KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
- Tax period
- 2017-04-01 to 2018-03-31
- Filed
- 2019-02-14
- IRS object ID
- 201940459349301584
- Schema version
- 2017v2.3
- 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 L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-02-14T15:20:00-06:00 | ReturnTs |
| Tax Period End | 2018-03-31 | 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 | 2017-04-01 | 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 | TRACEY TALLEY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4067521724 | PhoneNum |
| Signature | 2019-02-12 | 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 | 2019-02-12 | 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 | 2019-02-12 | IPDt |
| IP Tm | 17:11:46 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 621B3885DD7E6B86DF61721CBE6EF10A03979B56 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRACEY TALLEY | 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 | $450,348,488 | 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 | 8 | VotingMembersIndependentCnt |
| Total Employee | 3372 | TotalEmployeeCnt |
| Total Volunteers | 154 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,184,135 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,694,308 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $379,209,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $412,111,030 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,350,826 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,194,349 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,391,021 | PYOtherRevenueAmt |
| CY Other Revenue | $3,033,422 | CYOtherRevenueAmt |
| PY Total Revenue | $392,135,279 | PYTotalRevenueAmt |
| CY Total Revenue | $431,033,109 | 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 | $213,013,851 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $239,132,795 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,269,502 | PYOtherExpensesAmt |
| CY Other Expenses | $214,477,358 | CYOtherExpensesAmt |
| PY Total Expenses | $381,283,353 | PYTotalExpensesAmt |
| CY Total Expenses | $453,610,153 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,851,926 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$22,577,044 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $383,070,695 | TotalAssetsBOYAmt |
| Total Assets EOY | $367,734,976 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $204,891,206 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $221,968,512 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $178,179,489 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $145,766,464 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE ACUTE HOSPITAL CARE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $374,603,672 | ExpenseAmt |
| Revenue | $412,111,030 | RevenueAmt |
| Desc | OPERATION OF REGIONAL ACUTE CARE HOSPITAL. | Desc |
| Total Program Service Expenses | $374,603,672 | 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 | 373 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3372 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | TRACEY TALLEY | PersonNm |
| Phone | 4067521724 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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) | $5,417 | $0 | $0 | |||||
| CHRISTOPHER GILL MD | ||||||||||
| TRUSTEE | 49.00 | Yes (X) | $397,609 | $0 | $20,447 | 1.00 | ||||
| CHARLES GREENIER | ||||||||||
| TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| MARCIA JOHNSON | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $966 | $0 | $0 | |||||
| MARK JOHNSON | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $996 | $0 | $0 | |||||
| JOHN LAVIN MD | ||||||||||
| TRUSTEE | 49.00 | Yes (X) | $349,523 | $0 | $24,913 | 1.00 | ||||
| CHARLES LUDDEN MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| KARL OEHRTMAN MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $642 | $0 | $0 | |||||
| HENRY RICKLEFS | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DENNIS SABO | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $966 | $0 | $0 | |||||
