2024-05-13T16:26:44-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 810231787 NORTHERN MONTANA HOSPITAL NORT 4062652211 PO BOX 1231 HAVRE MT 595011231 DAVID HENRY PRESIDENT/CEO 4062652211 2024-04-30 1 DAVID HENRY XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-04-30 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID HENRY PO BOX 1231 HAVRE MT 595011231 86592929 0 X WWW.NMHCARE.ORG X 1921 MT PROVISION OF HEALTHCARE SERVICES. 13 8 672 24 426196 36943 2397127 2904595 74663300 81302321 1273470 1902319 2034 -952 78335931 86108283 55788 62180 0 0 36879469 38474494 0 0 24911 38045876 40918261 74981133 79454935 3354798 6653348 97934448 106252889 11568225 12527140 86366223 93725749 X TO DELIVER HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE HI-LINE COMMUNITIES. 0 0 64830675 62180 80876125 NORTHERN MONTANA HOSPITAL (HOSPITAL) INCLUDES 49 ACUTE CARE HOSPITAL BEDS, 135 SKILLED NURSING BEDS, 10 ASSISTED LIVING BEDS AND TWO MEDICAL CLINICS LOCATED IN HAVRE, MONTANA. THE HOSPITAL PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE THESE ESSENTIAL SERVICES. IT IS THE HOSPITAL'S MISSION TO SERVE THE SURROUNDING AREA BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION TO ALL COMMUNITY MEMBERS. CONTINUED ON SCHEDULE O... DURING THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL PROVIDED $267,900 OF MEDICAL SERVICES, BASED ON CHARGES, TO INDIVIDUALS WHO WERE DETERMINED UNABLE TO PURCHASE SUCH SERVICES UNDER THE HOSPITAL'S CHARITY CARE POLICY AND GUIDELINES. IN ADDITION TO FREE CARE AND/OR SUBSIDIZED CARE, CARE IS ALSO PROVIDED AT BELOW COST RATES TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $68,575,704 FOR THE YEAR ENDED JUNE 30, 2023. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, THE HOSPITAL PROVIDED OVER 3,500 DAYS OF HOSPITAL SERVICES. THE NURSING HOME PROVIDED JUST OVER 26,200 RESIDENT DAYS DURING THE YEAR. THE HOSPITAL ALSO PROVIDES COMMUNITY CARE AND SERVICES THROUGH MANY HEALTHCARE ACTIVITIES AND PROGRAMS PROVIDED TO SUPPORT THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SENIOR SERVICES, HEALTHCARE SCREENING, SPECIAL PROGRAMS FOR SPECIFIC GROUPS, PUBLISHED ARTICLES, RADIO PROGRAMS, AND A VARIETY OF COMMUNITY SUPPORTED ACTIVITIES. THE HOSPITAL ALSO RECEIVED MANY HOURS OF VOLUNTEER HELP FROM THE COMMUNITY RESIDENTS. 64830675 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 51 0 1 672 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 8 0 1 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X KIM LUCKE 4062652211 PO BOX 1231 HAVRE MT 595011231 DAVID C HENRY PRESIDENT/CEO 53.00 2.00 X X 0 0 0 RICK STEVENS CHAIR 1.00 1.00 X X 0 0 0 DAVID LEEDS VICE CHAIR 1.00 1.00 X X 0 0 0 MILES HAMILTON TREASURER 1.00 1.00 X X 0 0 0 KARRIE LIEN MD SECRETARY 40.00 1.00 X X 462331 0 40270 ANDREW CARLSON TRUSTEE 1.00 1.00 X 0 0 0 DEBBIE HEALY TRUSTEE 1.00 1.00 X 0 0 0 JENNIFER PATRICK TRUSTEE 1.00 1.00 X 0 0 0 PAUL TUSS TRUSTEE 1.00 1.00 X 0 0 0 KRISTEN KAMMERZELL TRUSTEE 1.00 1.00 X 0 0 0 KEVIN HARADA MD TRUSTEE-CHIEF OF MEDICAL STAFF 40.00 1.00 X 509375 0 38863 GARY GROW PHD TRUSTEE-IPD MEMBER 40.00 1.00 X 213749 0 19991 CAMERON ACOR DPM TRUSTEE-IPD MEMBER 40.00 1.00 X 292332 0 39425 KIM LUCKE VP OF FINANCE 53.00 2.00 X 140288 0 18752 CHRISTEN OBRESLEY VICE PRESIDENT 51.00 4.00 X 170741 0 19120 WALTER SMITH MD RADIOLOGIST 40.00 0.00 X 698920 0 40426 MICHELLE CAMERON-DONALDSON MD MD 40.00 0.00 X 644791 0 20396 DAMIAN YMZON MD MD 40.00 0.00 X 621531 0 32525 ALEXANDRIA RUTHERFORD MD MD 40.00 0.00 X 465877 0 17058 CAMERON SCRATON MD MD 40.00 0.00 X 438993 0 31783 4658928 0 318609 60 0 1 0 SLATE HEALTHCARE LLC 2100 WEST LOOP SOUTH SUITE 900 HOUSTON TX 77027 STAFFING 4565144 NUWEST 325 118TH AVE SE 300 BELLEVUE WA 98005 STAFFING 1922098 CORONIS HEALTH 5963 EXCHANGE RD SUITE 114 SYKEVILLE MD 21784 PURCHASE SERVICES 1300130 HAYES LOCUMS LLC 67001 N ANDREWS AVE SUITE 600 FT LAUDERDALE FL 33309 STAFFING 769101 FUNDAMENTAL FINANCIAL GROUP 8155 S EMERSON WAY LITTLETON CO 80122 CONSULTING & MANAGEMENT 571000 18 788 