2017-05-12T15:33:09-06:00 2016-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2015-07-01 810247969 NORTH VALLEY HOSPITAL INC NORT 4068633500 1600 HOSPITAL WAY WHITEFISH MT 59937 RANDY NIGHTENGALE CFO 4068633529 2017-05-10 true THOMAS DINGUS P00951009 5092420874 2017-05-12 2015 2021-01-29 14:40:06Z STEVE STAHLBERG PO BOX 3295 KALISPELL MT 59903 53218247 false X WWW.NVHOSP.ORG X 1955 MT NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA. 12 9 495 94 0 516354 665674 45089106 51876426 61291 -60347 676869 655830 46343620 53137583 0 0 24205075 25670241 0 146035 24722690 28379271 48927765 54049512 -2584145 -911929 49452188 49544998 28135789 28199822 21316399 21345176 NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA. false false 43555478 51876426 NORTH VALLEY HOSPITAL OPERATES A 25-BED ACUTE CARE HOSPITAL WHICH PROVIDES EMERGENCY, INPATIENT, OUTPATIENT, ACUTE CARE AND SUBACUTE SERVICES IN HOSPITAL AND CLINIC SETTINGS. THE HOSPITAL PROVIDED 8,002 ER VISITS, 4,468 DAYS OF PATIENT SERVICES, 72,976 OUTPATIENT VISITS WHICH INCLUDES 29,802 CLINIC VISITS, AND 560 BIRTHS FOR THE YEAR ENDED JUNE 30, 2016. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 2,323,749 FOR CHARITY CARE, 4,231,136 FOR MEDICAID, 9,104,623 FOR MEDICARE, AND 9,098,807 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED JUNE 30, 2016. 43555478 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false true false true false false false false false true true true false false true 102 0 true 495 true false false false false false false false false false false X 12 9 true true true false true true true true true false false true true true true true true true true false MT X X DAVE RICHHART 4068639826 1600 HOSPITAL WAY WHITEFISH MT 59937 RYAN GUNLIKSON MD BOARD MEMBER 40.00 X 154411 0 1800 STEVE STAHLBERG CHAIR 1.00 X X 0 0 0 JANE KARAS VICE CHAIR 1.00 X X 0 0 0 TROY BOWMAN SECRETARY 1.00 X X 0 0 0 PENNI CHISHOLM PAST CHAIR 1.00 X 0 0 0 JOSH AKEY BOARD MEMBER 1.00 1.00 X 0 0 0 MARK JOHNSON BOARD MEMBER 1.00 X 0 0 0 MATT BAILEY MD BOARD MEMBER 1.00 X 0 0 0 MARC DUCHARME BOARD MEMBER 1.00 X 0 0 0 MIRNA BOWDEN MD BOARD MEMBER 1.00 X 0 0 0 LIZ MARCHI BOARD MEMBER 1.00 X 0 0 0 TODD BERGLAND MD BOARD MEMBER 1.00 X 0 0 0 JASON SPRING CEO THRU APR 40.00 X 255000 0 67663 WESLEY WHITE CFO THRU JUL 40.00 X 144110 0 21757 AREBI GARSA INTERIM CFO 40.00 X 46857 0 11678 RANDY NIGHTENGALE CFO 40.00 X 41616 0 0 TATE KREITINGER CEO 40.00 X 0 0 0 JOHN MUIR PSYCHIATRIST 40.00 X 365608 0 18490 LINDA HITCHCOCK GERIATRICIAN 40.00 X 270079 0 15625 MICHELLE MARTIN-THOMPSON PHYSICIAN 40.00 X 198493 0 22151 CAMERON GARDNER PHYSICIAN 40.00 X 185264 0 21189 JASON DEFLUITER PHYSICIAN 40.00 X 179468 0 22151 1840906 202504 11 false true true KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 HEALTH CARE SVS 1969086 NORTHERN ROCKIES ANESTHESIA 1075 MARTIN CREEK LANE WHITEFISH