2023-02-15T10:32:39-06:00 2022-03-31 810497523 JORDAHL & SLITER PLLC PO BOX 8600 KALISPELL MT 599041600 990 2021-04-01 237293874 KALISPELL REGIONAL MEDICAL CENTER KALI 4067515759 310 SUNNYVIEW LANE KALISPELL MT 59901 COLE TURNER CFO 4067521724 2023-02-14 1 COLE TURNER 999009999 JUSTIN P SLITER P00188996 4067521040 2023-02-14 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z LOGAN HEALTH MEDICAL CENTER COLE TURNER 310 SUNNYVIEW LANE KALISPELL MT 59901 650229871 0 X LOGAN.ORG X 1973 MT PROVIDES INPATIENT, OUTPATIENT AND AMBULATORY CARE TO THE COMMUNITY 12 7 3668 33 463384 269929 2063770 1558032 479625000 624815525 1066023 4344421 3265386 3539393 486020179 634257371 0 0 0 0 254908341 311056116 0 0 0 218889660 303074523 473798001 614130639 12222178 20126732 627456099 591661793 362366154 370222053 265089945 221439740 PROVIDES INPATIENT, OUTPATIENT AND AMBULATORY CARE TO THE COMMUNITY 0 0 533466260 624352141 PROVIDES INPATIENT, OUTPATIENT AND AMBULATORY CARE TO THE COMMUNITY 533466260 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 0 0 1 309 0 3668 1 1 1 0 0 0 0 0 0 0 1 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 4067515759 310 SUNNYVIEW LANE KALISPELL MT 59901 X CRAIG LAMBRECHT MD PRESIDENT & CEO 30.00 20.00 X X 1259354 0 58579 KAREN PERSER MD TRUSTEE 1.00 49.00 X 917323 0 20389 ANTHONY DAL NOGARE MD TRUSTEE 49.00 1.00 X 498825 0 25716 COURTNEY STOUT PATERSON MD TRUSTEE 49.00 1.00 X 298819 0 24092 JOHN FLINK TRUSTEE 1.00 X 0 1170 0 JANE KARAS TRUSTEE 1.00 X 0 1170 0 BOB WHITE TRUSTEE 1.00 X 1170 0 0 MARJORIE SPENCER TRUSTEE 1.00 X 1014 0 0 BARBRA BENNETT TRUSTEE 1.00 X 0 0 0 TODD BERGLAND MD TRUSTEE 1.00 X 0 0 0 MICHAEL GOGUEN TRUSTEE 1.00 X 0 0 0 TYLER HOPPES MD TRUSTEE 1.00 X 0 0 0 MARCIA JOHNSON TRUSTEE 1.00 X 0 0 0 CHARLES LUDDEN MD TRUSTEE 1.00 X 0 0 0 BONNIE MATOSICH TRUSTEE 1.00 X 0 0 0 ROBERT NYSTUEN TRUSTEE 1.00 X 0 0 0 TOM RAY TRUSTEE 1.00 X 0 0 0 HENRY RICKLEFS TRUSTEE 1.00 X 0 0 0 DENNIS SABO TRUSTEE 1.00 X 0 0 0 ELIZABETH SCHILLING TRUSTEE 1.00 X 0 0 0 CARL TINLIN DO TRUSTEE 1.00 X 0 0 0 CRAIG BOYER CHIEF FINANCIAL OFFICER 30.00 20.00 X 605496 0 57414 BENJAMIN WARD MD PHYSICIAN 50.00 X 1305558 0 24092 JOSHUA KRASS MD PHYSICIAN 50.00 X 899172 0 19006 KIM STIMPSON MD PHYSICIAN 50.00 X 911649 0 20352 TIMOTHY JOYCE MD PHYSICIAN 50.00 X 920069 0 25706 MARK MAGILL MD PHYSICIAN 50.00 X 905092 0 25042 8523541 2340 300388 511 0 1 0 NUWEST GROUP HOLDINGS LLC 325 118TH AVE SE SUITE 300 BELLEVUE CA 98005 NURSING SERVICES 12447055 TRAVEL NURSE ACROSS AMERICA LLC 1834 SALLY HILL FARMS BLVD FLORENCE SC 29501 NURSING SERVICES 11829129 SILVER TIP EMERGENCY PHYSICIANS 202 CONWAY DR KALISPELL MT 59901 EMERGENCY ROOM PHYSICIANS 4995155 THOMAS MANAGEMENT LLC 700 E FRANKLIN RD MERIDIAN ID 83642 FOOD SERVICE 2739081 NORTHWEST IMAGING 44 SECOND AVE W KALISPELL MT 59901 IMAGING SERVICES 991608 40 1388540 46750 122742 206250 1558032 MEDICAL SERVICE REVENUE 621990 580949147 580949147 COMPREHENSIVE PRIMARY CARE REVENU 621400 17415648 17415648 OUTREACH PROGRAMS 621990 1253323 1253323 25197407 24734023 463384 