GREATER ACCESS TO AND QUALITY OF MENTAL HEALTH TREATMENT. 10. LACK OF SUBSTANCE ABUSE SERVICES AND THE AMOUNT OF DRUG AND ALCOHOL ABUSE. 11. ADDRESSING CHRONIC DISEASES IN COMMUNITY SUCH AS DIABETES, OBESITY, AND HEART DISEASE. 12. NEED TO REDUCE PERCENTAGE OF DIABETICS IN ROOSEVELT COUNTY AS IT IS DOUBLE THE STATE AVERAGE AND HIGHER THAN THE NATIONAL AVERAGE. 13. NEED FOR LOCAL DENTAL, MRI, AND DERMATOLOGY SERVICES. 14. NEED FOR LOCAL PHYSICAL THERAPY SERVICES. GOALS, STRATEGIES, AND ACTIVITIES TO ADDRESS NEEDS: 1. IMPROVE ACCESS TO HEALTHCARE SERVICES IN NEMHS SERVICE AREA. STRATEGIES FOR IMPLEMENTATION: 1.1 - ENHANCE WORKFORCE DEVELOPMENT OUTREACH THROUGH PIPELINE PROGRAMS, SUCH AS MILES CITY COMMUNITY COLLEGE AND FORT PECK COMMUNITY COLLEGE NURSING PROGRAMS. NEMHS IS PARTICIPATING IN DISCUSSIONS BETWEEN FORT PECK COMMUNITY COLLEGE AND MILES CITY COMMUNITY COLLEGE TO ALLOW STUDENTS AT FPCC TO PARTICIPATE IN MILES CITY COMMUNITY COLLEGE'S NURSING PROGRAM. NEMHS WOULD PROVIDE CLINICAL TRAINING TO STUDENTS IN THE PROGRAM OVER THE COURSE OF TWO YEARS. 1.2 - EXPAND WORKFORCE RECRUITMENT EFFORTS BY ATTENDING VARIOUS RECRUITMENT FAIRS, CONFERENCES, RESIDENCY PROGRAM "MEET AND GREETS" TO EDUCATE POTENTIAL EMPLOYEES ABOUT NEMHS. THE DIRECTOR OF NURSING HAS BEEN ATTENDING NURSING JOB FAIRS TO RECRUIT NEW GRADUATES TO COME WORK AT NEMHS. 1.3 - IMPROVE ACCESS TO MENTAL HEALTH SERVICES BY IDENTIFYING LOCAL MENTAL HEALTH PROGRAMS AND STAKEHOLDERS; CATALOGUE AVAILABLE RESOURCES. 2. IMPROVE COMMUNITY HEALTH AND WELLNESS IN ROOSEVELT COUNTY. STRATEGIES FOR IMPLEMENTATION: 2.1 - INCREASE HEALTH AND WELLNESS OPPORTUNITES AND RESOURCES FOR NEMHS STAFF BY WORKING WITH THE FFCC WELLNESS PROGRAM STAFF. 2.2 - IMPROVE ACCESS TO HEALTH AND WELLNESS OPPORTUNITIES FOR NEMHS COMMUNITY BY SPONSORING/HOLDING COMMUNITY HEALTH EVENTS SUCH AS A COLOR RUN. POPLAR COMMUNITY HOSPITAL HOLDS A COLOR RUN IN JUNE TO ADVOCATE EXERCISE TO CHILDREN AND THEIR FAMILY MEMBERS. 2.3 - NEMHS IS IN TALKS WITH ROOSEVELT COUNTY JAIL TO OFFER CORRECTIONAL HEALTH SERVICES TO INMATES PREVENTING THE NEED FOR THE OFFICERS TO BRING INMATES TO THE HOSPITAL OR CLINIC. 3. IMPROVE ACCESS TO PHYSICAL THERAPY SERVICES IN ROOSEVELT COUNTY. STRATEGY FOR IMPLEMENTATION: 3.1 - ENHANCE PHYSICAL THERAPY SERVICES AVAILABLE THROUGH NEMHS BY CONDUCTING A FEASIBILITY STUDY FOR DEVELOPMENT OF PHYSICAL THERAPY SERVICES AT NEMHS - ACCESS FUNDING NEEDS AND POTENTIAL BARRIERS. THIS PROCESS BEGAN IN FY2017 BY INTERVIEWING PHYSICAL THERAPIST CANDIDATES ABOUT STARTING TO OFFER THIS SERVICE AT THE POPLAR HOSPITAL FOR THE SWING BED UNIT AND OTHER COMMUNITY MEMBERS. NEEDS THAT COULD NOT BE ADDRESSED: 1. STRONG FAMILY LIFE, CHILD ABUSE/NEGLECT, CRIME AND SAFE NEIGHBORHOODS, AND SAFE WALKING TRAILS/PATHS - NEMHS WORKS AND REFERS INCIDENTS TO FAMILY RESOURCES CENTER AND CHILD PROTECTIVE SERVICES BUT IS UNABLE TO PROVIDE HELP ON THE SCOPE THE COMMUNITY WANTS. 