KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
Tax period: 2018-04-01 to 2019-03-31
Filed: 2020-02-16
IRS object ID: 202020479349300902
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-02-16T11:43:17-06:00	ReturnTs
Tax Period End	2019-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	810497523	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JORDAHL & SLITER PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8600	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	599041600	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237293874	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KALISPELL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	KALI	BusinessNameControlTxt
Phone	4067525111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 SUNNYVIEW LANE	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CRAIG BOYER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4067521724	PhoneNum
Signature	2020-02-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JUSTIN P SLITER	PreparerPersonNm
PTIN	P00188996	PTIN
Phone	4067521040	PhoneNum
Preparation	2020-02-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.123.199.66	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-02-16	IPDt
IP Tm	11:43:11	IPTm
IP Timezone	MS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F4B8CB3629F824B943BB53D5E82075997E5C3089	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CRAIG BOYER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 SUNNYVIEW LANE	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$462,327,629	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KRH.ORG/KRMC	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	PROVIDE ACUTE HOSPITAL CARE	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	3394	TotalEmployeeCnt
Total Volunteers	158	TotalVolunteersCnt
Total Gross UBI	$381,229	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,694,308	PYContributionsGrantsAmt
CY Contributions Grants	$4,997,583	CYContributionsGrantsAmt
PY Program Service Revenue	$412,111,030	PYProgramServiceRevenueAmt
CY Program Service Revenue	$426,081,684	CYProgramServiceRevenueAmt
PY Investment Income	$10,194,349	PYInvestmentIncomeAmt
CY Investment Income	$2,334,502	CYInvestmentIncomeAmt
PY Other Revenue	$3,033,422	PYOtherRevenueAmt
CY Other Revenue	$5,106,892	CYOtherRevenueAmt
PY Total Revenue	$431,033,109	PYTotalRevenueAmt
CY Total Revenue	$438,520,661	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$239,132,795	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$238,866,670	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$214,477,358	PYOtherExpensesAmt
CY Other Expenses	$178,057,324	CYOtherExpensesAmt
PY Total Expenses	$453,610,153	PYTotalExpensesAmt
CY Total Expenses	$416,923,994	CYTotalExpensesAmt
PY Revenues Less Expenses	-$22,577,044	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,596,667	CYRevenuesLessExpensesAmt
Total Assets BOY	$367,734,976	TotalAssetsBOYAmt
Total Assets EOY	$403,650,957	TotalAssetsEOYAmt
Total Liabilities BOY	$221,968,512	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$237,586,380	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,766,464	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$166,064,577	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDE ACUTE HOSPITAL CARE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$364,177,287	ExpenseAmt
Revenue	$425,700,455	RevenueAmt
Desc	OPERATION OF REGIONAL ACUTE CARE HOSPITAL.	Desc
Total Program Service Expenses	$364,177,287	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	350	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3394	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CRAIG BOYER	PersonNm
Phone	4067515368	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 SUNNYVIEW LANE	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59901	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BARBRA BENNETT
TRUSTEE	1.00	Yes (X)	$0	$0	$0
TODD BERGLAND MD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
PETER FISHER MD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
JOHN FLINK
TRUSTEE	1.00	Yes (X)	$0	$0	$0
CHRISTOPHER GILL MD
TRUSTEE	49.00	Yes (X)	$365,978	$0	$25,182	1.00
MICHAEL GOGUEN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
CHARLES GRENIER
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MARCIA JOHNSON
TRUSTEE	1.00	Yes (X)	$932	$0	$0
CHARLES LUDDEN MD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
CURTIS LUND
TRUSTEE	1.00	Yes (X)	$1,431	$0	$0
