2011-05-12T15:11:54-05:00 2010-06-30 GREEN HEALTH GROUP PC 110 5TH ST S SUITE 106 GLASGOW MT 592302338 990 2009-07-01 810226578 NORTHEAST MONTANA HEALTH SERVICES NORT 4066536500 315 KNAPP ST WOLF POINT MT 59201 LINDA NYGAARD 4066536500 2011-05-11 true DANIEL GREEN 4062632615 2011-05-12 2009 2016-02-24 21:20:13Z LINDA NYGAARD 315 KNAPP ST WOLF POINT MT 59201 18868748 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. 11 10 424 1325726 -437409 255638 190665 17711630 18129431 177313 291512 406168 254940 18550749 18866548 0 0 9078148 9871134 0 13716 7604976 8802083 16683124 18673217 1867625 193331 34342656 33861787 14664133 13989933 19678523 19871854 TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. false false 13921649 18129431 PROVIDING HEALTH CARE SERVICES TO PATIENTS. 13921649 true true false true false false false false false true false true false false false false false false false false true false false false true false false false false false false false false false false false false false false false true true false false true 38 0 true 424 true true true false false false false false false false false 11 10 false false false false false false false true true false false true true true true true true true true false X LINDA NYGAARD 4066536500 315 KNAPP ST WOLF POINT MT 59201 DALLAS O'CONNOR 2.00 X 0 0 0 TOM AULT 1.00 X 0 0 0 SHARON BRAVARD 1.00 X 0 0 0 JIM NESBIT 1.00 X 0 0 0 RJ DOORNEK 1.00 X 0 0 0 JIM SHANKS 1.00 X 0 0 0 HARRIET FRIESEN 1.00 X 0 0 0 RON JOHNSON 1.00 X 0 0 0 RICK KIRN 1.00 X 0 0 0 MARK ZILKOSKI MD 1.00 X 0 0 0 FRANK SMITH 1.00 X 0 0 0 MARGARET NORGAARD 40.00 X 119081 0 8325 LINDA NYGAARD 40.00 X 95361 0 8149 MARK ZYGMOND 40.00 X 112620 0 6706 327062 23180 2 false false false PRAIRIE TRAVELERS INC 130 3RD ST SO SUITE 2 GLASGOW MT 59230 TRAVEL NURSE 207583 GABERT MEDICAL SERVICES 107 DILWORTH GLENDIVE MT 59330 PHARMACIST 146684 AUREUS NURSING LLC PO BOX 3037 OMAHA NE 68103 TRAVEL NURSE 127382 3 85644 105021 190665 PATIENT REVENUE 900099 16803705 16803705 RETAIL PHARMACIES 446110 1325726 1325726 18129431 284512 284512 9200 2200 7000 7000 7000 HOSPITAL DISTRICT TAX 900099 244589 244589 RENTAL INCOME 532000 10351 10351 254940 18866548 17350157 1325726 214693 214693 8016371 7211559 791145 13667 57944 44203 13741 846368 742900 103468 735758 645812 89946 60872 60872 1126207 1047506 78701 42403 42403 2421473 2198369 223055 49 228297 228297 61762 53318 8444 19676 15372 4304 598921 598921 1744587 1744587 268098 268098 COGS 1122523 1122523 REPAIRS & MAINTENANCE 418431 365871 52560 BAD DEBTS 417897 417897 BED TAXES 245919 245919 MISCELLANEOUS 10330 10330 14687 14687 18673217 13921649 4737852 13716 1708042 2190133 3259887 2438375 5002505 4463111 682605 814878 629634 620436 22920993 8667790 15087316 14253203 1884134 1979665 6088533 7101986 34342656 33861787 2036528 1811565 12304852 11998784 322753 179584 14664133 13989933 X 19678523 19851881 19973 19678523 19871854 34342656 33861787 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 2792 2792 false false false false false ADDITIONAL INFORMATION SCHEDULE C, PART IV 5.19 PERCENT OF DUES PAID TO MHA, WHICH WAS 2792, WERE USED FOR LOBBYING EXPENSES BY MHA false false false false false false false false false false 25950 25950 14869813 4627488 10242325 8025230 4040302 3984928 14253203 830189 C BOND FUNDS 1149476 F 1979665 INTER-COMPANY RECEIVABLE 7101986 7101986 18866548 18673217 193331 193331 18866548 18866548 18866548 18673217 18673217 18673217 true true X true X true X true true true false true true 1121567 1121567 0.05740 1121567 1121567 0.05740 3135725 2008721 1127004 0.05770 10070 10070 0.00050 3145795 2008721 1137074 0.05820 4267362 2008721 2258641 0.11560 true 376651 3150411 3119219 31192 X true true NE MT STAT AIR AMBUL AIR AMBULANCE 0.50000 NORTHEAST MONTANA HEALTH SERVICES

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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. THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 114387. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES. BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT REMOVED HERE IS 417897. PHYSICIAN PROFESSIONAL SERVICES FOR THE EMERGENCY ROOM NOT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT INCLUDED HERE IS 1285146. 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. 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. THE BAD DEBT EXPENSE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE CARRIED NET OF AN ESTIMATE FOR UNCOLLECTIBLES AND ALLOWANCES. ACCOUNTS WHICH ARE NOT CONSIDERED COLLECTIBLE ARE WRITTEN OFF AGAINST THE ALLOWANCE ACCOUNT. THE PROVISION FOR BAD DEBTS IS DETERMINED BY APPLYING HISTORICAL UNCOLLECTIBLE PERCENTAGES TO AGED ACCOUNTS RECEIVABLE. BAD DEBTS ARE SHOWN AS AN OPERATING EXPENSE ON THE INCOME STATEMENT AS A SEPARATE LINE ITEM. CHARITY ALLOWANCES ARE CLASSIFIED AS A DEDUCTION FROM REVENUE. 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. 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 I, LINE 6A: FORM 990, SCHEDULE H IS AVAILABLE TO THE PUBLIC AND IS CONSIDERED THE ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT STARTING WITH THE YEAR ENDED JUNE 30, 2010. 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 PROFESSIONAL EMERGENCY ROOM COVERAGE THAT IS PROVIDED THROUGH THE CLINICS IS INCLUDED IN THE CALCULATION OF SUBSIDIZED EMERGENCY ROOM SERVICES ON SCHEDULE H, PART I, LINE 7G. 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 THOSE FINDINGS: WE RECEIVED COMMENT FROM PATIENTS THAT EXPRESSED MANY DIETARY ISSUES SO A PROJECT WAS STARTED TO HELP INCREASE THE PATIENTS AND RESIDENTS SATISFACTION ON IMPLEMENTING MENUS. WE ARE HOPING TO SEE A POSITIVE TREND. 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, WHICH WE HOPE DECREASES CLINIC NO-SHOWS. 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. 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. 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. 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. 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. MT FACILITY FINANCE AUTHORITY BONDS 810302402 612043EE5 2007-05-10 12444852 RENOVATIONS TO HOSPI false false 12444852 873975 248897 11321980 2009 false false true true false false false false false true false false false false false false ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 A COPY OF THE 990 IS GIVEN TO THE CFO AND DISTRIBUTED TO THE GOVERNING BOARD FOR REVIEW AND APPROVAL PRIOR TO BEING FILED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE GOVERNING BOARD IS USUALLY VERY GOOD ABOUT DECLARING A CONFLICT. 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. 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