3 locations registered under this record — data as of October 5, 2026
Disproportionate share hospital · HAVRE, MT
NORTHERN MONTANA HOSPITAL
Taking partNoTermination date filedJanuary 1, 2024Last certifiedSeptember 5, 2023
- 3Registered locations
- 2Associated locations
- 10Contract pharmacies
- 0With no end date
- October 1, 2009In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended August 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $206,066,440 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $112,796,803 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $93,269,637 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $97,611,904 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$4,342,267 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $226,577 | CMS-2552-10 worksheet S100000 line 2000 column 300 |
| Charity care, at cost | $206,384 | CMS-2552-10 worksheet S100000 line 2300 column 300 |
| Bad debt expense | $1,715,077 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $704,178 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $910,562 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 49 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4142 | CMS-2552-10 worksheet S100000 line 100 column 100 |
| Allowable disproportionate share percentage | 0.12 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 270032 for July 1, 2022 to August 31, 2023, settled. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by NORTHERN MONTANA HOSPITAL (employer identification number 810231787) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $7,222,008 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $1,758,139 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,098,962 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,857,101 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $4,364,907 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0908 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202421349349308307. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by NORTHERN MONTANA HOSPITAL (employer identification number 810231787) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALEXANDRIA RUTHERFORD MD | MD | Highest-compensated employee | $465,877 | $0 | $17,058 |
| ANDREW CARLSON | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| CAMERON ACOR DPM | TRUSTEE-IPD MEMBER | Trustee/director | $292,332 | $0 | $39,425 |
| CAMERON SCRATON MD | MD | Highest-compensated employee | $438,993 | $0 | $31,783 |
| CHRISTEN OBRESLEY | VICE PRESIDENT | Officer | $170,741 | $0 | $19,120 |
| DAMIAN YMZON MD | MD | Highest-compensated employee | $621,531 | $0 | $32,525 |
| DAVID C HENRY | PRESIDENT/CEO | Trustee/director, Officer | $0 | $0 | $0 |
| DAVID LEEDS | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| DEBBIE HEALY | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| GARY GROW PHD | TRUSTEE-IPD MEMBER | Trustee/director | $213,749 | $0 | $19,991 |
| JENNIFER PATRICK | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| KARRIE LIEN MD | SECRETARY | Trustee/director, Officer | $462,331 | $0 | $40,270 |
| KEVIN HARADA MD | TRUSTEE-CHIEF OF MEDICAL STAFF | Trustee/director | $509,375 | $0 | $38,863 |
| KIM LUCKE | VP OF FINANCE | Officer | $140,288 | $0 | $18,752 |
| KRISTEN KAMMERZELL | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| MICHELLE CAMERON-DONALDSON MD | MD | Highest-compensated employee | $644,791 | $0 | $20,396 |
| MILES HAMILTON | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| PAUL TUSS | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| RICK STEVENS | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| WALTER SMITH MD | RADIOLOGIST | Highest-compensated employee | $698,920 | $0 | $40,426 |
E-file object id 202421349349308307. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: short-term acute care hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 100thpercentile of 15 hospitals in MT, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2023, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $23,316,727 and $237,270,145, median $62,119,169, across 5,799 hospitals that filed for 2023, in every state and of every size.
- 100thpercentile of 16 hospitals in MT, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2023, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $24,828,740 and $233,739,753, median $64,736,066, across 5,945 hospitals that filed for 2023, in every state and of every size.
- 100thpercentile of 16 hospitals in MT, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2023, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 169, median 63, across 5,924 hospitals that filed for 2023, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Montana beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- October 1, 2009
- Termination date
- January 1, 2024
- Termination reason
- Other
- Certification date
- September 5, 2023
- Record last edited
- May 22, 2024
Identifiers
- 340B ID
- DSH270032
- Entity type as filed
- DSH
- CMS certification number
- 270032
- Rural
- Yes
30-13TH STREET, HAVRE MT 59501
Locations registered under this record
Browse all of them as a list →
| DSH270032A | Rural Health Clinic | DSH | HAVRE, MT | No |
| DSH270032B | Rural Health Clinic II | DSH | HAVRE, MT | No |
| DSH270032C | SLETTEN CANCER CENTER | DSH | HAVRE, MT | No |
Associated locations
| NORTHERN MONTANA HOSPITAL | 30-13TH STREET | HAVRE MT 59501 |
| Northern Montana Pharmacy | 20 13th ST W | Havre MT 59501 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed10
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| KMART PHARMACY | HAVRE, MT | April 1, 2017 | April 4, 2019 |
| NORTHERN MONTANA PHARMACY | HAVRE, MT | October 1, 2009 | September 29, 2020 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2023 | October 6, 2023 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | October 1, 2023 | October 6, 2023 |
| STOKES PHARMACY HAVRE INC | HAVRE, MT | January 1, 2023 | October 6, 2023 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2017 | October 6, 2023 |
| WAL-MART PHARMACY 10-4247 | HAVRE, MT | April 1, 2017 | October 6, 2023 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2017 | October 6, 2023 |
| Walmart Pharmacy 10-7611 | Plainfield, IN | January 1, 2024 | October 6, 2023 |
| WESTERN DRUG PHARMACY | HAVRE, MT | July 1, 2019 | April 1, 2021 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.
The full report for NORTHERN MONTANA HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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