Liabilities / Assets
42nd percentile
Higher debt load relative to assets than 42% of similar nonprofits.
EIN 81-0226578 • 501(c)3 • Wolf Point, MT
Profile
To deliver quality, cost-effective health care to the communities that we serve for improvement of human life.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
42nd percentile
Higher debt load relative to assets than 42% of similar nonprofits.
Liabilities / Revenue
45th percentile
Higher debt load relative to revenue than 45% of similar nonprofits.
Net Margin
60th percentile
Higher net margin than 60% of similar nonprofits.
Top Officer Pay
42nd percentile
Higher top officer pay than 42% of similar nonprofits.
Top officer pay equals 0.8% of source-year revenue.
Asset Growth
36th percentile
Faster asset growth than 36% of similar nonprofits.
Revenue Growth
38th percentile
Faster revenue growth than 38% of similar nonprofits.
Assets
Up$65,425,409
Up $1,225,262 (+1.9%) from 2022
Liabilities
Down$12,997,522
Down $2,957,055 (-19%) from 2022
Net Assets
Up$52,427,887
Up $4,182,317 (+8.7%) from 2022
Revenue
Up$39,283,378
Up $2,166,257 (+5.8%) from 2022
Expenses
Up$34,916,768
Up $2,060,557 (+6.3%) from 2022
Net Income
Up$4,366,610
Up $105,700 (+2.5%) from 2022
Most recent year
2023 • Form 990Summary only. Only limited summary data is available for this year.
The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.
To deliver quality, cost-effective health care to the communities that we serve for improvement of human life.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $17,483,988 | $17,548,530 | ▲ $64,542 |
| Land, Buildings, and Equipment, Net | $8,419,965 | $11,710,022 | ▲ $3,290,057 |
| Accounts Receivable | $7,444,667 | $7,490,035 | ▲ $45,368 |
| Investments Other Securities | $6,509,769 | $6,759,041 | ▲ $249,272 |
| Savings and Temporary Cash Investments | $2,863,636 | $3,875,254 | ▲ $1,011,618 |
| Inventories for Sale or Use | $820,029 | $847,522 | ▲ $27,493 |
| Prepaid Expenses and Deferred Charges | $421,063 | $357,591 | ▼ $63,472 |
| Total Assets | $54,863,112 | $60,858,718 | ▲ $5,995,606 |
| Other Assets Total | $10,899,995 | $12,270,723 | ▲ $1,370,728 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $7,565,596 | $9,008,555 | ▲ $1,442,959 |
| Tax Exempt Bond Liabilities | $7,800,855 | $7,256,670 | ▼ $544,185 |
| Deferred Revenue | $8,048,952 | $327,964 | ▼ $7,720,988 |
| Mortgage Notes Payable Secured by Investment Property | $419,455 | $280,696 | ▼ $138,759 |
| Total Liabilities | $23,834,858 | $16,873,885 | ▼ $6,960,973 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $30,983,034 | $43,944,868 | ▲ $12,961,834 |
| Net Assets With Donor Restrictions | $45,220 | $39,965 | ▼ $5,255 |
| Total Net Assets Fund Balance | $31,028,254 | $43,984,833 | ▲ $12,956,579 |
| Total Liabilities and Net Assets / Fund Balance | $54,863,112 | $60,858,718 | ▲ $5,995,606 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $7,466,626 | $12,168,454 | $19,635,080 |
| Equipment | $4,183,338 | $10,252,067 | $14,435,405 |
| Land | $60,058 | - | $60,058 |
| Other Assets Org | $95,000 | - | - |
| Other Securities | $1,034,753 | - | - |
| Closely Held Equity Interests | $5,724,288 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Zilkoski Md | Medical Staf | - | - | $635,011 | $635,011 |
| Mark Zilkoski Md | Medical Staff Rep | - | $188,676 | $31,449 | $220,125 |
| Margaret Norgaard | CEO | FT | $155,604 | $13,712 | $169,316 |
| Lori Collins | Rn | FT | $153,564 | $11,752 | $165,316 |
| Elaine Long | Rn-VP Nursin | FT | $145,865 | $13,517 | $159,382 |
| Hanz Arnston | Rn | FT | $145,865 | $13,517 | $159,382 |
| Elaine Long | Rn-VP Nursing | - | $136,614 | $14,286 | $150,900 |