HENRY RICKLEFS
TRUSTEE	1.00	Yes (X)	$0	$0	$0
DENNIS SABO
TRUSTEE	1.00	Yes (X)	$1,431	$0	$0
ELIZABETH SCHILLING MD
TRUSTEE	49.00	Yes (X)	$26,434	$0	$0	1.00
JAMES STRAINER
TRUSTEE	1.00	Yes (X)	$0	$0	$0
CARL TINLIN DO
TRUSTEE	1.00	Yes (X)	$4,918	$0	$0
BOB WHITE
TRUSTEE	1.00	Yes (X)	$1,646	$0	$0
CRAIG LAMBRECHT MD
PRESIDENT & CHIEF EXECUTIVE OFFICER	22.50	Yes (X)	$4,742	$0	$0	27.50	Yes (X)
PAMELA ROBERTSON
PRESIDENT	0.00	Yes (X)	$1,119,552	$0	$13,347	50.00	Yes (X)
TERESA FISHER
CHIEF NURSING OFFICER	49.00		$182,102	$0	$9,222	1.00	Yes (X)
WILLIAM GIBSON
GENERAL COUNSEL	17.50		$395,410	$0	$42,949	32.50	Yes (X)
KAREN LEE
CHIEF NURSING OFFICER	40.00		$314,504	$0	$29,928	10.00	Yes (X)
DOUG NELSON MD
CHIEF MEDICAL OFFICER	12.50		$389,209	$0	$30,304	37.50	Yes (X)
JASON SPRING
CHIEF STRATEGY OFFICER	49.00		$384,984	$0	$59,852	1.00	Yes (X)
TRACEY TALLEY
INTERIM CEO/CFO	49.00		$111,014	$0	$0	1.00	Yes (X)
DEBORAH WILSON
CHIEF OPERATING OFFICER	34.50		$415,041	$0	$36,675	15.50	Yes (X)
TATE KREITINGER
THE HEALTHCENTER CEO	20.00		$0	$386,858	$33,816	30.00		Yes (X)
PHILLIP JAFFE MD
PHYSICIAN	50.00		$768,880	$0	$30,954				Yes (X)
DREW KIRSHNER MD
PHYSICIAN	50.00		$840,925	$0	$30,954				Yes (X)
THOMAS ORIGITANO MD
PHYSICIAN	50.00		$928,091	$0	$25,046				Yes (X)
FEDERICO SEIFARTH MD
PHYSICIAN	50.00		$925,450	$0	$31,364				Yes (X)
JOSEPH SRAMEK MD
PHYSICIAN	50.00		$821,688	$0	$30,904				Yes (X)
JEROME T PATTERSON
FORMER CAO & GENERAL COUNSEL	0.00		$116,389	$0	$12,003					Yes (X)
CHARLES PEARCE
FORMER CFO & CIO	0.00		$0	$288,719	$6,633					Yes (X)
PATRICK RANKIN MD
FORMER CHIEF PHYSICIAN EXECUTIVE	0.00		$450,000	$0	$0					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,570,751	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$675,577	TotReportableCompRltdOrgAmt
Total Other Compensation	$449,133	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	330	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SILVER TIP EMERGENCY PHYSICIANS
202 CONWAY DRIVE	KALISPELL	MT	59901	EMERGENCY ROOM PHYSICIANS	$3,607,772
THOMAS MANAGEMENT LLC
700 E FRANKLIN ROAD	MERIDIAN	ID	83642	FOOD SERVICE	$2,963,291
NORTHERN ROCKIES ANESTHESIA CONSULTANTS
PO BOX 24823	SEATTLE	WA	98124	ANESTHESIA SERVICES	$2,146,984
LAW OFFICES OF BRYAN VROON LLC
1380 WEST PACES FERRY ROAD SUITE 2	ATLANTA	GA	30327	LEGAL SERVICES	$800,000
NORTHWEST IMAGING
PO BOX 9110	KALISPELL	MT	59901	IMAGING SERVICES	$786,812

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Government Grants	$98,054	GovernmentGrantsAmt
All Other Contributions	$4,899,529	AllOtherContributionsAmt
Noncash Contributions	$27,879	NoncashContributionsAmt
Total Contributions	$4,997,583	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICE REVENUE	621990	$403,352,693	$402,971,464	$381,229
PARTNERSHIP INCOME	621990	$6,011,723	$6,011,723
COMPREHENSIVE PRIMARY CARE REVENU	900099	$4,903,205	$4,903,205
OUTREACH PROGRAMS	621990	$1,103,521	$1,103,521

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,710,542	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,710,542	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$426,081,684	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,924,183	TotalRevenueColumnAmt
Exclusion	$1,924,183	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$356,938	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$356,938	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$356,938	TotalRevenueColumnAmt
Exclusion	$356,938	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,116,888	SecuritiesAmt
Other	$100,399	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,720,960	SecuritiesAmt
Other	$86,008	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$395,928	SecuritiesAmt
Other	$14,391	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$410,319	TotalRevenueColumnAmt
Exclusion	$410,319	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CHILD CARE	624410	$1,980,991	$1,980,991
MISC. REVENUE	900099	$1,765,795	$1,765,795
CAFETERIA	722210	$1,003,168	$1,003,168

Field	Value	IRS element (for citing)
Other Revenue Total	$4,749,954	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$438,520,661	TotalRevenueColumnAmt
Related Or Exempt Func Income	$425,700,455	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$381,229	UnrelatedBusinessRevenueAmt
Exclusion	$7,441,394	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,763,847	TotalAmt
Program Services	$802,942	ProgramServicesAmt
Management And General	$1,960,905	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$189,944,563	TotalAmt
