NORTHEAST MONTANA HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST MONTANA HEALTH SERVICES INC (EIN 81-0226578)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201411329349304071
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T17:25:49-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HEALTH GROUP PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 5TH ST S SUITE 106 | AddressLine1 |
| City | GLASGOW | City |
| State | MT | State |
| ZIP Code | 592302338 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810226578 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST MONTANA HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 4066536500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP ST | AddressLine1 |
| City | WOLF POINT | City |
| State | MT | State |
| ZIP Code | 59201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CLEO CAGLE | Name |
| Title | CFO | Title |
| Phone | 4066536500 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL GREEN | Name |
| Phone | 4062632615 | Phone |
| Date Prepared | 2014-05-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CLEO CAGLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP ST | AddressLine1 |
| City | WOLF POINT | City |
| State | MT | State |
| ZIP Code | 59201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 24420897 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NEMHS.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1948 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 504 | TotalNbrEmployees |
| Total Nbr Volunteers | 17 | TotalNbrVolunteers |
| Total Gross UBI | 2314088 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -236969 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 79769 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 232832 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21205309 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23519444 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 346933 | InvestmentIncomePriorYear |
| Investment Income Current Year | 293970 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 315853 | OtherRevenuePriorYear |
| Other Revenue Current Year | 374651 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21947864 | TotalRevenuePriorYear |
| Total Revenue Current Year | 24420897 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11065241 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13062307 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 53949 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9874947 | OtherExpensePriorYear |
| Other Expenses Current Year | 9555671 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 20940188 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22617978 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1007676 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1802919 | RevenuesLessExpensesCY |
| Total Assets BOY | 36152551 | TotalAssetsBOY |
| Total Assets EOY | 37572531 | TotalAssetsEOY |
| Total Liabilities BOY | 14695533 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 14312594 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21457018 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23259937 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 18148948 | Expense |
| Revenue | 23823802 | Revenue |
| Description | TO PROVIDE HEALTH CARE SERVICES TO PATIENTS. | Description |
| Total Program Service Expense | 18148948 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 51 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 504 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CLEO CAGLE | NamePerson |
| Telephone Number | 4066536500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 KNAPP ST | AddressLine1 |
| City | WOLF POINT | City |
| State | MT | State |
| ZIP Code | 59201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARK ZILKOSKI MD | |||||||
| MEDICAL STAF | 41.00 | X | 0 | 297065 | 256596 | ||
| TOM AULT | |||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| DALLAS O'CONNOR | |||||||
| VICE-CHAIRMA | 1.00 | X | 0 | 0 | 0 | ||
| SHANE GIBSON | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| SHARON BRAVARD | |||||||
| 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 | ||
| CHARLES HEADDRESS | |||||||
| TRIBAL REP | 1.00 | X | 0 | 0 | 0 | ||
| MARGARET NORGAARD | |||||||
| CEO | 40.00 | 114670 | 0 | 23499 | X | ||
| LINDA NYGAARD | |||||||
| CFO | 40.00 | 111361 | 0 | 9238 | X | ||
| CLEO CAGLE | |||||||
| CFO | 40.00 | 19232 | 0 | 1205 | X | ||
| MARK ZYGMOND | |||||||
| CRNA | 20.00 | 110001 | 0 | 10478 | X | ||
| MARK ROUBIDOUX | |||||||
| CRNA | 20.00 | 110001 | 0 | 8053 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 465265 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 297065 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 309069 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRAIRIE TRAVELERS INC | |||||
| 130 3RD ST SO SUITE 2 | GLASGOW | MT | 59230 | TRAVEL NURSE | 501558 |
| BILLINGS CLINIC | |||||
| PO BOX 30977 | BILLINGS | MT | 59107 | COMPUTER SUPPOR | 407411 |
| AUREUS NURSING LLC | |||||
| PO BOX 3037 | OMAHA | NE | 68103 | TRAVEL NURSE | 155307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 59121 | RelatedOrganizations |