2622557 281250 2904595 PATIENT SERVICE REVENUE 621110 50667127 50667127 PHARMACY 456110 29457881 29031685 426196 HEALTHCARE CONSULTING 900099 386731 386731 CAFETERIA REVENUE 722514 280685 280685 509897 509897 81302321 1671116 1671116 9085 10037 -952 -952 -952 705812 474609 231203 231203 231203 86108283 80876125 426196 1901367 X 16140 16140 46040 46040 1984717 1669933 313523 1261 31753369 26853608 4880386 19375 699490 556687 142172 631 1852316 1474158 376486 1672 2184602 1738607 444023 1972 865070 692056 173014 4881 4881 111840 111840 12869744 9017514 3852230 238621 238621 546356 143781 402575 2412629 1355649 1056980 77942 2635 75307 2401269 1890271 510998 1455583 1164466 291117 MEDICAL SUPPLIES 14036736 13604463 432273 TRAVELER PER DIEM 1705625 1705625 HOSPITAL BED TAX 1644842 1644842 REPAIRS & MAINTENANCE 1019003 975318 43685 1528120 278882 1249238 79454935 64830675 14599349 24911 4702 27008744 34069125 17875887 25230953 2823603 2810897 1204358 1340541 73572094 58702591 14571618 14869503 31542830 18823125 2907408 9104043 97934448 106252889 6572111 7629430 3610441 1385673 4897710 11568225 12527140 X 86366223 93725749 86366223 93725749 97934448 106252889 X 6653348 -280964 987142 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13622 13622 0 PART II-B, LINE 1: LOBBYING PORTION OF ASSOCIATION DUES. 1 20657 69663 73818 16502 0 152095 6817 158912 145017 7078 152095 138215 6802 145017 132797 5418 138215 126935 5862 132797 0.00000 1.00000 0.00000 0 1 1 75272 75272 30566853 22666162 7900691 40860287 34740909 6119378 2069682 1295520 774162 14869503 ROU ASSET 4833642 ASSET FOR PENSION BENEFITS 4117106 ACCRUED INTEREST RECEIVABLE 153295 9104043 ROU LIABILITY 4833642 DUE TO AFFILIATES 64068 4897710 X 85837356 -280964 10037 -270927 86108283 0 86108283 79454472 10037 10037 79444435 10500 10500 79454935 PART IV, LINE 1B: THE CUSTODIAL FUNDS ARE NOT REPORTED ON THE BALANCE SHEET OF NMH AS THEY ARE PERSONAL RESOURCE FUNDS OF THE RESIDENTS TO BE USED ONLY FOR THEIR PERSONAL NEEDS. IF THE RESIDENT PASSES, THE FUNDS EITHER GO TO THE FAMILY OR BACK TO THE STATE. THEY ARE IN NO WAY AN ASSET OF THE ORGANIZATION. PART V, LINE 4: THE ENDOWMENT FUNDS ARE IN THE POSSESSION OF NORTHERN MONTANA HEALTH CARE FOUNDATION, A RELATED ORGANIZATION. THE FUNDS ARE USED TO PROVIDE FUNDING FOR SPECIFIC ACTIVITIES AND GENERAL OPERATIONS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 10,037. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 10,037. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURNED SCHOLARSHIPS 10,500. 1 1 X 1 X 125.000000000000 1 X 225.000000000000 1 1 0 1 1 1758139 1758139 0.02210 17821369 16722407 1098962 0.01380 201075 334481 0 0.00000 19780583 17056888 2857101 0.03590 13122 10344717 6010516 4334201 0.05450 30706 30706 0.00040 13122 10375423 6010516 4364907 0.05490 13122 30156006 23067404 7222008 0.09080 0 2676313 453367 17297421 19430100 -2132679 X 1 1 1 1 NORTHERN MONTANA HOSPITAL 30 13TH STREET HAVRE MT 59501 WWW.NMHCARE.ORG 12835 X X X 2 PROVIDER BASED RURAL HEALTH CLINICS NORTHERN MONTANA HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X HTTPS://NMHCARE.ORG/WP-CONTENT/UPLOADS/2021/02/COMMUNITY-HEALTH-NEEDS-ASSES X WWW.BULLHOOK.COM AND WWW.HILLCOUNTYHEALTH.COM X X 1 20 1 WWW.NMHCARE.ORG/WP-CONTENT/UPLOADS/2021/01/2020-2023-CHNA-CHIP.PDF 0 1 X 125.000000000000 225.000000000000 X 1 1 X X X 1 X HTTPS://NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/FINANCIAL-ASSISTANCE-POLICY- X HTTPS://NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/NMHC-FINANCIAL-ASSISTANCE-AP X HTTPS://NMHCARE.ORG/WP-CONTENT/UPLOADS/2020/09/FINANCIAL-ASSISTANCE-POLICY- X X X X X X X 1 X 0 X X X X 1 X 0 1 NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 5: THE 2020-2023 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS BEING CONDUCTING DURING THE TIME OF THE COVID-19 PHE, THIS YEAR INCLUDES A MORE FOCUSED COLLABORATIVE EFFORT BETWEEN THE HOSPITAL AND THE HILL COUNTY HEALTH CONSORTIUM. NORTHERN MONTANA HOSPITAL PARTNERED WITH HILL COUNTY HEALTH