624815525 843541 843541 148695 0 148695 148695 148695 19261878 211502 15823156 149344 3438722 62158 3500880 3500880 CHILD CARE 624410 1748177 1748177 CAFETERIA 722514 1099049 1099049 OTHER REVENUE 812900 543472 543472 3390698 634257371 624352141 463384 7883814 1216945 1216945 253089715 224217637 28872078 10446242 8749461 1696781 32343631 28471923 3871708 13959583 11836726 2122857 1331852 5750 1326102 241730 9744 231986 36287533 23611102 12676431 2166817 1336553 830264 4296787 2525367 1771420 27099792 21878580 5221212 1798803 1551088 247715 8118234 8118234 25543735 22072674 3471061 2869363 928156 1941207 SUPPLIES 121743771 118376609 3367162 CONTRACT LABOR 33113911 29972251 3141660 PURCHASED SERVICES 14918839 11546371 3372468 BAD DEBTS 14185176 14185176 9358180 4072858 5285322 614130639 533466260 80664379 0 173797782 107624200 79266041 88690140 1128410 594116 56023252 78642624 34250188 50620587 15020620 16644104 6585799 6757078 491758201 296521764 180747183 195236437 1300223 966247 79336601 45886260 627456099 591661793 79747809 91123767 211553317 213764560 1624037 1302099 69440991 64031627 362366154 370222053 X 250421932 204296165 14668013 17143575 265089945 221439740 627456099 591661793 X 20126732 -3488539 -60288398 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 29818 1 201316 1 1 231134 0 PART II-B, LINE 1: LOBBYING EXPENDITURES WERE INCURRED IN AN ATTEMPT TO ENSURE MEDICARE AND MEDICAID PAID COST OF SERVICES, IN RELATION TO FUNDING FOR ADVANCING OUR ELECTRONIC HEALTH RECORD PROJECT. EXPENDITURES INCLUDED CONSULTANT, STAFF TIME AND A PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES. 14668013 2701786 195718 421942 17143575 12004379 1439008 1224626 14668013 8774184 6873648 -679118 2964335 12004379 11701919 -125311 2802424 8774184 12853938 23197 1175216 11701919 0.24600 0.75400 0 1 1 379665 379665 283116456 140787740 142328716 200563955 155734024 44829931 7698125 7698125 195236437 FUNDS HELD BY TRUSTEE 2012684 ASSIST ASSETS 351021 ESTIMATED INSURANCE RECOVERIES 2488000 OTHER ASSETS 11133710 RIGHT OF USE ASSETS 29900845 45886260 PAYABLE TO CONTRACTUAL AGENCIES 36059017 ACCOUNTS PAYABLE TO AFFILIATES 27972610 64031627 X 619943865 -3488539 4748748 1260209 618683656 15573715 15573715 634257371 602724031 2778568 2778568 599945463 14185176 14185176 614130639 PART X, LINE 2: THE CORPORATION ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES. ASC TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CORPORATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FASB FAS 136 INVESTMENT IN NET ASSETS OF FOUNDATION 2,836,227. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) -13,384. INCOME RECORDED ON CONSOLIDATED BASIS 1,925,905. PART XI, LINE 4B - OTHER ADJUSTMENTS: SUPPORT FROM AFFILIATED FOUNDATION 1,388,539. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 14,185,176. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECORDED ON CONSOLIDATED BASIS 2,778,568. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE INCLUDED IN NET REVENUES 14,185,176. 