KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
Tax period
2015-04-01 to 2016-03-31
Filed
2017-02-15
IRS object ID
201720469349300227
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-15T11:06:11-06:00ReturnTs
Tax Period End2016-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810497523PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JORDAHL & SLITER PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8600AddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP599041600ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237293874EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKALIBusinessNameControlTxt
Phone4067525111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES PEARCEPersonNm
Person TitleCFIOPersonTitleTxt
Phone4067521724PhoneNum
Signature2017-02-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN P SLITERPreparerPersonNm
PTINP00188996PTIN
Phone4067521040PhoneNum
Preparation2017-02-07PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES PEARCEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$330,527,673GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KRH.ORG/KRMCWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionPROVIDE ACUTE HOSPITAL CAREActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2599TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$1,043,436TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$232,685NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,156,312PYContributionsGrantsAmt
CY Contributions Grants$2,482,541CYContributionsGrantsAmt
PY Program Service Revenue$291,025,311PYProgramServiceRevenueAmt
CY Program Service Revenue$316,322,226CYProgramServiceRevenueAmt
PY Investment Income$3,617,613PYInvestmentIncomeAmt
CY Investment Income$767,638CYInvestmentIncomeAmt
PY Other Revenue$4,198,069PYOtherRevenueAmt
CY Other Revenue$3,819,483CYOtherRevenueAmt
PY Total Revenue$299,997,305PYTotalRevenueAmt
CY Total Revenue$323,391,888CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$153,529,033PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$170,821,718CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$127,814,362PYOtherExpensesAmt
CY Other Expenses$144,904,719CYOtherExpensesAmt
PY Total Expenses$281,343,395PYTotalExpensesAmt
CY Total Expenses$315,726,437CYTotalExpensesAmt
PY Revenues Less Expenses$18,653,910PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,665,451CYRevenuesLessExpensesAmt
Total Assets BOY$280,267,853TotalAssetsBOYAmt
Total Assets EOY$299,130,349TotalAssetsEOYAmt
Total Liabilities BOY$120,361,162TotalLiabilitiesBOYAmt
Total Liabilities EOY$139,465,629TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,906,691NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$159,664,720NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE ACUTE HOSPITAL CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$274,666,808ExpenseAmt
Revenue$315,278,790RevenueAmt
DescOPERATION OF REGIONAL ACUTE CARE HOSPITAL.Desc
Total Program Service Expenses$274,666,808TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document273IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2599EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHARLES PEARCEPersonNm
Phone4067521724PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM BENEDETTO MD
TRUSTEE1.00Yes (X)$0$0$0
BARBRA BENNETT
TRUSTEE1.00Yes (X)$1,380$0$0
JAMES BLASINGAME
TRUSTEE40.00Yes (X)$419,159$0$22,451
PETER FISHER MD
TRUSTEE1.00Yes (X)$0$0$0
CHRISTOPHER GILL MD
TRUSTEE1.00Yes (X)$304,726$0$21,340
CHARLES GRENIER
TRUSTEE1.00Yes (X)$0$0$0
MARCIA JOHNSON
TRUSTEE1.00Yes (X)$1,380$0$0
GWEN JONAS MD
TRUSTEE1.00Yes (X)$67,025$0$0
PETER L LARSON
TRUSTEE1.00Yes (X)$3,847$0$0
CHARLES LUDDEN MD
TRUSTEE1.00Yes (X)$0$0$0
CURTIS LUND
TRUSTEE1.00Yes (X)$1,380$0$0
HENRY RICKLEFS
TRUSTEE - PART YEAR1.00Yes (X)$0$0$0
DENNIS SABO
TRUSTEE1.00Yes (X)$1,380$0$0
JAMES STRAINER
TRUSTEE1.00Yes (X)$0$0$0
MUFFIE THOMSON
TRUSTEE - PART YEAR1.00Yes (X)$0$0$0
CARL TINLIN
TRUSTEE1.00Yes (X)$5,263$0$0
BOB WHITE
TRUSTEE1.00Yes (X)$1,591$0$0
VELINDA STEVENS
PRESIDENT12.50Yes (X)$0$798,254$35,893Yes (X)
KAREN LEE
CHIEF NURSING OFFICER40.00$393,232$0$25,774Yes (X)
JEROME T PATTERSON
CHIEF ADMIN OFFICER & GENE18.00$534,371$0$30,462Yes (X)
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT30.00$0$560,413$36,005Yes (X)
PATRICK RANKIN
CHIEF MEDICAL OFFICER - PA12.50$182,019$0$6,134Yes (X)
DEBORAH WILSON
CHIEF OPERATION OFFICER34.50$466,210$0$33,114Yes (X)
TATE KREITINGER
THE HEALTHCENTER CEO19.00$442,726$0$35,854Yes (X)
KENDRA HARRIS
PHYSICIAN50.00$696,478$0$22,674Yes (X)