MT 59937 ANESTHESIA SVS 1594990 SWANK ENTERPRISES 750 W RESERVE DR KALISPELL MT 59901 CONSTRUCTION 1240239 QUORUM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SVS 890434 THOMAS MANAGEMENT CORPORATION 700 EAST FRANKLIN ROAD MERIDIAN ID 83642 DIET & HK MGMT 588644 15 630459 35215 4769 665674 NET HEALTHCARE SERVICES 624100 51855746 51855746 RENTAL INCOME 621110 20680 20680 51876426 20217 20217 100 80664 -80564 -80564 -80564 OTHER REVENUE 722210 282218 282218 CAFETERIA 900099 260545 260545 REBATES 900099 113067 113067 655830 53137583 51876426 595483 X 595675 595675 19663482 15459703 4141193 62586 792045 629044 160574 2427 2891622 2296535 586228 8859 1727417 1401920 320205 5292 332802 332802 112738 112738 75997 75997 7892116 6666348 1194508 31260 160940 4085 156613 242 2708246 2150242 535938 22066 1192894 898770 294124 1229699 1101269 127228 1202 90113 32182 52662 5269 151861 69908 81804 149 163696 163696 4904808 3943700 959922 1186 1235829 801946 433883 MEDICAL SUPPLIES & DRUGS 5412838 5412838 REPAIRS AND MAINTENANCE 1262122 973292 287012 1818 HOME OFFICE EXPENSES 763636 763636 OTHER EXPENSES 688936 503067 183566 2303 1046933 -1048309 1376 54049512 43555478 10347999 146035 243351 7245515 10792156 206885 5666365 6691517 1042237 1026558 957841 860178 63378871 34807455 30225860 28571416 1018177 2845957 1603173 49452188 49544998 5996185 6180309 21382410 21348507 757194 671006 28135789 28199822 X 21316399 21345176 21316399 21345176 49452188 49544998 -911929 27249 1000000 -86543 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1604 1604 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 2155017 2155017 29555783 14308156 15247627 26889496 18438755 8450741 4778575 2060544 2718031 28571416 DSH PROGRAM PAYABLE 498309 EHR INCENTIVE PAYABLE 172697 671006 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF APRIL 30, 2016, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X true true false true true 1533674 1533674 0.02840 8727591 8585593 141998 0.00260 10261265 8585593 1675672 0.03100 12 260000 166354 5140 161214 0.00300 3 16 89870 89870 0.00170 2 10207 81970 3460 78510 0.00150 17 270223 338194 8600 329594 0.00610 17 270223 10599459 8594193 2005266 0.03710 1 80 5545 5545 0.00010 2 694 23427 23427 0.00040 1 20 55709 55709 0.00100 4 794 84681 84681 0.00160 true 1853529 12807794 12963958 -156164 X true true ALPINE WOMENS CENTER PHYSICIAN GROUP 0.33000 GLACIER MEDICAL ASSO PHYSICIAN GROUP 0.25000 FLATHEAD VALLEY ORTH PHYSICIAN GROUP 0.13000 1 1 NORTH VALLEY HOSPITAL 1600 HOSPITAL WAY WHITEFISH MT 59937 X X X X NORTH VALLEY HOSPITAL 1 false false true X X X X X X X X X X 16 true true true true X WWW.NVHOSP.ORG X true 16 true WWW.NVHOSP.ORG false false true X 100.000000000000 400.000000000000 X true true X true X WWWNVHOSPORG X WWWNVHOSPORG X WWWNVHOSPORG X X X true X true X X X X true X false false FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 5 IN 2015/2016 NORTH VALLEY HOSPITAL (THE HOSPITAL) PARTNERED WITH KALISPELL REGIONAL HEALTHCARE AND THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT TO CONDUCT A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE ASSISTANCE OF THE MONTANA OFFICE OF RURAL HEALTH AND THE NATIONAL RURAL HEALTH RESOURCE CENTER IN DULUTH, MN. SECONDARY RESEARCH WAS COMPILED COMPARING LOCAL, STATE AND US HEATLH STATISTICS TO DETERMINE TRENDS AND AREAS OF SIGNIFICANCE. PRIMARY RESEARCH WAS CONDUCTED TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE UNDERSERVED AND THE COMMUNITY AS A WHOLE BY GAINING INSIGHTS FROM COMMUNITY SUBJECT MATTER EXPERTS AND UNDERSERVED CITIZENS. QUANTITATIVE PRIMARY RESEARCH WAS CONDUCTED IN JUNE, 2015 IN THE FORM OF A PUBLIC SURVEY MAILED TO A RANDOM SAMPLE OF 800 RESIDENTS OF FLATHEAD COUNTY. THE SURVEY WAS BASED ON A DESIGN THAT HAS BEEN USED EXTENSIVELY IN THE STATES OF WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO 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. ADDITIONALLY, THREE FOCUS GROUPS AND TEN KEY INFORMANT INTERVIEWS WERE CONDUCTED IN THE FALL OF 2015 TO IDENTIFY THE MOTIVES OF LOCAL RESIDENTS WHEN SELECTING HEALTHCARE PROVIDERS AND TO DISCOVER REASONS WHY PEOPLE MAY LEAVE THE FLATHEAD COUNTY AREA TO SEEK HEALTHCARE SERVICES, AS WELL AS THE LEVEL OF SATISFACTION WITH LOCAL SERVICES, PROVIDERS, AND FACILITIES. THE PARTNERS REVIEWED THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA TO IDENTIFY TRENDS AND MAJOR NEEDS GROUPS. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WAS APPROVED BY THE HOSPTIAL BOARD OF DIRECTORS AND PLACED ON THE NORTH VALLEY HOSPITAL WEBSITE ON MARCH 31, 2016; FOLLOWED BY THE IMPLMENTATION PLAN ON OCTOBER 25, 2016. FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 6A THE HOSPITAL PARTNERED WITH KALISPELL REGIONAL HEALTHCARE AND THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT TO CONDUCT A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 6B SEE PART V, LINE 6A FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 11 THE HOSPITAL DID NOT ADDRESS AREAS IDENTIFIED AS LOWER PRIORITY/RESPONSIBILITY, SUCH AS LOW INCOME SENIOR HOUSING AND PROVIDING PREVENTATIVE DENTAL CARE BECAUSE THEY ARE VIEWED AS BEYOND THE MISSION OF THE HOSPITAL, AND OTHER GROUPS ARE BETTER SUITED TO ADDRESS THESE NEEDS. FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 13H PATIENTS ARE BILLED THE GROSS CHARGE FOR ALL SERVICES RECEIVED. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE BILL IS ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES. FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 22D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS THE HOSPITAL'S USUAL AND CUSTOMARY RATES THAT APPLY TO ALL PATIENTS REGARDLESS OF PAYOR CLASS. THE HOSPITAL DEFINES COLLECTION PRACTICES AS AMOUNTS GENERALLY BILLED, USING A LOOK BACK DETERMINATION. FAP ELIGIBLE INDIVIDUALS THEN HAVE THE CHARGES REDUCED BASED ON INCOME CRITERIA. PATIENTS AT 400% OF THE FPG ARE ELIGIBLE FOR A 44% REDUCTION WHILE PATIENTS AT 100% OF THE FPG ARE ELIGIBLE FOR A 100% REDUCTION. 