1 1 X 1 X 1 X 1 1 1 0 0 2831356 2831356 0.00470 88542674 89467591 0 0.00000 91374030 89467591 2831356 0.00470 5100 5100 0.00000 2049281 2049281 0.00340 77288793 52937028 24351765 0.04060 79343174 52937028 26406146 0.04400 170717204 142404619 29237502 0.04870 15700 15700 0.00000 132981 132981 0.00020 750 750 0.00000 6270 6270 0.00000 155701 155701 0.00020 1 5277208 180059499 196728695 -16669196 X 1 0 1 1 KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 X X X KALISPELL REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X LOGAN.ORG/HEALTH/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 21 1 LOGAN.ORG/HEALTH/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X X X X 1 0 X X X 1 X 0 1 KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: LOGAN HEALTH, LOGAN HEALTH - WHITEFISH, FLATHEAD COMMUNITY HEALTH CENTER AND FLATHEAD CITY-COUNTY HEALTH DEPARTMENT HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. PRC CONDUCTED A RANDOM SAMPLE OF LANDLINE AND CELL PHONE INTERVIEWS WITH FLATHEAD COUNTY RESIDENTS. THE SAMPLE SIZE WAS 400 INDIVIDUALS AGE 18 AND OLDER IN FLATHEAD COUNTY. PRC ALSO CONDUCTED AN ONLINE KEY INFORMANT SURVEY WHERE THEY SOLICITED INPUT FROM KEY INFORMANTS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. KEY INFORMANTS CONSISTED OF COMMUNITY LEADERS WHO PROVIDE HEALTH, SOCIAL OR CHILD EDUCATION SERVICES TO FLATHEAD COUNTY RESIDENTS. KEY INFORMANTS WERE CONTACTED BY EMAIL INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 18 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGHOUT THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: LOGAN HEALTH - WHITEFISH KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT AND FLATHEAD COMMUNITY HEALTH CENTER KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: AS A RESULT OF THE RESEARCH AND RECOMMENDATIONS THAT APPEAR IN THE FLATHEAD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2021 AND FURTHER EXPLORATION WITH KALISPELL REGIONAL MEDICAL CENTER (KRMC) ADMINISTRATORS, MEDICAL STAFF AND BOARD OF TRUSTEES, THE FOLLOWING STRATEGIES, ADOPTED BY THE LOGAN HEALTH - WHITEFISH BOARD OF DIRECTORS ON DECEMBER 12, 2021 AND BY THE LOGAN HEALTH BOARD OF TRUSTEES ON FEBRUARY 10, 2022, WILL GUIDE KRMC'S LEADERSHIP IN ADDRESSING THE COMMUNITY'S IDENTIFIED HEALTH NEEDS OVER THE NEXT THREE YEARS.1. MENTAL HEALTH AND SUBSTANCE ABUSE. KRMC IS COMMITTED TO CONTINUING THE PROVISION OF MENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES. TO AUGMENT THESE SERVICES, KRMC WILL: A. ALCOHOL AND TOBACCO USE. IMPLEMENT TOBACCO SCREENING FOR VERY INPATIENT AND OUTPATIENT, DEVELOP A CARE PATHWAY FOR EDUCATION AND SUPPORT OF PATIENTS WHO USE ALCOHOL OR TOBACCO, EDUCATE PROVIDERS AND IMPLEMENT SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT FOR EVERY PATIENT, DEVELOP REGISTRIES FOR CARE COORDINATORS TO DO OUTREACH AND FOLLOW-UP ON PRESCRIBED PROGRAMS, AND PROVIDE EDUCATION AND COMMUNICATION AROUND TOBACCO-FREE CAMPUS. B. OPIOID USE AND MEDICATION ASSISTED THERAPY. WORK TO IMPLEMENT SYSTEM-WIDE OPIOID POLICY, WHICH INCLUDES PATIENT CONTRACTS TO ASSURE PATIENT SAFETY, EDUCATION, MONITORING, COMPLIANCE