2026-05-14T11:08:28-04:00 2025-06-30 272643480 GREEN HEALTH GROUP PC 405 FOURTH AVENUE NORTH GLASGOW MT 59230 990 2024-07-01 810226578 NORTHEAST MONTANA HEALTH SERVICES NORT 4066536500 315 KNAPP STREET WOLF POINT MT 59201 ROGER FISHER COO 4066536500 2026-05-13 true true DANIEL GREEN P01311679 4062632615 2026-05-14 2024 2025-03-06 01:10:19Z ROGER FISHER 315 KNAPP ST WOLF POINT MT 59201 40446044 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. 7 7 388 7 1537882 97316 168301 39802415 39395788 576073 487227 395282 394728 40871086 40446044 0 0 16952128 18052298 0 80639 20492418 26148745 37444546 44201043 3426540 -3754999 66894795 61250831 11454944 9565979 55439851 51684852 TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. false false 36837115 39395788 PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE. 36837115 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 130 0 388 true true true false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false X ROGER FISHER 4066536500 315 KNAPP ST WOLF POINT MT 59201 MICHAEL POST CEO 40.00 X 244968 0 16312 HANZ ARNSTON RN 40.00 X 205740 0 12418 RICHARD BALAND CFO 40.00 X 186195 0 3011 LORI COLLINS RN 40.00 X 168124 0 15561 TACY STRAND RN-CNO 40.00 X 164218 0 13932 ROGER FISHER COO 40.00 X 165272 0 3163 ELAINE LONG RN-VP NURSIN 40.00 X 149446 0 14458 GRACIE ACKERMAN RN 40.00 X 147738 0 12578 MARVA CHAPMAN TRIBAL REP 1.00 X 0 0 0 SHANE GIBSON DIRECTOR 1.00 X 0 0 0 STEVE HACKLEY DIRECTOR 1.00 X 0 0 0 VICTORIA MATEJOVSKY VICE-CHAIRMA 1.00 X 0 0 0 DEBBIE MCGOWAN DIRECTOR 1.00 X 0 0 0 DAN MOUDREE TREASURER 1.00 X 0 0 0 DALLAS O'CONNOR CHAIRMAN 2.00 X 0 0 0 1431701 91433 30 false true false DOCTORS OF EMERGENCY MEDICINE 5N327 SWITCHGRASS LANE SAINT CHARLES IL 60175 ER STAFF 875000 PRN STAFFING SOLUTIONS LLC 173 AUSTRIAN ROAD VIDA MT 59274 NURSING STAFF 617202 XTEND HEALTHCARE 90 VOLUNTEER DR SUITE 200 HENDERSONVILLE TN 37075 BILLING/CODING 478532 MONTANA HEALTH NETWORK 519 PLEASANT STREET MILES CITY MT 59301 CNA STAFF 468910 406 RX PLLC PO BOX 1469 COLUMBUS MT 59019 PHARMACY STAFF 426237 27 20197 50000 98104 168301 PATIENT REVENUE 621500 36250667 36250667 RETAIL PHARMACIES 456110 3145121 1607239 1537882 39395788 487227 487227 HOSPITAL DISTRICT TAX REVENUE 900099 394728 394728 394728 40446044 38739861 1537882 X 352579 352579 14939387 12747273 2137665 54449 186577 156868 28137 1572 1282587 1053382 217058 12147 1291168 1046546 240323 4299 25168 17308 7797 63 84620 84620 13539721 10745245 2794189 287 30246 6301 23922 23 1024274 673236 349221 1817 1188016 955284 228693 4039 357769 288922 68847 167085 121539 45453 93 19005 14656 4349 220874 184598 36276 1690886 1473894 216823 169 491546 393012 98534 MEDICAL SUPPLIES 4233293 4184274 49014 5 COGS 1105718 1105718 REPAIRS & MAINTENANCE 974009 820472 151886 1651 FOOD & DIETARY SUPPLIES 516279 414789 101490 480236 433798 46413 25 44201043 36837115 7283289 80639 2701671 2714858 13690043 7571413 14947190 15357676 1283721 1211457 235426 476968 38085725 28712302 10148866 9373423 6732251 6895444 17155627 17649592 66894795 61250831 5925272 4590979 5529672 4975000 11454944 9565979 X 55388809 51684852 51042 55439851 51684852 66894795 61250831 -3754999 