DREW KIRSHNER
PHYSICIAN50.00$851,561$0$25,224Yes (X)
THOMAS ORIGITANO MD
PHYSICIAN50.00$970,985$0$19,924Yes (X)
JOSEPH SRAMEK
PHYSICIAN50.00$863,161$0$25,224Yes (X)
HOWARD TICE
PHYSICIAN50.00$682,760$0$23,306Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,890,634TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,358,667TotReportableCompRltdOrgAmt
Total Other Compensation$363,379TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K253IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SILVER TIP EMERGENCY PHYSICIANS
310 SUNNYVIEW LANEKALISPELLMT59901EMERGENCY ROOM PHYSICIANS$3,547,256
NORTHERN ROCKIES ANESTHESA CONSULTANTS
1075 MARTIN CREEK LANEWHITEFISHMT59937ANESTHESIA SERVICES$1,317,897
NORTHWEST IMAGING PC
320 SUNNYVIEW LANEKALISPELLMT59901IMAGING SERVICES$1,219,983
FREEMAN WHITE INC
8845 RED OAK BLVDCHARLOTTENC28217CONSULTING SERVICES$510,379
GLACIER REGIONAL PATHOLOGY
310 SUNNYVIEW LANEKALISPELLMT59901PATHOLOGY SERVICES$479,781
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Related Organizations$2,467,541RelatedOrganizationsAmt
Government Grants$15,000GovernmentGrantsAmt
Noncash Contributions$1,749,023NoncashContributionsAmt
Total Contributions$2,482,541TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICE REVENUE621990$304,240,741$303,197,305$1,043,436
PARTNERSHIP INCOME621990$5,056,970$5,056,970
OUTREACH PROGRAMS621990$1,004,863$1,004,863
RESEARCH621990$904,092$904,092
MEANINGFUL USE REVENUE900099$515,090$515,090

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,600,470TotalRevenueColumnAmt
Related Or Exempt Func Income$4,600,470RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$316,322,226TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,502,011TotalRevenueColumnAmt
Exclusion$1,502,011ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$324,594RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$324,594RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$324,594TotalRevenueColumnAmt
Exclusion$324,594ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,397,412SecuritiesAmt
Other$4,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,105,675SecuritiesAmt
Other$30,110OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$708,263SecuritiesAmt
Other-$26,110OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$734,373TotalRevenueColumnAmt
Exclusion-$734,373ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$1,695,050$1,695,050
CHILD CARE624410$1,645,379$1,645,379
MISC. REVENUE900099$154,460$154,460
FieldValueIRS element (for citing)
Other Revenue Total$3,494,889OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$323,391,888TotalRevenueColumnAmt
Related Or Exempt Func Income$315,278,790RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,043,436UnrelatedBusinessRevenueAmt
Exclusion$4,587,121ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,530,596TotalAmt
Management And General$2,530,596ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$136,764,769TotalAmt
Program Services$122,464,042ProgramServicesAmt
Management And General$14,300,727ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,631,365TotalAmt
Program Services$3,970,597ProgramServicesAmt
Management And General$660,768ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,142,361TotalAmt
Program Services$16,867,384ProgramServicesAmt
Management And General$1,274,977ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,752,627TotalAmt
Program Services$7,686,264ProgramServicesAmt
Management And General$1,066,363ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$646,334TotalAmt
Program Services$2,500ProgramServicesAmt
Management And General$643,834ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,100TotalAmt
Management And General$95,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,740,205TotalAmt
Program Services$8,175,707ProgramServicesAmt
Management And General$2,564,498ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,625,854TotalAmt
Program Services$586,152ProgramServicesAmt
Management And General$1,039,702ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,794,601TotalAmt
Program Services$2,132,563ProgramServicesAmt
Management And General$1,662,038ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,987,767TotalAmt
Program Services$10,704,563ProgramServicesAmt
Management And General$3,283,204ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,821,149TotalAmt
Program Services$1,425,779ProgramServicesAmt
Management And General$1,395,370ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,934,666TotalAmt
Program Services$2,934,666ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,882,254TotalAmt