AND MONITORING OF OPIOID UTILIZATION, CONDUCT PROVIDER EDUCATION AROUND PRESCRIBING PRACTICES, INCLUDE PHYSICAL AND OCCUPATIONAL THERAPY IN TREATMENT PLAN, IMPROVE ACCESS TO MEDICATION ASSISTED TREATMENT & ASSOCIATED OPIOID TREATMENT MODALITIES, DEVELOP COMMUNITY COMMUNICATIONS ON THE SCOPE AND IMPACT OF THE OPIOID EPIDEMIC. C. SUICIDE PREVENTION. IMPLEMENT PHQ9 DEPRESSION SCREENING FOR INPATIENTS AND AMBULATORY OUTPATIENTS, DEVELOP SYSTEMATIC PATHWAY TO CONNECT PATIENTS WITH SUPPORT AND SERVICES THEY NEED, AND INCREASE COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT PATIENT NEEDS. 2. CHRONIC DISEASE MANAGEMENT AND PREVENTION. KRMC HAS INVESTED AND WILL CONTINUE TO INVEST IN MANY PROGRAMS AND SERVICES TO TREAT SOME OF THE MOST PREVALENT CAUSES OF DEATH IN OUR COUNTY. TO AUGMENT THESE SERVICES, KRMC WILL: A. RESPIRATORY DISEASE. EDUCATE PRIMARY CARE PROVIDERS WITHIN LOGAN HEALTH NETWORK ON USE OF LOW DOSE CT SCAN FOR LUNG CANCER SCREENING, INCREASE SLEEP APNEA SCREENING, EXPAND ASTHMA EDUCATION PROGRAM TO OUTPATIENT CLINICS, DEVELOP CARE REGISTRIES OF OUTREACH SERVICES. B. CANCER. PROVIDE CLASSES SUCH AS COOKING FOR WELLNESS AND ADVANCE CARE TO YOUTH AND ADULTS AFFECTED BY CANCER. C. HEART DISEASE. STANDARDIZE HYPERTENSION SCREENING WITHIN NETWORK CLINCIAL SETTINGS, IN CONJUNCTION WITH THE HEALTH MEASURES PROGRAM IMPLEMENT A PROGRAM FOR FOLLOW UP OF ABNORMAL FINDINGS, AND OFFER COMMUNITY EVENTS TO INCREASE ENGAGEMENT. D. DIABETES. DEVELOP CROSS CONTINUUM DIABETES SCREENING STRATEGIES PER AMERICAN DIABETES ASSOCIATION CRITERIA IN AMBULATORY, INPATIENT AND COMMUNITY SETTINGS, BUILD STRONGER/MORE ENGAGED COMMUNITY DIABETES ADVISORY COMMITTEE, CREATE A PRIMARY CARE DIABETES PATHWAY TO CONNECT PATIENTS WITH DIABETES TO SUPPORT AND RESORCES THEY NEED. 3. ACCESS TO CARE. ASSISTING PATIENTS IN NAVIGATING LOGAN HEALTH IS A PRIORITY FOR THE ORGANIZATION. TO AUGMENT THESE SERVICES, KRMC WILL: A. EXPAND NUMBER OF PRIMARY AND SPECIALTY CARE PROVIDERS. DEVELOP A HEALTHCARE ACCESS COMMITTEE, IDENTIFY STANDARD FOR APPROPRIATE PANEL SIZE FOR PRIMARY CARE PROVIDERS AND EXPAND RELATIONSHIP WITH WESTERN MONTANA FAMILY MEDICINE RESIDENCY PROGRAM. B. HEALTH INSURANCE AND AFFORDABLE CARE. SUPPORT CONTINUED FOR MEDICAID EXPANSION COVERAGE AND APPROPRIATE FUNDING LEVELS, WORK WITH EMPLOYERS AND PAYERS TO ESTABLISH INNOVATIVE, RURAL VALUE-BASED PAYMENT MODELS. C. ORAL HEALTH CARE. REFER ORAL HEALTH NEEDS FOR UNDERSERVED COMMUNITY MEMBERS TO ORGANIZATIONS OFFERING FREE OR DISCOUNTED ORAL HEALTH SERVICES.D. APPROPRIATE USE OF THE EMERGENCY ROOM. DEVELOP EDUCATIONAL MATERIALS FOR PROVIDERS, STAFF, PATIENTS AND THEIR FAMILIES AROUND APPROPRIATE ACCESS TO POINTS OF CARE, AND SUPPORT MEDICAID EXPANSION EFFORTS. E. LOCATIONS AND HOURS OF SERVICE. EVALUATE APPROPRIATE LOCATION OF SERVICES BASED ON PATIENT EXPERIENCE AND ACCESS NEEDS. 