Program Services	$168,077,669	ProgramServicesAmt
Management And General	$21,866,894	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,032,084	TotalAmt
Program Services	$5,615,553	ProgramServicesAmt
Management And General	$1,416,531	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,643,845	TotalAmt
Program Services	$23,658,303	ProgramServicesAmt
Management And General	$3,985,542	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,482,331	TotalAmt
Program Services	$10,054,660	ProgramServicesAmt
Management And General	$1,427,671	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$502,742	TotalAmt
Program Services	$161	ProgramServicesAmt
Management And General	$502,581	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$103,876	TotalAmt
Program Services	$13,712	ProgramServicesAmt
Management And General	$90,164	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,056,638	TotalAmt
Program Services	$12,603,715	ProgramServicesAmt
Management And General	$2,452,923	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,335,560	TotalAmt
Program Services	$402,966	ProgramServicesAmt
Management And General	$932,594	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,704,814	TotalAmt
Program Services	$2,112,989	ProgramServicesAmt
Management And General	$1,591,825	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,904,611	TotalAmt
Program Services	$15,047,818	ProgramServicesAmt
Management And General	$4,856,793	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,645,434	TotalAmt
Program Services	$1,240,553	ProgramServicesAmt
Management And General	$404,881	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,762,986	TotalAmt
Program Services	$3,762,986	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,215,070	TotalAmt
Program Services	$15,768,015	ProgramServicesAmt
Management And General	$4,447,055	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,973,061	TotalAmt
Program Services	$943,342	ProgramServicesAmt
Management And General	$1,029,719	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$77,920,585	$77,548,423	$372,162
PURCHASED SERVICES	$19,025,135	$15,553,622	$3,471,513
BAD DEBTS	$5,538,164	$5,538,164
OTHER	$5,403,317	$4,603,794	$799,523

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,965,331	TotalAmt
Program Services	$827,900	ProgramServicesAmt
Management And General	$1,137,431	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$416,923,994	TotalAmt
Program Services	$364,177,287	ProgramServicesAmt
Management And General	$52,746,707	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,862,636	BOYAmt
EOY	$40,168,074	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$70,850,440	BOYAmt
EOY	$67,723,290	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,388,432	BOYAmt
EOY	$1,613,168	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$51,277,476	BOYAmt
EOY	$46,193,046	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,208,733	BOYAmt
EOY	$2,461,028	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,691,963	BOYAmt
EOY	$10,647,370	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,296,234	BOYAmt
EOY	$6,211,783	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$370,436,892	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$191,692,438	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,593,510	BOYAmt
EOY	$178,744,454	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,461,797	BOYAmt
EOY	$2,289,359	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,103,755	BOYAmt
EOY	$47,599,385	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$367,734,976	BOYAmt
EOY	$403,650,957	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$68,971,927	BOYAmt
EOY	$59,425,368	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,437,023	BOYAmt
EOY	$146,302,113	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,594,858	BOYAmt
EOY	$10,718,500	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,135,615	BOYAmt
EOY	$1,213,740	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,829,089	BOYAmt
EOY	$19,926,659	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$221,968,512	BOYAmt
EOY	$237,586,380	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$134,064,545	BOYAmt
EOY	$93,714,488	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,550,517	BOYAmt
EOY	$63,575,905	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,151,402	BOYAmt
EOY	$8,774,184	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$145,766,464	BOYAmt
