2017-05-10T09:54:08-06:00 2016-06-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2015-07-01 810226578 NORTHEAST MONTANA HEALTH SERVICES NORT 4066536500 315 KNAPP STREET WOLF POINT MT 59201 MARGARET NORGAARD CEO 4066536500 2017-05-08 true DANIEL GREEN P01311679 4062632615 2017-05-10 2015 2021-01-29 14:40:06Z MARGARET NORGAARD 315 KNAPP STREET WOLF POINT MT 59201 26394772 false X WWW.NEMHS.NET X 1948 MT TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. 7 6 508 20 989848 228037 1002636 22022041 24100851 1320764 926400 461492 364885 24032334 26394772 0 0 14689920 15268974 0 60489 10080263 10258762 24770183 25527736 -737849 867036 36384000 36826708 13820448 13009949 22563552 23816759 TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. false false 19748110 24100851 PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE. 19748110 true true false true false false false false false false true true false true false true false true false false false false false false false false true true false false true true false false false false false false false false false false true false false false false true true true false false true 27 0 true 508 true true true false false false false false false false false false X 7 6 false false false false false false false true true false false true true true true true true true true false X DEMI WILKINSON 4066536500 315 KNAPP ST WOLF POINT MT 59201 X MARK ZILKOSKI MD MEDICAL STAF 1.00 40.00 X 0 276992 84437 SHARON BRAVARD CHAIRWOMAN 2.00 X 0 0 0 SHANE GIBSON VICE CHAIRMA 1.00 X 0 0 0 STEVE HACKLEY DIRECTOR 1.00 X 0 0 0 DALLAS O'CONNOR DIRECTOR 1.00 X 0 0 0 RJ DOORNEK DIRECTOR 1.00 X 0 0 0 MICHELLE ISLE DIRECTOR 1.00 X 0 0 0 MARGARET NORGAARD CEO 40.00 X 142085 0 14815 CLEO CAGLE CFO 40.00 X 138949 0 11102 RICHARD GOERTZ CFO 40.00 X 0 0 0 VICKI HOUSTON RN 40.00 X 168960 0 8286 ELAINE LONG RN - DON 40.00 X 124176 0 9542 MARK ROUBIDOUX CRNA 20.00 X 123001 0 7980 MARK ZYGMOND CRNA 20.00 X 123001 0 3690 ALLEN CONDON RN 40.00 X 120373 0 7960 940545 276992 147812 7 false true false BILLINGS CLINIC PO BOX 30997 BILLINGS MT 59107 COMPUTER SUPP 297930 BIG SKY LOCUMS PO BOX 50342 BILLINGS MT 59105 ER PROVIDERS 267499 DRAGE FAMILY PRACTICE 1912 E HICKORY POINT CIRCLE SANDY UT 84092 ER PROVIDER SVC 206664 PRAIRIE TRAVELERS INC 130 3RD ST SO SUITE 2 GLASGOW MT 59230 TRAVEL NURSE 146664 COMPHEALTH PO BOX 972651 DALLAS TX 75397 OB/ER PROVIDERS 116335 6 78139 75278 849219 44000 1002636 PATIENT REVENUE 621500 21252169 21252169 RETAIL PHARMACIES 446110 2848682 1858834 989848 24100851 926400 926400 HOSPITAL DISTRICT TAX 900099 358237 358237 GAIN ON SALE OF ASSETS 900099 6648 6648 364885 26394772 24402288 989848 216911 216911 12855971 11468271 1338589 49111 88535 70163 18372 1093667 883247 202832 7588 1013890 754483 255836 3571 14773 14773 88863 88863 1294568 1094568 200000 22513 283 22230 792668 391609 400893 166 219441 219441 236027 236027 68402 56500 11849 53 17319 12407 4912 462356 462356 1595233 1595233 289865 289865 MEDICAL SUPPLIES 3041962 3039048 2914 REPAIRS & MAINTENANCE 777648 490427 287221 COGS 701748 701748 FOOD & DIETARY SUPPLIES 348467 348467 286909 200862 86047 25527736 19748110 5719137 60489 4326707 3758430 753628 250690 6583007 7100044 924730 920469 550400 521221 27591459 18352761 9941218 9238698 4320094 5545058 8984216 9492098 36384000 36826708 3631574 3170047 10188874 9839902 13820448 13009949 X 22533777 23150026 29775 666733 