4. SOCIAL DETERMINANTS OF HEALTH. KRMC RECOGNIZES THE IMPORTANCE OF HEALTH AND WELLBEING FOR COMMUNITY MEMBERS AND THE NEED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. TO AUGMENT THESE SERVICES KRMC WILL: A. POVERTY. SUPPORT SHEPHERD'S HAND FREE CLINIC (MEDICAL AND DENTAL). B. HOUSING. DEVELOP A TASK FORCE FOR APPLICATION AND MANAGEMENT OF THE MONTANA HEALTHCARE FOUNDATION'S "HOUSING AS HEALTHCARE" PLANNING GRANT. C. TRANSPORTATION. EXPLORE OPPORTUNITIES TO SUPPORT GROWTH FOR EAGLE TRANSIT, ASSESS FEASIBILITY OF UBERHEALTH ADOPTION OR SIMILAR PORGRAM THAT MAY BE SUPPORTED BY LOGAN HEALTH, SUPPORT ASSIST PROGRAM IN COORDINATING SPECIFIC CLINIC DAYS WITH LOGAN HEALTH CLINICS TO MAXIMIZE RIDE SHARES, INVESTIGATE FEASIBILITY OF PARTNERSHIP WITH MT DPHHS AND LOCAL EMS TO APPLY FOR GRANT FUNDING TO PILOT OR SUPPORT GROWTH OF EMS AS COMMUNITY HEALTH WORKER. D. FOOD INSECURITY. HOST QUARTERLY FOOD DRIVES TO RAISE FOOD FOR LOCAL FOOD BANKS, INITIATE CONVERSATIONS WITH REGIONAL GROWERS TO HOST FARMERS MARKET AT LOGAN HEALTH HOSPITALS ON A WEEKLY BASIS, AND CREATE A FOOD ACCESS TASK FORCE. E. BUILT ENVIRONMENT. SUPPORT PRIVATE AND PUBLIC DEVELOPMENT INITIATIVES CREATING ACTIVE TRANSPORTATION AVAILABLE IN ALL FLATHEAD COUNTY COMMUNITIES, CONTINUE GOAL DEVELOPMENT TO IMPROVE PEDESTRIAN MOVEMENT ON THE LOGAN HEALTH AND KALISPELL REGIONAL MEDICAL CENTER CAMPUSES.KRMC WILL SUPPORT INCREASING COMMUNITY RESILIENCE AND TO AUGMENT THESE SERVICES KRMC WILL: A. TRAUMA INFORMED CARE. CREATE CONSISTENT EDUCATION FOR PROVIDERS AND CARE GIVERS REGARDING TRAUMA, IDENTIFY MEDICAL EXAMS AND PROCEDURES THAT EXACERBATE TRAUMA AND APPROACH PATIENTS FROM A CULTURE OF SAFETY, EMPOWERMENT AND HEALING, ADN USE COMMUNITY EVENTS AS AVENUES FOR EDUCATION AND AWARENESS. B. ACCESS TO NON-CLINICAL SERVICES. COMMUNITY RESOURCE PARTNERS WILL ASSIST PEOPLE IN THEIR HOMES TO CONNECT THEM TO COMMUNITY RESOURCES TO HELP THEM REGAIN THEIR HEALTH AND INDEPENDENCE. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FPG CRITERIA BUT WHOSE SELF-PAY BALANCE EXCEEDS $75,000 ARE SEPARATELY CONSIDERED FOR FINANCIAL ASSISTANCE BASED ON INDIVIDUAL CIRCUMSTANCES. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: - THE PATIENT'S SELF-PAY BALANCE EXCEEDS $75,000.- PROOF OF CURRENT ELIGIBILITY IN A QUALIFYING STATE OR FEDERAL NEED-BASED ASSISTANCE PROGRAM SUCH AS SNAP OR WIC- ELIGIBILITY DETERMINATIONS FROM APPROVED CHARITABLE ENTITIES AND FOUNDATIONS, SUCH AS SHEPHERD'S HAND FREE CLINIC- VALIDATED PATIENT HOMELESSNESS KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 24: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE OR NON-INSURED STATUS. AN ADJUSTMENT IS THEN MADE TO THE CHARGE FOR PATIENTS WHO ARE ELIGIBLE INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C: - THE PATIENT'S SELF-PAY BALANCE EXCEEDS $75,000.