| ELIZABETH SCHILLING MD | ||||||||||
| TRUSTEE | 49.00 | Yes (X) | $8,333 | $0 | $0 | 1.00 | ||||
| JAMES STRAINER | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| CARL TINLIN DO | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $3,789 | $0 | $0 | |||||
| BOB WHITE | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $1,110 | $0 | $0 | |||||
| PAMELA ROBERTSON | ||||||||||
| PRESIDENT & CEO | 12.50 | Yes (X) | $0 | $170,469 | $2,026 | 37.50 | Yes (X) | |||
| CURTIS LUND | ||||||||||
| TRUSTEE (INTERIM CEO) | 49.00 | Yes (X) | $295,202 | $0 | $0 | 1.00 | Yes (X) | |||
| CHARLES PEARCE | ||||||||||
| CFO & CIO | 7.50 | $0 | $594,443 | $26,049 | 42.50 | Yes (X) | ||||
| DEBORAH WILSON | ||||||||||
| CHIEF OPERATING OFFICER | 34.50 | $544,000 | $0 | $35,174 | 15.50 | Yes (X) | ||||
| JEROME T PATTERSON | ||||||||||
| CAO & GENERAL COUNSEL | 27.50 | $609,666 | $0 | $27,997 | 22.50 | Yes (X) | ||||
| WILLIAM GIBSON | ||||||||||
| GENERAL COUNSEL | 17.50 | $260,790 | $0 | $18,150 | 32.50 | Yes (X) | ||||
| JASON SPRING | ||||||||||
| CHIEF STRATEGY OFFICER | 50.00 | $335,571 | $0 | $29,598 | Yes (X) | |||||
| DOUG NELSON MD | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | $370,352 | $0 | $22,634 | Yes (X) | |||||
| PATRICK RANKIN MD | ||||||||||
| CHIEF MEDICAL OFFICER | 12.50 | $637,685 | $0 | $34,645 | 37.50 | Yes (X) | ||||
| KAREN LEE | ||||||||||
| CHIEF NURSING OFFICER | 40.00 | $414,793 | $0 | $30,603 | 10.00 | Yes (X) | ||||
| TATE KREITINGER | ||||||||||
| THE HEALTHCENTER CEO | 20.00 | $491,568 | $0 | $25,326 | 30.00 | Yes (X) | ||||
| PHILLIP JAFFE MD | ||||||||||
| PHYSICIAN | 50.00 | $761,314 | $0 | $29,616 | Yes (X) | |||||
| DREW KIRSHNER MD | ||||||||||
| PHYSICIAN | 50.00 | $869,022 | $0 | $30,266 | Yes (X) | |||||
| THOMAS ORIGITANO MD | ||||||||||
| PHYSICIAN | 50.00 | $927,845 | $0 | $24,493 | Yes (X) | |||||
| FEDERICO SEIFARTH MD | ||||||||||
| PHYSICIAN | 50.00 | $902,742 | $0 | $29,422 | Yes (X) | |||||
| JOSEPH SRAMEK MD | ||||||||||
| PHYSICIAN | 50.00 | $817,335 | $0 | $30,266 | Yes (X) | |||||
| VELINDA STEVENS | ||||||||||
| FORMER PRESIDENT | 0.00 | $0 | $218,043 | $6,776 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,007,236 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $982,955 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $448,401 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 358 | 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 |
|---|---|---|---|---|---|
| SWANK ENTERPRISES | |||||
| 1610 WHITEFISH STAGE ROAD | KALISPELL | MT | 59901 | CONSTRUCTION | $25,091,069 |
| SILVER TIP EMERGENCY PHYSICIANS | |||||
| 202 CONWAY DRIVE | KALISPELL | MT | 59901 | EMERGENCY ROOM PHYSICIANS | $3,701,358 |
| NORTHERN ROCKIES ANESTHESA CONSULTANTS | |||||
| 1075 MARTIN CREEK LANE | WHITEFISH | MT | 59937 | ANESTHESIA SERVICES | $2,555,473 |
| NORTON ROSE FULBRIGHT US LLP | |||||
| PO BOX 844284 | DALLAS | TX | 752844284 | LEGAL | $1,344,659 |
| DATA STRATEGY LLC | |||||
| 5555 CORPORATE EXCHANGE COURT SE | GRAND RAPIDS | MI | 49512 | COMPUTER HARDWARE & MAINTENANCE | $1,107,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,665,918 | RelatedOrganizationsAmt |
| Government Grants | $28,390 | GovernmentGrantsAmt |
| Noncash Contributions | $43,565 | NoncashContributionsAmt |
| Total Contributions | $5,694,308 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICE REVENUE | 621990 | $391,852,499 | $391,852,499 |
| PARTNERSHIP INCOME | 621990 | $5,076,174 | $5,076,174 |
| MEANINGFUL USE REVENUE | 900099 | $4,075,611 | $4,075,611 |
| OUTREACH PROGRAMS | 621990 | $1,197,341 | $1,197,341 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,909,405 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,909,405 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $412,111,030 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,518,989 | TotalRevenueColumnAmt |
| Exclusion | $1,518,989 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $339,452 | 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 | $339,452 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $339,452 | TotalRevenueColumnAmt |