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4156 4156 false SCHEDULE C, PART IV 0.96 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 314, 39.00 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 3,828, AND 1.35 PERCENT OF DUES PAID TO MHA FOR LEADINGAGE WHICH WAS 14 (4,156 COMBINED) WERE USED FOR LOBBYING EXPENSES BY MHA. 92421 92421 21572227 15409148 6163079 16421077 13303154 3117923 9373423 5698093 C BOND FUNDS 1197351 F 6895444 RECEIVABLE-WOLF POINT CLINIC ASSOC 10797448 RECEIVABLE-RIVERSIDE FAMILY CLINIC 6730144 WORK COMP TRUST DEPOSIT 122000 17649592 X 40446044 40446044 40446044 44201043 44201043 44201043 SCHEDULE D, PAGE 3, PART X THE AUDITED FINANCIAL STATEMENTS ARE NOT YET AVAILABLE, SO THE ATTACHED FINANCIAL STATEMENTS ARE INTERNAL FINANCIAL STATEMENTS THAT DO NOT INCLUDE FOOTNOTE DISCLOSURES. THEREFORE, THERE IS NO FIN 48 (ASC 740) FOOTNOTE DISCLOSURE. true true X true X false true true false false 6912897 3141331 3771566 0.08530 6912897 3141331 3771566 0.08530 6912897 3141331 3771566 0.08530 true 5940341 5978296 -37955 X true true 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 24 true true false true X WWW.NEMHS.NET X X true 24 true WWW.NEMHS.NET false false true X 200.000000000000 X X X true true X X X true X WWW.NEMHS.NET X WWW.NEMHS.NET X WWW.NEMHS.NET X X X X X true X false X X X X true X false false NEMHS - POPLAR COMMUNITY HOSPITAL 2 false false true X X X X X X X X X X 24 true true false true X WWW.NEMHS.NET X X true 24 true WWW.NEMHS.NET false false true X 200.000000000000 X X X true true X X X true X WWW.NEMHS.NET X WWW.NEMHS.NET X WWW.NEMHS.NET X X X X X true X false X X X X true X false false FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 5 IN MAY OF 2025, AN ONLINE SURVEY WAS MADE AVAILABLE TO RESIDENTS OF THE NEMHS SERVICE AREA THROUGH SURVEY MONKEY AND THE LINK TO THE SURVEY WAS SHARED OVER FACEBOOK AND INSTAGRAM. ALSO, A FEW PAPER SURVEYS WERE FILLED OUT AT BOTH WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC. THESE SURVEY RESULTS WERE THEN DIGITALLY INPUTTED INTO SURVEY MONKEY AND THERE WAS A TOTAL OF 81 COMPLETED RESPONSES. THE FINDINGS WERE SENT TO THE LOCAL PUBLIC HEALTH DEPARTMENT WHO REPRESENTED VARIOUS CONSUMER GROUPS INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, UNDERINSURED, AND MINORITY CITIZENS FOR INPUT ON HOW TO TURN GAPS FOUND THROUGH THE ASSESSMENT INTO PRIORITIZED NEEDS. THE ORGANIZATION ALSO TOOK INTO ACCOUNT INPUT FROM THE FORT PECK AND ROOSEVELT COUNTY CRISIS COALITIONS. 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 THE PRIORITIZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE FACILITY WILL BE ADDRESSING RELATES TO THE FOLLOWING HEALTHCARE ISSUES: 1. ACCESS TO HEALTH RESOURCES AND SERVICES 2. SPECIALTY CARE 3. COMMUNITY HEALTH THE FIRST HEALTHCARE ISSUE IS TO IMPROVE ACCESS TO HEALTH RESOURCES AND SERVICES IN ROOSEVELT COUNTY. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO WORK TO BRIDGE GAPS IN ACCESS TO HEALTH RESOURCES AND SERVICES LOCALLY BY COORDINATING WITH THE TRIBAL TSHIP PROGRAM TO INCREASE ACCESS TO INSURANCE AND MEDICAID COVERAGE THROUGH SHARING SPACE AND SOFTWARE NEEDED FOR COMPLETING PAPERWORK, CONTINUING TO UTILIZE NEMHS APARTMENTS AS SENIOR LIVING UNITS, EXPLORING HOW TO SCHEDULE PHYSICIANS/PRACTITIONERS TO MAKE APPOINTMENTS MORE AVAILABLE AND WAIT TIMES LESS LENGHTY, AND EXPLORING FEASIBILTY OF EXPANDING CLINIC HOURS TO BOLSTER APPOINTMENT AVAILABILITY AND LESSEN WAIT TIMES. THE SECOND STRATEGY IS TO EXPLORE OPTIONS AROUND TRANSPORTATION SERVICES TO INCREASE CARE PROVIDED AND RECEIVED BY EXAMINING WHAT CARE SERVICES RESIDENTS ARE HAVING TO TRAVEL FOR AND EXPLORING FEASIBILITY OF BRINGING THOSE SERVICES TO ROOSEVELT COUNTY, EXPLORING OTHER OPTIONS FOR KEEPING CARE LOCAL AND REGIONAL, EXAMINING POTENTIAL TO SUPPORT FAITH LUTHERAN HOME IN ACQUIRING A NEW TRANSPORTATION VEHICLE, AND CONTINUING TO PROMOTE AND COORDINATE WITH TRIBAL AND VETERAN TRANSPORT SERVICES. THE THIRD STRATEGY IS TO EXPLORE IF RHTP FUNDING OPPORTUNITIES CAN BE UTILIZED TO INCREASE ACCESS TO CARE LOCALLY BY MONITORING FUNDING CALLS WITH AN EYE TOWARDS FIXING THE NEMHS NETWORK, BRINGING ON A GENERAL SURGEON, AND IMPROVING PHYSICAL THERAPY SERVICES TO INCREASE BOTH EASE AND ACCESS TO CARE LOCALLY, AND CONTINUING TO EXAMINE IF AND HOW LOCAL NEEDS FIT INTO RHTP OBJECTIVES. THE SECOND HEALTHCARE ISSUE IS TO IMPROVE SPECIALTY CARE OPTIONS IN ROOSEVELT COUNTY. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO CONTINUE TO SEEK TO PROVIDE SPECIALTY CARE SERVICES DESIRED BY THE COMMUNITY BY EXAMINING HOW TO EASE AND FACILITATE THE PROCESS FOR PATIENTS TO RECEIVE CARE FROM SPECIALTY PHYSICIANS/PRACTITIONERS, CONTINUING TO CONSIDER FEASIBILITY OF BRINGING ON GENERAL SURGERY, WORKING WITH THE TRIBE TO BEGIN OFFERING PEDIATRIC DENTAL SURGERY AT NEMHS, CONTINUING TO ADVERTISE PREVENTIVE SERVICES, AND PROMOTING EXPANDED PHYSICAL THERAPY ACCESS IN POPLAR AND EASTERN ROOSEVELT COUNTY. THE THIRD HEALTHCARE ISSUE IS TO ADVANCE COMMUNITY HEALTH THROUGHOUT ROOSEVELT COUNTY. THE FIRST STRATEGY IS TO CONTINUE TO WORK WITH COMMUNITY PARTNERS TO ADDRESS MENTAL AND BEHAVIORAL HEALTH BY CONTINUING TO BE INVOLVED WITH LOCAL CONVERSATIONS ABOUT BOLSTERING MENTAL AND BEHAVIORAL CRISIS RESPONSE RESOURCES AND SYSTEMS AND SUPPORTING THE TRIBAL CRISIS COALITION'S STRATEGIC PLAN TO ADDRESS MENTAL AND BEHAVIORAL HEALTH AND ALCOHOL AND SUBSTANCE USE. THE SECOND STRATEGY IS TO PROMOTE HEALTHY BEHAVIORS AND LIFESTYLES THROUGH EDUCATION AND AWARENESS BY CONTINUING TO UTILIZE NEMHS FACEBOOK PAGE TO SHARE ADVICE AND EDUCATION AROUND PHYSICAL ACTIVITY, NUTRITION, PREVENTIVE CHECKUPS, AND COMMUNITY EVENTS AND EXPLORING FEASIBILITY OF HOSTING OR SUPPORTING ACTIVITIES SUCH AS FUN RUNS AND HEALTH FAIRS. THE HEALTH NEED IDENTIFIED BY NEMHS THAT THEY ARE UNABLE TO ADDRESS: THE PARTICIPANTS IN THE CHNA SURVEY AND THE PUBLIC HEALTH DEPARTMENT IDENTIFIED THE NEED FOR ASSISTED LIVING SERVICES LOCALLY, BUT THESE SERVICES REQUIRE SIGNIFICANT RESOURCES THAT ARE CURRENTLY BEYOND THE MEANS OF NEMHS. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORTIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 5 IN MAY OF 2025, AN ONLINE SURVEY WAS MADE AVAILABLE TO RESIDENTS OF THE NEMHS SERVICE AREA THROUGH SURVEY MONKEY AND THE LINK TO THE SURVEY WAS SHARED OVER FACEBOOK AND INSTAGRAM. ALSO, A FEW PAPER SURVEYS WERE FILLED OUT AT BOTH WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC. THESE SURVEY RESULTS WERE THEN DIGITALLY INPUTTED INTO SURVEY MONKEY AND THERE WAS A TOTAL OF 81 COMPLETED RESPONSES. THE FINDINGS WERE SENT TO THE LOCAL PUBLIC HEALTH DEPARTMENT WHO REPRESENTED VARIOUS CONSUMER GROUPS INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, UNDERINSURED, AND MINORITY CITIZENS FOR INPUT ON HOW TO TURN GAPS FOUND THROUGH THE ASSESSMENT INTO PRIORITIZED NEEDS. THE ORGANIZATION ALSO TOOK INTO ACCOUNT INPUT FROM THE FORT PECK AND ROOSEVELT COUNTY CRISIS COALITIONS. 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 THE PRIORITZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE FACILITY WILL BE ADDRESSING RELATES TO THE FOLLOWING HEALTHCARE ISSUES: 1. ACCESS TO HEALTH RESOURCES AND SERVICES 2. SPECIALTY CARE 3. COMMUNITY HEALTH THE FIRST HEALTHCARE ISSUE IS TO IMPROVE ACCESS TO HEALTH RESOURCES AND SERVICES IN ROOSEVELT COUNTY. ONE STRATEGY FOR ADDRESSING THIS ISSUE IS TO WORK TO BRIDGE GAPS IN ACCESS TO HEALTH RESOURCES AND SERVICES LOCALLY BY COORDINATING WITH THE TRIBAL TSHIP PROGRAM TO INCREASE ACCESS TO INSURANCE AND MEDICAID COVERAGE THROUGH SHARING SPACE AND SOFTWARE NEEDED FOR COMPLETING PAPERWORK, CONTINUING TO UTILIZE NEMHS APARTMENTS AS SENIOR LIVING UNITS, EXPLORING HOW TO SCHEDULE PHYSICIANS/PRACTITIONERS TO MAKE APPOINTMENTS MORE AVAILABLE AND WAIT TIMES LESS LENGHTY, AND EXPLORING FEASIBILITY OF EXPANDING CLINIC HOURS TO BOLSTER APPOINTMENT AVAILABILITY AND LESSEN WAIT TIMES. THE SECOND STRATEGY IS TO EXPLORE OPTIONS AROUND TRANSPORTATION SERVICES TO INCREASE CARE PROVIDED AND RECEIVED BY EXAMINING WHAT CARE SERVICES RESIDENTS ARE HAVING TO TRAVEL FOR AND EXPLORING FEASIBILITY OF BRINGING THOSE SERVICES TO ROOSEVELT COUNTY, EXPLORING OTHER OPTIONS FOR KEEPING CARE LOCAL AND REGIONAL, EXAMINING POTENTIAL TO SUPPORT FAITH LUTHERAN HOME IN ACQUIRING A NEW TRANSPORTATION VEHICLE, AND CONTINUING TO PROMOTE AND COORDINATE WITH TRIBAL AND VETERAN TRANSPORT SERVICES. THE THIRD STRATEGY IS TO EXPLORE IF RHTP FUNDING OPPORTUNITIES CAN BE UTILIZED TO INCREASE ACCESS TO CARE LOCALLY BY MONITORING FUNDING CALLS WITH AN EYE TOWARDS FIXING THE NEMHS NETWORK, BRINGING ON A GENERAL SURGEON, AND IMPROVING PHYSICAL THERAPY SERVICES TO INCREASE BOTH EASE AND ACCESS TO CARE LOCALLY, AND CONTINUING TO EXAMINE IF AND HOW LOCAL NEEDS FIT INTO RHTP OBJECTIVES. THE SECOND HEALTHCARE ISSUE IS TO IMPROVE SPECIALTY OPTIONS IN ROOSEVELT COUNTY. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO CONTINUE TO SEEK TO PROVIDE SPECIALTY CARE SERVICES DESIRED BY THE COMMUNITY BY EXAMINING HOW TO EASE AND FACILITATE THE PROCESS FOR PATIENTS TO RECEIVE CARE FROM SPECIALTY PHYSICIANS/PRACTITIONERS, CONTINUING TO CONSIDER FEASIBILITY OF BRINGING ON GENERAL SURGERY, WORKING WITH THE TRIBE TO BEGIN OFFERING PEDIATRIC DENTAL SURGERY AT NEMHS, CONTINUING TO ADVERTISE PREVENTIVE SERVICES, AND PROMOTING EXPANDED PHYSICAL THERAPY ACCESS IN POPLAR AND EASTERN ROOSEVELT COUNTY. THE THIRD HEALTHCARE ISSUE IS TO ADVANCE COMMUNITY HEALTH THROUGHOUT ROOSEVELT COUNTY. THE FIRST STRATEGY IS TO CONTINUE TO WORK WITH COMMUNITY PARTNERS TO ADDRESS MENTAL AND BEHAVIORAL HEALTH BY CONTINUING TO BE INVOLVED WITH LOCAL CONVERSATIONS ABOUT BOLSTERING MENTAL AND