| Government Grants | 69344 | GovernmentGrants |
| All Other Contributions | 104367 | AllOtherContributions |
| Total Contributions | 232832 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 900099 | 21205356 | 21205356 | |
| RETAIL PHARMACIES | 446110 | 2314088 | 2314088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23519444 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 293970 | TotalRevenueColumn |
| Related Or Exempt Function Income | 293970 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPITAL DISTRICT TAX | 900099 | 364263 | 364263 |
| RENTAL INCOME | 532000 | 10388 | 10388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 374651 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24420897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21873977 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2314088 | UnrelatedBusinessRevenue |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256128 | Total |
| Management And General | 256128 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10600976 | Total |
| Program Services | 9600470 | ProgramServices |
| Management And General | 955759 | ManagementAndGeneral |
| Fundraising | 44747 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67598 | Total |
| Program Services | 53844 | ProgramServices |
| Management And General | 13517 | ManagementAndGeneral |
| Fundraising | 237 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1242670 | Total |
| Program Services | 1098839 | ProgramServices |
| Management And General | 138710 | ManagementAndGeneral |
| Fundraising | 5121 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 894935 | Total |
| Program Services | 791353 | ProgramServices |
| Management And General | 99894 | ManagementAndGeneral |
| Fundraising | 3688 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65938 | Total |
| Management And General | 65938 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1421717 | Total |
| Program Services | 1249471 | ProgramServices |
| Management And General | 172246 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41198 | Total |
| Management And General | 41198 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 582537 | Total |
| Program Services | 320149 | ProgramServices |
| Management And General | 262232 | ManagementAndGeneral |
| Fundraising | 156 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76021 | Total |
| Management And General | 76021 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250428 | Total |
| Program Services | 250428 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87023 | Total |
| Program Services | 79245 | ProgramServices |
| Management And General | 7778 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25005 | Total |
| Program Services | 22936 | ProgramServices |
| Management And General | 2069 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 522631 | Total |
| Management And General | 522631 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1451840 | Total |
| Management And General | 1451840 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251879 | Total |
| Management And General | 251879 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| COGS | 1893260 | 1893260 | |
| MEDICAL SUPPLIES | 1678951 | 1678951 | |
| REPAIRS & MAINTENANCE | 511699 | 468420 | 43279 |
| FOOD & DIETARY SUPPLIES | 387842 | 387842 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307702 | Total |
| Program Services | 253740 | ProgramServices |
| Management And General | 53962 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22617978 | Total |
| Program Services | 18148948 | ProgramServices |
| Management And General | 4415081 | ManagementAndGeneral |
| Fundraising | 53949 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2633737 | BOY |
| EOY | 1664475 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2698840 | BOY |
| EOY | 3439796 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5494902 | BOY |
| EOY | 6029842 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 903875 | BOY |
| EOY | 959680 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 547208 | BOY |
| EOY | 622596 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 25828071 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13269109 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12316932 | BOY |
| EOY | 12558962 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2505239 | BOY |
| EOY | 2709845 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9051818 | BOY |
| EOY | 9587335 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36152551 | BOY |
| EOY | 37572531 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3373330 | BOY |
| EOY | 3351367 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11322203 | BOY |
| EOY | 10961227 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14695533 | BOY |
| EOY | 14312594 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21437646 | BOY |
| EOY | 23235185 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19372 | BOY |
| EOY | 24752 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21457018 | BOY |
| EOY | 23259937 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36152551 | BOY |