| Exclusion | $339,452 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,988,486 | SecuritiesAmt |
| Other | $2,253 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,315,379 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,673,107 | SecuritiesAmt |
| Other | $2,253 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,675,360 | TotalRevenueColumnAmt |
| Exclusion | $8,675,360 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CHILD CARE | 624410 | $2,199,737 | $2,199,737 |
| CAFETERIA | 722210 | $1,899,429 | $1,899,429 |
| MISC. REVENUE | 900099 | -$1,405,196 | -$1,405,196 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,693,970 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $431,033,109 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $412,111,030 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,227,771 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,066,928 | TotalAmt |
| Program Services | $1,238,279 | ProgramServicesAmt |
| Management And General | $1,828,649 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,545,106 | TotalAmt |
| Program Services | $169,989,861 | ProgramServicesAmt |
| Management And General | $20,555,245 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,188,000 | TotalAmt |
| Program Services | $5,474,221 | ProgramServicesAmt |
| Management And General | $713,779 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,293,395 | TotalAmt |
| Program Services | $18,338,813 | ProgramServicesAmt |
| Management And General | $8,954,582 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,039,366 | TotalAmt |
| Program Services | $10,450,631 | ProgramServicesAmt |
| Management And General | $1,588,735 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,084 | TotalAmt |
| Program Services | $171 | ProgramServicesAmt |
| Management And General | $1,309,913 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,323 | TotalAmt |
| Program Services | $2,819 | ProgramServicesAmt |
| Management And General | $139,504 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,627,156 | TotalAmt |
| Program Services | $10,685,420 | ProgramServicesAmt |
| Management And General | $4,941,736 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,760,553 | TotalAmt |
| Program Services | $458,561 | ProgramServicesAmt |
| Management And General | $1,301,992 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,795,096 | TotalAmt |
| Program Services | $2,680,588 | ProgramServicesAmt |
| Management And General | $2,114,508 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,685,836 | TotalAmt |
| Program Services | $14,571,702 | ProgramServicesAmt |
| Management And General | $5,114,134 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,529,630 | TotalAmt |
| Program Services | $1,634,422 | ProgramServicesAmt |
| Management And General | $895,208 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,175,531 | TotalAmt |
| Program Services | $2,175,531 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,346,892 | TotalAmt |
| Program Services | $15,989,971 | ProgramServicesAmt |
| Management And General | $4,356,921 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,234,951 | TotalAmt |
| Program Services | $2,809,667 | ProgramServicesAmt |
| Management And General | $425,284 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $76,469,961 | $75,635,119 | $834,842 |
| OTHER | $27,109,287 | $5,365,119 | $21,744,168 |
| PURCHASED SERVICES | $18,786,393 | $17,554,964 | $1,231,429 |
| BAD DEBTS | $18,617,994 | $18,617,994 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,885,671 | TotalAmt |
| Program Services | $929,819 | ProgramServicesAmt |
| Management And General | $955,852 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,610,153 | TotalAmt |
| Program Services | $374,603,672 | ProgramServicesAmt |
| Management And General | $79,006,481 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,921,449 | BOYAmt |
| EOY | $20,862,636 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,024,322 | BOYAmt |
| EOY | $70,850,440 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,348,695 | BOYAmt |