Program Services$12,495,892ProgramServicesAmt
Management And General$4,386,362ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,510,306TotalAmt
Program Services$2,499,967ProgramServicesAmt
Management And General$10,339ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$55,899,605$55,030,927$868,678
PURCHASED SERVICES$15,157,232$12,477,955$2,679,277
BAD DEBTS$11,539,371$11,539,371
OTHER$4,703,091$2,917,425$1,785,666

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,567,184TotalAmt
Program Services$755,054ProgramServicesAmt
Management And General$812,130ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$315,726,437TotalAmt
Program Services$274,666,808ProgramServicesAmt
Management And General$41,059,629ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$39,402,894BOYAmt
EOY$39,035,203EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$65,430,297BOYAmt
EOY$63,071,185EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,680,880BOYAmt
EOY$2,879,606EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,690,834BOYAmt
EOY$38,892,076EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,791,272BOYAmt
EOY$3,055,545EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,612,860BOYAmt
EOY$8,879,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,723,349BOYAmt
EOY$6,228,463EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$260,665,214LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$139,288,435LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$107,597,315BOYAmt
EOY$121,376,779EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,034,389BOYAmt
EOY$3,377,168EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$817,705BOYAmt
EOY$779,358EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,486,058BOYAmt
EOY$11,555,966EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$280,267,853BOYAmt
EOY$299,130,349EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,031,510BOYAmt
EOY$52,260,127EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,437,090BOYAmt
EOY$68,679,912EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,227,460BOYAmt
EOY$7,644,404EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,665,102BOYAmt
EOY$10,881,186EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,361,162BOYAmt
EOY$139,465,629EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$148,144,515BOYAmt
EOY$145,839,718EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,039,482BOYAmt
EOY$10,904,540EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,722,694BOYAmt
EOY$2,920,462EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,906,691BOYAmt
EOY$159,664,720EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$280,267,853BOYAmt
EOY$299,130,349EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,665,451ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,236,231NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,671,191OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$10,803GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$16,133DirectContactLegislatorsAmt
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$26,936TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES WERE INCURRED IN AN ATTEMPT TO ENSURE MEDICARE AND MEDICAID PAID COST OF SERVICES AND IN RELATION TO FUNDING FOR ADVANCE OF OUR ELECTRONIC HEALTH RECORD PROJECT. EXPENDITURES INCLUDED CONSULTANT, STAFF TIME AND A PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,014,196BeginningYearBalanceAmt
Contributions$2,343,884ContributionsAmt
Investment Earnings Or Losses$72,457InvestmentEarningsOrLossesAmt
End Year Balance$9,430,537EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,984,516BeginningYearBalanceAmt
Contributions$2,988,068ContributionsAmt
Investment Earnings Or Losses$41,612InvestmentEarningsOrLossesAmt
End Year Balance$7,014,196EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,917,545BeginningYearBalanceAmt
Contributions$2,059,932ContributionsAmt
Investment Earnings Or Losses$7,039InvestmentEarningsOrLossesAmt
End Year Balance$3,984,516EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.21120PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.78880TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$282,845OtherCostOrOtherBasisAmt
Book Value$282,845BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,866,155OtherCostOrOtherBasisAmt
Depreciation$80,781,285DepreciationAmt
Book Value$73,084,870BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,858,871OtherCostOrOtherBasisAmt
Depreciation$58,507,150DepreciationAmt