EOY	$166,064,577	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$367,734,976	BOYAmt
EOY	$403,650,957	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,596,667	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,416,867	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,715,421	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$6,804	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$170,978	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$177,782	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	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, AND TO SUPPORT BALLOT INITIATIVE I-185, THE TOBACCO TAX. EXPENDITURES INCLUDED CONSULTANT, STAFF TIME AND A PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,701,919	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$125,311	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,802,424	OtherExpendituresAmt
End Year Balance	$8,774,184	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,853,938	BeginningYearBalanceAmt
Investment Earnings Or Losses	$23,197	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,175,216	OtherExpendituresAmt
End Year Balance	$11,701,919	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,825,002	BeginningYearBalanceAmt
Investment Earnings Or Losses	$41,169	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,012,233	OtherExpendituresAmt
End Year Balance	$12,853,938	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,762,176	BeginningYearBalanceAmt
Contributions	$2,101,663	ContributionsAmt
Investment Earnings Or Losses	-$38,837	InvestmentEarningsOrLossesAmt
End Year Balance	$13,825,002	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,430,537	BeginningYearBalanceAmt
Contributions	$2,460,359	ContributionsAmt
Investment Earnings Or Losses	-$128,719	InvestmentEarningsOrLossesAmt
End Year Balance	$11,762,176	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.47430	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.52570	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$432,387	OtherCostOrOtherBasisAmt
Book Value	$432,387	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$183,961,924	OtherCostOrOtherBasisAmt
Depreciation	$102,620,272	DepreciationAmt
Book Value	$81,341,652	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,785,739	OtherCostOrOtherBasisAmt
Depreciation	$89,072,166	DepreciationAmt
Book Value	$41,713,573	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,256,842	OtherCostOrOtherBasisAmt
Book Value	$55,256,842	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$178,744,454	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
FUNDS HELD BY TRUSTEE	$4,100,649
ASSIST ASSETS	$437,329
ESTIMATED INSURANCE RECOVERIES	$2,711,000
OTHER ASSETS	$40,350,407

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$47,599,385	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PAYABLE TO CONTRACTUAL AGENCIES	$19,262,689
ACCOUNTS PAYABLE TO AFFILIATES	$663,970

Field	Value	IRS element (for citing)
Total Liability	$19,926,659	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$431,320,897	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,416,867	NetUnrealizedGainsInvstAmt
Other Revenue	$1,821,062	OtherRevenueAmt
Revenue Not Reported	$3,237,929	RevenueNotReportedAmt
Revenue Subtotal	$428,082,968	RevenueSubtotalAmt
Other Revenues Not Included	$10,437,693	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$10,437,693	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$438,520,661	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$412,361,939	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$976,109	OtherExpensesIncludedAmt
Expenses Not Reported	$976,109	ExpensesNotReportedAmt
Expenses Subtotal	$411,385,830	ExpensesSubtotalAmt
Other Expenses Not Included	$5,538,164	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,538,164	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$416,923,994	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	KALISPELL REGIONAL HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS WILL BE DISBURSED ACCORDING TO THE FUND'S DESIGNATED PURPOSE CONSIDERING ANY RESTRICTIONS AND/OR CONDITIONS ON THE FUND. WHERE THERE IS AN UNDESIGNATED ENDOWMENT FUND WITHOUT RESTRICTIONS AND/OR CONDITIONS, THE ORGANIZATION WILL REVIEW REQUESTS FOR FUNDING FROM KALISPELL REGIONAL MEDICAL CENTER, THE SUPPORTED ORGANIZATION, ON A PERIODIC BASIS. HISTORICALLY, ENDOWMENT FUND DISBURSEMENTS HAVE FUNDED EQUIPMENT REQUESTS FROM KALISPELL REGIONAL MEDICAL CENTER.