| EOY | 37572531 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1802919 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $2,170 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2170 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE C, PART IV | ReturnReference |
| Explanation | LOBBYING PERCENTAGE OF DUES PAID TO MHA WERE 2170. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25950 | OtherCostOrOtherBasis |
| Book Value | 25950 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15105131 | OtherCostOrOtherBasis |
| Depreciation | 6993656 | Depreciation |
| Book Value | 8111475 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10696990 | OtherCostOrOtherBasis |
| Depreciation | 6275453 | Depreciation |
| Book Value | 4421537 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12558962 | TotalOfBookValueLandBuildings |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 1626502 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BOND FUNDS | Description |
| Book Value | 1083343 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2709845 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| RECEIVABLE-WOLF POINT CLINIC ASSOC | 5021400 |
| RECEIVABLE-RIVERSIDE FAMILY CLINIC | 4565935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9587335 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 24420897 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 24420897 | RevenueSubtotal |
| Total Revenue Per Form990 | 24420897 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22617978 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 22617978 | ExpensesSubtotal |
| Total Expenses Per Form990 | 22617978 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1195927 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1195927 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04960 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1195927 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1195927 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04960 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4118073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2449607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1668466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06910 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4125073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2449607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1675466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5321000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2449607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2871393 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11900 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 54495 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 54495 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 54495 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 54495 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $572,638 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 3210276 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3178491 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 31785 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NE MT STAT AIR AMBUL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AIR AMBULANCE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.55000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|
| NEMHS - TRINITY HOSPITAL | |||||||||
| 1 | 315 KNAPP STREET | WOLF POINT | MT | 59201 | WWWNEMHSNET | X | X | X | X |
| NEMHS - POPLAR COMMUNITY HOSPITAL | |||||||||
| 2 | 211 H STREET EAST | POPLAR | MT | 59255 | WWWNEMHSNET | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | OtherOther | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEMHS - TRINITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||
| 1 | true | X | X | X | X | X | X | X | X | X | X | 12 | true | true | true | X | X | X | X | false | false | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | true | false | X | X | true | X | false | false |
| NEMHS - POPLAR COMMUNITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||
| 2 | true | X | X | X | X | X | X | X | X | X | X | 12 | true | true | true | X | X | X | X | false | false | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | true | false | X | X | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 197458 PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES |
| EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | PART I LINE 7 COLUMN F | PHYSICIAN STANDBY SERVICE COST FOR THE EMERGENCY ROOM NOT INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A BUT INCLUDED HERE IS 1511457 THE COST OF THIS SERVICE IS RECORDED IN THE AFFILIATED CLINICS WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC AND RECLASSIFIED TO THE ORGANIZATION ON THE MEDICARE COST REPORT SO THIS COST IS INCLUDED IN THE COST TO CHARGE RATIO OF THE EMERGENCY ROOM THAT WAS USED TO CALCULATE THE COST OF SUBSIDIZED EMERGENCY ROOM SERVICES |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | 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 |
| COMMUNITY BUILDING ACTIVITIES | PART II | THE STAFF AT NEMHS DESIGNATES TIME FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS THESE ACTIVITIESINITIATIVES 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 54495 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 |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | THE ORGANIZATIONS 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 NONPROFIT HOSPITAL THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS |
| MEDICARE EXPLANATION | PART III LINE 8 | THERE IS NO MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE 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 |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES AND ALSO A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS 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 |
| NEEDS ASSESSMENT | PART VI | PURSUANT 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 NOSHOW 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 NOW 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 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | 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 ONEONONE 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 |
| COMMUNITY INFORMATION | PART VI | 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 |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | 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 247 EMERGENCY SERVICE COVERAGE TO TREAT PATIENTS INCLUDING THOSE THAT ARE UNABLE TO PAY |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | 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 BY NORTHEAST MONTANA HEALTH SERVICES |
| ADDITIONAL INFORMATION | PART VI | 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 EXCEPT THAT THE COST OF PHYSICIAN EMERGENCY ROOM STANDBY COVERAGE THAT IS PROVIDED THROUGH THE CLINICS IS INCLUDED IN THE CALCULATION OF SUBSIDIZED EMERGENCY ROOM SERVICES ON SCHEDULE H PART I LINE 7G PART I LINE 7I NEMHS CONTRIBUTED 7000 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 |
| NEMHS TRINITY HOSPITAL LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | A 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 |
| NEMHS TRINITY HOSPITAL LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | NORTHEAST MONTANA HEALTH SERVICES POPLAR COMMUNITY HOSPITAL |
| NEMHS TRINITY HOSPITAL LINE NUMBER 1 PART V LINE 7 | PART V LINE 7 | 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 PUBLICCOUNTY 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 |
| NEMHS TRINITY HOSPITAL LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | 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 |
| NEMHS POPLAR COMMUNITY HOSPITAL LINE NUMBER 2 PART V LINE 3 | PART V LINE 3 | A 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 |
| NEMHS POPLAR COMMUNITY HOSPITAL LINE NUMBER 2 PART V LINE 4 | PART V LINE 4 | NORTHEAST MONTANA HEALTH SERVICES TRINITY HOSPITAL |
| NEMHS POPLAR COMMUNITY HOSPITAL LINE NUMBER 2 PART V LINE 7 | PART V LINE 7 | 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 PUBLICCOUNTY 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 |
| NEMHS POPLAR COMMUNITY HOSPITAL LINE NUMBER 2 PART V LINE 20D | PART V LINE 20D | 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK ZILKOSKI MD | NamePerson |
| Title | MEDICAL STAFF REP | Title |
| Comp Based On Related Orgs | 297065 | CompBasedOnRelatedOrgs |
| Deferred Comp Related Orgs | 256596 | DeferredCompRelatedOrgs |
| Total Compensation Related Orgs | 553661 | TotalCompensationRelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | ReturnReference |
| Explanation | MARK ZILKOSKI, MD 0 254,768 0 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MT FACILITY FINANCE AUTHORITY BONDS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 810302402 | IssuerEIN |
| CUSIP Number | 612043EE5 | CUSIPNumber |
| Date Issued | 2007-05-10 | DateIssued |
| Issue Price | 12444852 | IssuePrice |
| Description Of Purpose | RENOVATIONS TO HOSPITALS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 1510000 | AmountRetired |
| Total Proceeds | 12444852 | TotalProceeds |
| Amount In Reserve Fund | 863364 | AmountInReserveFund |
| Capitalized Interest | 743105 | CapitalizedInterest |
| Issuance Costs From Proceeds | 248897 | IssuanceCostsFromProceeds |
| Capital Expenditures | 10578875 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | false | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE MEMBERS OF THE GOVERNING BOARD SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY IN WHICH THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT DOES EXIST, THE BOARD CHAIRMAN WILL REMIND MEMBERS AND ASK THEM TO ABSTAIN FROM VOTING. THESE CONFLICTS ARE DULY NOTED IN THE MINUTES. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | N/A | |
| NE MT STAT AIR AMB COOP | |||||||||||
| 11 SOUTH 7TH ST SUITE 241 | MILES CITY | MT | 59301 | 204748673 | AIR AMBUL | MT | 501C3 | 11B | false | N/A | |
| FAITH LUTHERAN HOME FOUNDATION INC | |||||||||||
| 1000 6TH AVE N | WOLF POINT | MT | 59201 | 810483586 | SUPPORT | MT | 501C3 | PF | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RIVERSIDE FAMILY CLINIC | ||
| J | 4200 | RENTAL INCOME |
| RIVERSIDE FAMILY CLINIC | ||
| R | 810896 | INCREASE IN RECEIVABLE |
| WOLF POINT CLINIC ASSOCIATION | ||
| J | 6000 | RENTAL INCOME |
| WOLF POINT CLINIC ASSOCIATION | ||
| S | 274852 | DECREASE IN RECEIVABLE |
| NEMHS CHARITABLE FOUNDATION | ||
| C | 52259 | CASH GIFTS |
| FAITH LUTHERAN HOME FOUNDATION | ||
| C | 6862 | CASH GIFTS |