22563552 23816759 36384000 36826708 X 867036 -1428 387599 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2438 2438 false SCHEDULE C, PART II-B, LINE 1 2.44 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 567, 22.12 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 1827, AND 3.10 PERCENT OF DUES PAID TO MHA FOR LEADING AGE WHICH WAS 44 (2438 COMBINED) WERE USED FOR LOBBYING EXPENSES BY MHA. 28950 28950 15101965 9110011 5991954 12460544 9242750 3217794 9238698 4431976 C BOND FUNDS 1113082 F 5545058 RECEIVABLE-WOLF POINT CLINIC ASSOC 5623318 RECEIVABLE-RIVERSIDE FAMILY CLINIC 3788780 WORK COMP TRUST DEPOSIT 80000 9492098 X 26393344 -1428 -1428 26394772 26394772 25527736 25527736 25527736 SCHEDULE D, PAGE 3, PART X IT 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, 2016 AND 2015. true true X true X true X true true true false false 1136842 1136842 0.04450 1136842 1136842 0.04450 3046571 1713865 1332706 0.05220 9600 9600 0.00040 3056171 1713865 1342306 0.05260 4193013 1713865 2479148 0.09710 161591 161591 0.00630 161591 161591 0.00630 true 427971 4132184 4029419 102765 X true true NE MT STAT AIR AMBUL AIR AMBULANCE 0.53000 2 1 NEMHS - TRINITY HOSPITAL 315 KNAPP STREET WOLF POINT MT 59201 WWW.NEMHS.NET X X X X 2 NEMHS - POPLAR COMMUNITY HOSPITAL 211 H STREET EAST POPLAR MT 59255 WWW.NEMHS.NET X X X X NEMHS - TRINITY HOSPITAL 1 false false true X X X X X X X X X X 15 true true false true X WWW.NEMHS.NET X X true 15 true WWW.NEMHS.NET false false true X 100.000000000000 200.000000000000 X X X true true X X X true X WWWNEMHSNET X WWWNEMHSNET X WWWNEMHSNET X X X X X true X true X X true X false false NEMHS - POPLAR COMMUNITY HOSPITAL 2 false false true X X X X X X X X X X 15 true true false true X WWW.NEMHS.NET X X true 15 true WWW.NEMHS.NET false false true X 100.000000000000 200.000000000000 X X X true true X X X true X WWWNEMHSNET X WWWNEMHSNET X WWWNEMHSNET X X X X X true X true X X true X false false FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5 IN MAY 2016, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN OUR 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 6A NORTHEAST MONTANA HEALTH SERVICES - POPLAR COMMUNITY HOSPITAL FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 7D THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 11 NEMHS, INC AND ASSOCIATES IDENTIFIED 14 NEEDS TO ADDRESS. THREE GOALS WITH STRATEGIES AND ACTIVITES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 14 NEEDS. NEMHS, INC 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. 1.2 - EXPAND WORKFORCE RECRUITMENT EFFORTS BY ATTENDING VARIOUS RECRUITMENT FAIRS, CONFERENCES, RESIDENCY PROGRAM "MEET AND GREETS" TO EDUCATE POTENTIAL EMPLOYEES ABOUT 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 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 OR MUD RUN. 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. 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 CHARITY CARE PROGRAMS 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 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 22D ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 5 IN MAY 2016, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 300 RESIDENTS IN OUR 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 6A NORTHEAST MONTANA HEALTH SERVICES - TRINITY HOSPITAL FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 7D THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 11 NEMHS, INC AND ASSOCIATES IDENTIFIED 14 NEEDS TO ADDRESS. THREE GOALS WITH STRATEGIES AND ACTIVITES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 14 NEEDS. NEMHS, INC 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. 