2. SURVEY RESPONDENTS DELAYED OR DID NOT RECEIVE NEEDED MEDICAL SERVICES BECAUSE IT COSTS TOO MUCH - NEMHS CURRENTLY OFFERS A SLIDING FEE SCHEDULE AND A FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WITHIN THE 200% POVERTY GUIDELINES. AGING SERVICES HAS A REPRESENTATIVE AVAILABLE AT NEMHS TO PROVIDE ASSISTANCE WITH THE INSURANCE EXCHANGE AND BOTH INDIAN HEALTH AND NEMHS HAVE REPRESENTATIVES AVAILABLE TO ASSIST WITH MEDICAID APPLICATIONS. 3. SURVEY RESPONDENTS INDICATED A DESIRE FOR BETTER ACCESS TO DENTAL SERVICES - HP/DP PROVIDES DENTAL SERVICES FOR THOSE TRIBAL COMMUNITY MEMBERS. RECRUITING ADDITIONAL DENTAL PROVIDERS WOULD NOT BE FEASIBLE FOR NEMHS DUE TO FINANCIAL, STAFFING, AND LOGISTICAL BARRIERS. 4. MRI AND DERMATOLOGY WERE TWO SPECIALTY SERVICES IDENTIFIED AS A NEEDED SERVICE BY SURVEY RESPONDENTS - NEMHS HAS BEEN WORKING ON EXPANDING BOTH MRI AND DERMATOLOGY SERVICES. MRI HAS PROVEN TO BE TOO RESOURCE AND STAFF INTENSIVE FOR OUR FACILITY AT THIS TIME. ADDITIONALLY, DERMATOLOGY VIA TELEMEDICINE HAS BEEN ATTEMPTED BUT THUS FAR WE HAVE BEEN UNSUCCESSFUL IN SECURING A DERMATOLOGIST TO PROVIDE SERVICES.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
WOLF POINT CLINIC ASSOCIATION
301 KNAPP STREETWOLF POINTMT59201RURAL HEALTH CLINIC
RIVERSIDE FAMILY CLINIC
PO BOX 629POPLARMT59255RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 169,847. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONUSED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX, COMMUNITY BENEFIT, AND WORKFORCE DEVELOPMENT EXPENSE. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT.
PART II - COMMUNITY BUILDING ACTIVITIESTHE 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 53,100 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. TRINITY HOSPITAL ALSO HELD FREE EMT COURSES TO ENGAGE THE LOCAL COMMUNITY AND TRAIN ATTENDEES IN HOW TO RESPOND IN EMERGENCY SITUATIONS. THE COURSE ALSO ACTS AS A RECRUITMENT TOOL FOR THE HOSPITAL EMS SERVICES SO THEY MIGHT GROW THEIR EMERGENCY RESPONDER STAFF TO BETTER SERVE THE LOCAL COMMUNITY. THE HOSPITAL, WITH THE HELP OF THE POLICE AND FIRE DEPARTMENT, ALSO ENGAGED THE LOCAL YOUTH BY HOLDING A LIVE DEMONSTRATION OF A TEXTING AND DRIVING ACCIDENT AND THE LOCAL EMERGENCY RESPONSE TO SUCH AN ACCIDENT.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYTHE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF BAD DEBT WHICH REDUCE BAD DEBT EXPENSE. NONE OF THE BAD DEBT IS CONSIDERED ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. BAD DEBTS ARE AN INEVITABLE RESULT OF OPERATING A NON-PROFIT HOSPITAL.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATIONTHERE IS NO MEDICARE SHORTFALL. 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.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONTHE 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.