| Roger Fisher | COO | FT | $145,289 | $1,034 | $146,323 |
| Nicole Paulson | Rn-CNO | FT | $129,704 | $13,518 | $143,222 |
| Gracie Ackerman | Rn | FT | $129,537 | $11,572 | $141,109 |
| Name | Title |
|---|---|
| Steve Hackley | Chairman |
| DALLAS O'CONNOR | Vice-chairma |
| Dan Moudree | Director |
| Shane Gibson | Director |
| Tori Matejovsky | Director |
| Demi Wilkinson | CFO |
| Stephanie Mcgowan | Treasurer |
| Dana Buckles | Tribal Rep |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Big Sky Locums Provider PC | Locum Tenen | 51265 221ST STREET, Glenwood, IA 51534 | $340,223 |
| Atlas Healthcare LLC | Locum Tenens | PO BOX 81417, Billings, MT 59108 | $315,813 |
| Drage Family Emergency INC | Nursing Temps | PO BOX 41047, Baton Rouge, LA 70835 | $276,472 |
| Southern Mt Anesthesia | Locum Tenens | 1912 E HICKORY POINT CIRCLE, Sandy, UT 84092 | $262,120 |
| - | Crna | 430 FLESHMAN CREED RD, Livingston, MT 59047 | $192,857 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $17,247,225 |
| Other Expenses | $13,113,170 |
| Total Fundraising Expense | $61,931 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $12,440,795 | $1,667,537 | $54,123 | $14,162,455 |
| Fees for Services Other | $2,526,139 | - | $47 | $2,526,186 |
| Other Employee Benefits | $1,086,572 | $326,838 | $238 | $1,413,648 |
| Depreciation Depletion | $1,204,093 | $188,528 | - | $1,392,621 |
| Payroll Taxes | $907,593 | $161,032 | $4,237 | $1,072,862 |
| Office Expenses | $463,296 | $164,216 | $297 | $627,809 |
| Other Expenses | $529,418 | $146,133 | $1,115 | $529,418 |
| Current Officers, Directors, Trustees, and Key Employees | - | $458,563 | - | $458,563 |
| Information Technology | $292,727 | $70,331 | $1,349 | $364,407 |
| All Other Expenses | $293,013 | $64,846 | $54 | $357,913 |
| Occupancy | $231,883 | $53,282 | - | $285,165 |
| Insurance | $227,001 | $56,572 | - | $283,573 |
| Interest | $191,578 | $47,647 | - | $239,225 |
| Pension Plan Contributions | $118,220 | $21,068 | $409 | $139,697 |
| Fees for Services Accounting | - | $59,030 | - | $59,030 |
| Travel | $54,235 | $2,767 | - | $57,002 |
| Conferences and Meetings | $21,497 | $9,619 | $4 | $31,120 |
| Advertising | $252 | $19,607 | $1 | $19,860 |
| Fees for Services Legal | - | $4,663 | - | $4,663 |
| Total Functional Expenses | $26,692,762 | $3,605,702 | $61,931 | $30,360,395 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $30,360,395 |
| Total Expenses per Audited Statements | $30,360,395 |
| Total Expenses per Form 990 | $30,360,395 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Mt Facility Finance Authority Bonds | 2017-01-31 | $9,820,000 | Refunding of 2007b revenue bonds |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $9,820,000 | $1,449 | - | $196,400 |
“The form 990 is reviewed and approved by the ceo and cfo and is distributed to the governing board for review prior to being filed.”
“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.”
“The board approves the wages of the ceo and other top management officials in the organization.”
“The ceo approves the wages of other officers and key employees of the organization.”
“Governing documents are available from cfo upon request.”
“The medical staff representative on the governing board, mark zilkoski, m.d., is employed by wolf point clinic association, a related party, as a full time physician which is included at 40 hours per week.”
“Sba ppp loan forgiven ty20, in book revenue ty19 -2,276,734”
“Nemhs believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the financial statements. See page 11 of the northeast montana health services, inc. And affiliates notes to consolidated financial statements june 30, 2021 and 2020.”