| EOY | $2,388,432 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,653,756 | BOYAmt |
| EOY | $51,277,476 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,703,808 | BOYAmt |
| EOY | $10,208,733 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,962,049 | BOYAmt |
| EOY | $10,691,963 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,089,885 | BOYAmt |
| EOY | $6,296,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $351,136,605 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $177,543,095 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,854,470 | BOYAmt |
| EOY | $173,593,510 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,689,800 | BOYAmt |
| EOY | $1,461,797 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,822,461 | BOYAmt |
| EOY | $20,103,755 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,070,695 | BOYAmt |
| EOY | $367,734,976 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,949,311 | BOYAmt |
| EOY | $68,971,927 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,658,838 | BOYAmt |
| EOY | $59,437,023 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,254,557 | BOYAmt |
| EOY | $15,594,858 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,253,620 | BOYAmt |
| EOY | $1,135,615 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,774,880 | BOYAmt |
| EOY | $76,829,089 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,891,206 | BOYAmt |
| EOY | $221,968,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,325,551 | BOYAmt |
| EOY | $134,064,545 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,515,325 | BOYAmt |
| EOY | $7,550,517 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,338,613 | BOYAmt |
| EOY | $4,151,402 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,179,489 | BOYAmt |
| EOY | $145,766,464 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,070,695 | BOYAmt |
| EOY | $367,734,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$22,577,044 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,018,243 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,817,738 | 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
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 | $10,539 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $365,712 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $376,251 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,014,196 | BeginningYearBalanceAmt |
| Contributions | $2,343,884 | ContributionsAmt |
| Investment Earnings Or Losses | $72,457 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,430,537 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.35480 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.64520 | 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 | $172,295,943 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,246,115 | DepreciationAmt |
| Book Value | $77,049,828 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,402,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,296,980 | DepreciationAmt |
| Book Value | $49,105,727 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,005,568 | OtherCostOrOtherBasisAmt |
| Book Value | $47,005,568 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $173,593,510 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FUNDS HELD BY TRUSTEE | $2,015,184 |
| ASSIST ASSETS | $432,530 |
| ESTIMATED INSURANCE RECOVERIES | $3,424,000 |
| OTHER ASSETS | $14,232,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,103,755 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE TO CONTRACTUAL AGENCIES | $19,532,209 |
| ACCOUNTS PAYABLE TO AFFILIATES | $57,296,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $76,829,089 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $403,954,158 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$4,018,243 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,223,204 | OtherRevenueAmt |
| Revenue Not Reported | -$2,795,039 | RevenueNotReportedAmt |
| Revenue Subtotal | $406,749,197 | RevenueSubtotalAmt |