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 831,016. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 13,937. INCOME RECORDED ON CONSOLIDATED BASIS 976,109.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	SUPPORT FROM AFFILIATED FOUNDATION 4,899,529. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 5,538,164.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES RECORDED ON CONSOLIDATED BASIS 976,109.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE INCLUDED IN NET REVENUES 5,538,164.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,902,507	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,902,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,122,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,389,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,733,892	NetCommunityBenefitExpnsAmt
Total Expense	0.04730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,025,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,389,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,636,399	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,275,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,275,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,999,591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,999,591	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,738,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,387,625	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,350,850	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,013,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,387,625	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,626,268	NetCommunityBenefitExpnsAmt
Total Expense	0.02550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,039,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,776,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,262,667	NetCommunityBenefitExpnsAmt
Total Expense	0.07980	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,266	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,266	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,612	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,612	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$978	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$978	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,872	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$174,872	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,538,164	BadDebtExpenseAmt
Reimbursed By Medicare	$143,266,177	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$179,847,305	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$36,581,128	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 MRICT JOINT OPERATING AGREEMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	IMAGING	PrimaryActivitiesTxt
Org Profit Or Ownership	0.80400	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00630	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.18970	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KALISPELL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 SUNNYVIEW LANE	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59901	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KALISPELL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.KRH.ORG/KRHC/ABOUT	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://WWW.KRH.ORG/NVH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.KRH.ORG/KRHC/ABOUT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.KRH.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.KRH.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.KRH.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
KALISPELL REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: KALISPELL REGIONAL HEALTHCARE SERVICES, NORTH VALLEY HOSPITAL, 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 300 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, 39 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. BETWEEN JUNE AND AUGUST 2018, FEEDBACK ON HEALTH NEEDS WAS GATHERED DURING FOCUS GROUPS FROM 182 LOW INCOME AND SERVICE USERS OF THE FLATHEAD COMMUNITY HEALTH CENTER. FOLLOWING DATA COLLECTION, THE SPONSORS OF THIS STUDY CONVENED A GROUP OF 20 COMMUNITY STAKEHOLDERS TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES BASED ON THE MAGNITUDE OF THE HEALTH ISSUE AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE.
KALISPELL REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: NORTH VALLEY HOSPITAL, WHITEFISH, MT
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 2019 AND FURTHER EXPLORATION WITH KALISPELL REGIONAL MEDICAL CENTER (KRMC) ADMINISTRATORS, MEDICAL STAFF AND BOARD OF TRUSTEES, THE FOLLOWING STRATEGIES, ADOPTED BY THE NORTH VALLEY HOSPITAL BOARD OF DIRECTORS ON JUNE 25, 2019 AND BY THE KALISPELL REGIONAL HEALTHCARE BOARD OF TRUSTEES ON JUNE 27, 2019, 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 KRH 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 KALISPELL REGIONAL HEALTHCARE 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 KRH, SUPPORT ASSIST PROGRAM IN COORDINATING SPECIFIC CLINIC DAYS WITH KRH 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 KRH 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 KRH AND THE HEALTHCENTER CAMPUSES.KRMC WILL SUPPORT INCREASING COMMUNITY RESILIENCE AND TO AUGMENT THESE SERVICES KRMS 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 $100,000 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 $100,000.- 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.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	- THE PATIENT'S SELF-PAY BALANCE EXCEEDS $100,000.- 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 $5,538,164.
PART II, COMMUNITY BUILDING ACTIVITIES:	KRMC PROVIDES FUNDING TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, KRMC 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 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 14 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:	KRMC IDENTIFIES NEEDS THROUGHOUT THE COMMUNITY BY UTILIZING COMMUNITY REPRESENTATIVES ON KRMC 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. KRMC MAINTAINS A CLOSE RELATIONSHIP TO THE COMMUNITY BY PROVIDING INFORMATION AND EDUCATION ABOUT UPCOMING HEALTH CARE ISSUES OR CHANGES AT KRMC AND SOLICITS FEEDBACK FROM THE COMMUNITY. ONCE NEEDS ARE IDENTIFIED, THE KRMC BOARD AND ADMINISTRATION WORK TO PRIORITIZE NEEDS BASED UPON THE MISSION AND VALUES OF KRMC.
