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NORTHEAST MONTANA HEALTH SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST MONTANA HEALTH SERVICES INC (EIN 81-0226578)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201621329349302402
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T11:51:03-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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
Signature2016-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL GREENPreparerPersonNm
PTINP01311679PTIN
Phone4062632615PhoneNum
Preparation2016-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARGARET NORGAARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 KNAPP STAddressLine1Txt
CityWOLF POINTCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,032,334GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee524TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI$2,703,546TotalGrossUBIAmt
PY Contributions Grants$410,688PYContributionsGrantsAmt
CY Contributions Grants$228,037CYContributionsGrantsAmt
PY Program Service Revenue$24,455,946PYProgramServiceRevenueAmt
CY Program Service Revenue$22,022,041CYProgramServiceRevenueAmt
PY Investment Income$358,951PYInvestmentIncomeAmt
CY Investment Income$1,320,764CYInvestmentIncomeAmt
PY Other Revenue$566,936PYOtherRevenueAmt
CY Other Revenue$461,492CYOtherRevenueAmt
PY Total Revenue$25,792,521PYTotalRevenueAmt
CY Total Revenue$24,032,334CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,886,598PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,689,920CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$64,027CYTotalFundraisingExpenseAmt
PY Other Expenses$10,867,457PYOtherExpensesAmt
CY Other Expenses$10,080,263CYOtherExpensesAmt
PY Total Expenses$25,754,055PYTotalExpensesAmt
CY Total Expenses$24,770,183CYTotalExpensesAmt
PY Revenues Less Expenses$38,466PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$737,849CYRevenuesLessExpensesAmt
Total Assets BOY$37,160,628TotalAssetsBOYAmt
Total Assets EOY$36,384,000TotalAssetsEOYAmt
Total Liabilities BOY$13,857,882TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,820,448TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,302,746NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,563,552NetAssetsOrFundBalancesEOYAmt
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$19,177,113ExpenseAmt
Revenue$22,022,041RevenueAmt
DescTO PROVIDE HEALTH CARE SERVICES TO PATIENTS.Desc
Total Program Service Expenses$19,177,113TotalProgramServiceExpensesAmt
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee524EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 (16 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$324,934$95,986
TOM AULT
CHAIRMAN2.00Yes (X)$0$0$0
DALLAS O'CONNOR
VICE-CHAIRMA1.00Yes (X)$0$0$0
SHANE GIBSON
TREASURER1.00Yes (X)$0$0$0
SHARON BRAVARD
DIRECTOR1.00Yes (X)$0$0$0
RJ DOORNEK
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE ISLE
DIRECTOR1.00Yes (X)$0$0$0
RICK KIRN
TRIBAL COUNC1.00Yes (X)$0$0$0
PEARL HOPKINS
TRIBAL COUNC1.00Yes (X)$0$0$0
MARGARET NORGAARD
CEO40.00$153,444$0$21,473Yes (X)
CLEO CAGLE
CFO40.00$132,257$0$10,775Yes (X)
VICKI HOUSTON
RN40.00$143,829$0$7,880Yes (X)
ALLEN CONDON
RN40.00$142,424$0$7,906Yes (X)
CODI KAWASAKI-JENSEN
RN40.00$130,424$0$7,221Yes (X)
MARK ZYGMOND
CRNA20.00$122,001$0$10,124Yes (X)
MARK ROUBIDOUX
CRNA20.00$121,593$0$7,752Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$945,972TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$324,934TotReportableCompRltdOrgAmt
Total Other Compensation$169,117TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
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
COMPHEALTH
PO BOX 972651DALLASTX75397OB/ER PROVIDERS$541,588
BILLINGS CLINIC
PO BOX 30997BILLINGSMT59107COMPUTER SUPP$306,111
BIG SKY LOCUMS
PO BOX 50342BILLINGSMT59105ER PROVIDERS$234,373
PRAIRIE TRAVELERS INC
130 3RD ST SO SUITE 2GLASGOWMT59230TRAVEL NURSE$191,550
PRACTICAL HEALTHCARE SOLUTIONS INC
2120 S RESERVE STMISSOULAMT59801ER LOCUM$120,137
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$41,320RelatedOrganizationsAmt
Government Grants$161,781GovernmentGrantsAmt
All Other Contributions$24,936AllOtherContributionsAmt
Total Contributions$228,037TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621500$19,318,495$19,318,495
RETAIL PHARMACIES446110$2,703,546$2,703,546
FieldValueIRS element (for citing)
Total Program Service Revenue$22,022,041TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,320,764TotalRevenueColumnAmt
Related Or Exempt Func Income$1,320,764RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescHOSPITAL DISTRICT TAXDesc
Business900099BusinessCd
Total Revenue Column$461,492TotalRevenueColumnAmt