Book Value$35,351,721BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,657,343OtherCostOrOtherBasisAmt
Book Value$12,657,343BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$121,376,779TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO CONTRACTUAL AGENCIES$3,378,086
ACCOUNTS PAYABLE TO AFFILIATES$7,099,992
LEASES PAYABLE$358,506
OTHER LIABILITIES$44,602
FieldValueIRS element (for citing)
Total Liability$10,881,186TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$305,858,611TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,236,231NetUnrealizedGainsInvstAmt
Other Revenue$709,866OtherRevenueAmt
Revenue Not Reported-$3,526,365RevenueNotReportedAmt
Revenue Subtotal$309,384,976RevenueSubtotalAmt
Other Revenues Not Included$14,006,912OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,006,912RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$323,391,888TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$305,030,723TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$843,657OtherExpensesIncludedAmt
Expenses Not Reported$843,657ExpensesNotReportedAmt
Expenses Subtotal$304,187,066ExpensesSubtotalAmt
Other Expenses Not Included$11,539,371OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,539,371ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$315,726,437TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -146,951. FOUNDATION INCOME RECORDED ON CONSOLIDATED BASIS 843,657. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 13,160.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SUPPORT FROM AFFILIATED FOUNDATION 2,467,541. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 11,539,371.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION EXPENSES RECORDED ON CONSOLIDATED BASIS 843,657.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE INCLUDED IN NET REVENUES 11,539,371.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,481,542TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,481,542NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,744,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,808,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,936,052NetCommunityBenefitExpnsAmt
Total Expense0.03780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,225,921TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,808,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,417,594NetCommunityBenefitExpnsAmt
Total Expense0.06780TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,106NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,106NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,255,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,808,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,446,700NetCommunityBenefitExpnsAmt
Total Expense0.06790TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,625TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54,625NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,589TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,589NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,535TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,535NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$140,749TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$140,749NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$11,539,371BadDebtExpenseAmt
Reimbursed By Medicare$125,582,150ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$169,390,925CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$43,808,775MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 MRICT JOINT OPERATING AGREEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesIMAGINGPrimaryActivitiesTxt
Org Profit Or Ownership0.80400OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.01290OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.18310PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.KRH.ORG/KRHC/ABOUTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.KRH.ORG/KRHC/ABOUTStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.KRH.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.KRH.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
KALISPELL REGIONAL MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 6A: NORTH VALLEY HOSPITAL, WHITEFISH, MT
KALISPELL REGIONAL MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 22D: 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.
KALISPELL REGIONAL MEDICAL CENTERPART 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $11,539,371.
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 14 THROUGH 16 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS.