CONSORTIUM TO ENGAGE THE COMMUNITY IN A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT SURVEY TOOL, PROCESS, AND RESULTS. A FACEBOOK SURVEY MONKEY TOOL WAS THE TECHNIQUE USED TO QUICKLY, ACCURATELY, AND RELIABLY PROVIDE HOUSEHOLD-BASED INFORMATION ABOUT OUR COMMUNITY'S NEEDS. MEMBERS OF THE HILL COUNTY HEALTH CONSORTIUM, NORTHERN MONTANA HOSPITAL AND OTHER COMMUNITY AGENCIES HIT THE GROUND RUNNING, SENDING THE SURVEY MONKEY TOOL OUT TO THE COMMUNITY TO HELP NORTHERN MONTANA HOSPITAL COLLECT THE PRIMARY DATA. TO FURTHER GAIN INSIGHT ON THE HEALTH STATUS OF OUR COMMUNITY AND SURROUNDING AREAS THAT THE HOSPITAL SERVES, THE FOLLOWING SECONDARY INFORMATION/DATA WAS ALSO REVIEWED AND CONSIDERED: NATIONAL STATISTICS, STATE OF MONTANA STATISTICS, MT DPHHS COUNTY/COMMUNITY SPECIFIC SNAPSHOTS AND FACILITY STATISTICAL DATA AND PATIENT CARE INFORMATION WERE UTILIZED IN IDENTIFYING THE PRIORITY ISSUES FOR NORTHERN MONTANA HOSPITAL DURING THIS CHNA CYCLE. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 6B: THE HILL COUNTY HEALTH CONSORTIUM EFFORT IS SPEARHEADED BY THE EXECUTIVE DIRECTOR OF BOYS & GIRLS CLUB OF THE HI-LINE, THE VP AND REGULATORY & COMMUNITY SERVICES OF NORTHERN MONTANA HEALTH CARE; RN AND DIRECTOR OF HILL COUNTY HEALTH DEPARTMENT; AND CEO OF BULL HOOK COMMUNITY HEALTH CENTER. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS ELECTRONICALLY DELIVERED TO EVERY MEMBER OF THE CONSORTIUM AND NMH. BULL HOOK COMMUNITY HEALTH CENTER AND THE HILL COUNTY HEALTH DEPARTMENT ALL RECEIVED HARD COPIES AVAILABLE FOR DISTRIBUTION. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 11: PRIORITY ISSUE ONE: FACILITY AND COMMUNITY SAFETYNORTHERN MONTANA HOSPITAL (NMH) HEALTH LEADERS CONTINUE TO IDENTIFY FACILITY AND COMMUNITY SAFETY AS THEIR TOP PRIORITY. FIRST AND FOREMOST, NMH WILL PROVIDE A SAFE AND CONSIDERATE WORK ENVIRONMENT FOR ALL EMPLOYEES. NMH CONTINUES TO HAVE ADEQUATE PERSONAL PROTECTIVE EQUIPMENT (PPE) ON-SITE AND COMPREHENSIVE POLICIES ON ITS USE AND DISPOSAL. NMH WILL GUARANTEE THAT ALL EMPLOYEES ARE EDUCATED ON POST-PANDEMIC PROTOCOLS INCLUDING DISASTER PROTOCOLS, WHICH WILL BE INCLUDED IN EACH EMPLOYEE'S ANNUAL REVIEW. NMH HAS BUILT A STRUCTURE TO INCREASE OUR ADAPTABILITY TO QUICKLY BRING CLARITY TO SITUATIONS AND BE ABLE TO CHANGE PRIORITIES AS RAPIDLY AS NECESSARY.THROUGHOUT FY23, NMH CONTINUED TO FOLLOW FEDERAL GUIDELINES AND VACCINE EDUCATION TO PROMOTE A SAFE AND CONSIDERATE WORK ENVIRONMENT. HAND HYGIENE AND INFECTION PREVENTION WERE MANDATORY EDUCATION FOR STAFF. NMH ALSO ENHANCED ITS ONGOING DISASTER EDUCATION BY PARTICIPATING IN A COMMUNITY DRILL WITH THE COOPERATION OF THE MONTANA HEALTHCARE ASSOCIATION CENTRAL REGION HEALTHCARE COALITION. THIS DRILL PROVIDED NEEDED TRAINING IN INFECTIOUS DISEASE PREPAREDNESS AND INVOLVED LOCAL FIRE DEPARTMENTS AND EMS. THE DRILL CONSISTED OF A LIVE PORTION RUN THROUGH THE NMH ED, AND AN AFTER-ACTION TABLETOP REVIEW. NMH CONTINUES TO BE AN ACTIVE MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) AND SHARES ITS DISASTER PREPAREDNESS PLANS WITH THEM TO ENSURE ALL COOPERATING ENTITIES ARE AWARE OF HOSPITAL PROCEDURES IN CASE OF AN EMERGENCY. THROUGHOUT 2023, NMH RETURNED TO NORMAL OPERATIONS, KIOSKS WERE REMOVED, AND VISITORS WERE ASKED, BUT NOT REQUIRED TO WEAR MASKS. NMH CHOSE TO UPGRADE THEIR HAND SANITIZER DISPENSERS IN ORDER TO PROMOTE "HANDS-FREE" USAGE AND LIMIT ANY CROSS CONTAMINATION. NMH ALSO COMPLETED ITS CONVERSION OF ALL WATER FOUNTAINS OVER TO HANDS-FREE DISPENSERS THAT CAN FILL STAFF AND VISITOR WATER BOTTLES WITHOUT CONTAMINATION. PPE CONTINUES TO BE MAINTAINED AT ADEQUATE LEVELS WITH AN EMERGENCY SURGE SUPPLY IN RESERVE, AND ANY COVID-19 POSITIVE HOSPITAL STAFF WERE CONTACT TRACED IN COOPERATION WITH THE HILL COUNTY HEALTH DEPARTMENT.IN ADDITION TO VOLUNTARY STAFF COVID-19 VACCINATIONS, NMH HOSTED A DRIVE-THROUGH COMMUNITY FLU SHOT CLINIC AND AN EMPLOYEE FLU CLINIC.PRIORITY ISSUE 2: EMPLOYEE RETENTION AND RECRUITMENTNMH HEALTH LEADERS CONTINUE TO IDENTIFY EMPLOYEE