Related Or Exempt Func Income$461,492RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$461,492OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,032,334TotalRevenueColumnAmt
Related Or Exempt Func Income$21,100,751RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,703,546UnrelatedBusinessRevenueAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$292,316TotalAmt
Management And General$292,316ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,370,027TotalAmt
Program Services$11,102,062ProgramServicesAmt
Management And General$1,218,655ManagementAndGeneralAmt
Fundraising$49,310FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$83,497TotalAmt
Program Services$68,173ProgramServicesAmt
Management And General$15,208ManagementAndGeneralAmt
Fundraising$116FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$979,085TotalAmt
Program Services$799,592ProgramServicesAmt
Management And General$172,544ManagementAndGeneralAmt
Fundraising$6,949FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$964,995TotalAmt
Program Services$734,281ProgramServicesAmt
Management And General$227,134ManagementAndGeneralAmt
Fundraising$3,580FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,438TotalAmt
Management And General$6,438ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$97,450TotalAmt
Management And General$97,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,149,081TotalAmt
Program Services$913,886ProgramServicesAmt
Management And General$235,195ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,978TotalAmt
Program Services$152ProgramServicesAmt
Management And General$22,826ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$703,601TotalAmt
Program Services$385,911ProgramServicesAmt
Management And General$313,618ManagementAndGeneralAmt
Fundraising$4,072FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$213,345TotalAmt
Management And General$213,345ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$257,377TotalAmt
Program Services$257,377ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$90,653TotalAmt
Program Services$76,587ProgramServicesAmt
Management And General$14,066ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,245TotalAmt
Program Services$23,994ProgramServicesAmt
Management And General$4,251ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$482,027TotalAmt
Management And General$482,027ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,621,619TotalAmt
Management And General$1,621,619ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$289,361TotalAmt
Management And General$289,361ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,909,002$1,909,002
COGS$1,893,581$1,893,581
REPAIRS & MAINTENANCE$684,480$430,076$254,404
FOOD & DIETARY SUPPLIES$357,139$357,139

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$273,886TotalAmt
Program Services$225,300ProgramServicesAmt
Management And General$48,586ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,770,183TotalAmt
Program Services$19,177,113ProgramServicesAmt
Management And General$5,529,043ManagementAndGeneralAmt
Fundraising$64,027FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,412,553BOYAmt
EOY$4,326,707EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,487,722BOYAmt
EOY$753,628EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,374,147BOYAmt
EOY$6,583,007EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,086,498BOYAmt
EOY$924,730EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$502,549BOYAmt
EOY$550,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,651,915LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,710,697LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,224,723BOYAmt
EOY$9,941,218EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,020,095BOYAmt
EOY$4,320,094EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,052,341BOYAmt
EOY$8,984,216EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,160,628BOYAmt
EOY$36,384,000EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,272,763BOYAmt
EOY$3,631,574EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,585,119BOYAmt
EOY$10,188,874EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,857,882BOYAmt
EOY$13,820,448EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,268,426BOYAmt
EOY$22,533,777EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,320BOYAmt
EOY$29,775EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,302,746BOYAmt
EOY$22,563,552EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,160,628BOYAmt
EOY$36,384,000EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$737,849ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,345NetUnrlzdGainsLossesInvstAmt
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$2,134OtherActivitiesAmt
Total Lobbying Expenditures$2,134TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
