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Nonprofiteer
← NORTHERN MONTANA HOSPITAL

Form 990 for tax year 2022

Filed by NORTHERN MONTANA HOSPITAL.

Totals

Total revenue
$86,108,283
Total expenses
$79,454,935
Contributions and grants received
$2,904,595
Grants paid
$62,180
Program service revenue
$81,302,321
Investment income
$1,902,319
Other revenue
-$952
Total assets, end of year
$106,252,889
Total liabilities, end of year
$12,527,140
Net assets or fund balances, end of year
$93,725,749
Program services expenses (Part IX)
$64,830,675
Management and general expenses
$14,599,349
Fundraising expenses
$24,911
Program service expenses (Part III)
$64,830,675

Program services were 81.6% 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

    $788

  • 1e · Government grants (contributions)

    $2,622,557

  • 1f · All other contributions, gifts and grants

    $281,250

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $50,667,127 · related or exempt $50,667,127

  • 2b · Program service revenue: PHARMACY

    total $29,457,881 · related or exempt $29,031,685 · unrelated business $426,196

  • 2c · Program service revenue: HEALTHCARE CONSULTING

    total $386,731 · related or exempt $386,731

  • 2d · Program service revenue: CAFETERIA REVENUE

    total $280,685 · related or exempt $280,685

  • 2f · All other program service revenue

    total $509,897 · related or exempt $509,897

  • 3 · Investment income

    total $1,671,116 · excluded $1,671,116

  • 6a · Gross rents

    real property $9,085

  • 6b · Less rental expenses

    real property $10,037

  • 6c · Rental income or loss

    real property -$952

  • 6d · Net rental income or loss

    total -$952 · excluded -$952

  • 7a · Gross sales of assets other than inventory

    securities $705,812

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

    securities $474,609

  • 7c · Gain or loss

    securities $231,203

  • 7d · Net gain or loss

    total $231,203 · excluded $231,203

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $16,140 · program services $16,140

  • 2 · Grants to domestic individuals

    total $46,040 · program services $46,040

  • 5 · Compensation of officers, directors and key employees

    total $1,984,717 · program services $1,669,933 · management and general $313,523 · fundraising $1,261

  • 7 · Other salaries and wages

    total $31,753,369 · program services $26,853,608 · management and general $4,880,386 · fundraising $19,375

  • 8 · Pension plan contributions

    total $699,490 · program services $556,687 · management and general $142,172 · fundraising $631

  • 9 · Other employee benefits

    total $1,852,316 · program services $1,474,158 · management and general $376,486 · fundraising $1,672

  • 10 · Payroll taxes

    total $2,184,602 · program services $1,738,607 · management and general $444,023 · fundraising $1,972

  • 11a · Fees: management

    total $865,070 · program services $692,056 · management and general $173,014

  • 11b · Fees: legal

    total $4,881 · management and general $4,881

  • 11c · Fees: accounting

    total $111,840 · management and general $111,840

  • 11g · Fees: other

    total $12,869,744 · program services $9,017,514 · management and general $3,852,230

  • 12 · Advertising and promotion

    total $238,621 · management and general $238,621

  • 13 · Office expenses

    total $546,356 · program services $143,781 · management and general $402,575

  • 16 · Occupancy

    total $2,412,629 · program services $1,355,649 · management and general $1,056,980

  • 17 · Travel

    total $77,942 · program services $2,635 · management and general $75,307

  • 22 · Depreciation, depletion and amortization

    total $2,401,269 · program services $1,890,271 · management and general $510,998

  • 23 · Insurance

    total $1,455,583 · program services $1,164,466 · management and general $291,117

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $14,036,736 · program services $13,604,463 · management and general $432,273

  • 24b · Other expenses: TRAVELER PER DIEM

    total $1,705,625 · program services $1,705,625

  • 24c · Other expenses: HOSPITAL BED TAX

    total $1,644,842 · program services $1,644,842

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $1,019,003 · program services $975,318 · management and general $43,685

  • 24e · All other expenses

    total $1,528,120 · program services $278,882 · management and general $1,249,238

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $4,702

  • 2 · Savings and temporary cash investments

    beginning of year $27,008,744 · end of year $34,069,125

  • 4 · Accounts receivable

    beginning of year $17,875,887 · end of year $25,230,953

  • 8 · Inventories for sale or use

    beginning of year $2,823,603 · end of year $2,810,897

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,204,358 · end of year $1,340,541

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

    $73,572,094

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

    $58,702,591

  • 10c · Land, buildings and equipment, net

    beginning of year $14,571,618 · end of year $14,869,503

  • 11 · Investments: publicly traded securities

    beginning of year $31,542,830 · end of year $18,823,125

  • 15 · Other assets

    beginning of year $2,907,408 · end of year $9,104,043

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,572,111 · end of year $7,629,430

  • 19 · Deferred revenue

    beginning of year $3,610,441

  • 25 · Other liabilities

    beginning of year $1,385,673 · end of year $4,897,710

  • 27 · Net assets without donor restrictions

    beginning of year $86,366,223 · end of year $93,725,749

Mission and programs · 2022

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 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.