“Sba ppp loan forgiven ty20, in book revenue ty19 2,276,734”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 7565596 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 9008555 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7444667 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7490035 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 1 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 19607 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 252 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 19860 |
| IRS990/AllOtherContributionsAmt | 0 | 202006 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 54 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 64846 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 293013 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 357913 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DEMI WILKINSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4066536500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 315 KNAPP ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WOLF POINT |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59201 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 17483988 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 17548530 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 458563 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 458563 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 4 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 9619 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 21497 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 31120 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 340223 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 315813 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 276472 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 262120 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 192857 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 51265 221ST STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 81417 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 41047 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1912 E HICKORY POINT CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 430 FLESHMAN CREED RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GLENWOOD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BILLINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BATON ROUGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SANDY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | LIVINGSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | LA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | UT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 51534 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 59108 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 70835 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 84092 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 59047 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | BIG SKY LOCUMS PROVIDER PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ATLAS HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | DRAGE FAMILY EMERGENCY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SOUTHERN MT ANESTHESIA |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | KATHY WULF |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LOCUM TENEN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | LOCUM TENENS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | NURSING TEMPS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LOCUM TENENS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CRNA |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 10676677 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 301801 |
| IRS990/CYOtherExpensesAmt | 0 | 13113170 |
| IRS990/CYOtherRevenueAmt | 0 | 306535 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 34360492 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 15285110 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 17247225 |
| IRS990/CYTotalExpensesAmt | 0 | 30360395 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 61931 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 45645505 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 8048952 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 327964 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 188528 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1204093 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1392621 |
| IRS990/Desc | 0 | PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 45220 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 39965 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 462 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 26692762 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 59030 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 59030 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 4663 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 4663 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 47 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2526139 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2526186 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 392200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 31449 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 13712 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 11752 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 13517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 14286 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 1034 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 13518 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 11572 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MARK ZILKOSKI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARGARET NORGAARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LORI COLLINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | HANZ ARNSTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ELAINE LONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DEMI WILKINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROGER FISHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | NICOLE PAULSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | GRACIE ACKERMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DANA BUCKLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SHANE GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | STEVE HACKLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | TORI MATEJOVSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | STEPHANIE MCGOWAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DAN MOUDREE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DALLAS O'CONNOR |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 188676 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 155604 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 153564 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 145865 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 136614 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 145289 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 129704 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 129537 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 242811 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | MEDICAL STAF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | RN-VP NURSIN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | RN-CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | RN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRIBAL REP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VICE-CHAIRMA |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1948 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 10398543 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 45645505 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 26 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 1349 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 70331 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 292727 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 364407 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 56572 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 227001 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 283573 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 47647 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 191578 |
| IRS990/InterestGrp/TotalAmt | 0 | 239225 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 820029 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 847522 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 301801 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 301801 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 6509769 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 6759041 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 33 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 22420521 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8419965 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 11710022 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 34130543 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 419455 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 280696 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 31028254 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 43984833 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -51797 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 30983034 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 43944868 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 53282 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 231883 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 285165 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 297 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 164216 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 463296 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 627809 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 10899995 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 12270723 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -2276734 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 238 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 326838 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1086572 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1413648 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | COGS |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | BED TAXES |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 57 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 1115 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 83423 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 146133 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4748942 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 752357 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 603151 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 529418 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4832422 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 752357 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 750399 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 529418 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | HOSPITAL DISTRICT TAX REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | GAIN ON SALE OF ASSETS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 298275 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 8260 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 298275 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 8260 |
| IRS990/OtherRevenueTotalAmt | 0 | 306535 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 54123 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1667537 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 12440795 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 14162455 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 4237 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 161032 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 907593 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1072862 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 409 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 21068 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 118220 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 139697 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 421063 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 357591 |
| IRS990/PrincipalOfficerNm | 0 | MARGARET NORGAARD |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621500 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 446110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | RETAIL PHARMACIES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 30655176 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2685165 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 30655176 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3705316 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 1020151 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 403415 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 116967 |
| IRS990/PYOtherExpensesAmt | 0 | 12865172 |
| IRS990/PYOtherRevenueAmt | 0 | 529269 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 34367729 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 5693025 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 16859183 |
| IRS990/PYTotalExpensesAmt | 0 | 29724355 |
| IRS990/PYTotalRevenueAmt | 0 | 35417380 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 15285110 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
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