Explanation2.44 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 492, 22.12 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 1605, AND 3.10 PERCENT OF DUES PAID TO MHA FOR LEADING AGE WHICH WAS 37 (2134 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$15,069,087OtherCostOrOtherBasisAmt
Depreciation$8,426,711DepreciationAmt
Book Value$6,642,376BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,553,878OtherCostOrOtherBasisAmt
Depreciation$8,283,986DepreciationAmt
Book Value$3,269,892BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,941,218TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$3,224,612BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescBOND FUNDSDesc
Book Value$1,095,482BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$4,320,094TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
RECEIVABLE-WOLF POINT CLINIC ASSOC$5,359,969
RECEIVABLE-RIVERSIDE FAMILY CLINIC$3,624,247
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,984,216TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,030,989TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,345NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,345RevenueNotReportedAmt
Revenue Subtotal$24,032,334RevenueSubtotalAmt
Total Revenue Per Form990$24,032,334TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,770,183TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$24,770,183ExpensesSubtotalAmt
Total Expenses Per Form990$24,770,183TotalExpensesPerForm990Amt

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, 2015 AND 2014.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$1,130,955TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,130,955NetCommunityBenefitExpnsAmt
Total Expense0.04570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,130,955TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,130,955NetCommunityBenefitExpnsAmt
Total Expense0.04570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,281,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,151,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,129,993NetCommunityBenefitExpnsAmt
Total Expense0.04560TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,288,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,151,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,136,993NetCommunityBenefitExpnsAmt
Total Expense0.04590TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,419,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,151,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,267,948NetCommunityBenefitExpnsAmt
Total Expense0.09160TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,000NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,000NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,653,886BadDebtExpenseAmt
Reimbursed By Medicare$4,315,130ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,204,985CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$110,145MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NE MT STAT AIR AMBULBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAIR AMBULANCEPrimaryActivitiesTxt
Org Profit Or Ownership0.52000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
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 ProcessConsultingProcessIndInformation GapsInformationGapsIndOtherOtherIndCHNA 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 ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts 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)Yes (X)12Yes (true)Yes (true)falseYes (true)Yes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (true)12Yes (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)WWWNEMHSNETYes (X)WWWNEMHSNETYes (X)WWWNEMHSNETYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (true)Yes (X)Yes (X)Yes (true)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)Yes (X)12Yes (true)Yes (true)falseYes (true)Yes (X)WWW.NEMHS.NETYes (X)Yes (X)Yes (true)12Yes (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)WWWNEMHSNETYes (X)WWWNEMHSNETYes (X)WWWNEMHSNETYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (true)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN OUR PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR WHICH REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS AND LOCAL COMMUNITY MEMBERS. ALSO, A KEY INFORMANT INTERVIEW WAS CONDUCTED WITH REGIONAL HEALTHCARE ADMINISTRATORS. ADDITIONALLY, NEMHS SOUGHT INPUT FROM VARIOUS GROUPS THROUGHOUT THE COMMUNITY THAT HAVE SPECIAL KNOWLEDGE REGARDING THE NEEDS OF VARIOUS GROUPS WITHIN THE SERVICE AREA. THESE GROUPS WERE CONTACTED AND MEETINGS WERE ESTABLISHED WITH THE STEERING COMMITTEE. THE FOLLOWING CONSTITUTES A LIST OF PARTIES WHICH INCLUDED PUBLIC HEALTH SERVICES, A REPRESENTATIVE FOR THE AMERICAN INDIAN, AND A REPRESENTATIVE FOR SENIOR CITIZENS.