| Other Revenues Not Included | $24,283,912 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $24,283,912 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $431,033,109 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $435,899,190 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $907,031 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $907,031 | ExpensesNotReportedAmt |
| Expenses Subtotal | $434,992,159 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $18,617,994 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,617,994 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $453,610,153 | 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 HOSPITAL ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE ASC 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 HOSPITAL 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 308,424. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 7,749. INCOME RECORDED ON CONSOLIDATED BASIS 907,031. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SUPPORT FROM AFFILIATED FOUNDATION 5,665,918. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 18,617,994. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES RECORDED ON CONSOLIDATED BASIS 907,031. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE INCLUDED IN NET REVENUES 18,617,994. |
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 | $3,557,851 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,557,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,891,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,787,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,104,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,449,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,787,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,661,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,502 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,729 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,729 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,778,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,603,737 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,174,775 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02460 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,904,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,603,737 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,301,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,354,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,391,444 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,962,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08800 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,368 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $103,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,207 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,207 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,620 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,958 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $131,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,617,994 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $143,028,044 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $195,094,359 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$52,066,315 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| 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 | 0.00620 | 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 |
| CHNA Conducted | 15 | 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 |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | 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 |
| 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 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KALISPELL REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: KALISPELL REGIONAL HEALTHCARE SERVICES, THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT, AND NORTH VALLEY HOSPITAL COLLABORATED TO ARRANGE QUALITATIVE DATA COLLECTION DESIGNED TO ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY. THREE FOCUS GROUP INVERVIEWS, TEN KEY INFORMANT INTERVIEWS, AND ONE SURVEY WERE CONDUCTED IN AN EFFORT TO OBTAIN THE BEST INFORMATION REGARDING THE HEALTH NEEDS OF ALL INDIVIDUALS IN THE COMMUNITY. FOCUS GROUPS WERE DESIGNED TO REPRESENT VARIOUS CONSUMER GROUPS OF HEALTHCARE,INCLUDING SENIOR CITIZENS, THE PHYSICALLY CHALLENGED, AND LOCAL COMMUNITY MEMBERS. KEY INFORMANTS CONSISTED OF COMMUNITY LEADERS PROVIDING HEALTH SERVICES TO FLATHEAD COUNTY RESIDENTS.IN JUNE 2015, SURVEYS WERE MAILED OUT TO THE RESIDENTS IN FLATHEAD COUNTY. THE SURVEY WAS BASED ON A DESIGN THAT HAS BEEN USED EXTENSIVELY IN THE STATES OF WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO. THE SURVEY WAS DESIGNED TO PROVIDE EACH FACILITY WITH INFORMATION FROM LOCAL RESIDENTS REGARDING:- DEMOGRAPHICS OF RESPONDENTS- HOSPITALS, PRIMARY CARE PROVIDERS, AND SPECIALISTS USED PLUS REASONS FOR SELECTION- LOCAL HEALTHCARE PROVIDER USAGE- SERVICES PREFERRED LOCALLY- PERCEPTION AND SATISFACTION OF LOCAL HEALTHCARE |
| 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 |
| 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 2015-2016 AND FURTHER EXPLORATION WITH KALISPELL REGIONAL MEDICAL CENTER (KRMC) ADMINISTRATORS, MEDICAL STAFF AND BOARD OF TRUSTEES, THE FOLLOWING THREE PRIORITIZED STRATEGIES, ADOPTED BY THE BOARD OF TRUSTEES ON MARCH 22, 2016, WILL GUIDE KRMC'S LEADERSHIP IN ADDRESSING THE COMMUNITY'S IDENTIFIED HEALTH NEEDS OVER THE NEXT THREE YEARS.1. BEHAVIORAL HEALTH EDUCATION AND SERVICES. KRMC IS COMMITTED TO CONTINUING THE PROVISION OF MENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES. TO AUGMENT THESE SERVICES, KRMC WILL: A. INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS AND EXPAND FACILITIES. B. SUBSTANCE ABUSE EDUCATION AND SERVICES. INCREASE ACCESS AND CARE OF ADDICTION RELATED CONDITIONS FOR FETAL/MATERNAL PATIENTS AND AWARENESS OF OPIATE AND NARCOTIC USE. C. SUICIDE AND DEPRESSION EDUCATION AND SERVICES. INCORPORATE BEHAVIORAL ASSESSMENT ROOMS INTO ER EXPANSION, PROVIDE DEMENTIA EDUCATION TO THE COMMUNITY, AND IDENTIFY THE NEEDS SURROUNDING POSTPARTUM DEPRESSION AND OPPORTUNITIES FOR SUPPORT THROUGH EDUCATION AND SERVICES. D. CARE COORDINATION / ADVOCACY AND INTEGRATION. COLLABORATE WITH OTHER AREA BEHAVIORAL HEALTH ORGANIZATIONS AND PROVIDERS AND PARTICIPATE IN COALITIONS AND COMMITTEES. E. TRANSPORTATION TO ACCESS CARE. EXPAND TELEHEALTH OFFERINGS TO INCLUDE BEHAVIORAL HEALTH, HOME HEALTH, AND SEXUAL ASSAULT ASSESSMENTS AND SUPPORT TO OUTREACH LOCATIONS.2. ACCESS TO MEDICAL AND DENTAL HEALTH CARE. ASSISTING PATIENTS IN NAVIGATING KALISPELL REGIONAL HEALTHCARE IS A PRIORITY FOR THE ORGANIZATION. IN ADDITION, KRMC RECOGNIZES THAT LACK OF DENTAL HEALTH CARE IS A SERIOUS CONCERN IN OUR COMMUNITY AND IS COMMITTED TO CONTINUING SUPPORT FOR ACCESS TO MEDICAL AND DENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES. TO AUGMENT THESE SERVICES, KRMC WILL: A. AFFORDABILITY. PURCHASE EQUIPMENT FOR USE IN THE ER FOR EMERGENCY LOW INCOME AND INDIGENT DENTAL CARE. B. CARE COORDINATION AND ADVOCACY. SUPPORT EFFORTS LED BY THE LOCAL DENTAL COMMUNITY, SHEPHERD'S HAND FREE CLINIC, AND FLATHEAD CITY-COUNTY HEALTH DEPARTMENT TO ENHANCE ACCESS TO DENTAL CARE. INITIATE COMMON ELECTRONIC MEDICAL RECORDS SYSTEMS BETWEEN NVH, KRH, AND CLINICS. C. TRANSPORTATION AND ACCESS TO CARE. EMPLOY AN ORAL SURGEON, PROVIDE FOR MONTHLY DENTAL HYGIENIST SERVICES AT BRENDAN HOUSE, RELOCATE NORTHWEST FAMILY MEDICINE AND EXPAND PROVIDER STAFF, INCREASE SPECIALISTS IN OUTREACH LOCATIONS, PROVIDE EXPANDED PEDIATRIC SPECIALTY SERVICES, EXPAND GASTROINTESTINAL FACILITY, AND EVALUATE COST EFFECTIVE ALTERNATIVES TO AMBULANCE SERVICES FOR MEDICAL TRANSPORT BETWEEN MEDICAL PROVIDERS.3. HEALTHY LIFESTYLES. 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. PREVENTION AND WELLNESS EDUCATION AND ADVOCACY. DEVELOP NEW WEB PAGE WITH EXPANDED INFORMATION ON WELLNESS SCREENINGS AND PROGRAMS, PROVIDE HEALTH SCREENINGS FOR PREVENTABLE DISEASES, COLLABORATE WITH NATIONAL ORGANIZATIONS ON PREVENTION AWARENESS MESSAGES AND ANNUAL HEALTH OBSERVANCES ACTIVITIES, AND EXPAND OCCUPATIONAL HEALTH SERVICES AND FACILITY.B. CARE COORDINATION/ADVOCACY. PROVIDE CLASSES AND ACTIVITIES THAT PROMOTE NUTRITION AND HEALTHY LIFESTYLES, HOST COMMUNITY EDUCATION PROGRAMS AND LECTURES ON PREVENTION AND WELLNESS, AND PARTICIPATE IN THE DEVELOPMENT OF A FLATHEAD VALLEY HEALTHCARE LEADERSHIP STEERING COMMITTEE TO ADDRESS POPULATION HEALTH.C. ACTIVE TRANSPORTATION. EXPAND COMMUNITY REACH FOR THE DIABETES PREVENTION PROGRAM THROUGH THE USE OF TELEHEALTH. |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COST ACCOUNTING WAS UTILIZED FOR THE ENTIRE TABLE. COST ACCOUNTING COVERS 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 $18,617,994. |