- PROOF OF CURRENT ELIGIBILITY IN A QUALIFYING STATE OR FEDERAL NEED-BASED ASSISTANCE PROGRAM SUCH AS SNAP OR WIC- ELIGIBILITY DETERMINATIONS FROM APPROVED CHARITABLE ENTITIES AND FOUNDATIONS, SUCH AS SHEPHERD'S HAND FREE CLINIC- VALIDATED PATIENT HOMELESSNESS PART I, LINE 7: INTERNAL FINANCIAL REPORTS WERE UTILIZED FOR THE ENTIRE TABLE. THE FINANCIAL REPORTS COVER ALL PATIENT SEGMENTS. PART I, LN 7 COL(F): TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $14,185,176. PART II, COMMUNITY BUILDING ACTIVITIES: KALISPELL REGIONAL MEDICAL CENTER PROVIDES FUNDING TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, KALISPELL REGIONAL MEDICAL CENTER IS ACTIVELY INVOLVED IN THE KALISPELL CHAMBER OF COMMERCE AND OTHER ORGANIZATIONS FOR THE PURPOSES OF ECONOMIC DEVELOPMENT. KRMC PROVIDES FURTHER DONATIONS TO BENEFIT THE BROADER COMMUNITY. PART III, LINE 2: CALCULATED BAD DEBT AT COST USING COST TO CHARGE RATIO TO PREPARE THE FORM 990. PART III, LINE 4: BAD DEBT EXPENSE IS BASED ON ACTUAL WRITE-OFFS OF PATIENT CHARGES AS WELL AS AN ESTIMATE FOR OUTSTANDING A/R BASED ON HISTORICAL COLLECTION TRENDS FOR SIMILAR INSURED AND UNINSURED ACCOUNTS. PROVISION FOR BAD DEBTS: THE HOSPITAL PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AN AMOUNT THAT COULD BECOME UNCOLLECTIBLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON THE UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN ON COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND HAVE AN IMPACT ON THE ESTIMATION PROCESS.THE FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED ON PAGES 11 THROUGH 17 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS. PART III, LINE 8: COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FORM 990. MEDICARE TOTALS PROVIDED EXCLUDE AMOUNTS REPORTED UNDER COMMUNITY BENEFIT PROGRAMS. THE ORGANIZATION PROVIDES CARE TO THE ELDERLY AND DISABLED AT A REDUCED REIMBURSEMENT TO ENSURE ALL OF THE COMMUNITY MEMBERS IN NORTHWEST MONTANA RECEIVE GOOD QUALITY HEALTHCARE REGARDLESS OF AGE, DISABILITY, OR MEANS. PART VI, LINE 2: KALISPELL REGIONAL MEDICAL CENTER IDENTIFIES NEEDS THROUGHOUT THE COMMUNITY BY UTILIZING COMMUNITY REPRESENTATIVES ON KALISPELL REGIONAL MEDICAL CENTER GOVERNANCE BOARDS, SOLICITATION OF IDEAS FROM COMMUNITY LEADERS AND OTHER MEMBERS VIA THE MEDIA AND OTHER FORMS OF COMMUNICATION, AND KEY STAFF AIDING IN IDENTIFYING HEALTH CARE SERVICE AREA SHORTAGES. KALISPELL REGIONAL MEDICAL CENTER MAINTAINS A CLOSE RELATIONSHIP TO THE COMMUNITY BY PROVIDING INFORMATION AND EDUCATION ABOUT UPCOMING HEALTH CARE ISSUES OR CHANGES AT KALISPELL REGIONAL MEDICAL CENTER AND SOLICITS FEEDBACK FROM THE COMMUNITY. ONCE NEEDS ARE IDENTIFIED, THE KALISPELL REGIONAL MEDICAL CENTER BOARD AND ADMINISTRATION WORK TO PRIORITIZE NEEDS BASED UPON THE MISSION AND VALUES OF KALISPELL REGIONAL MEDICAL CENTER. PART VI, LINE 3: KALISPELL REGIONAL MEDICAL CENTER DISPLAYS ITS FINANCIAL ASSISTANCE POLICY (FAP) ON ITS WEBSITE. FAP IS DISCUSSED AND INCLUDED IN THE PATIENT SERVICE AGREEMENT SIGNED BY THE PATIENT AT THE TIME OF THEIR SERVICE. THROUGH VARIOUS COMMUNICATION CHANNELS, KRMC NOTIFIED THE COMMUNITY OF OUR FAP AND THE ELIGIBILITY REQUIREMENTS. PART VI, LINE 4: KALISPELL REGIONAL MEDICAL CENTER IS A SOLE COMMUNITY MEDICARE HOSPITAL IN NORTHWEST MONTANA. KALISPELL REGIONAL MEDICAL CENTER SERVES PATIENTS IN A LARGE GEOGRAPHIC AREA, THAT COVERS ALL OF NORTHWESTERN MONTANA, PARTS OF NORTHEASTERN IDAHO AND AREAS OF CENTRAL MONTANA. KALISPELL REGIONAL MEDICAL CENTER