8 NORTH COUNTRY MEDICAL CLINIC 1343 HWY 93 NORTH EUREKA MT 59917 OUTPATIENT CLINIC THE BASE LODGE CLINIC 3840 BIG MOUNTAIN ROAD WHITEFISH MT 59937 OUTPATIENT CLINIC COLUMBIA FALLS CLINIC PROFESSIONAL 2165 9TH STREET WEST COLUMBIA FALLS MT 59912 OUTPATIENT CLINIC GLACIER MATERNITY & WOMENS CENTER 195 COMMONS LOOP ROAD SUITE D KALISPELL MT 59901 OUTPATIENT CLINIC WEST GLACIER CLINIC 100 REA ROAD WEST GLACIER MT 59936 OUTPATIENT CLINIC GLACIER ENT HEAD AND NECK SURGERY 711 E 13TH STREET WHITEFISH MT 59937 OUTPATIENT CLINIC NORTH VALLEY HOSPITAL PHYSICAL THER 1343 HWY 93 N EUREKA MT 59917 OUTPATIENT CLINIC NORTH VALLEY HOSPITAL IMAGING 1111 BAKER AVENUE WHITEFISH MT 59937 DIAGNOSTIC CENTER PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THE HOSPITAL HAS NOT INCLUDED ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). PART II - COMMUNITY BUILDING ACTIVITIES LEADERSHIP AT THE HOSPITAL ARE ACTIVE MEMBERS OF AREA CHAMBERS OF COMMERCE, UNITED WAY, EMERGENCY MEDICAL SERVICES BOARD, WHITEFISH AFFORDABLE HOUSING TASK FORCE, WHITEFISH HEALTHY COMMUNITIES COMMITTEE, MOUNTAIN PACIFIC SPECIAL IMPROVEMENT PROJECT ON CARE TRANSITIONS, AND MORE. IN ADDITION, THE HOSPITAL SPONSORS A STAFF MEMBER EACH YEAR TO ATTEND LEADERSHIP FLATHEAD: A TWO-YEAR LEADERSHIP TRAINING AND COMMUNITY COLLABORATION PROGRAM IN THE FLATHEAD VALLEY INCORPORATING LEADERSHIP IN A PROJECT THAT FULFILLS A NEED IN THE COMMUNITY. THE HOSPITAL MANAGEMENT AND STAFF HAVE DEVELOPED RELATIONSHIPS WITH AREA HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED FIELDS AND HOSTING INTERNS AND JOB SHADOWS. THE HOSPITAL HUMAN RESOURCES STAFF CONTRIBUTE TIME TO CAREER COUNSELING AND ARE ACTIVE PARTICIPANTS IN THE LOCAL CHAPTERS OF HOSA (HEALTHCARE OCCUPATION STUDENTS OF AMERICA) AND GRADUATION MATTERS. HOSPITAL STAFF PROVIDE A FORUM FOR THE PERFORMANCE IMPROVEMENT NETWORK, WHICH PROVIDES QUALITY ASSURANCE FOR FUTURE HEALTH CARE. WE PARTICIPATED IN HOSPITAL ACQUIRED INFECTION LEARNING AREA NETWORK THROUGH THE MOUNTAIN PACIFIC QUALITY IMPROVEMENT ORGANIZATION, AHA HOSPITAL ENGAGEMENT NETWORK, AND THE NATIONAL RURAL ACCOUNTABLE CARE ORGANIZATION PROMOTING CARE COORDINATION, PREVENTION AND WELLENSESS. AN INCIDENT MANAGEMENT SYSTEM WITH HOSPITAL COMMAND CENTER IS ESTABLISHED AT THE HOSPITAL FOR EMERGENCY PREPAREDNESS. INTERNALLY, THE MEMBERS REGULARLY EXECUTE DRILLS AND REVIEW EMERGENCY MEASURES FOR IMPROVEMENT AS WELL AS ASSESS RESOURCE NEEDS. HOSPITAL REPRESENTATIVES PARTICIPATE IN A COALITION INCLUDING OTHER EMERGENCY, MEDICAL AND CITY/COUNTY SERVICES WHO MEET REGULARLY TO PREPARE FOR FLATHEAD VALLEY'S LARGER POTENTIAL