| 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: | COST ACCOUNTING WAS UTILIZED TO DETERMINE BAD DEBT EXPENSE.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 15 THROUGH 17 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FY 2017 COST REPORT. 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 CHARITY POLICY ON OUR WEBSITE. CHARITY CARE IS DISCUSSED WITH ALL PATIENTS AT THE TIME OF THEIR ADMIT. THROUGH THE MEDIA, KRMC NOTIFIED THE COMMUNITY OF OUR CHARITY CARE POLICY AND 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, 16.7% 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 | 0 | 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 (19 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 | $360,041 | $0 | $0 | $0 | $37,568 | $0 | $3,070 | $0 | $17,377 | $0 | $418,056 | $0 | $0 | $0 |
| JOHN LAVIN MD | ||||||||||||||
| TRUSTEE | $275,018 | $0 | $0 | $0 | $74,505 | $0 | $2,643 | $0 | $22,270 | $0 | $374,436 | $0 | $0 | $0 |
| PAMELA ROBERTSON | ||||||||||||||
| PRESIDENT & CEO | $0 | $168,691 | $0 | $0 | $0 | $1,778 | $0 | $0 | $0 | $2,026 | $0 | $172,495 | $0 | $0 |
| CURTIS LUND | ||||||||||||||
| TRUSTEE (INTERIM CEO) | $0 | $0 | $0 | $0 | $295,202 | $0 | $0 | $0 | $0 | $0 | $295,202 | $0 | $0 | $0 |
| CHARLES PEARCE | ||||||||||||||
| CFO & CIO | $0 | $346,507 | $0 | $103,952 | $0 | $143,984 | $0 | $0 | $0 | $26,049 | $0 | $620,492 | $0 | $0 |
| DEBORAH WILSON | ||||||||||||||
| CHIEF OPERATING OFFICER | $332,883 | $0 | $99,865 | $0 | $111,252 | $0 | $12,333 | $0 | $22,841 | $0 | $579,174 | $0 | $0 | $0 |
| JEROME T PATTERSON | ||||||||||||||
| CAO & GENERAL COUNSEL | $372,507 | $0 | $111,752 | $0 | $125,407 | $0 | $7,995 | $0 | $20,002 | $0 | $637,663 | $0 | $0 | $0 |
| WILLIAM GIBSON | ||||||||||||||
| GENERAL COUNSEL | $236,554 | $0 | $0 | $0 | $24,236 | $0 | $0 | $0 | $18,150 | $0 | $278,940 | $0 | $0 | $0 |
| JASON SPRING | ||||||||||||||
| CHIEF STRATEGY OFFICER | $278,225 | $0 | $57,346 | $0 | $0 | $0 | $3,970 | $0 | $25,628 | $0 | $365,169 | $0 | $0 | $0 |
| DOUG NELSON MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $334,898 | $0 | $21,875 | $0 | $13,579 | $0 | $1,197 | $0 | $21,437 | $0 | $392,986 | $0 | $0 | $0 |
| PATRICK RANKIN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $426,867 | $0 | $120,001 | $0 | $90,817 | $0 | $16,200 | $0 | $18,445 | $0 | $672,330 | $0 | $0 | $0 |
| KAREN LEE | ||||||||||||||
| CHIEF NURSING OFFICER | $240,323 | $0 | $72,097 | $0 | $102,373 | $0 | $16,990 | $0 | $13,613 | $0 | $445,396 | $0 | $0 | $0 |
| TATE KREITINGER | ||||||||||||||
| THE HEALTHCENTER CEO | $299,998 | $0 | $90,000 | $0 | $101,570 | $0 | $0 | $0 | $25,326 | $0 | $516,894 | $0 | $0 | $0 |
| PHILLIP JAFFE MD | ||||||||||||||
| PHYSICIAN | $501,776 | $0 | $216,410 | $0 | $43,128 | $0 | $5,000 | $0 | $24,616 | $0 | $790,930 | $0 | $0 | $0 |
| DREW KIRSHNER MD | ||||||||||||||
| PHYSICIAN | $680,014 | $0 | $105,000 | $0 | $84,008 | $0 | $5,000 | $0 | $25,266 | $0 | $899,288 | $0 | $0 | $0 |
| THOMAS ORIGITANO MD | ||||||||||||||
| PHYSICIAN | $781,955 | $0 | $68,612 | $0 | $77,278 | $0 | $5,000 | $0 | $19,493 | $0 | $952,338 | $0 | $0 | $0 |
| FEDERICO SEIFARTH MD | ||||||||||||||
| PHYSICIAN | $862,742 | $0 | $40,000 | $0 | $0 | $0 | $5,000 | $0 | $24,422 | $0 | $932,164 | $0 | $0 | $0 |
| JOSEPH SRAMEK MD | ||||||||||||||
| PHYSICIAN | $767,335 | $0 | $50,000 | $0 | $0 | $0 | $5,000 | $0 | $25,266 | $0 | $847,601 | $0 | $0 | $0 |
| VELINDA STEVENS | ||||||||||||||