RETENTION AND RECRUITMENT AS THEIR SECOND PRIORITY. MAINTAINING AN ADEQUATE LOCAL WORKFORCE ENSURES SAFE OPERATIONS OF THE HOSPITAL WHILE PROVIDING HIGH-QUALITY HEALTHCARE TO THE COMMUNITY. SUCCESSFUL RECRUITMENT AND RETENTION PRACTICES WILL MINIMIZE THE NUMBER AND DURATION OF VACANCIES, WHICH IN TURN CAN IMPROVE THE QUALITY OF CARE TO OUR PATIENTS AND ENSURE THAT SERVICES ARE PROVIDED LOCALLY TO THE COMMUNITY.IN AN EFFORT TO INCREASE OUR RECRUITMENT EFFORTS FOR QUALIFIED, LICENSED MEDICAL STAFF, NMH HAS PARTNERED WITH SEVERAL COLLEGES, INCLUDING BUT NOT LIMITED TO MONTANA STATE UNIVERSITY (MSU), MSU-NORTHERN, UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (WWAMI), FLATHEAD VALLEY COLLEGE, AANIIH NAKODA COLLEGE, WEBER UNIVERSITY, GREAT FALLS COLLEGE, AND ROCKY MOUNTAIN COLLEGE.NMH HAS PARTNERED WITH THE STATE OF MONTANA TO OFFER AN APPRENTICESHIP FOR MEDICAL ASSISTANTS WISHING TO BECOME CERTIFIED MEDICAL ASSISTANTS. THIS PROGRAM WILL PROVIDE CURRENT STAFF MEMBERS WITH AN OPPORTUNITY TO GROW THEIR KNOWLEDGE, SKILLS, AND CAPABILITIES, WHILE STILL PERMITTING THEM TO WORK FULL TIME. SUBSEQUENTLY, THIS WILL INCREASE THE LEVEL OF CARE PROVIDED TO OUR PATIENTS AND OUR COMMUNITY. NMH BELIEVES THE BEST AMBASSADORS FOR RECRUITMENT ARE CURRENT EMPLOYEES, AND SINCE GREAT PEOPLE COMMONLY MAKE A HABIT OF SURROUNDING THEMSELVES WITH OTHER HIGHLY CAPABLE PROFESSIONALS, NMH CONTINUES TO ENLIST THEIR STAFF FOR ASSISTANCE IN RECRUITMENT EFFORTS. WE OFFER REFERRAL BONUSES TO OUR EMPLOYEES AND SIGN-ON BONUSES TO OUR CANDIDATES. NMH CONTINUES TO EXPAND THEIR OUTREACH EFFORTS BY UTILIZING SOCIAL MEDIA, ADVERTISING ON MULTIPLE JOB BOARDS, AND PARTICIPATING IN SEVERAL CAREER FAIRS ANNUALLY. OUR DIRECTORS PROMOTE AND EMBRACE FLEXIBILITY IN SCHEDULING AND SUPPORT AND ENCOURAGE A DIVERSE AND INCLUSIVE WORKPLACE CULTURE.EMPLOYEES ARE THE NUMBER-ONE ASSET AT NMH. WE BELIEVE THAT EMPLOYEE RETENTION INVOLVES STRATEGIC ACTION FOR EMPLOYEES TO REMAIN MOTIVATED AND ENGAGED SO THEY ELECT TO REMAIN WITH THE ORGANIZATION, REDUCING EMPLOYEE TURNOVER. NMH HAS ESTABLISHED AN EMPLOYEE ENGAGEMENT PROGRAM TO ADVANCE CO-WORKER RELATIONSHIPS, ELEVATE HEALTH AND WELLNESS AND ENCOURAGE COMMUNITY INVOLVEMENT. NMH BELIEVES STRONG LEADERSHIP IS ESSENTIAL FOR RECRUITMENT AND RETENTION SUCCESS. TO IMPROVE DIRECTOR KNOWLEDGE, NMH CONTINUES TO OFFER DIRECTOR BOOT CAMP FOR ITS MANAGEMENT TEAM. AIMED AT IMPROVING DIRECTOR KNOWLEDGE OF THE ORGANIZATION, ITS PROCESSES, AND INCREASING EMPLOYEE ENGAGEMENT, THE BOOT CAMP COVERS TOPICS INCLUDING COMPENSATION, TRAVEL AND EDUCATION, REWARDS, DISCIPLINE, POLICIES, AND PROCEDURES, PURCHASING, TECHNOLOGY, AND FINANCE TO NAME A FEW. ADDITIONALLY, NMH PLANS TO IMPLEMENT A NEW DIRECTOR ONBOARDING PROGRAM TO EXPEDITE THE EDUCATION AND GROWTH OF NEW LEADERSHIP. WE BELIEVE THE SOONER WE EQUIP OUR LEADERS WITH THE INFORMATION AND TOOLS THEY NEED, THE MORE SUCCESSFUL WE WILL BE AS AN ORGANIZATION.WE CONTINUE TO RECOGNIZE OUR EMPLOYEES' EFFORTS INDIVIDUALLY THROUGH THE C.A.R.E (COMPASSIONATELY ACHIEVING REMARKABLE EXCELLENCE) AWARD AND THE "PICKLE BARREL." BOTH ARE RECOGNITION PROGRAMS THAT ALLOW EMPLOYEES AND PATIENTS TO RECOGNIZE OUR STAFF MEMBERS. NMH UNDERSTANDS THE VALUE IN EMPLOYMENT LONGEVITY AND CELEBRATES EVERY FIVE-YEAR INTERVAL OF AN EMPLOYEE'S CAREER AT NMH THROUGH OUR ANNUAL EMPLOYEE AWARDS BANQUET AND MILESTONE GIFTS. ADDITIONALLY, WE RECOGNIZE EMPLOYEES AND THEIR FAMILY MEMBERS DURING THE GRADUATION SEASON.NMH UNDERSTANDS THE IMPORTANCE OF HAVING A COMPETITIVE ADVANTAGE; THUS, WE CONTINUE TO OFFER SIGN-ON BONUSES AT ALL LEVELS OF THE ORGANIZATION. NMH HAS CONDUCTED AN ORGANIZATION-WIDE COMPENSATION EVALUATION TO BENCHMARK ALL WAGES. MANY OF THE SCALES HAVE BEEN REVISED TO INCLUDE INCREASES, PARTICULARLY AMONG ENTRY-LEVEL AND LICENSED MEDICAL STAFF POSITIONS. NMH WILL CONTINUE TO EVALUATE WAGES AND INCREASE SCALES WHERE APPROPRIATE TO REMAIN COMPETITIVE WITHIN THE COMMUNITY AND HEALTHCARE INDUSTRY.PRIORITY ISSUE 3: BEHAVIORAL HEALTHNMH HEALTH LEADERS IDENTIFIED BEHAVIORAL HEALTH AS THEIR THIRD PRIORITY. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE AND AFFECTS HOW PEOPLE THINK, FEEL AND ACT. NMH HAS MADE BEHAVIORAL HEALTH A SIGNIFICANT PRIORITY AND IS COMMITTED TO REDUCING THE NUMBER OF INDIVIDUALS WHOSE OVERALL WELL-BEING IS NEGATIVELY IMPACTED BY ADDICTION AND MENTAL ILLNESS. NMH HAS A VARIETY OF SERVICES AVAILABLE THAT CAN POSITIVELY INFLUENCE THE COMMUNITY'S MENTAL HEALTH NEEDS AND CONTINUES TO STRATEGIZE ABOUT SERVICES THAT WILL INFLUENCE COMMUNITY MEMBERS' MENTAL WELLBEING.NMH OFFERS SUBSTANCE USE DISORDER TREATMENT FOR ADULTS AND BEHAVIORAL HEALTH SERVICES FOR ADULTS, ADOLESCENTS, AND CHILDREN DURING THE HEIGHT OF PHE, CHEMICAL DEPENDENCY TREATMENT SERVICES (CDTS), AND BEHAVIORAL HEALTH SERVICES (BHS) WERE OFFERED VIA TELEHEALTH. AFTER THE PANDEMIC NMH CONTINUES TO OFFER TELEHEALTH SERVICES FOR BEHAVIORAL HEALTH SERVICES.THE PROVIDERS AT THE FAMILY MEDICAL CENTER AND SPECIALTY MEDICAL CENTER USE NUMEROUS TOOLS TO ASSESS PATIENTS' MENTAL HEALTH. ANNUALLY, AND AS INDICATED, THE PHQ-9, GAD-7, AND AUDIT C-2 PLUS SCREENING TOOLS ASSESS EACH PATIENT'S DEPRESSION, ANXIETY, AND SUBSTANCE USE ON RATING SCALE. OUR FACILITY IS NOW OFFERING WARM HANDOFFS TO A LICENSED CLINICAL PROFESSIONAL COUNSELOR IN ADDITION TO REFERRALS TO BEHAVIORAL HEALTH PROVIDERS AS INDICATED THROUGH THE SCREENING PROCESS. THIS ASSURES BETTER OUTCOMES AND MAKES MENTAL HEALTH A PRIORITY FOR EACH PATIENT. NMH HAS PARTNERED WITH THE MONTANA HEALTHCARE FOUNDATION TO IMPLEMENT THE MEADOWLARK INITIATIVE. THIS INITIATIVE INTEGRATES PRENATAL CARE AND BEHAVIORAL HEALTH TO IMPROVE MATERNAL AND NEONATAL OUTCOMES. NMH IS BRINGING A NEW STANDARD OF CARE TO THE HI-LINE BY OFFERING ROUTINE SCREENING AND TREATMENT FOR MENTAL ILLNESS AND SUBSTANCE USE AS PART OF PRENATAL AND POSTPARTUM CARE, SUPPORTING WOMEN AND CHILDREN IN THE COMMUNITIES SERVED. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 16J: IN ADDITION, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE FACILITY'S EMERGENCY ROOM AND WAITING ROOMS AS WELL AS ADMISSIONS OFFICES. THE HOSPITAL'S "CONDITIONS OF TREATMENT" ALSO INCLUDES INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. NORTHERN MONTANA HOSPITAL PART V, SECTION B, LINE 24: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. 1 1 - NORTHERN MONTANA CARE CENTER 24 13TH STREET HAVRE MT 59501 NURSING HOME PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID, LINE 7B, WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONAL EDUCATION, LINE 7F, AND CASH AND IN-KIND DONATIONS, LINE 7I, ARE ACTUAL COSTS REPORTED IN THE GENERAL LEDGER. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. PART III, LINE 2: THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS AND RESIDENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BY USING THE PERCENT OF POPULATION IN THE ORGANIZATION'S SERVICE AREA BELOW FPG. THE ORGANIZATION FEELS IT IS REASONABLE TO ASSUME AT LEAST THE SAME PERCENTAGE OF IMPLICIT PRICE CONCESSIONS IS ATTRIBUTABLE TO THOSE THAT WOULD HAVE QUALIFIED FOR CHARITY CARE, HAD THE ORGANIZATION HAD THE INFORMATION AVAILABLE TO DETERMINE ELIGIBILITY. PART III, LINE 4: PAGES 13-15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS CONTAIN THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT NOT ALL COSTS ASSOCIATED WITH PROVIDING THESE SERVICES WILL BE RECOVERED. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. THEREFORE, THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES INFORMATION ON COLLECTION PRACTICES FOR THOSE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE POLICY STATES "DURING THE PATIENT REGISTRATION OR COLLECTION PROCESS, THE HOSPITAL WILL MAKE AN INITIAL DETERMINATION OF ELIGIBILITY BASED ON VERBAL OR WRITTEN APPLICATION FOR CHARITY CARE. PENDING FINAL ELIGIBILITY DETERMINATION, THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUEST FOR DEPOSITS, PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A DETERMINATION OF STATUS." THE COLLECTION POLICY CURRENTLY