PART VI, LINE 3:	KRMC 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:	KRMC IS A SOLE COMMUNITY MEDICARE HOSPITAL IN NORTHWEST MONTANA. KRMC SERVES PATIENTS IN A LARGE GEOGRAPHIC AREA, THAT COVERS ALL OF NORTHWESTERN MONTANA, PARTS OF NORTHEASTERN IDAHO AND AREAS OF CENTRAL MONTANA. KRMC SERVES ALL PATIENTS REGARDLESS OF THEIR INCOME AND REGARDLESS OF THEIR PAYER. IN FLATHEAD COUNTY, 13.8% OF THE RESIDENTS LIVE AT OR BELOW 100% OF FEDERAL POVERTY LEVELS.
PART VI, LINE 5:	THIS WAS ANSWERED BY QUESTION 2 INFORMATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER GILL MD
TRUSTEE	$323,606	$0	$0	$0	$42,372	$0	$5,000	$0	$20,182	$0	$391,160	$0	$0	$0
PAMELA ROBERTSON
PRESIDENT	$641,585	$0	$350,000	$0	$127,967	$0	$0	$0	$13,347	$0	$1,132,899	$0	$0	$0
TERESA FISHER
CHIEF NURSING OFFICER	$167,610	$0	$0	$0	$14,492	$0	$0	$0	$9,222	$0	$191,324	$0	$0	$0
WILLIAM GIBSON
GENERAL COUNSEL	$337,511	$0	$0	$0	$57,899	$0	$16,500	$0	$26,449	$0	$438,359	$0	$0	$0
KAREN LEE
CHIEF NURSING OFFICER	$240,323	$0	$0	$0	$74,181	$0	$16,393	$0	$13,535	$0	$344,432	$0	$0	$0
DOUG NELSON MD
CHIEF MEDICAL OFFICER	$387,504	$0	$0	$0	$1,705	$0	$5,000	$0	$25,304	$0	$419,513	$0	$0	$0
JASON SPRING
CHIEF STRATEGY OFFICER	$286,728	$0	$12,000	$0	$86,256	$0	$33,537	$0	$26,315	$0	$444,836	$0	$0	$0
DEBORAH WILSON
CHIEF OPERATING OFFICER	$332,883	$0	$0	$0	$82,158	$0	$13,232	$0	$23,443	$0	$451,716	$0	$0	$0
TATE KREITINGER
THE HEALTHCENTER CEO	$0	$299,998	$0	$0	$0	$86,860	$0	$7,202	$0	$26,614	$0	$420,674	$0	$0
PHILLIP JAFFE MD
PHYSICIAN	$500,011	$0	$226,644	$0	$42,225	$0	$5,000	$0	$25,954	$0	$799,834	$0	$0	$0
DREW KIRSHNER MD
PHYSICIAN	$680,014	$0	$105,000	$0	$55,911	$0	$5,000	$0	$25,954	$0	$871,879	$0	$0	$0
THOMAS ORIGITANO MD
PHYSICIAN	$781,955	$0	$69,000	$0	$77,136	$0	$5,000	$0	$20,046	$0	$953,137	$0	$0	$0
FEDERICO SEIFARTH MD
PHYSICIAN	$885,450	$0	$40,000	$0	$0	$0	$5,000	$0	$26,364	$0	$956,814	$0	$0	$0
JOSEPH SRAMEK MD
PHYSICIAN	$771,688	$0	$50,000	$0	$0	$0	$5,000	$0	$25,904	$0	$852,592	$0	$0	$0
JEROME T PATTERSON
FORMER CAO & GENERAL COUNSEL	$95,022	$0	$0	$0	$21,367	$0	$6,864	$0	$5,139	$0	$128,392	$0	$0	$0
CHARLES PEARCE
FORMER CFO & CIO	$0	$266,544	$0	$0	$0	$22,175	$0	$0	$0	$6,633	$0	$295,352	$0	$0
PATRICK RANKIN MD
FORMER CHIEF PHYSICIAN EXECUTIVE	$450,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$450,000	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $24,000 FOR 2018. THIS AMOUNT IS GROSSED-UP TO TAKE CARE OF THE APPLICABLE TAXES. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, GENERAL COUNSEL, AND THE HEALTHCENTER CEO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - ALL EXECUTIVE TEAM MEMBERS RECEIVE A FREE MEMBERSHIP TO THE SUMMIT.