1.2 - EXPAND WORKFORCE RECRUITMENT EFFORTS BY ATTENDING VARIOUS RECRUITMENT FAIRS, CONFERENCES, RESIDENCY PROGRAM "MEET AND GREETS" TO EDUCATE POTENTIAL EMPLOYEES ABOUT 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 OR MUD RUN. 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. 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 CHARITY CARE PROGRAMS 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 22D ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED. 2 WOLF POINT CLINIC ASSOCIATION 301 KNAPP STREET WOLF POINT MT 59201 RURAL HEALTH CLINIC RIVERSIDE FAMILY CLINIC PO BOX 629 POPLAR MT 59255 RURAL HEALTH CLINIC PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 91,809. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND CHARITY CARE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. PART II - COMMUNITY BUILDING ACTIVITIES THE STAFF AT NEMHS DESIGNATES TIME FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. THESE ACTIVITIES/INITIATIVES OFTEN TARGET ENVIRONMENTAL STRATEGIES, ECONOMIC DEVELOPMENT AND LEADERSHIP, ADVOCACY AND SUPPORT THAT INDIRECTLY AFFECT THE HEALTH OF THE COMMUNITY. PART II, LINE 8: NEMHS IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA AND SPENT 161,591 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 METHODOLOGY THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT, CHARITY CARE, 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 STATEMENTS THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION THERE IS NO MEDICARE SHORTFALL. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, AND ALSO A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS CHARITY OR 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 ASSESSMENT PURSUANT 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 ASSISTANCE NORTHEAST MONTANA HEALTH SERVICES EMPLOYS TWO SOCIAL SERVICE EMPLOYEES TO ASSIST PATIENTS WITH THEIR FINANICAL NEEDS AND OPTIONS. COMMUNITY ADVERTISEMENT IS USED TO EDUCATE PATIENTS AND SUPPORT IS GIVEN ON A ONE-ON-ONE BASIS TO ASSIST COMMUNITY MEMBERS. PATIENTS ARE NOTIFIED BY THE BILLING DEPARTMENT OF OUR POLICY FOR FINANCIAL ASSISTANCE AND ARE SENT A SIMPLE APPLICATION. OUR WEBSITE PROVIDES DETAILS OF OUR CHARITY CARE POLICY AND THE FINANCIAL ASSISTANCE AVAILABLE. PART VI, LINE 4 - COMMUNITY INFORMATION THE ORGANIZATION OPERATES ON THE FORT PECK RESERVATION. GEOGRAPHICALLY THIS IS A REMOTE LOCATION WHERE ACCESS TO OTHER HEALTH FACILITIES IS AT LEAST 50 MILES AWAY. WITH SEVERE WEATHER CONDITIONS OFTEN RESULTING IN BLIZZARDS AND IMPASSABLE ROADS, NORTHEAST MONTANA HEALTH SERVICES IS THE FRONTLINE OF CARE FOR THE COMMUNITY. THE POPULATION OF SIOUX AND ASSINIBOINE TRIBAL MEMBERS MAKE UP OUR HIGHEST CONCENTRATION OF PATIENTS WITH DISPARITIES THAT INCLUDE CULTURAL BARRIERS, LOW HOUSEHOLD INCOME, HIGH UNEMPLOYMENT RATES, HIGHER RATES OF TOBACCO, ALCOHOL AND ILLEGAL DRUG USE, AS WELL AS HIGHER THAN AVERAGE RATES OF HEART DISEASE, DIABETES, FETAL ALCOHOL SYNDROME, AND SUICIDE. AS WE CONTINUE OUR EFFORTS TO SERVE THE PUBLIC THROUGH HEALTHCARE AND EDUCATION, THERE IS PROGRESS BEING MADE TO IMPROVE THE QUALITY OF LIFE FOR COMMUNITY MEMBERS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH NORTHEAST MONTANA HEALTH SERVICES IS GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY MEMBERS REPRESENTING THE GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. OUR HOSPITALS PROVIDE 24/7 EMERGENCY SERVICE COVERAGE TO TREAT PATIENTS, INCLUDING THOSE THAT ARE UNABLE TO PAY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM TWO AFFILIATED RURAL HEALTH CLINICS, WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC, PROVIDE PROFESSIONAL PHYSICIAN AND OTHER PROVIDER SERVICES WHILE NORTHEAST MONTANA HEALTH SERVICES PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND SKILLED NURSING SERVICES. THE TWO RURAL HEALTH CLINICS ARE OPERATED, AND SUBSIDIZED IF NEEDED, BY NORTHEAST MONTANA HEALTH SERVICES. ADDITIONAL INFORMATION PART 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. ALSO, NEMHS CONTRIBUTED 1,200 TO DANIELS COUNTY CANCER ASSOCIATION TO PROMOTE BREAST CANCER RESEARCH. X false true false false false false false false false MARK ZILKOSKI MD MEDICAL STAFF REP 276992 84437 361429 MARGARET NORGAARD CEO 142085 2763 12052 156900 CLEO CAGLE CFO 138949 4044 7058 150051 VICKI HOUSTON RN 168960 1228 7058 177246 SCHEDULE J, PAGE 1, PART I, LINE 4 MARK ZILKOSKI, MD 0 81,787 0 SCHEDULE J, PART III THE COMPENSATION OF MARK ZILKOSKI, MD IS AN EXPENSE OF WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY. A MT FACILITY FINANCE AUTHORITY BONDS 810302402 612043EE5 2007-05-10 12444852 RENOVATIONS TO HOSPITALS false false false A 2705000 12444852 875117 743105 248897 10578875 2009 false false true true A false false false false false false true A false false false false false false false false false A false X LUCAS SYSTEMS 4 44000 FAIR VALUE false false false FORM 990, PAGE 6, PART VI, LINE 11B THE 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 12C THE MEMBERS OF THE GOVERNING BOARD SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY IN WHICH THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT DOES EXIST, THE BOARD 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 15A THE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST. FORM 990, PART VII THE MEDICAL STAFF REPRESENTATIVE ON THE GOVERNING BOARD, MARK ZILKOSKI, M.D., IS EMPLOYED BY WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY, AS A FULL TIME PHYSICIAN WHICH IS INCLUDED AS 40 HOURS PER WEEK. FORM 990, PART XI, LINE 9 PRIOR PERIOD ADJUSTMENT IS DUE TO RESTATED INVESTMENT IN NE MT STAT AIR AMBULANCE COOPERATIVE AFTER THE 2016 AUDIT OF THEIR FINANCIAL STATEMENTS REVEALED ADJUSTMENTS NECESSARY FOR PRIOR PERIODS TOTALING 387,599. RIVERSIDE FAMILY CLINIC PO BOX 629 POPLAR MT 59255 810474760 CLINIC MT 501C3 3 NEMHS true WOLF POINT CLINIC ASSOCIATION 301 KNAPP STREET WOLF POINT MT 59201 810386812 CLINIC MT 501C3 3 NEMHS true NEMHS CHARITABLE FOUNDATION INC PO BOX 38 POPLAR MT 59255 383732814 SUPPORT MT 501C3 7 N/A false NE MT STAT AIR AMB COOP 519 PLEASANT STREET MILES CITY MT 59301 204748673 AIR AMBUL MT 501C3 11B N/A false FAITH LUTHERAN HOME FOUNDATION INC 1000 6TH AVE N WOLF POINT MT 59201 810483586 SUPPORT MT 501C3 PF N/A false false false true false false false false false false false false false false false false false false true false RIVERSIDE FAMILY CLINIC R 164533 INCREASE IN RECEIVABLE WOLF POINT CLINIC ASSOCIATION R 263349 INCREASE IN RECEIVABLE NEMHS CHARITABLE FOUNDATION C 68179 CASH GIFTS FAITH LUTHERAN HOME FOUNDATION C 9960 CASH GIFTS