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, INC AND ASSOCIATES IDENTIFIED 11 NEEDS TO ADDRESS. FOUR GOALS WITH STRATEGIES AND ACTIVITES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 11 NEEDS. NEMHS, INC AND ASSOCIATES IDENTIFIED 5 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, OR STRONG FAMILY LIFE. 2. DELAYS IN RECEIVING HEALTHCARE INCLUDING TOO LONG WAIT TIMES FOR APPOINTMENTS, COSTS TOO MUCH, OR COULD NOT GET AN APPOINTMENT. 3. LONG WAITS TO RECEIVE HEALTHCARE. 4. HEALTHCARE PROFESSIONAL RECRUITMENT. 5. NEED FOR SPECIALISTS. 6. NEED FOR SPECIALISTS, WOMEN'S HEALTH, IMAGING SERVICES, MENTAL HEALTH SERVICES, AND HEALTH AND WELLNESS. 7. PERIODS OF AT LEAST 3 CONSECUTIVE MONTHS IN THE PAST THREE YEARS WHERE THEY FELT DEPRESSED ON MOST DAYS. 8. HEALTH CONCERNS: ALCOHOL ABUSE/SUBSTANCE ABUSE, DIABETES, OBESITY. 9. EDUCATION REGARDING DIABETES, SUBSTANCE ABUSE, STIS, AND SUICIDE PREVENTION. 10. OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY SUCH AS WALKING PATHS, FITNESS CENTER, OR WELLNESS PROGRAMS. 11. ADDRESSING LEADING CAUSES OF DEATH IN COUNTY: HEART DISEASE, CANCER, UNINTENTIONAL INJURIES. GOALS, STRATEGIES, EXAMPLES TO ADDRESS NEEDS: 1. DECREASE DELAYS TO CLINIC SERVICES IN ORDER TO IMPROVE ACCESS TO HEALTHCARE. STRATEGIES FOR IMPLEMENTATION: 1.1 - EXPLORE CENTRALIZED SCHEDULING BETWEEN CLINICS VIA ACTIVITIES SUCH AS A SWOT ANALYSIS WITH CLINIC STAFF. 1.2 - RESTRUCTURE SCHEDULING AND PATIENT COMMUNICATION PROCEDURES TO ENHANCE PATIENT EXPERIENCE ASSOCIATED WITH CLINICS VIA ACTIVITIES SUCH AS TRAIN CLERICAL STAFF ON PROCEDURES TO SCHEDULE APPROPRIATE NEED-BASED APPOINTMENTS. 1.3 - CREATE PROTOCOL TO ADDRESS NO-SHOW RATES FOR CLINIC APPOINTMENTS VIA ACTIVITIES SUCH AS REMIND PATIENTS OF THEIR APPOINTMENTS VIA PHONE CALLS OR TEXT MESSAGES OR COORDINATE A WAITING LIST TO FILL NO-SHOW APPOINTMENT SLOTS. 2. PROVIDE SUFFICIENT HEALTH SERVICE TO THE WOLF POINT AND POPLAR COMMUNITIES IN ORDER TO PREVENT COMMUNITY MEMBERS FROM HAVING TO TRAVEL LONG DISTANCES FOR HEALTHCARE SERVICES. STRATEGIES FOR IMPLEMENTATION: 2.1 - RECRUIT HEALTHCARE PROFESSIONALS TO PROVIDE SEAMLESS ACCESS TO CARE AFTER CURRENT PROVIDERS RETIRE VIA ACTIVITIES SUCH AS SUCCESSION PLANNING FOR CURRENT PROVIDERS. 2.2 - EXPLORE SPECIALTY SERVICES WHICH CAN BE OFFERED TO THE WOLF POINT AND POPLAR COMMUNITIES VIA ACTIVITIES SUCH AS CONTINUE PROVIDING TELEPSYCHIATRIC SERVICES TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY. 2.3 - PROVIDE HEALTHCARE EDUCATION OPPORTUNITIES TO ENCOURAGE STUDENTS TO PURSUE HEALTHCARE CAREERS IN THEIR LOCAL COMMUNITY VIA ACTIVITIES SUCH AS HOSTING A HEALTHCARE CAREER DAY AT THE HIGH SCHOOL. 