SERVES ALL PATIENTS REGARDLESS OF THEIR INCOME AND REGARDLESS OF THEIR PAYER. IN FLATHEAD COUNTY, 9.5% OF THE RESIDENTS LIVE AT OR BELOW 100% OF FEDERAL POVERTY LEVELS. PART VI, LINE 5: THIS WAS ANSWERED BY QUESTION 2 INFORMATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 BENJAMIN WARD MD PHYSICIAN 1092162 0 127446 0 85950 0 10000 0 14092 0 1329650 0 0 0 CRAIG LAMBRECHT MD PRESIDENT & CEO 935387 0 323967 0 0 0 43400 0 15179 0 1317933 0 0 0 TIMOTHY JOYCE MD PHYSICIAN 784889 0 69776 0 65404 0 9952 0 15754 0 945775 0 0 0 KAREN PERSER MD TRUSTEE 797340 0 31967 0 88016 0 10000 0 10389 0 937712 0 0 0 KIM STIMPSON MD PHYSICIAN 811910 0 90268 0 9471 0 10000 0 10352 0 932001 0 0 0 MARK MAGILL MD PHYSICIAN 747867 0 75452 0 81773 0 10000 0 15042 0 930134 0 0 0 JOSHUA KRASS MD PHYSICIAN 844336 0 500 0 54336 0 10000 0 9006 0 918178 0 0 0 CRAIG BOYER CHIEF FINANCIAL OFFICER 458868 0 146628 0 0 0 43400 0 14014 0 662910 0 0 0 ANTHONY DAL NOGARE MD TRUSTEE 444239 0 0 0 54586 0 10000 0 15716 0 524541 0 0 0 COURTNEY STOUT PATERSON MD TRUSTEE 267469 0 16692 0 14658 0 10000 0 14092 0 322911 0 0 0 PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL - KRMC ONLY PROVIDES FIRST CLASS TRAVEL PAID WITH POINTS. CHARTER TRAVEL IS UTILIZED FOR THESE INDIVIDUALS WHEN A GROUP IS FLYING TOGETHER TO A CONFERENCE OR MEETING AND IT IS LESS EXPENSIVE THAN FLYING COMMERCIAL OR NO COMMERCIAL FLIGHT IS AVAILABLE. THIS WAS NOT INCLUDED AS TAXABLE COMPENSATION AS IT WAS BUSINESS RELATED. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $26,000 FOR 2021. THIS AMOUNT IS GROSSED-UP TO TAKE CARE OF THE APPLICABLE TAXES. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CNO, CMO, COO, CAO, GENERAL COUNSEL, AND THE HEALTHCENTER CEO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE MEMBERS OF KRMC'S ADMINISTRATIVE TEAM RECEIVE A FREE MEMBERSHIP TO THE SUMMIT MEDICAL FITNESS CENTER, AN AFFILIATED ORGANIZATION. PART I, LINES 4A-B SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $26,000 FOR 2021. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CNO, CMO, COO, CAO, GENERAL COUNSEL, AND THE HEALTHCENTER CEO. PART I, LINE 7 BONUS PLANS ADMIN AND MGMT-BASED ON A NUMBER OF FACTORS INCLUDING BUT NOT LIMITED TO: QUALITY AND FINANCIAL INDICATORS INCLUDING DEPARTMENT SPECIFIC GOALS AND INITIATIVES, PATIENT SATISFACTION, PRODUCTIVITY, EMPLOYEE SATISFACTION, AND EMPLOYEE EVALUATION TIMELINESS. SUCCESSFUL IMPLEMENTATION OF COMPANY FISCAL YEAR ACTION PLANS AND THE OVERALL FINANCIAL HEALTH AND STABILITY OF THE ORGANIZATION. A MONTANA FACILITY FINANCE AUTHORITY 364615156 2018-09-28 92138400 CAPITAL EXPENDITURES AND REFUND PRIVATE ISSUE BONDS 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 364615156 2021-06-01 71240000 REFINANCE EXISTING LOANS 0 0 0 A 93022000 5758214 1327293 70285943 15650550 2019 1 0 1 1 B 71240000 70631064 608966 2021 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 0 B 0 PART II, LINE 11 OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001. J2 BUSINESS PRODUCTS ENTITY OWNED MORE THAN 35% BY JOHN FLINK, CURRENT TRUSTEE 