2014-05-12T17:25:49-05:00 2013-06-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2012-07-01 810226578 NORTHEAST MONTANA HEALTH SERVICES NORT 4066536500 315 KNAPP ST WOLF POINT MT 59201 CLEO CAGLE 4066536500 2014-05-12 true DANIEL GREEN 4062632615 2014-05-12 2012 2015-11-30 17:44:51Z CLEO CAGLE 315 KNAPP ST WOLF POINT MT 59201 24420897 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. 8 7 504 17 2314088 -236969 79769 232832 21205309 23519444 346933 293970 315853 374651 21947864 24420897 0 0 11065241 13062307 0 53949 9874947 9555671 20940188 22617978 1007676 1802919 36152551 37572531 14695533 14312594 21457018 23259937 TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. false false 18148948 23823802 TO PROVIDE HEALTH CARE SERVICES TO PATIENTS. 18148948 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 51 0 true 504 true true true false false false false false false false false false X 8 7 false false false false false false false true true false false true true true true true true true true false X CLEO CAGLE 4066536500 315 KNAPP ST WOLF POINT MT 59201 X MARK ZILKOSKI MD 41.00 X 0 297065 256596 TOM AULT 2.00 X 0 0 0 DALLAS O'CONNOR 1.00 X 0 0 0 SHANE GIBSON 1.00 X 0 0 0 SHARON BRAVARD 1.00 X 0 0 0 RJ DOORNEK 1.00 X 0 0 0 MICHELLE ISLE 1.00 X 0 0 0 CHARLES HEADDRESS 1.00 X 0 0 0 MARGARET NORGAARD 40.00 X 114670 0 23499 LINDA NYGAARD 40.00 X 111361 0 9238 CLEO CAGLE 40.00 X 19232 0 1205 MARK ZYGMOND 20.00 X 110001 0 10478 MARK ROUBIDOUX 20.00 X 110001 0 8053 465265 297065 309069 4 false true false 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 3 59121 69344 104367 232832 PATIENT REVENUE 900099 21205356 21205356 RETAIL PHARMACIES 446110 2314088 2314088 23519444 293970 293970 HOSPITAL DISTRICT TAX 900099 364263 364263 RENTAL INCOME 532000 10388 10388 374651 24420897 21873977 2314088 256128 256128 10600976 9600470 955759 44747 67598 53844 13517 237 1242670 1098839 138710 5121 894935 791353 99894 3688 65938 65938 1421717 1249471 172246 41198 41198 582537 320149 262232 156 76021 76021 250428 250428 87023 79245 7778 25005 22936 2069 522631 522631 1451840 1451840 251879 251879 COGS 1893260 1893260 MEDICAL SUPPLIES 1678951 1678951 REPAIRS & MAINTENANCE 511699 468420 43279 FOOD & DIETARY SUPPLIES 387842 387842 307702 253740 53962 22617978 18148948 4415081 53949 2633737 1664475 2698840 3439796 5494902 6029842 903875 959680 547208 622596 25828071 13269109 12316932 12558962 2505239 2709845 9051818 9587335 36152551 37572531 3373330 3351367 11322203 10961227 14695533 14312594 X 21437646 23235185 19372 24752 21457018 23259937 36152551 37572531 1802919 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2170 2170 false ADDITIONAL INFORMATION SCHEDULE C, PART IV LOBBYING PERCENTAGE OF DUES PAID TO MHA WERE 2170. 25950 25950 15105131 6993656 8111475 10696990 6275453 4421537 12558962 1626502 C BOND FUNDS 1083343 F 2709845 RECEIVABLE-WOLF POINT CLINIC ASSOC 5021400 RECEIVABLE-RIVERSIDE FAMILY CLINIC 4565935 9587335 24420897 24420897 24420897 22617978 22617978 22617978 LIABILITY UNDER FIN 48 FOOTNOTE 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. true true X true X true X true true false false 1195927 1195927 0.04960 1195927 1195927 0.04960 4118073 2449607 1668466 0.06910 7000 7000 0.00030 4125073 2449607 1675466 0.06940 5321000 2449607 2871393 0.11900 54495 54495 0.00230 54495 54495 0.00230 true 572638 3210276 3178491 31785 X true true NE MT STAT AIR AMBUL AIR AMBULANCE 0.55000 2 1 NEMHS - TRINITY HOSPITAL

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RURAL HEALTH CLINIC 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 X false true false false false false false false false MARK ZILKOSKI MD 297065 256596 553661 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 MARK ZILKOSKI, MD 0 254,768 0 A MT FACILITY FINANCE AUTHORITY BONDS 810302402 612043EE5 2007-05-10 12444852 RENOVATIONS TO HOSPITALS false false false A 1510000 12444852 863364 743105 248897 10578875 2009 false false true true A false false false false false false false true A false false false false false false false false false A false 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. 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