2016-05-11T11:51:03-05:00 2015-06-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2014-07-01 810226578 NORTHEAST MONTANA HEALTH SERVICES NORT 4066536500 315 KNAPP STREET WOLF POINT MT 59201 MARGARET NORGAARD CEO 4066536500 2016-05-09 true DANIEL GREEN P01311679 4062632615 2016-05-11 2014 2016-08-17 19:52:53Z MARGARET NORGAARD 315 KNAPP ST WOLF POINT MT 59201 24032334 false X WWW.NEMHS.NET X 1948 MT TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. 9 8 524 33 2703546 410688 228037 24455946 22022041 358951 1320764 566936 461492 25792521 24032334 0 0 14886598 14689920 0 64027 10867457 10080263 25754055 24770183 38466 -737849 37160628 36384000 13857882 13820448 23302746 22563552 TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. false false 19177113 22022041 TO PROVIDE HEALTH CARE SERVICES TO PATIENTS. 19177113 true true false true false false false false false false true true false true false true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 22 0 true 524 true true true false false false false false false false false false X 9 8 false false false false false false false true true false false true true true true true true true true false X DEMI WILKINSON 4066536500 315 KNAPP ST WOLF POINT MT 59201 X MARK ZILKOSKI MD MEDICAL STAF 1.00 40.00 X 0 324934 95986 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 RICK KIRN TRIBAL COUNC 1.00 X 0 0 0 PEARL HOPKINS TRIBAL COUNC 1.00 X 0 0 0 MARGARET NORGAARD CEO 40.00 X 153444 0 21473 CLEO CAGLE CFO 40.00 X 132257 0 10775 VICKI HOUSTON RN 40.00 X 143829 0 7880 ALLEN CONDON RN 40.00 X 142424 0 7906 CODI KAWASAKI-JENSEN RN 40.00 X 130424 0 7221 MARK ZYGMOND CRNA 20.00 X 122001 0 10124 MARK ROUBIDOUX CRNA 20.00 X 121593 0 7752 945972 324934 169117 12 false true false COMPHEALTH PO BOX 972651 DALLAS TX 75397 OB/ER PROVIDERS 541588 BILLINGS CLINIC PO BOX 30997 BILLINGS MT 59107 COMPUTER SUPP 306111 BIG SKY LOCUMS PO BOX 50342 BILLINGS MT 59105 ER PROVIDERS 234373 PRAIRIE TRAVELERS INC 130 3RD ST SO SUITE 2 GLASGOW MT 59230 TRAVEL NURSE 191550 PRACTICAL HEALTHCARE SOLUTIONS INC 2120 S RESERVE ST MISSOULA MT 59801 ER LOCUM 120137 5 41320 161781 24936 228037 PATIENT REVENUE 621500 19318495 19318495 RETAIL PHARMACIES 446110 2703546 2703546 22022041 1320764 1320764 HOSPITAL DISTRICT TAX 900099 461492 461492 461492 24032334 21100751 2703546 292316 292316 12370027 11102062 1218655 49310 83497 68173 15208 116 979085 799592 172544 6949 964995 734281 227134 3580 6438 6438 97450 97450 1149081 913886 235195 22978 152 22826 703601 385911 313618 4072 213345 213345 257377 257377 90653 76587 14066 28245 23994 4251 482027 482027 1621619 1621619 289361 289361 MEDICAL SUPPLIES 1909002 1909002 COGS 1893581 1893581 REPAIRS & MAINTENANCE 684480 430076 254404 FOOD & DIETARY SUPPLIES 357139 357139 273886 225300 48586 24770183 19177113 5529043 64027 3412553 4326707 1487722 753628 7374147 6583007 1086498 924730 502549 550400 26651915 16710697 11224723 9941218 3020095 4320094 9052341 8984216 37160628 36384000 3272763 3631574 10585119 10188874 13857882 13820448 X 23268426 22533777 34320 29775 23302746 22563552 37160628 36384000 -737849 -1345 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2134 2134 false SCHEDULE C, PART II-B, LINE 1 2.44 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. 28950 28950 15069087 8426711 6642376 11553878 8283986 3269892 9941218 3224612 C BOND FUNDS 1095482 F 4320094 RECEIVABLE-WOLF POINT CLINIC ASSOC 5359969 RECEIVABLE-RIVERSIDE FAMILY CLINIC 3624247 8984216 X 24030989 -1345 -1345 24032334 24032334 24770183 24770183 24770183 SCHEDULE D, PAGE 3, PART X IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. SEE PAGE 8 IN THE NORTHEAST MONTANA HEALTH SERVICES, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2015 AND 2014. true true X true X true X true true false false 1130955 1130955 0.04570 1130955 1130955 0.04570 3281088 2151095 1129993 0.04560 7000 7000 0.00030 3288088 2151095 1136993 0.04590 4419043 2151095 2267948 0.09160 51000 51000 0.00210 51000 51000 0.00210 