PART VI, LINE 2 - NEEDS ASSESSMENTPURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, NEMHS ADOPTED A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN AND AN IMPLEMENTATION STRATEGY DURING FISCAL YEARS 2016 AND 2013 (TAX YEARS 2015 AND 2012). 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. HERE IS ONE OF OUR PAST FINDINGS: PATIENTS EXPRESSED THEIR DISSATISFACTION WITH HAVING TO TRAVEL TO BILLINGS OR SIDNEY TO HAVE SLEEP STUDIES PERFORMED. WE WERE ABLE TO TRACK THE RISE IN SLEEP STUDY REFERRALS BY OUR PROVIDERS IN THE PAST COUPLE OF YEARS. A GROUP OF MANAGERS WAS BROUGHT TOGETHER TO DO A FEASIBILITY STUDY ON BRINGING SLEEP STUDY SERVICES TO NEMHS, AND WERE ABLE TO COME UP WITH SEVERAL SOLUTIONS. INSTEAD OF IMPLEMENTING A FULL-TIME SLEEP STUDY DEPARTMENT AT NEMHS, COMPLETE WITH QUALIFIED EMPLOYEES AND EQUIPMENT, NEMHS FOUND IT MORE FEASIBLE TO BRING IN A THIRD PARTY COMPANY THAT COULD PERFORM SLEEP STUDIES. NOW WHEN THE PROVIDERS HAVE THREE OR MORE STUDIES, THE THIRD PARTY COMPANY WILL COME IN FOR TWO TO FOUR NIGHTS AND PERFORM THE STUDIES, THUS PATIENTS DO NOT HAVE TO TRAVEL OUT OF THE COMMUNITY TO HAVE THEM PERFORMED. NEMHS MAKES INVESTMENTS TO DELIVER SERVICES NEEDED IN THE COMMUNITY.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENORTHEAST 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.
PART VI, LINE 4 - COMMUNITY INFORMATIONTHE 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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHNORTHEAST 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.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMTWO 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.
ADDITIONAL INFORMATIONPART V: WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC ARE RURAL HEALTH CLINICS THAT ARE OPERATED AND SUBSIDIZED BY NORTHEAST MONTANA HEALTH SERVICES. THEIR REVENUE AND EXPENSES ARE NOT INCLUDED ON NORTHEAST MONTANA HEALTH SERVICES' FORM 990. PART I, LINE 7I: NEMHS CONTRIBUTED 8,400 TO RURAL HEALTH DEVELOPMENT, INC. TO SUPPORT AND INFLUENCE THE EVOLUTION OF HEALTHCARE ORGANIZATION BY PROVIDING ADDITIONAL FUNDING FOR SMALLER FACILITIES IN CENTRAL AND EASTERN MONTANA FOR CAPITAL PURCHASES, QUALITY IMPROVEMENTS, AND CREATING COST SAVINGS AND OPERATIONAL EFFICIENCIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
MARK ZILKOSKI MD
MEDICAL STAFF REP$245,734$120,381$366,115
MARGARET NORGAARD
CEO$154,218$2,763$21,624$178,605
VICKI HOUSTON
RN$163,340$1,225$8,117$172,682

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4MARK ZILKOSKI, MD 0 117,924 0
SCHEDULE J, PART IIITHE COMPENSATION OF MARK ZILKOSKI, MD IS AN EXPENSE OF WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MT FACILITY FINANCE AUTHORITY BONDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN364615155BondIssuerEIN
Bond Issued2017-01-31BondIssuedDt
Issue Price$9,820,000IssuePriceAmt
PurposeREFUNDING OF 2007B REVENUE BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$9,820,000TotalProceedsAmt
In Reserve Fund$794,798InReserveFundAmt
Refunding Escrow$8,827,353RefundingEscrowAmt
Issuance Costs From Proceeds$196,400IssuanceCostsFromProceedsAmt
Other Spent Proceeds$1,449OtherSpentProceedsAmt
Substantial Completion2017SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED AND APPROVED BY THE CEO AND CFO AND IS DISTRIBUTED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO BEING FILED.
FORM 990, PAGE 6, PART VI, LINE 12CTHE 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 CHAIRWOMAN 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 15ATHE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 15BTHE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST.
FORM 990, PART VIITHE 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 AS 40 HOURS PER WEEK.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
RIVERSIDE FAMILY CLINIC
PO BOX 629POPLARMT59255810474760CLINICMT501C33NEMHSYes (true)
WOLF POINT CLINIC ASSOCIATION
301 KNAPP STREETWOLF POINTMT59201810386812CLINICMT501C33NEMHSYes (true)
NEMHS CHARITABLE FOUNDATION INC
PO BOX 341POPLARMT59255383732814SUPPORTMT501C37falseN/A
NE MT STAT AIR AMB COOP
519 PLEASANT STREETMILES CITYMT59301204748673AIR AMBULMT501C312BfalseN/A
FAITH LUTHERAN HOME FOUNDATION INC
1000 6TH AVE NWOLF POINTMT59201810483586SUPPORTMT501C3PFfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NEMHS CHARITABLE FOUNDATION
C$16,054CASH GIFTS
FAITH LUTHERAN HOME FOUNDATION
C$9,314CASH GIFTS
RIVERSIDE FAMILY CLINIC
S$279,930DECREASE IN RECEIVABLE
WOLF POINT CLINIC ASSOCIATION
R$690,750INCREASE IN RECEIVABLE