PART I, LINES 4A-B	SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $24,000 FOR 2018. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A	364615155	612043XXX	2010-11-01	$57,115,000	REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
B	364615155		2011-08-03	$4,174,486	CAPITAL EXPENDITURES	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
C	364615156		2014-12-13	$17,000,000	CAPITAL EXPENDITURES (MEDICAL TECH, CANCER BLDG, SURGERY TOWER, GEO THERM)	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
D	364615156		2016-02-25	$6,000,000	HEALTH INFORMATION TECHNOLOGY MEDITECH 6.15 UPGRADE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$57,308,306	$3,641,233	$891,005	$42,004,808	$10,771,260	2013	Yes (1)	Yes (1)	Yes (1)
B	$4,174,486		$12,486	$4,162,000		2012	0	Yes (1)	Yes (1)
C	$17,000,000		$98,050	$16,901,950		2016	0	Yes (1)	Yes (1)
D	$6,000,000		$23,800	$5,976,200			0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	Yes (1)
B	0	Yes (1)	0	Yes (1)
C	0	0	Yes (1)	Yes (1)
D	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2013 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/31/2016
PART II, LINE 3	THE PROCEEDS OF THE BOND ISSUANCE EXCEED THE ISSUE PRICE OF $57,115,000 BY $193,306. THIS AMOUNT IS THE NET ORIGINAL ISSUE PREMIUM.
PART II, LINE 11	OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MONTANA FACILITY FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	364615156	BondIssuerEIN
Bond Issued	2018-09-28	BondIssuedDt
Issue Price	$92,138,400	IssuePriceAmt
Purpose	CAPITAL EXPENDITURES AND REFUND PRIVATE ISSUE BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$93,022,000	TotalProceedsAmt
In Reserve Fund	$5,758,214	InReserveFundAmt
Issuance Costs From Proceeds	$1,327,293	IssuanceCostsFromProceedsAmt
Capital Expenditures	$70,285,943	CapitalExpendituresAmt
Other Spent Proceeds	$15,650,550	OtherSpentProceedsAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GLACIER REGIONAL PATHOLOGY
ENTITY OWNED MORE THAN 35% BY DR. FISHER, CURRENT TRUSTEE	$493,203	INDEPENDENT CONTRACTOR	0
J2 BUSINESS PRODUCTS
ENTITY OWNED MORE THAN 35% BY JOHN FLINK, CURRENT TRUSTEE	$762,928	SALE OF ASSETS	0
CHARLES LUDDEN
CURRENT TRUSTEE	$91,718	RENTAL OF PROPERTY	0
DAVID HABEL
FAMILY MEMBER OF ELIZABETH SCHILLING, CURRENT TRUSTEE	$333,497	EMPLOYMENT	0
JORDAN SABO
FAMILY MEMBER OF DENNIS SABO, CURRENT TRUSTEE	$41,398	EMPLOYMENT	0
LINDSAY TINLIN
FAMILY MEMBER OF CARL TINLIN, CURRENT TRUSTEE	$81,352	EMPLOYMENT	0
SHANNON LEE
FAMILY MEMBER OF KAREN LEE, CURRENT OFFICER	$167,919	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$27,879	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7B	KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF TRUSTEES REVIEWED FORM 990 AT ITS REGULARLY SCHEDULED MEETING JANUARY 30, 2020.
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. TATE KREITINGER DEVOTES APPROXIMATELY 40% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 60% OF HIS TIME TO HEALTHCENTER NORTHWEST, A RELATED ENTITY.