SENDS ALL PATIENT ACCOUNTS WITH A PRIVATE PAY BALANCE TO A BILLING SERVICE AFTER 120 DAYS. THE BILLING SERVICE WORKS DIRECTLY WITH THE PATIENT TO MAKE A PAYMENT ARRANGEMENT. IF THEY DEFAULT ON THE PAYMENT PLAN THE BILLING SERVICE RECOMMENDS TO THE HOSPITAL TO SEND THE ACCOUNT TO COLLECTIONS; HOWEVER, IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF THE DATE OF THE FIRST INVOICE THE HOSPITAL PULLS THE ACCOUNT BACK FROM COLLECTIONS AND THE BILLING SERVICE TO REVIEW AND COMPLETE THE APPLICATION PROCESS. PART VI, LINE 2: IN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, NORTHERN MONTANA HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITY IT SERVES IN SEVERAL WAYS. NMH REVIEWS THE TOP TEN DIAGNOSIS IN IT'S TWO RURAL HEALTH CLINICS AT LEAST QUARTERLY. WE ALSO MONITOR "LEFT WITHOUT BEING SEEN" PATIENTS IN THE EMERGENCY DEPARTMENT. WE MONITOR BLOOD PRESSURE AND TOBACCO AND ALCOHOL STATUS WITH EVERY PATIENT VISIT. WE ALSO HAVE A DIABETES PREVENTION PROGRAM THAT MEETS AT LEAST MONTHLY WITH ENROLLED PATIENTS. IN ADDITION, WE HAVE A CHRONIC CARE MANAGEMENT PROGRAM IN WHICH OUR TWO CARE COORDINATORS MONITOR HIGH RISK PATIENTS VIA PHONE CALLS AND A SOFTWARE PROGRAM CALLED CHRONIC CARE IQ THAT PATIENTS IN THE PROGRAM INTERACT WITH AND RECORD THEIR VITAL SIGNS BACK TO NMH REGULARLY. PART VI, LINE 3: NORTHERN MONTANA HOSPITAL INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE THROUGH SIGNS POSTED AT OUR ADMISSIONS DESK, NOTES IN THE BROCHURE WE GIVE PATIENTS AT OUR CLINICS, AND SIGNS POSTED AT OUR CLINIC REGISTRATION DESK. IN ADDITION, OUR COLLECTION STAFF OFFERS CHARITY CARE AS AN OPTION WHEN THEY ARE DISCUSSING THE PATIENT'S BALANCE AS WELL AS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS. NMH HAS CONTRACTED WITH A COMPANY TO ASSIST THE PATIENT WITH QUALIFICATION FOR PROGRAMS SUCH AS MEDICAID AND DISABILITY DETERMINATION. WE ALSO PUBLISH A COMMUNITY BENEFIT REPORT ANNUALLY WHICH STATES HOW MUCH FINANCIAL ASSISTANCE WE HAVE GIVEN AWAY, AND WE POST OUR COMMUNITY BENEFIT REPORT ON OUR WEBSITE NOTING THAT WE PROVIDE FINANCIAL ASSISTANCE. PART VI, LINE 4: THE HOSPITAL'S SERVICE AREA CONSISTS OF HILL, BLAINE, LIBERTY, PHILIPS AND THE BIG SANDY CENSUS DISTRICT OF CHOTEAU COUNTIES. THE POPULATION OF THIS SERVICES AREA IS APPROXIMATELY 35,300. THE MEDIAN HOUSEHOLD INCOME IS ABOUT $55,600. APPROXIMATELY 17% OF THE POPULATION ARE IN POVERTY BASED ON THE FEDERAL POVERTY GUIDELINES. APPROXIMATELY 26% OF THE POPULATION IS COVERED BY MEDICAID AND 39% BY MEDICARE. ADDITIONALLY, ANOTHER 3% OF THE POPULATION IS COVERED BY INDIAN HEALTH SERVICES. THE ENTIRE SERVICE AREA IS CONSIDERED RURAL AND HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA FOR ALL PRIMARY MEDICAL CARE, MENTAL HEALTH AND DENTAL. IN ADDITION, THE ENTIRE SERVICE AREAS IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NORTHERN MONTANA HOSPITAL IS THE ONLY LOCAL HOSPITAL IN ITS SERVICE AREA; HOWEVER, THERE ARE 3 CRITICAL ACCESS HOSPITALS, 4 RURAL HEALTH CLINICS, 3 COMMUNITY HEALTH CLINICS AND 3 IHS-TRIBAL CLINICS WITHIN ITS SERVICE AREA. THE NEAREST HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND IS 35 MILES AWAY. PART VI, LINE 5: MORE THAN 50% OF NORTHERN MONTANA HOSPITAL'S GOVERNING BOARD CONSISTS OF VARIOUS LOCAL BUSINESS PEOPLE WHO RESIDE WITHIN OUR SERVICES AREA AND ARE NOT EMPLOYED OR CONTRACTED BY THE ORGANIZATION. NORTHERN MONTANA HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE ORGANIZATION APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE BY KEEPING ITS MEDICAL EQUIPMENT UP TO DATE, SENDING ITS EMPLOYED PHYSICIANS FOR FURTHER CONTINUING EDUCATION, SUPPORTING NURSING EDUCATION THROUGH LOAN REPAYMENT ASSISTANCE AND SCHOLARSHIP PROGRAMS AND SUPPORTING HEALTH CARE EDUCATION THROUGH AN EDUCATION ASSISTANCE PROGRAM. IN ADDITION, THE HOSPITAL SUBSIDIZES ITS EMERGENCY DEPARTMENT BY OFFERING 24/7 EMERGENCY CARE COVERAGE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. NORTHERN MONTANA HOSPITAL OFFERS DIALYSIS SERVICES TO PATIENTS IN OUR