PART III, LINE 8:COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FY 2016 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES BLASINGAME
TRUSTEE$400,005$0$0$0$19,154$0$5,000$0$17,451$0$441,610$0$0$0
CHRISTOPHER GILL MD
TRUSTEE$296,543$0$0$0$8,183$0$5,000$0$16,340$0$326,066$0$0$0
VELINDA STEVENS
PRESIDENT$0$506,817$0$125,773$0$165,664$0$15,000$0$20,893$0$834,147$0$0
KAREN LEE
CHIEF NURSING OFFICER$233,328$0$68,702$0$91,202$0$15,000$0$10,774$0$419,006$0$0$0
JEROME T PATTERSON
CHIEF ADMIN OFFICER & GENE$361,656$0$106,199$0$66,516$0$15,000$0$15,462$0$564,833$0$0$0
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT$0$332,533$0$97,781$0$130,099$0$15,000$0$21,005$0$596,418$0$0
PATRICK RANKIN
CHIEF MEDICAL OFFICER - PA$163,079$0$0$0$18,940$0$0$0$6,134$0$188,153$0$0$0
DEBORAH WILSON
CHIEF OPERATION OFFICER$278,247$0$82,505$0$105,458$0$15,000$0$18,114$0$499,324$0$0$0
TATE KREITINGER
THE HEALTHCENTER CEO$273,794$0$80,402$0$88,530$0$15,000$0$20,854$0$478,580$0$0$0
KENDRA HARRIS
PHYSICIAN$596,170$0$60,000$0$40,308$0$5,000$0$17,674$0$719,152$0$0$0
DREW KIRSHNER
PHYSICIAN$624,943$0$110,000$0$116,618$0$5,000$0$20,224$0$876,785$0$0$0
THOMAS ORIGITANO MD
PHYSICIAN$812,030$0$68,612$0$90,343$0$5,000$0$14,924$0$990,909$0$0$0
JOSEPH SRAMEK
PHYSICIAN$804,816$0$50,000$0$8,345$0$5,000$0$20,224$0$888,385$0$0$0
HOWARD TICE
PHYSICIAN$516,404$0$166,356$0$0$0$5,000$0$18,306$0$706,066$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST CLASS OR CHARTER TRAVEL - KRMC DOES NOT PROVIDE FIRST CLASS TRAVEL. 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 - THE MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $23,500 FOR 2015. 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, LINES 4A-BMEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $23,500 FOR 2015. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, AND THE HEALTHCENTER CEO.
PART I, LINE 7BONUS 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A364615155612043XXX2010-11-01$57,115,000REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT000
MONTANA FACILITY FINANCE AUTHORITY
B3646151552011-08-03$4,174,486CAPITAL EXPENDITURES000
MONTANA FACILITY FINANCE AUTHORITY
C3646151562014-12-13$17,000,000CAPITAL EXPENDITURES (MEDICAL TECH, CANCER BLDG, SURGERY TOWER, GEO THERM)000
MONTANA FACILITY FINANCE AUTHORITY
D3646151562016-02-25$6,000,000HEALTH INFORMATION TECHNOLOGY MEDITECH 6.15 UPGRADE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$57,308,306$3,641,233$891,005$42,004,808$10,771,2602013Yes (1)0Yes (1)Yes (1)
B$4,174,486$12,486$4,162,000201200Yes (1)Yes (1)
C$17,000,000$98,050$16,901,950201600Yes (1)Yes (1)
D$6,000,000$23,800$2,703,92900Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000
C00000.000000.000000.00000000
D00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B00Yes (1)00000Yes (1)
C000Yes (1)0000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER 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 3THE 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 11OF 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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GLACIER REGIONAL PATHOLOGY
DR. FISHER, A CURRENT TRUSTEE, IS A GREATER THAN 35% CONTROL OWNER.$481,521PATHOLOGY & LAB SERVICES0
KEN JONAS
SPOUSE OF CURRENT TRUSTEE$15,375INDEPENDENT CONTRACTOR ARRANGEMENT0
SWANBERG BUILDING INC
ESTATE OF FORMER TRUSTEE IS A GREATER THAN 35% CONTROL OWNER.$108,000RENT0
MARY ANNE GILL
SPOUSE OF CURRENT TRUSTEE$32,750SALARY0
LINDSAY LACEY
DAUGHTER OF CURRENT TRUSTEE CARL TINLIN$11,680SALARY0
SHANNON LEE
DAUGHTER OF CURRENT OFFICER$126,350SALARY0
VIRGINIA LUDDEN
SPOUSE OF CURRENT TRUSTEE$61,916RENT0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)CONSTRUCTION MATERIALS5$1,691,323COST
Yes (X)EQUIPMENT3$57,700COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MARCIA JOHNSON AND PETER LARSON HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS MAILED TO ALL BOARD MEMBERS WITH THE FEBRUARY BOARD PACKET. THE BOARD MEMBERS HAVE A CHANCE TO REVIEW THE FORM BEFORE THE FINANCE COMMITTEE MEETING WHERE A PRESENATION ON THE FORM 990 IS DONE. QUESTION AND ANSWER SESSIONS ARE HELD AT BOTH THE FINANCE COMMITTEE MEETING AND THE BOARD MEETING CONCERNING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15KALISPELL 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 THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE AND REPORTED TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THESE REPORTS ARE CONSIDERED BY THE COMMITTEE, AND A DETERMINATION IS MADE AS TO THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD AND EXECUTIVE COMPENSATION COMMITTEE EMBRACE THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL WHICH WILL FAVOR RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE PERIODIC RETENTION OF A COMPENSATION CONSULTANT AND MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN AN ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD COMMITTEE ALSO INCLUDES A REVIEW OF 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 COMMITTEE REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. THE BOARD EXECUTIVE COMPENSATION COMMITTEE MAKES ITS REPORT TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19ONLY FORM 990 IS AVAILABLE.