931414 SALE OF ASSETS 0 SYDNEY LILLARD FAMILY MEMBER OF KAREN PERSER, CURRENT OFFICER 378347 EMPLOYMENT 0 TOBIN HOPPES FAMILY MEMBER OF TYLER HOPPES, CURRENT OFFICER 346380 EMPLOYMENT 0 CHARLES LUDDEN CURRENT TRUSTEE 109094 RENTAL OF PROPERTY 0 RACHAEL ALSBURY FAMILY MEMBER OF TOM RAY, CURRENT TRUSTEE 54553 EMPLOYMENT 0 TABATHA LAMBRECHT FAMILY MEMBER OF CRAIG LAMBRECHT, CURRENT OFFICER 17507 EMPLOYMENT 0 DAVID HABEL FAMILY MEMBER OF ELIZABETH SCHILLING, CURRENT TRUSTEE 288525 0 X EQUIPMENT 5 206250 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, LOGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. SIGNIFICANT DECISIONS INCLUDE CHANGES TO THE BOARD OF DIRECTORS, CONFIRMATION OF THE ANNUAL BUDGETS, ENTERING INTO LARGE CONTRACTS, AND REORGANIZATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. SIGNIFICANT DECISIONS INCLUDE CHANGES TO THE BOARD OF DIRECTORS, CONFIRMATION OF THE ANNUAL BUDGETS, ENTERING INTO LARGE CONTRACTS, AND REORGANIZATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING FORM 990, THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR FINANCE TEAM DELEGATE MADE A COPY OF THE RETURN AVAILABLE FOR REVIEW BY EMAIL, PORTAL OR IN PERSON. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICE REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY. FORM 990, PART VI, SECTION B, LINE 15 KALISPELL REGIONAL HEALTHCARE SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY KALISPELL REGIONAL HEALTHCARE SYSTEM'S BOARD OF DIRECTORS. THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THE BOARD CONSIDERS THESE REPORTS AND DETERMINES THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD EMBRACES THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL FAVORING RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN A RIGOROUS ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD ALSO REVIEWS PERFORMANCE TARGETS, WHICH ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION. THESE MEASURES INCLUDE ORGANIZATIONAL AND INDIVIDUAL GOALS, EFFORTS TO FURTHER THE MISSION AND VISION OF KALISPELL REGIONAL HEALTHCARE SYSTEM, QUALITY INDICATORS, CUSTOMER/PATIENT SATISFACTION, AND FINANCIAL PERFORMANCE OBJECTIVES. THE BOARD REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. FORM 990, PART VI, SECTION C, LINE 19 ONLY FORM 990 IS AVAILABLE. FORM 990, PART VII, SECTION A, COLUMN (B) - AVERAGE HOURS PER WEEK THE OFFICERS OF KALISPELL REGIONAL MEDICAL CENTER DIVIDE THEIR TIME AMONG THE OTHER RELATED ENTITIES FOR WHICH THEY ARE ALSO OFFICERS. THEIR TOTAL AVERAGE WEEKLY HOURS DEVOTED TO ALL OF THE ENTITIES IS IN EXCESS OF 50 HOURS. SEVERAL OF THE TRUSTEES WHO ARE PHYSICIANS RECEIVE COMPENSATION FOR MEDICAL SERVICES RENDERED TO THE HOSPITAL. THEIR AVERAGE WEEKLY HOURS DEVOTED TO THE HOSPITAL VARIES. FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFERRED FROM AFFILIATES -63,585,770. ADJUSTMENT FOR FOUNDATION ACTIVITY 1,251,470. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY -13,384. NET CHANGE IN RESTRICTED ASSETS 2,059,286. 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