SERVICE AREA, DESPITE THE FACT THAT THIS SERVICE IS PROVIDED AT A LOSS TO NMH. WITHOUT THIS SERVICE, PATIENTS WOULD HAVE TO TRAVEL WELL OVER 100 MILES EACH WAY, 3 TIMES PER WEEK TO RECEIVE THIS SERVICE. NORTHERN MONTANA HOSPITAL HAS SOLE COMMUNITY DESIGNATION. THE NEAREST PPS HOSPITAL IS LOCATED 110 MILES FROM HAVRE. NORTHERN MONTANA HOSPITAL ALSO PARTICIPATES IN ALL GOVERNMENT SPONSORED HEALTH PROGRAMS, SUCH AS CHIP, HEALTHY MONTANA KIDS AND THE MONTANA CERVICAL AND BREAST CANCER PROGRAM, WHERE IT ACCEPTS PAYMENTS FOR SERVICES AT GREATLY DISCOUNTED RATES. SEVERAL MEMBERS OF NORTHERN MONTANA HOSPITAL'S LEADERSHIP TEAM SERVE ON OTHER COMMUNITY BOARDS, SUCH AS: HAVRE CHAMBER OF COMMERCE, HILL COUNTY HEALTH CONSORTIUM, LOCAL EMERGENCY PLANNING, FETAL/INFANT/CHILD MORTALITY REVIEW BOARD, HAVRE/HILL COUNTY PLANNING BOARD, HILL AND BLAINE COUNTY ADULT PROTECTIVE SERVICES COMMITTEE, HILL COUNTY UNITED WAY, HRDC MEDICAL ADVISORY BOARD, MSU-N NURSING ADVISORY BOARD, AND THE SAFE KIDS SAFE COMMUNITIES COMMITTEE. PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 EDUCATIONAL ASSISTANCE 4 7674 NURSE LOAN REPAYMENTS 3 33366 NURSING SCHOLARSHIPS 1 5000 PART I, LINE 2: THE ORGANIZATION PROVIDES EDUCATION ASSISTANCE TO QUALIFIED EMPLOYEES. THE ORGANIZATION MONITORS THE USE OF THE ASSISTANCE BY DISBURSING THE FUNDS DIRECTLY TO THE INSTITUTION. PART III: THE ORGANIZATION WILL PAY UP TO $5,250 PER PERSON PER YEAR FOR EDUCATIONAL ASSISTANCE IN A HEALTHCARE RELATED FIELD. NOT ALL RECIPIENTS REQUEST THE TOTAL AMOUNT. THE ORGANIZATION ANTICIPATES 3-8 RECIPIENTS PER YEAR. THE ORGANIZATION WILL PAY UP TO $5,000 PER PERSON FOR NURSING SCHOLARSHIPS. THE ORGANIZATION ANTICIPATES 3-6 PER YEAR. THE ORGANIZATION WILL PAY UP TO $7,500 PER PERSON FOR LOAN REPAYMENTS. THE ORGANIZATION ANTICIPATES 2-4 PER YEAR. 0 0 0 1 0 0 0 0 0 WALTER SMITH MD RADIOLOGIST 697732 0 0 0 1188 0 6100 0 34326 0 739346 0 0 0 MICHELLE CAMERON-DONALDSON MD MD 644377 0 0 0 414 0 6100 0 14296 0 665187 0 0 0 DAMIAN YMZON MD MD 621238 0 0 0 293 0 6100 0 26425 0 654056 0 0 0 KEVIN HARADA MD TRUSTEE-CHIEF OF MEDICAL STAFF 509199 0 0 0 176 0 6100 0 32763 0 548238 0 0 0 KARRIE LIEN MD SECRETARY 461492 0 0 0 839 0 6100 0 34170 0 502601 0 0 0 ALEXANDRIA RUTHERFORD MD MD 465688 0 0 0 189 0 6100 0 10958 0 482935 0 0 0 CAMERON SCRATON MD MD 438817 0 0 0 176 0 6100 0 25683 0 470776 0 0 0 CAMERON ACOR DPM TRUSTEE-IPD MEMBER 291883 0 0 0 449 0 6100 0 33325 0 331757 0 0 0 GARY GROW PHD TRUSTEE-IPD MEMBER 211272 0 0 0 2477 0 4383 0 15608 0 233740 0 0 0 CHRISTEN OBRESLEY VICE PRESIDENT 169937 0 0 0 804 0 3537 0 15583 0 189861 0 0 0 KIM LUCKE VP OF FINANCE 139470 0 0 0 818 0 2934 0 15818 0 159040 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. A RELATED ORGANIZATION AND THE MANAGEMENT COMPANY HAVE A PROCESS IN PLACE TO DETERMINE THE CEO'S COMPENSATION USING THE FORM 990 OF OTHER ORGANIZATIONS, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND THE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 5 KARRIE LIEN, KEVIN HARADA, J. GARY GROW, AND CAMERON ACOR ARE COMPENSATED AS A PERCENTAGE OF THE PRIOR THREE MONTHS' AVERAGE GROSS REVENUE EARNED FOR THE HOSPITAL BY THE PHYSICIAN, WITH THE PERCENTAGE BEING BASED ON THEIR SPECIALTY. FORM 990, PART VI, SECTION A, LINE 3 DAVID C. HENRY, PRESIDENT/CEO IS EMPLOYED BY FUNDAMENTAL FINANCIAL GROUP, AN UNRELATED MANAGEMENT COMPANY. NORTHERN MONTANA HOSPITAL (NMH) PAYS THE UNRELATED MANAGEMENT COMPANY FOR DAVID'S SERVICES PROVIDED TO THE HOSPITAL, NORTHERN MONTANA HEALTH CARE, INC. AND NORTHERN MONTANA HEALTH CARE FOUNDATION. THE PRESIDENT/CEO'S RESPONSIBILITIES INCLUDE IMPLEMENTING DECISIONS AND SUPERVISING THE MANAGEMENT, ADMINISTRATION AND OPERATION OF THE HOSPITAL AND THE RELATED, EXEMPT ORGANIZATIONS. THE AMOUNT OF COMPENSATION PAID DURING THE CALENDAR YEAR 2022 WAS $566,000. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS NORTHERN MONTANA HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES OF INCORPORATION, THE BYLAWS OF THE ORGANIZATION AND THE LAWS OF THE STATE OF MONTANA, INCLUDING BUT NOT LIMITED TO, THE EXCLUSIVE POWER: (A) TO REMOVE ANY TRUSTEE FROM ANY OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE; (B) TO PROPOSE AND APPROVE (I) A PLAN OF DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION OR (II) A PLAN OF MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER CORPORATION; (C) TO PROPOSE AND APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND OR THE BYLAWS; (D) TO ADOPT AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OR ANY CHANGES THEREIN EXCEEDING $75,000; (E) TO AUTHORIZE THE ORGANIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHICH IS NOT PROVIDED FOR IN AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION WHERE THE AMOUNT INVOLVED EXCEEDS $50,000; (F) TO ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE ORGANIZATION; (G) TO AUTHORIZE THE ORGANIZATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (H) TO ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE ORGANIZATION; (J) TO APPROVE LONG-TERM BORROWING OF MONEY BY THE ORGANIZATION OR AUTHORIZE THE ORGANIZATION TO INCUR INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN ON ASSETS; OR (K) TO APPROVE THE TRUSTEES OR THE PRESIDENT OF THE ORGANIZATION FROM A SLATE PREPARED BY THE NOMINATING COMMITTEE OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF FINANCE REVIEWS THE FORM. THE BOARD OF DIRECTORS RECEIVES A COPY OF THE REVIEWED FORM 990 VIA E-MAIL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE BOARD IDENTIFIES POTENTIAL CONFLICTS FROM ANNUAL DISCLOSURES. DISCLOSURES ARE REVIEWED BY ADMINISTRATION AFTER ALL ARE GATHERED. THE BOARD DISCUSSES THE POTENTIAL CONFLICTS AND DETERMINES IF VOTING ON RELATED ITEMS WOULD BE A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, THE CONFLICT INDIVIDUAL IS EXCLUDED FROM VOTING ON THE CONFLICTED ITEM. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. THE UNRELATED MANAGEMENT COMPANY RECEIVES A FEE FOR SERVICE FOR THE CEO'S SERVICE PROVIDED TO THIS ORGANIZATION AND RELATED ORGANIZATIONS, NORTHERN MONTANA HEALTH CARE, INC. (NMHC) AND NORTHERN MONTANA HEALTH CARE FOUNDATION, INC. (NMHCF). IN DETERMINING THE CEO'S COMPENSATION, THE GOVERNING BOARD, WITH THE EXCEPTION OF THE CEO, MEETS AND REVIEWS NMH AND NMHC FINANCIAL RESULTS, CEO'S CURRENT YEAR PRIORITIES, DISCUSSES EVALUATION TOOLS TO BE USED FOR THE CEO'S EVALUATION, HOW COMPARATIVE SALARIES WILL BE OBTAINED AND DISCUSSES THE HISTORY OF COMPENSATION TO THE CEO. AT A SECOND MEETING THE BOARD REVIEWS NON-FINANCIAL ACTIVITY OF NMH AND NMHC AND THE RESULTS OF THE CEO EVALUATIONS COMPLETED BY THE BOARD MEMBERS. THEN THEY REVIEW AND DISCUSS A COMPENSATION COMPARATIVE SUMMARY OF MONTANA CEO'S COMPENSATION. THEY AGREE UPON A LIST OF THE COMING YEAR'S PRIORITIES FOR THE CEO AND PROPOSED COMPENSATION, WITH THE COMPENSATION SET BY BOARD VOTE. THIS ANNUAL PROCESS WAS COMPLETED DURING THE FISCAL YEAR 2023. THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR ALL OTHER OFFICERS AND PHYSICIANS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 PER THE IRS INSTRUCTIONS. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,902,313. MANAGEMENT AND GENERAL EXPENSES 3,852,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,754,543. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,115,201. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,115,201. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 1,476,642. EQUITY TRANSFER TO AFFILIATE - NMHC, INC. -500,000. RETURNED SCHOLARSHIP FUNDS 10,500. FORM 990, PART XII, LINE 2C: THE CONTROLLING ORGANIZATION, NORTHERN MONTANA HEALTH CARE, INC'S. BOARD HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. NORTHERN MONTANA HEALTH CARE INC PO BOX 1231 HAVRE MT 59501 810428854 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12B, II N/A 0 NORTHERN MONTANA HEALTH CARE FOUNDATION INC PO BOX 1231 HAVRE MT 59501 363464641 FUNDRAISING MT 501(C)(3) LINE 7 NORTHERN MONTANA HEALTH CARE INC 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 1