3. PROVIDE EDUCATION AND RESOURCES FOR COMMUNITY MEMBERS AFFECTED BY ALCOHOL AND SUBSTANCE ABUSE. STRATEGY FOR IMPLEMENTATION: 3.1 - ASSESS THE ALCOHOL/SUBSTANCE ABUSE RESOURCES THAT ALREADY EXIST IN THE COMMUNITY VIA ACTIVITIES SUCH AS CREATING A COMPREHENSIVE LIST OF EXISTING RESOURCES AND PUBLISH THE LISTING IN A NEWSLETTER AND/OR ON THE NEMHS WEBSITE. 4. INCREASE AWARENESS AND EDUCATION OF SERVICE RELATED TO CHRONIC DISEASE. STRATEGIES FOR IMPLEMENTATION: 4.1 - ASSESS RESOURCES RELATED TO CHRONIC DISEASES THAT ALREADY EXIST IN THE COMMUNITY VIA ACTIVITIES SUCH AS ADVERTISE/PUBLICIZE SERVICES PROVIDED BY NEMHS IN THE NEWSPAPER AND ON THE RADIO. 4.2 - IMPROVE AWARENESS OF CANCER AND ENCOURAGE UTILIZATION OF CANCER PREVENTION/SCREENINGS VIA ACTIVITIES SUCH AS ADD PSAS TO THE ALREADY EXISTING BIRTHDAY SPECIALS. 4.3 - HOST A HEALTH FAIR IN ORDER TO PROMOTE HOSPITAL SERVICES AND SERVICE OFFERINGS RELATED TO CHRONIC DISEASE VIA ACTIVITIES SUCH AS OFFERING INFORMATION/BOOTHS AT THE HEALTH FAIR REGARDING CHRONIC DISEASE, MENTAL HEALTH, OBESITY, AND ALCOHOL/SUBSTANCE ABUSE. 4.4 - ESTABLISH A CARDIAC AND PULMONARY REHABILITATION FACILITY TO ADDRESS CHRONIC DISEASE AND INCREASE HEALTH AND WELLNESS OPTIONS FOR THE COMMUNITY VIA ACTIVITIES SUCH AS ASSESS START-UP FEES REQUIRED FOR THE FACILITY. NEEDS THAT COULD NOT BE ADDRESSED: 1. DENTAL CARE - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES. 2. PHYSICAL THERAPY, NUTRITION EDUCATION, DISASTER PLANNING, AND COMMUNITY HOUSING CONCERNS - PROVIDING THESE SERVICES IS BEYOND THE RESOURCE CAPACITY OF NEMHS. 3. HOSPICE, RESPITE CARE, AND HOME HEALTH - THERE ARE ALREADY ORGANIZATIONS THAT EXIST IN THE COMMUNITY THAT HELP PROVIDE RESOURCES FOR SENIOR CITIZENS. NEMHS IS CURRENTLY FOCUSING ON PRIMARY CARE NEEDS OF THE POPULATION. 4. PROGRAMS THAT HELP PEOPLE PAY FOR HEALTH CARE BILLS - THIS IS BEYOND NEMHS' SCOPE OF WORK. THERE ARE ALSO OTHER RESOURCES AVAILABLE IN THE COMMUNITY SUCH AS THE PUBLIC/COUNTY HEALTH DEPARTMENT THAT CAN OFFER ASSISTANCE TO COMMUNITY MEMBERS REGARDING PAYMENT OF HEALTHCARE BILLS. 5. MRI - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES.
FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 22DALL 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 5A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN OUR PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR WHICH REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS AND LOCAL COMMUNITY MEMBERS. ALSO, A KEY INFORMANT INTERVIEW WAS CONDUCTED WITH REGIONAL HEALTHCARE ADMINISTRATORS. ADDITIONALLY, NEMHS SOUGHT INPUT FROM VARIOUS GROUPS THROUGHOUT THE COMMUNITY THAT HAVE SPECIAL KNOWLEDGE REGARDING THE NEEDS OF VARIOUS GROUPS WITHIN THE SERVICE AREA. THESE GROUPS WERE CONTACTED AND MEETINGS WERE ESTABLISHED WITH THE STEERING COMMITTEE. THE FOLLOWING CONSTITUTES A LIST OF PARTIES WHICH INCLUDED PUBLIC HEALTH SERVICES, A REPRESENTATIVE FOR THE AMERICAN INDIAN, AND A REPRESENTATIVE FOR SENIOR CITIZENS.