FORM 990, PART XI, LINE 9:FUND BALANCE TRANSFERRED TO AFFILIATES -4,881,708. ADJUSTMENT FOR FOUNDATION ACTIVITY -865,469. NET CHANGE IN RESTRICTED ASSETS 2,062,826. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 13,160.
FORM 990, PART VII, SECTION A, COLUMN (B) - AVERAGE HOURS PER WEEKTHE 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 50% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 50% OF HIS TIME TO HEALTHCENTER NORTHWEST, A RELATED ENTITY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KALISPELL REGIONAL HEALTHCARE SYSTEM
310 SUNNYVIEW LANEKALISPELLMT59901810406485SUPPORT SUBSIDIARY TAX EXEMPT ORGANIZATIONSMT501(C)(3)11, TYPE IIN/A0
KALISPELL REGIONAL HEALTHCARE FOUNDATION
310 SUNNYVIEW LANEKALISPELLMT59901311703013SUPPORTING ORGANIZATIONMT501(C)(3)11, TYPE IYes (1)KALISPELL REGIONAL MEDICAL CENTER
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANEKALISPELLMT59901810420653OPERATE LONG TERM AMBULATORY FACILITYMT501(C)(3)9Yes (1)KALISPELL REGIONAL HEALTHCARE SYSTEM
THE SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANEKALISPELLMT59901203752312COMMUNITY HEALTH & WELLNESS CENTERMT501(C)(3)9Yes (1)KALISPELL REGIONAL HEALTHCARE SYSTEM
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANEKALISPELLMT59901273866474SUPPORTING ORGANIZATIONMT501(C)(3)9Yes (1)KALISPELL REGIONAL MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
MRICT JOINT OPERATING AGREEMENT
310 SUNNYVIEW LANEKALISPELLMT59901205010390DIAGNOSTIC SCREENINGMTKALISPELL REGIONAL MEDICAL CENTERRELATED$3,813,697$3,251,0770Yes (1)0.51000
HEALTHCENTER NORTHWEST LLC
310 SUNNYVIEW LANEKALISPELLMT59901810540517ACUTE CARE HOSPITALMTN/A00N/A
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
310 SUNNYVIEW LANEKALISPELLMT59901810541707COMMERICAL BUILDING RENTALMTN/A00N/A
NORTHWEST ORTHOPEDICS & SPORTS MEDICINE LLC
310 SUNNYVIEW LANEKALISPELLMT59901371518772ORTHOPEDIC MEDICINEMTN/A00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1APPLIED HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd
FieldValueIRS element (for citing)
EIN810413632EIN
Primary ActivitiesHEALTH RELATEDPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
A$31,349ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
A$83,095ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
C$789,827ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
B$3,815,496ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
K$66,310ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
K$93,049ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
K$712,029ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
K$300,432ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
L$700,222ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
L$970,951ACTUAL PAYMENT
NORTHWEST HORIZON INC
L$191,118ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
M$5,553,389ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
M$4,053,992ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
M$274,500ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
M$798,626ACTUAL PAYMENT
NORTHWEST HORIZON INC
M$1,393,102ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
K$868,105ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
A$1,100ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
A$12,168ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
L$625,111ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
L$51,534ACTUAL PAYMENT

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