FORM 990, PART VII, SECTION A, COLUMN (D)	FORM 990, PART VII, SECTION A, COLUMN (D) THE COMPENSATION REPORTED FOR PAMELA ROBERTSON DID NOT EXCEED $1 MILLION OF REMUNERATION UNDER IRC SECTION 4960 AS COMPUTED BELOW: TOTAL REMUNERATION PAID FOR THE CALENDAR YEAR 2018 $1,113,052 LESS: AMOUNT PAID DURING A FISCAL YEAR THAT BEGAN PRIOR TO 12/31/2017 (1/1/2018-3/31/2018) ($145,211) ------------ REMUNERATION UNDER IRC SECTION 4960 $974,341
FORM 990, PART XI, LINE 9:	FUND BALANCE TRANSFERRED TO AFFILIATES -660,516. ADJUSTMENT FOR FOUNDATION ACTIVITY 858,894. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 13,937. NET CHANGE IN RESTRICTED ASSETS -2,927,736.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KALISPELL REGIONAL HEALTHCARE SYSTEM
310 SUNNYVIEW LANE	KALISPELL	MT	59901	810406485	SUPPORT SUBSIDIARY TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 12C, III-FI	N/A	0
KALISPELL REGIONAL HEALTHCARE FOUNDATION
310 SUNNYVIEW LANE	KALISPELL	MT	59901	311703013	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12B, II		Yes (1)	KALISPELL REGIONAL MEDICAL CENTER
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANE	KALISPELL	MT	59901	810420653	OPERATE LONG TERM AMBULATORY FACILITY	MT	501(C)(3)	LINE 11		Yes (1)	KALISPELL REGIONAL HEALTHCARE SYSTEM
THE SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANE	KALISPELL	MT	59901	203752312	COMMUNITY HEALTH & WELLNESS CENTER	MT	501(C)(3)	LINE 11		Yes (1)	KALISPELL REGIONAL HEALTHCARE SYSTEM
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANE	KALISPELL	MT	59901	273866474	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 11		Yes (1)	KALISPELL REGIONAL MEDICAL CENTER
ASSIST-FLATHEAD VALLEY
310 SUNNYVIEW LANE	KALISPELL	MT	59901	462669324	WELLNESS RESOURCE PROVIDER	MT	501(C)(3)	LINE 7		Yes (1)	KALISPELL REGIONAL MEDICAL CENTER
NORTH VALLEY HOSPITAL INC
1600 HOSPITAL WAY	WHITEFISH	MT	59937	810247969	PROVIDE ACUTE HOSPITAL CARE	MT	501(C)(3)	LINE 3		Yes (1)	KALISPELL REGIONAL HEALTHCARE SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
MRICT JOINT OPERATING AGREEMENT
310 SUNNYVIEW LANE	KALISPELL	MT	59901	205010390	DIAGNOSTIC SCREENING	MT	KALISPELL REGIONAL MEDICAL CENTER	RELATED	$3,701,121	$5,800,818	0	Yes (1)	0.51000
HEALTHCENTER NORTHWEST LLC
310 SUNNYVIEW LANE	KALISPELL	MT	59901	810540517	ACUTE CARE HOSPITAL	MT		N/A			0	0		N/A
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
310 SUNNYVIEW LANE	KALISPELL	MT	59901	810541707	COMMERICAL BUILDING RENTAL	MT		N/A			0	0		N/A
NORTHWEST ORTHOPEDICS & SPORTS MEDICINE LLC
310 SUNNYVIEW LANE	KALISPELL	MT	59901	371518772	ORTHOPEDIC MEDICINE	MT		N/A			0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	APPLIED HEALTH SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 SUNNYVIEW LANE	AddressLine1Txt
City	KALISPELL	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59901	ZIPCd

Field	Value	IRS element (for citing)
EIN	810413632	EIN
Primary Activities	HEALTH RELATED	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
APPLIED HEALTH SERVICES INC
A	$20,856	ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
K	$581,649	ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
M	$1,567,149	ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
L	$1,818,809	ACTUAL PAYMENT
ASSIST-FLATHEAD VALLEY
M	$766,853	ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
A	$34,118	ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
K	$2,695,599	ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
K	$66,310	ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
L	$1,584,084	ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
A	$125,007	ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
M	$8,596,049	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
C	$4,899,529	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
L	$612,679	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
K	$1,190,560	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
L	$506,817	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
A	$9,750	ACTUAL PAYMENT
NORTHWEST HORIZONS INC
L	$278,927	ACTUAL PAYMENT
NORTHWEST HORIZONS INC
M	$1,493,827	ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
L	$345,264	ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
A	$23,725	ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
M	$276,000	ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
K	$371,864	ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
M	$964,436	ACTUAL PAYMENT
NORTH VALLEY HOSPITAL INC
L	$2,950,872	ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
L	$56,700	ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
L	$65,674	ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
E	$372,069	ACTUAL PAYMENT