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, INC AND ASSOCIATES IDENTIFIED 11 NEEDS TO ADDRESS. FOUR GOALS WITH STRATEGIES AND ACTIVITIES WERE DEVELOPED TO ADDRESS A VARIATION OF THOSE 11 NEEDS. NEMHS, INC AND ASSOCIATES IDENTIFIED 5 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, OR STRONG FAMILY LIFE. 2. DELAYS IN RECEIVING HEALTHCARE INCLUDING TOO LONG WAIT TIMES FOR APPOINTMENTS, COSTS TOO MUCH, OR COULD NOT GET AN APPOINTMENT. 3. LONG WAITS TO RECEIVE HEALTHCARE. 4. HEALTHCARE PROFESSIONAL RECRUITMENT. 5. NEED FOR SPECIALISTS. 6. NEED FOR SPECIALISTS, WOMEN'S HEALTH, IMAGING SERVICES, MENTAL HEALTH SERVICES, AND HEALTH AND WELLNESS. 7. PERIODS OF AT LEAST 3 CONSECUTIVE MONTHS IN THE PAST THREE YEARS WHERE THEY FELT DEPRESSED ON MOST DAYS. 8. HEALTH CONCERNS: ALCOHOL ABUSE/SUBSTANCE ABUSE, DIABETES, OBESITY. 9. EDUCATION REGARDING DIABETES, SUBSTANCE ABUSE, STIS, AND SUICIDE PREVENTION. 10. OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY SUCH AS WALKING PATHS, FITNESS CENTER, WELLNESS PROGRAMS. 11. ADDRESSING LEADING CAUSES OF DEATH IN COUNTY: HEART DISEASE, CANCER, UNINTENTIONAL INJURIES. GOALS, STRATEGIES, EXAMPLES TO ADDRESS NEEDS: 1. DECREASE DELAYS TO CLINIC SERVICES IN ORDER TO IMPROVE ACCESS TO HEALTHCARE. STRATEGIES FOR IMPLEMENTATION: 1.1 - EXPLORE CENTRALIZED SCHEDULING BETWEEN CLINICS VIA ACTIVITIES SUCH AS A SWOT ANALYSIS WITH CLINIC STAFF. 1.2 - RESTRUCTURE SCHEDULING AND PATIENT COMMUNICATION PROCEDURES TO ENHANCE PATIENT EXPERIENCE ASSOCIATED WITH CLINICS VIA ACTIVITIES SUCH AS TRAIN CLERICAL STAFF ON PROCEDURES TO SCHEDULE APPROPRIATE NEED-BASED APPOINTMENTS. 1.3 - CREATE PROTOCOL TO ADDRESS NO-SHOW RATES FOR CLINIC APPOINTMENTS VIA ACTIVITIES SUCH AS REMIND PATIENTS OF THEIR APPOINTMENTS VIA PHONE CALLS OR TEXT MESSAGES OR COORDINATE A WAITING LIST TO FILL NO-SHOW APPOINTMENT SLOTS. 2. PROVIDE SUFFICIENT HEALTH SERVICE TO THE WOLF POINT AND POPLAR COMMUNITIES IN ORDER TO PREVENT COMMUNITY MEMBERS FROM HAVING TO TRAVEL LONG DISTANCES FOR HEALTHCARE SERVICES. STRATEGIES FOR IMPLEMENTATION: 2.1 - RECRUIT HEALTHCARE PROFESSIONALS TO PROVIDE SEAMLESS ACCESS TO CARE AFTER CURRENT PROVIDERS RETIRE VIA ACTIVITIES SUCH AS SUCCESSION PLANNING FOR CURRENT PROVIDERS. 