true 1653886 4315130 4204985 110145 X true true NE MT STAT AIR AMBUL AIR AMBULANCE 0.52000 2 1 NEMHS - TRINITY HOSPITAL 315 KNAPP STREET WOLF POINT MT 59201 WWW.NEMHS.NET X X X X 2 NEMHS - POPLAR COMMUNITY HOSPITAL 211 H STREET EAST POPLAR MT 59255 WWW.NEMHS.NET X X X X NEMHS - TRINITY HOSPITAL 1 false false true X X X X X X X X X X 12 true true false true X WWW.NEMHS.NET X X true 12 true WWW.NEMHS.NET false false true X 100.000000000000 200.000000000000 X X X true true X X X true X WWWNEMHSNET X WWWNEMHSNET X WWWNEMHSNET X X X X X true X true X X true X false false NEMHS - POPLAR COMMUNITY HOSPITAL 2 false false true X X X X X X X X X X 12 true true false true X WWW.NEMHS.NET X X true 12 true WWW.NEMHS.NET false false true X 100.000000000000 200.000000000000 X X X true true X X X true X WWWNEMHSNET X WWWNEMHSNET X WWWNEMHSNET X X X X X true X true X X true X false false FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5 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. FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 6A NORTHEAST MONTANA HEALTH SERVICES - POPLAR COMMUNITY HOSPITAL FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 7D THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 11 NEMHS, INC AND ASSOCIATES IDENTIFIED 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 22D ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 5 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. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 6A NORTHEAST MONTANA HEALTH SERVICES - TRINITY HOSPITAL FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 7D THE CHNA IS ALSO AVAILABLE AT THE PUBLIC LIBRARY. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 11 NEMHS, INC AND ASSOCIATES IDENTIFIED 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 22D ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED. 2 WOLF POINT CLINIC ASSOCIATION 301 KNAPP STREET WOLF POINT MT 59201 RURAL HEALTH CLINIC RIVERSIDE FAMILY CLINIC PO BOX 629 POPLAR MT 59255 RURAL HEALTH CLINIC PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 532,899. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND CHARITY CARE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. PART II - COMMUNITY BUILDING ACTIVITIES THE STAFF AT NEMHS DESIGNATES TIME FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. THESE ACTIVITIES/INITIATIVES OFTEN TARGET ENVIRONMENTAL STRATEGIES, ECONOMIC DEVELOPMENT AND LEADERSHIP, ADVOCACY AND SUPPORT THAT INDIRECTLY AFFECT THE HEALTH OF THE COMMUNITY. PART II, LINE 8: NEMHS IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA AND SPENT 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 METHODOLOGY THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT, CHARITY CARE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF BAD DEBT WHICH REDUCE BAD DEBT EXPENSE. NONE OF THE BAD DEBT IS CONSIDERED ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. BAD DEBTS ARE AN INEVITABLE RESULT OF OPERATING A NON-PROFIT HOSPITAL. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION THERE IS NO MEDICARE SHORTFALL. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, AND ALSO A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS CHARITY OR FINANCIAL ASSISTANCE UNLESS THE PATIENT 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 ASSESSMENT 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 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 ASSISTANCE NORTHEAST MONTANA HEALTH SERVICES EMPLOYS TWO SOCIAL SERVICE EMPLOYEES TO ASSIST PATIENTS WITH THEIR FINANICAL NEEDS AND OPTIONS. COMMUNITY ADVERTISEMENT IS USED TO EDUCATE PATIENTS AND SUPPORT IS GIVEN ON A ONE-ON-ONE BASIS TO ASSIST COMMUNITY MEMBERS. PATIENTS ARE NOTIFIED BY THE BILLING DEPARTMENT OF OUR POLICY FOR FINANCIAL ASSISTANCE AND ARE SENT A SIMPLE APPLICATION. OUR WEBSITE PROVIDES DETAILS OF OUR CHARITY CARE POLICY AND THE FINANCIAL ASSISTANCE AVAILABLE. PART VI, LINE 4 - COMMUNITY INFORMATION THE ORGANIZATION OPERATES ON THE FORT PECK