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Nonprofiteer
← NORTHERN MONTANA HOSPITAL

Form 990 for tax year 2023

Filed by NORTHERN MONTANA HOSPITAL.

Totals

Total revenue
$92,115,392
Total expenses
$88,866,108
Contributions and grants received
$219,295
Grants paid
$111,634
Program service revenue
$90,423,815
Investment income
$1,472,391
Other revenue
-$109
Total assets, end of year
$113,894,367
Total liabilities, end of year
$16,828,894
Net assets or fund balances, end of year
$97,065,473
Program services expenses (Part IX)
$72,256,539
Management and general expenses
$16,577,100
Fundraising expenses
$32,469
Program service expenses (Part III)
$72,256,539

Program services were 81.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $28,842

  • 1e · Government grants (contributions)

    $46,703

  • 1f · All other contributions, gifts and grants

    $143,750

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $54,726,268 · related or exempt $54,726,268

  • 2b · Program service revenue: PHARMACY

    total $32,436,679 · related or exempt $31,980,245 · unrelated business $456,434

  • 2c · Program service revenue: HEALTHCARE CONSULTING

    total $394,190 · related or exempt $394,190

  • 2d · Program service revenue: CAFETERIA REVENUE

    total $281,314 · related or exempt $281,314

  • 2f · All other program service revenue

    total $2,585,364 · related or exempt $2,585,364

  • 3 · Investment income

    total $1,065,783 · excluded $1,065,783

  • 6a · Gross rents

    real property $9,625

  • 6b · Less rental expenses

    real property $9,734

  • 6c · Rental income or loss

    real property -$109

  • 6d · Net rental income or loss

    total -$109 · excluded -$109

  • 7a · Gross sales of assets other than inventory

    securities $4,201,541 · other assets $260,193

  • 7b · Less cost or other basis and sales expenses

    securities $3,801,453 · other assets $253,673

  • 7c · Gain or loss

    securities $400,088 · other assets $6,520

  • 7d · Net gain or loss

    total $406,608 · excluded $406,608

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $29,389 · program services $29,389

  • 2 · Grants to domestic individuals

    total $82,245 · program services $82,245

  • 5 · Compensation of officers, directors and key employees

    total $2,138,633 · program services $1,746,565 · management and general $390,538 · fundraising $1,530

  • 7 · Other salaries and wages

    total $34,621,649 · program services $28,274,594 · management and general $6,322,291 · fundraising $24,764

  • 8 · Pension plan contributions

    total $503,558 · program services $411,243 · management and general $91,955 · fundraising $360

  • 9 · Other employee benefits

    total $2,004,202 · program services $1,636,779 · management and general $365,989 · fundraising $1,434

  • 10 · Payroll taxes

    total $2,397,891 · program services $1,902,609 · management and general $493,182 · fundraising $2,100

  • 11a · Fees: management

    total $810,000 · program services $648,000 · management and general $162,000

  • 11b · Fees: legal

    total $28,152 · management and general $28,152

  • 11c · Fees: accounting

    total $141,843 · management and general $141,843

  • 11g · Fees: other

    total $15,309,888 · program services $10,901,836 · management and general $4,408,052

  • 12 · Advertising and promotion

    total $213,602 · management and general $213,602

  • 13 · Office expenses

    total $606,039 · program services $157,878 · management and general $448,116 · fundraising $45

  • 16 · Occupancy

    total $2,168,577 · program services $1,313,889 · management and general $854,688

  • 17 · Travel

    total $54,568 · program services $4,036 · management and general $50,532

  • 22 · Depreciation, depletion and amortization

    total $2,477,402 · program services $1,981,855 · management and general $493,959 · fundraising $1,588

  • 23 · Insurance

    total $1,666,563 · program services $1,333,250 · management and general $333,313

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $17,706,286 · program services $17,276,626 · management and general $429,012 · fundraising $648

  • 24b · Other expenses: HOSPITAL BED TAX

    total $1,603,882 · program services $1,603,882

  • 24c · Other expenses: TRAVELER PER DIEM

    total $1,478,823 · program services $1,478,823

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $1,187,527 · program services $1,134,858 · management and general $52,669

  • 24e · All other expenses

    total $1,635,389 · program services $338,182 · management and general $1,297,207

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,702 · end of year $4,702

  • 2 · Savings and temporary cash investments

    beginning of year $34,069,125 · end of year $22,918,658

  • 4 · Accounts receivable

    beginning of year $25,230,953 · end of year $42,758,011

  • 8 · Inventories for sale or use

    beginning of year $2,810,897 · end of year $2,966,964

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,340,541 · end of year $1,291,225

  • 10a · Land, buildings and equipment: cost or other basis

    $75,691,731

  • 10b · Land, buildings and equipment: accumulated depreciation

    $60,931,927

  • 10c · Land, buildings and equipment, net

    beginning of year $14,869,503 · end of year $14,759,804

  • 11 · Investments: publicly traded securities

    beginning of year $18,823,125 · end of year $17,902,249

  • 15 · Other assets

    beginning of year $9,104,043 · end of year $11,292,754

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,629,430 · end of year $9,108,859

  • 19 · Deferred revenue

    end of year $2,169,609

  • 25 · Other liabilities

    beginning of year $4,897,710 · end of year $5,550,426

  • 27 · Net assets without donor restrictions

    beginning of year $93,725,749 · end of year $97,065,473

Mission and programs · 2023

Mission

TO DELIVER HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE HI-LINE COMMUNITIES.