    Expenses $64,830,675 · Grants $62,180 · Revenue $80,876,125

As filed on the 2022 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
    $502,601
    From this org
    $462,331
    From related orgs
    $0
    Other
    $40,270
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $461,492
    Bonus
    $0
    Other
    $839
    Deferred
    $6,100
    Nontaxable benefits
    $34,170
    Filer's total
    $502,601
  • 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-CHIEF OF MEDICAL STAFF

    Total calculated
    $548,238
    From this org
    $509,375
    From related orgs
    $0
    Other
    $38,863
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $509,199
    Bonus
    $0
    Other
    $176
    Deferred
    $6,100
    Nontaxable benefits
    $32,763
    Filer's total
    $548,238
  • Gary Grow PhD

    TRUSTEE-IPD MEMBER

    Total calculated
    $233,740
    From this org
    $213,749
    From related orgs
    $0
    Other
    $19,991
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $211,272
    Bonus
    $0
    Other
    $2,477
    Deferred
    $4,383
    Nontaxable benefits
    $15,608
    Filer's total
    $233,740
  • Cameron Acor Dpm

    TRUSTEE-IPD MEMBER

    Total calculated
    $331,757
    From this org
    $292,332
    From related orgs
    $0
    Other
    $39,425
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $291,883
    Bonus
    $0
    Other
    $449
    Deferred
    $6,100
    Nontaxable benefits
    $33,325
    Filer's total
    $331,757
  • Kim Lucke

    VP OF FINANCE

    Total calculated
    $159,040
    From this org
    $140,288
    From related orgs
    $0
    Other
    $18,752
    Hours/week
    53 + 2 related

    Schedule J breakdown matched by us

    Base
    $139,470
    Bonus
    $0
    Other
    $818
    Deferred
    $2,934
    Nontaxable benefits
    $15,818
    Filer's total
    $159,040
  • Christen Obresley

    VICE PRESIDENT

    Total calculated
    $189,861
    From this org
    $170,741
    From related orgs
    $0
    Other
    $19,120
    Hours/week
    51 + 4 related

    Schedule J breakdown matched by us

    Base
    $169,937
    Bonus
    $0
    Other
    $804
    Deferred
    $3,537
    Nontaxable benefits
    $15,583
    Filer's total
    $189,861
  • Walter Smith MD

    RADIOLOGIST

    Total calculated
    $739,346
    From this org
    $698,920
    From related orgs
    $0
    Other
    $40,426
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $697,732
    Bonus
    $0
    Other
    $1,188
    Deferred
    $6,100
    Nontaxable benefits
    $34,326
    Filer's total
    $739,346
  • Michelle Cameron-Donaldson MD

    MD

    Total calculated
    $665,187
    From this org
    $644,791
    From related orgs
    $0
    Other
    $20,396
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $644,377
    Bonus
    $0
    Other
    $414
    Deferred
    $6,100
    Nontaxable benefits
    $14,296
    Filer's total
    $665,187
  • Damian Ymzon MD

    MD

    Total calculated
    $654,056
    From this org
    $621,531
    From related orgs
    $0
    Other
    $32,525
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $621,238
    Bonus
    $0
    Other
    $293
    Deferred
    $6,100
    Nontaxable benefits
    $26,425
    Filer's total
    $654,056
  • Alexandria Rutherford MD

    MD

    Total calculated
    $482,935
    From this org
    $465,877
    From related orgs
    $0
    Other
    $17,058
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $465,688
    Bonus
    $0
    Other
    $189
    Deferred
    $6,100
    Nontaxable benefits
    $10,958
    Filer's total
    $482,935
  • Cameron Scraton MD

    MD

    Total calculated
    $470,776
    From this org
    $438,993
    From related orgs
    $0
    Other
    $31,783
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $438,817
    Bonus
    $0
    Other
    $176
    Deferred
    $6,100
    Nontaxable benefits
    $25,683
    Filer's total
    $470,776

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
2022
Filed
30 April 2024
IRS schema version
2022v5.0
Source object
202421349349308307

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