| FORMER PRESIDENT | $0 | $38,463 | $0 | $150,003 | $0 | $29,577 | $0 | $4,821 | $0 | $1,955 | $0 | $224,819 | $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 2017. THIS AMOUNT IS GROSSED-UP TO TAKE CARE OF THE APPLICABLE TAXES. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, 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, LINE 4B | SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $24,000 FOR 2017. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | 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) | 0 | Yes (1) | Yes (1) |
| B | $4,174,486 | $12,486 | $4,162,000 | 2012 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $17,000,000 | $98,050 | $16,901,950 | 2016 | 0 | 0 | Yes (1) | Yes (1) | ||
| D | $6,000,000 | $23,800 | $2,703,929 | 0 | 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 | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GLACIER REGIONAL PATHOLOGY | |||
| DR. FISHER, A CURRENT TRUSTEE, IS A GREATER THAN 35% CONTROL OWNER. | $506,866 | PATHOLOGY & LAB SERVICES | 0 |
| LINDSAY TINLIN | |||
| DAUGHTER OF CURRENT TRUSTEE CARL TINLIN | $85,375 | SALARY | 0 |
| SHANNON LEE | |||
| DAUGHTER OF CURRENT OFFICER | $148,246 | SALARY | 0 |
| CHARLES LUDDEN | |||
| CURRENT TRUSTEE | $89,948 | RENT | 0 |
| AMBER LAVIN | |||
| DAUGHTER OF CURRENT TRUSTEE JOHN LAVIN | $115,901 | SALARY | 0 |
| CAROL MITCH | |||
| SPOUSE OF CURRENT TRUSTEE | $19,163 | SALARY | 0 |
| DAVID HABEL | |||
| SPOUSE OF CURRENT TRUSTEE | $386,248 | SALARY | 0 |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,700 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
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 | $34,865 | 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 2 | MARK JOHNSON AND JAMES STRAINER HAVE A BUSINESS RELATIONSHIP. |
| 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 31, 2019. |
| 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 XI, LINE 9: | FUND BALANCE TRANSFERRED TO AFFILIATES -5,025,457. ADJUSTMENT FOR FOUNDATION ACTIVITY 351,989. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 7,749. NET CHANGE IN RESTRICTED ASSETS -1,152,019. |
| 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. |
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 | $5,699,603 | $5,775,240 | 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 (24 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| APPLIED HEALTH SERVICES INC | ||
| A | $14,062 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| K | $570,210 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| M | $1,559,004 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| L | $1,866,747 | ACTUAL PAYMENT |
| ASSIST-FLATHEAD VALLEY | ||
| M | $740,200 | ACTUAL PAYMENT |
| FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC | ||
| A | $147,527 | ACTUAL PAYMENT |
| FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC | ||
| K | $2,558,371 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| K | $66,310 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| L | $1,516,864 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| A | $115,429 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| M | $8,061,315 | ACTUAL PAYMENT |
| KALISPELL REGIONAL HEALTHCARE FOUNDATION | ||
| C | $5,665,918 | ACTUAL PAYMENT |
| KALISPELL REGIONAL HEALTHCARE FOUNDATION | ||
| L | $526,258 | ACTUAL PAYMENT |
| KALISPELL REGIONAL HEALTHCARE SYSTEM | ||
| K | $1,157,093 | ACTUAL PAYMENT |
| KALISPELL REGIONAL HEALTHCARE SYSTEM | ||
| L | $413,112 | ACTUAL PAYMENT |
| KALISPELL REGIONAL HEALTHCARE SYSTEM | ||
| A | $3,200 | ACTUAL PAYMENT |
| NORTHWEST HORIZONS INC | ||
| L | $280,144 | ACTUAL PAYMENT |
| NORTHWEST HORIZONS INC | ||
| M | $1,471,672 | ACTUAL PAYMENT |
| NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC | ||
| L | $362,854 | ACTUAL PAYMENT |
| NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC | ||
| A | $5,512 | ACTUAL PAYMENT |
| NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC | ||
| M | $273,750 | ACTUAL PAYMENT |
| THE SUMMIT MEDICAL FITNESS CENTER INC | ||
| K | $402,911 | ACTUAL PAYMENT |
| THE SUMMIT MEDICAL FITNESS CENTER INC | ||
| M | $995,008 | ACTUAL PAYMENT |
| NORTH VALLEY HOSPITAL | ||
| L | $2,943,071 | ACTUAL PAYMENT |
Comments