RESERVATION. GEOGRAPHICALLY THIS IS A REMOTE LOCATION WHERE ACCESS TO OTHER HEALTH FACILITIES IS AT LEAST 50 MILES AWAY. WITH SEVERE WEATHER CONDITIONS OFTEN RESULTING IN BLIZZARDS AND IMPASSABLE ROADS, NORTHEAST MONTANA HEALTH SERVICES IS THE FRONTLINE OF CARE FOR THE COMMUNITY. THE POPULATION OF SIOUX AND ASSINIBOINE TRIBAL MEMBERS MAKE UP OUR HIGHEST CONCENTRATION OF PATIENTS WITH DISPARITIES THAT INCLUDE CULTURAL BARRIERS, LOW HOUSEHOLD INCOME, HIGH UNEMPLOYMENT RATES, HIGHER RATES OF TOBACCO, ALCOHOL AND ILLEGAL DRUG USE, AS WELL AS HIGHER THAN AVERAGE RATES OF HEART DISEASE, DIABETES, FETAL ALCOHOL SYNDROME, AND SUICIDE. AS WE CONTINUE OUR EFFORTS TO SERVE THE PUBLIC THROUGH HEALTHCARE AND EDUCATION, THERE IS PROGRESS BEING MADE TO IMPROVE THE QUALITY OF LIFE FOR COMMUNITY MEMBERS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH NORTHEAST MONTANA HEALTH SERVICES IS GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY MEMBERS REPRESENTING THE GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. OUR HOSPITALS PROVIDE 24/7 EMERGENCY SERVICE COVERAGE TO TREAT PATIENTS, INCLUDING THOSE THAT ARE UNABLE TO PAY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM TWO AFFILIATED RURAL HEALTH CLINICS, WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC, PROVIDE PROFESSIONAL PHYSICIAN AND OTHER PROVIDER SERVICES WHILE NORTHEAST MONTANA HEALTH SERVICES PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND SKILLED NURSING SERVICES. THE TWO RURAL HEALTH CLINICS ARE OPERATED, AND SUBSIDIZED IF NEEDED, BY NORTHEAST MONTANA HEALTH SERVICES. ADDITIONAL INFORMATION PART V: WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC ARE RURAL HEALTH CLINICS THAT ARE OPERATED AND SUBSIDIZED BY NORTHEAST MONTANA HEALTH SERVICES. THEIR REVENUE AND EXPENSES ARE NOT INCLUDED ON NORTHEAST MONTANA HEALTH SERVICES' FORM 990. PART I, LINE 7I: NEMHS CONTRIBUTED 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. X false true false false false false false false false MARK ZILKOSKI MD MEDICAL STAFF REP 324934 95986 420920 MARGARET NORGAARD CEO 153444 2499 18974 174917 VICKI HOUSTON RN 143829 1040 6840 151709 ALLEN CONDON RN 142424 1066 6840 150330 SCHEDULE J, PAGE 1, PART I, LINE 4 MARK ZILKOSKI, MD 0 93,386 0 SCHEDULE J, PART III THE COMPENSATION OF MARK ZILKOSKI, MD IS AN EXPENSE OF WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY. A MT FACILITY FINANCE AUTHORITY BONDS 810302402 612043EE5 2007-05-10 12444852 RENOVATIONS TO HOSPITALS false false false A 2290000 12444852 869296 743105 248897 10578875 2009 false false true true A false false false false false false true A false false false false false false false false false A false FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE CEO AND CFO AND IS DISTRIBUTED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO BEING FILED. FORM 990, PAGE 6, PART VI, LINE 12C THE MEMBERS OF THE GOVERNING BOARD SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY IN WHICH THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT DOES EXIST, THE BOARD 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 15A THE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST. FORM 990, 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. RIVERSIDE FAMILY CLINIC PO BOX 629 POPLAR MT 59255 810474760 CLINIC MT 501C3 3 NEMHS true WOLF POINT CLINIC ASSOCIATION 301 KNAPP STREET WOLF POINT MT 59201 810386812 CLINIC MT 501C3 3 NEMHS true NEMHS CHARITABLE FOUNDATION INC PO BOX 38 POPLAR MT 59255 383732814 SUPPORT MT 501C3 7 N/A false NE MT STAT AIR AMB COOP 11 SOUTH 7TH ST SUITE 241 MILES CITY MT 59301 204748673 AIR AMBUL MT 501C3 11B N/A false FAITH LUTHERAN HOME FOUNDATION INC 1000 6TH AVE N WOLF POINT MT 59201 810483586 SUPPORT MT 501C3 PF N/A false false false true false false false false false false false false false false false false false false true true RIVERSIDE FAMILY CLINIC R 100006 DECREASE IN RECEIVABLE WOLF POINT CLINIC ASSOCIATION S 31881 INCREASE IN RECEIVABLE NEMHS CHARITABLE FOUNDATION C 41320 CASH GIFTS