2.2 - EXPLORE SPECIALTY SERVICES WHICH CAN BE OFFERED TO THE WOLF POINT AND POPLAR COMMUNITIES VIA ACTIVITIES SUCH AS CONTINUE PROVIDING TELEPSYCHIATRIC SERVICES TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY. 2.3 - PROVIDE HEALTHCARE EDUCATION OPPORTUNITIES TO ENCOURAGE STUDENTS TO PURSUE HEALTHCARE CAREERS IN THEIR LOCAL COMMUNITY VIA ACTIVITIES SUCH AS HOSTING A HEALTHCARE CAREER DAY AT THE HIGH SCHOOL. 3. PROVIDE EDUCATION AND RESOURCES FOR COMMUNITY MEMBERS AFFECTED BY ALCOHOL AND SUBSTANCE ABUSE. STRATEGY FOR IMPLEMENTATION: 3.1 - ASSESS THE ALCOHOL/SUBSTANCE ABUSE RESOURCES THAT ALREADY EXIST IN THE COMMUNITY VIA ACTIVITIES SUCH AS CREATING A COMPREHENSIVE LIST OF EXISTING RESOURCES AND PUBLISH THE LISTING IN A NEWSLETTER AND/OR ON THE NEMHS WEBSITE. 4. INCREASE AWARENESS AND EDUCATION OF SERVICES RELATED TO CHRONIC DISEASE. STRATEGIES FOR IMPLEMENTATION: 4.1 - ASSESS RESOURCES RELATED TO CHRONIC DISEASES THAT ALREADY EXIST IN THE COMMUNITY VIA ACTIVITIES SUCH AS ADVERTISE/PUBLICIZE SERVICES PROVIDED BY NEMHS IN THE NEWSPAPER AND ON THE RADIO. 4.2 - IMPROVE AWARENESS OF CANCER AND ENCOURAGE UTILIZATION OF CANCER PREVENTION/SCREENINGS VIA ACTIVITIES SUCH AS ADD PSAS TO THE ALREADY EXISTING BIRTHDAY SPECIALS. 4.3 - HOST A HEALTH FAIR IN ORDER TO PROMOTE HOSPITAL SERVICES AND SERVICE OFFERINGS RELATED TO CHRONIC DISEASE VIA ACTIVITIES SUCH AS OFFERING INFORMATION/BOOTHS AT THE HEALTH FAIR REGARDING CHRONIC DISEASE, MENTAL HEALTH, OBESITY, AND ALCOHOL/SUBSTANCE ABUSE. 4.4 - ESTABLISH A CARDIAC AND PULMONARY REHABILITATION FACILITY TO ADDRESS CHRONIC DISEASE AND INCREASE HEALTH AND WELLNESS OPTIONS FOR THE COMMUNITY VIA ACTIVITIES SUCH AS ASSESS START-UP FEES REQUIRED FOR THE FACILITY. NEEDS THAT COULD NOT BE ADDRESSED: 1. DENTAL CARE - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES. 2. PHYSICAL THERAPY, NUTRITION EDUCATION, DISASTER PLANNING, AND COMMUNITY HOUSING CONCERNS - PROVIDING THESE SERVICES IS BEYOND THE RESOURCE CAPACITY OF NEMHS. 3. HOSPICE, RESPITE CARE, AND HOME HEALTH - THERE ARE ALREADY ORGANIZATIONS THAT EXIST IN THE COMMUNITY THAT HELP PROVIDE RESOURCES FOR SENIOR CITIZENS. NEMHS IS CURRENTLY FOCUSING ON PRIMARY CARE NEEDS OF THE POPULATION. 4. PROGRAMS THAT HELP PEOPLE PAY FOR HEALTH CARE BILLS - THIS IS BEYOND NEMHS' SCOPE OF WORK. THERE ARE ALSO OTHER RESOURCES AVAILABLE IN THE COMMUNITY SUCH AS THE PUBLIC/COUNTY HEALTH DEPARTMENT THAT CAN OFFER ASSISTANCE TO COMMUNITY MEMBERS REGARDING PAYMENT OF HEALTHCARE BILLS. 5. MRI - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES.
FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 22DALL 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.
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 532,899. 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 AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND CHARITY CARE 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 51,000 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.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYTHE 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 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. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST 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 CHARITY OR FINANCIAL ASSISTANCE UNLESS THE PATIENT QUALIFIED 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 YEAR 2013 (TAX YEAR 2012). THIS IS 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 AVATAR 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 ARE SOME OF OUR PAST FINDINGS: WE RECEIVED COMMENTS FROM PATIENTS THAT EXPRESSED MANY DIETARY ISSUES SO A PROJECT WAS STARTED TO HELP INCREASE THE PATIENTS AND RESIDENTS SATISFACTION ON IMPLEMENTING MENUS. THE CLINICS WERE SHOWING A LARGE NUMBER OF NO-SHOW APPOINTMENTS THAT WERE TRACKED TO SEE IF IT WAS NEGATIVELY IMPACTING REVENUE. RECEPTIONISTS NOW MAKE PHONE CALLS TO THE PATIENTS THE DAY BEFORE THE APPOINTMENT AS A REMINDER. UTILIZING THE BALANCED SCORE CARD, WE TRACKED PATIENT REFERRAL FROM THE CLINICS TO SEE WHICH SERVICES PATIENTS WERE BEING REFERRED TO OTHER AREA CLINICS FOR CARE. IT WAS DISCOVERED THAT THERE WERE A SIGNIFICANT AMOUNT OF PATIENTS BEING REFERRED OUT FOR ECHOCARDIOGRAMS. THE RADIOLOGY DEPARTMENT IS STILL BUDGETING FOR EQUIPMENT AND TRAINING TO BE ABLE TO PROVIDE THESE TESTS LOCALLY. NORTHEAST MONTANA HEALTH SERVICES MAKES INVESTMENTS IN PERSONNEL WITH THE SKILL SETS REQUIRED TO DELIVER THE 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 CHARITY CARE 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 7,000 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 (4 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$324,934$95,986$420,920
MARGARET NORGAARD
CEO$153,444$2,499$18,974$174,917
VICKI HOUSTON
RN$143,829$1,040$6,840$151,709
ALLEN CONDON
RN$142,424$1,066$6,840$150,330

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4MARK ZILKOSKI, MD 0 93,386 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 EIN810302402BondIssuerEIN
CUSIP612043EE5CUSIPNum
Bond Issued2007-05-10BondIssuedDt
Issue Price$12,444,852IssuePriceAmt
PurposeRENOVATIONS TO HOSPITALSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,290,000RetiredAmt
Total Proceeds$12,444,852TotalProceedsAmt
In Reserve Fund$869,296InReserveFundAmt
Capitalized Interest$743,105CapitalizedInterestAmt
Issuance Costs From Proceeds$248,897IssuanceCostsFromProceedsAmt
Capital Expenditures$10,578,875CapitalExpendituresAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
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 CHAIRMAN WILL REMIND MEMBERS AND ASK THEM TO ABSTAIN FROM VOTING. THESE CONFLICTS ARE DULY NOTED IN THE MINUTES.
FORM 990, PAGE 6, PART VI, LINE 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, PAGE 7, 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 38POPLARMT59255383732814SUPPORTMT501C37falseN/A
NE MT STAT AIR AMB COOP
11 SOUTH 7TH ST SUITE 241MILES CITYMT59301204748673AIR AMBULMT501C311BfalseN/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 (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERSIDE FAMILY CLINIC
R$100,006DECREASE IN RECEIVABLE
WOLF POINT CLINIC ASSOCIATION
S$31,881INCREASE IN RECEIVABLE
NEMHS CHARITABLE FOUNDATION
C$41,320CASH GIFTS