BEHAVIORAL CRISIS RESPONSE RESOURCES AND SYSTEMS AND SUPPORTING THE TRIBAL CRISIS COALITION'S STRATEGIC PLAN TO ADDRESS MENTAL AND BEHAVIORAL HEALTH AND ALCOHOL AND SUBSTANCE ABUSE. THE SECOND STRATEGY IS TO PROMOTE HEALTHY BEHAVIORS AND LIFESTYLES THROUGH EDUCATION AND AWARENESS BY CONTINUING TO UTILIZE NEMHS FACEBOOK PAGE TO SHARE ADVICE AND EDUCATION AROUND PHYSICAL ACTIVITY, NUTRITION, PREVENTIVE CHECKUPS, AND COMMUNITY EVENTS AND EXPLORING FEASIBILITY OF HOSTING OR SUPPORTING ACTIVITIES SUCH AS FUN RUNS AND HEALTH FAIRS. THE HEALTH NEED IDENTIFIED BY NEMHS THAT THEY ARE UNABLE TO ADDRESS: THE PARTICIPANTS IN THE CHNA SURVEY AND THE PUBLIC HEALTH DEPARTMENT IDENTIFIED THE NEED FOR ASSISTED LIVING SERVICES LOCALLY, BUT THESE SERVICES REQUIRE SIGNIFICANT RESOURCES THAT ARE CURRENTLY BEYOND THE MEANS OF NEMHS. 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 SCHEDULE H, PART I, LINE 7G THERE WAS NO BAD DEBT EXPENSE TO REMOVE FROM THE COMMUNITY BENEFIT IN COLUMN C. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTHCARE SERVICES. SCHEDULE H, PART I, LINE 7 USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX EXPENSE. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT. SCHEDULE H, PART II 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. SCHEDULE H, PART III, LINE 2 THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT EXPENSE, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES, NOT INCLUDING IMPLICIT PRICE CONCESSIONS, TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS AND IMPLICIT PRICE CONCESSIONS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF IMPLICIT PRICE CONCESSIONS OR BAD DEBT, WHICH REDUCE IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. PATIENT OBLIGATIONS WHICH QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT RECORDED AS IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 THERE IS NO BAD DEBT EXPENSE RECORDED AND THEREFORE NO RELATED BAD DEBT FOOTNOTE. AFTER ADOPTING THE NEW REVENUE RECOGNITION GUIDANCE IN FASB ASU 2014-09, MOST TRANSACTIONS THAT PREVIOUSLY WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE ARE NOW RECORDED AS IMPLICIT PRICE CONCESSIONS, WHICH ARE REDUCTIONS OF REVENUE VERSUS BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS ARE NOT YET AVAILABLE SO INTERNAL FINANCIAL STATEMENTS WERE ATTACHED. THE INTERNAL FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTES. SCHEDULE H, PART III, LINE 8 THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE, LESS THE 2 PERCENT SEQUESTRATION ADJUSTMENT. THIS MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT SINCE THE ORGANIZATION IS PROVIDING MEDICARE PATIENT CARE SERVICES AT LESS THAN THE COST. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT, PLUS AMBULANCE MEDICARE COSTS BASED ON THE AMBULANCE COST-TO-CHARGE RATIO ON THE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT, PLUS AMBULANCE MEDICARE REVENUE FROM THE MEDICARE PS&R REPORT. SCHEDULE H, PART III, LINE 9B THE ORGANIZATION WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE APPLICABLE SERVICES WILL BE DISCOUNTED BY 100%, SO THERE IS NO COLLECTIONS EFFORT. SCHEDULE H, PART VI, LINE 2 PURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, NEMHS ADOPTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND AN IMPLEMENTATION PLAN DURING FISCAL YEARS 2025, 2022 AND 2019 (TAX YEARS 2024, 2021 AND 2018). THESE ARE 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 CUSTOM SURVEY SOLUTIONS 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. SCHEDULE H, PART VI, LINE 3 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 FINANCIAL ASSISTANCE POLICY AND THE FINANCIAL ASSISTANCE AVAILABLE. THE PATIENT INVOICES INCLUDE A STATEMENT ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO FIND FURTHER INFORMATION. SCHEDULE H, PART VI, LINE 4 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. SCHEDULE H, PART VI, LINE 5 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. SCHEDULE H, PART VI, LINE 6 TWO AFFILIATED RURAL HEALTH CLINICS, WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC, PROVIDE PROFESSIONAL PHYSICIAN AND OTHER PRACTITIONER 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. SCHEDULE H, PART VI PART V: WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC ARE RURAL HEALTH CLINICS THAT ARE OPERATED AND SUBSIDIZED IF NEEDED BY NORTHEAST MONTANA HEALTH SERVICES. THEIR REVENUES AND EXPENSES ARE NOT INCLUDED ON NORTHEAST MONTANA HEALTH SERVICES' FORM 990. X X X X false false false false false false false false false MICHAEL POST CEO 244968 1837 14475 261280 HANZ ARNSTON RN 205740 948 11470 218158 RICHARD BALAND CFO 186195 3011 189206 LORI COLLINS RN 168124 4092 11469 183685 TACY STRAND RN-CNO 164218 2463 11469 178150 ROGER FISHER COO 165272 3163 168435 ELAINE LONG RN-VP NURSING 149446 2989 11469 163904 GRACIE ACKERMAN RN 147738 1108 11470 160316 A MT FACILITY FINANCE AUTHORITY BONDS 364615155 2017-01-31 9820000 REFUNDING OF 2007B REVENUE BONDS false false false A 9820000 794798 8827353 196400 1449 2017 true false true true A false false false false false false true A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION MT FACILITY FINANCE AUTHORITY BONDS REFUNDING OF 2007B REVENUE BONDS FORM 990, PAGE 1, PART I, LINE 6 BOARD MEMBERS FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY MANAGEMENT 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, PART IX, LINE 11G PURCH SVCS & CONTRACT STAFF 2,714,919 2,688,325 287 CONTRACT NURSING STAFF 3,122,910 105,864 0 CONTRACT PHARMACY SERVICES 586,636 0 0 CONTRACT PHYSICIANS 4,320,780 0 0 TOTAL 10,745,245 2,794,189 287 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 341 POPLAR MT 59255 383732814 SUPPORT MT 501C3 7 N/A false NE MT STAT AIR AMB COOP 81 AIRPORT ROAD GLASGOW MT 59230 204748673 AIR AMBUL MT 501C3 12B N/A false FAITH LUTHERAN HOME FOUNDATION INC 1000 6TH AVE N WOLF POINT MT 59201 810483586 SUPPORT MT 501C3 PF N/A false MONIDA SHARED IMAGING LLC 1200 S RESERVE ST STE H MISSOULA MT 59801 205410131 MOBILE MRI MT N/A RELATED 2201 162579 false false 0.06000 false false true false false false false false false false false false false false true false false true false NEMHS CHARITABLE FOUNDATION O 70669 DIRECT EXPENSE FAITH LUTHERAN HOME FOUNDATION C 13219 CASH GIFTS RIVERSIDE FAMILY CLINIC R 294961 INCREASE IN RECEIVABLE WOLF POINT CLINIC ASSOCIATION R 199004 INCREASE IN RECEIVABLE NEMHS CHARITABLE FOUNDATION C 6978 CASH GIFTS