Activities or mission (Part I)

PROVISION OF HEALTHCARE SERVICES.

  • NORTHERN MONTANA HOSPITAL (HOSPITAL) INCLUDES 25 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, 2024, THE HOSPITAL PROVIDED $290,000 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 $74.2 MILLION FOR THE YEAR ENDED JUNE 30, 2024. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE HOSPITAL PROVIDED OVER 4,900 DAYS OF HOSPITAL SERVICES. THE NURSING HOME PROVIDED JUST OVER 17,400 FROM JULY 2023-FEBRUARY 2024. 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.

    Expenses $72,256,539 · Grants $111,634 · Revenue $89,967,381

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • David C Henry

    PRESIDENT/CEO

    Total calculated
    $0
    Hours/week
    53 + 2 related
  • Rick Stevens

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • David Leeds

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Miles Hamilton

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Karrie Lien MD

    SECRETARY

    Total calculated
    $572,555
    From this org
    $532,465
    From related orgs
    $0
    Other
    $40,090
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $531,626
    Bonus
    $0
    Other
    $839
    Deferred
    $6,600
    Nontaxable benefits
    $33,490
    Filer's total
    $572,555
  • Andrew Carlson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Debbie Healy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jennifer Patrick

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Paul Tuss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kristen Kammerzell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kevin Harada MD

    TRUSTEE-IPD MEMBER

    Total calculated
    $587,997
    From this org
    $549,315
    From related orgs
    $0
    Other
    $38,682
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $549,120
    Bonus
    $0
    Other
    $195
    Deferred
    $6,600
    Nontaxable benefits
    $32,082
    Filer's total
    $587,997
  • Gary Grow PhD

    TRUSTEE-IPD MEDICAL DIRECTOR

    Total calculated
    $211,342
    From this org
    $196,708
    From related orgs
    $0
    Other
    $14,634
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $194,231
    Bonus
    $0
    Other
    $2,477
    Deferred
    $3,948
    Nontaxable benefits
    $10,686
    Filer's total
    $211,342
  • Cameron Acor Dpm

    TRUSTEE-CHIEF OF MEDICAL STAFF

    Total calculated
    $360,221
    From this org
    $320,976
    From related orgs
    $0
    Other
    $39,245
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $320,527
    Bonus
    $0
    Other
    $449
    Deferred
    $6,600
    Nontaxable benefits
    $32,645
    Filer's total
    $360,221
  • Kim Lucke

    VP OF FINANCE

    Total calculated
    $158,386
    From this org
    $139,909
    From related orgs
    $0
    Other
    $18,477
    Hours/week
    53 + 2 related

    Schedule J breakdown matched by us

    Base
    $139,056
    Bonus
    $0
    Other
    $853
    Deferred
    $2,925
    Nontaxable benefits
    $15,552
    Filer's total
    $158,386
  • Christen Obresley

    VICE PRESIDENT

    Total calculated
    $190,575
    From this org
    $171,728
    From related orgs
    $0
    Other
    $18,847
    Hours/week
    51 + 4 related

    Schedule J breakdown matched by us

    Base
    $170,924
    Bonus
    $0
    Other
    $804
    Deferred
    $3,555
    Nontaxable benefits
    $15,292
    Filer's total
    $190,575
  • Michael Farr Do

    DO

    Total calculated
    $1,029,900
    From this org
    $998,580
    From related orgs
    $0
    Other
    $31,320
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $998,097
    Bonus
    $0
    Other
    $483
    Deferred
    $6,600
    Nontaxable benefits
    $24,720
    Filer's total
    $1,029,900
  • Walter Smith Do

    DO

    Total calculated
    $786,456
    From this org
    $750,946
    From related orgs
    $0
    Other
    $35,510
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $749,758
    Bonus
    $0
    Other
    $1,188
    Deferred
    $6,600
    Nontaxable benefits
    $28,910
    Filer's total
    $786,456
  • Damian Ymzon MD

    MD

    Total calculated
    $785,888
    From this org
    $745,793
    From related orgs
    $0
    Other
    $40,095
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $745,500
    Bonus
    $0
    Other
    $293
    Deferred
    $6,600
    Nontaxable benefits
    $33,495
    Filer's total
    $785,888
  • Carolyn Aks MD

    MD

    Total calculated
    $572,970
    From this org
    $556,544
    From related orgs
    $0
    Other
    $16,426
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $554,258
    Bonus
    $0
    Other
    $2,286
    Deferred
    $6,600
    Nontaxable benefits
    $9,826
    Filer's total
    $572,970
  • Cameron Scraton MD

    MD

    Total calculated
    $547,931
    From this org
    $516,267
    From related orgs
    $0
    Other
    $31,664
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $516,105
    Bonus
    $0
    Other
    $162
    Deferred
    $6,600
    Nontaxable benefits
    $25,064
    Filer's total
    $547,931

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
6 May 2025
IRS schema version
2023v6.0
Source object
202541349349303504

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