DISASTERS. MANAGEMENT STAFF HAS OBTAINED ADVANCED TRAINING IN EMERGENCY COMMUNICATIONS EFFECTIVENESS, RESPONSE AND COORDINATION. QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION: COMMUNITY SUPPORT DONATIONS (ACCOUNTED FOR IN CBISA UNDER CASH DONATIONS) - TO INTERMOUNTAIN INTEGRATED MENTAL HEALTH SERVICES, DRUG-FREE GRADUATION PARTY SPONSORSHIPS, SHEPHERD'S HAND FREE CLINIC,SCHOOL SPORTS AND BOOSTER CLUB ASSOCIATIONS, FINANICAL SUPPORT FOR WINGS AND ALERT MEDICAL TRANSPORT HELICOPTER, UNITED WAY, SAVE A SISTER MAMMOGRAM INITIATIVE, RELAY FOR LIFE, SPECIAL OLYMPICS, PROSTATE CANCER AWARENESS FOUNDATION, FLATHEAD CANCER AID, FLATHEAD BREASTFEEDING COALITION, THE ALZHEIMERS ASSOCIATION, AND MARCH OF DIMES. ECONOMIC DEVELOPMENT - MONTANA WEST ECONOMIC DEVELOPMENT, CHAMBER OF COMMERCE BOARDS AND COMMITTEES, WHITEFISH AFFORDABLE HOUSING TASK FORCE, LEADERSHIP FLATHEAD, WHITEFISH CONVENTION AND VISITOR BUREAU. WORKFORCE DEVELOPMENT - MENTORING AND JOB SHADOWING, CAREER COUNSELING, HEALTH OCCUPATIONS STUDENT ORGANIZATION, FLATHEAD VALLEY COMMUNITY COLLEGE NURSING PROGRAM, MONTANA STATE UNIVERSITY NURSING PROGRAM. COALITION BUILDING - PERFORMANCE IMPROVEMENT NETWORK, HEALTH OCCUPATIONS STUDENT ASSOCIATION, SUICIDE PREVENTION/INTERVENTION/POSTVENTION, COLLEGES FOR NURSING PROGRAMS, HEALTH PROVIDER PRECEPTORS AND MEETINGS, STUDENT RECRUITMENT, CRITICAL ACCESS NETWORK, CARE TRANSITIONS COALITION, HEALTHY COMMUNITIES COALITION, BEST BEGINNINGS EARLY CHILD DEVELOPMENT COALITION, AND DISASTER PREPAREDNESS. THE HOSPITAL CONTINUES ITS SENIOR MENTAL HEALTH PROGRAM (NORTH VALLEY EMBRACE HEALTH) TARGETED AT ADULTS 55 YEARS OLD AND OLDER TO ADDRESS ISSUES OF DEPRESSION, LOSS, WITHDRAWAL, ETC. IT IS THE FIRST STRUCTURED OUTPATIENT PROGRAM OF ITS KIND IN NORTHWEST MONTANA. IT ALSO LAUNCHED NORTH VALLEY BEHAVIORAL HEALTH, PROVIDING PSYCHIATRY FOR CHILDREN, ADOLESCENTS AND ADULTS. ADDICTION AND SUBSTANCE ABUSE COUNSELING, PLAY THERAPY FOR CHILDREN, AND SENIOR FOCUSED TREAMTENTS WERE ADDED TO INCREASE REACH AND BREADTH OF SERVICES. NORTH VALLEY GERIATRIC SPECIALTIY SERVICES WAS ESTABLISHED IN 2013 TO PROVIDE GERIATRIC MEDICINE AND ASSESSMENT. THE MEDICAL STAFF PROVIDE CARE TO SENIORS IN LOCAL SENIOR LIVING FACILITIES AND COORDINATES CARE. NORTH VALLEY SCHOOL BASED CLINIC IN COLUMBIA FALLS LAUNCHED IN SEPTEMBER 2016 TO IMPROVE ACCESS TO AFFORDABLE HEALTHCARE FOR HIGH SCHOOL STUDENTS AND STAFF. BOTH PHYSICAL AND MENTAL HEALTH SERVICES ARE PROVIDED ON SITE AT THE HIGH SCHOOL IN CONJUNCTION WITH THE SCHOOL NURSE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE HOSPITAL IDENTIFIES PATIENTS ELGIBLE FOR CHARITY CARE UP FRONT PRIOR TO TURNING THE BALANCE OVER TO THE COLLECTIONS AGENCY. THE COLLECTION AGENCY ATTEMPTS TO COLLECT FROM THE PATIENT UNTIL DEEMED UNCOLLECTIBLE OR ELGIBLE FOR FINANCIAL ASSISTANCE AT WHICH POINT THE ACCOUNT IS CLOSED AND RETURNED TO THE HOSPITAL. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE FOR A PERIOD OF 240 DAYS DURING WHICH TIME EXTRAORDINARY COLLECTION ACTIVITY WILL CEASE. IF THE PATIENT ACCOUNT IS DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE THE BAD DEBT ACCOUNT IS RETURNED TO THE HOSPITAL AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO THE HOSPITAL FINANCIAL ASSISTANCE POLICY. HOSPITAL FINANCIAL COUNSELORS AND OR THE EXTENDED BUSINESS OFFICE WILL ATTEMPT OTHER COLLECTION ACTIONS, SUCH AS SUBSEQUENT BILLINGS/MONTHLY STATEMENTS, AND TELEPHONE CALLS. A SUMMARY BILL IS SENT TO THE PATIENT 3 DAYS AFTER DISCHARGE OR WHEN ALL APPLICABLE CRITERIA IS MET. STATEMENTS WITH FINANCIAL ASSISTANCE MESSAGES ARE SENT 30, 60, 90, AND 120 DAYS. AN ACCOUNT IS CONSIDERED FOR BAD DEBT DETERMINATION ONCE THE DEBT REMAINS UNPAID MORE THAN 120 DAYS AND IF A PAYMENT PLAN IS ESTABLISHED WITH THE PATIENT AND THE PATIENT MISSES TWO PAYMENTS, THE REMAINING BALANCE WILL BE PLACED TO BAD DEBT. ONCE AN ACCOUNT IS DETERMINED TO BE BAD DEBT, IT IS SUBMITTED TO THE PATIENT FINANCIAL SERVICES SUPERVISOR WHO REVIEWS, APPROVES, AND RECORDS THE BAD DEBT AMOUNT. ANY WRITE-OFF EXCEEDING 3,000 IS ALSO REVIEWED BY THE CFO. THE HOSPITAL DOES NOT HAVE ANY BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL IDENTIFIES ALL THOSE ELIGIBLE FOR CHARITY CARE UPFRONT OR THROUGH THE EXTENDED BUSINESS OFFICE BEFORE ANY AMOUNTS ARE WRITTEN OFF TO BAD DEBT. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE IS FOUND IN FOOTNOTE 3, ON PAGE 13, OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 3 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION SEE SCHEDULE H, PART III, LINE 3. PART VI, LINE 2 - NEEDS ASSESSMENT BOTH ON-GOING QUALITATIVE AND QUANTITATIVE FEEDBACK IS TAKEN INTO ACCOUNT TO ASSESS COMMUNITY HEALTH CARE NEEDS. A QUANTITATIVE AND QUALITATIVE NEEDS ASSESSMENT WAS CONDUCTED IN 2015, WITH ANALYSIS AND PUBLICATION COMPLETED IN 2016, TO GAIN INSIGHTS FROM AREA RESIDENTS AND COMMUNITY LEADERS AS TO THEIR HEALTHCARE ISSUES AND THEIR PERCEPTIONS REGARDING NEEDS IN THE COMMUNITY. HARD COPIES OF THE REPORT ARE AVAILABLE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: WWW.KRH.ORG/NVH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT QUALITATIVE INFORMATION IS GAINED REGULARLY THROUGH PARTNERSHIPS WITH THE CITY GOVERNMENT, AREA SCHOOL DISTRICTS, FEDERAL AND LOCAL LEGISLATORS AND FLATHEAD CITY/COUNTY HEALTH DEPARTMENT. ADDITIONALLY, THE HOSPITAL'S PHYSICIANS AND EMPLOYEES PROVIDE FEEDBACK FROM THEIR EXPERIENCE ON THE JOB AND WITHIN THE COMMUNITY. WRITTEN FEEDBACK FROM THE COMMUNITY IS REQUESTED TO BE SENT TO THE COMMUNITY RELATIONS DEPARTMENT. THE HOSPITAL SPONSORED COMMUNITY EDUCATION PRESENTATIONS ARE FOLLOWED BY A REQUEST FOR FEEDBACK FROM ATTENDEES ON THE VALUE OF THE PRESENTATION AND THEIR INTEREST IN OTHER HEALTH TOPICS. THE HOSPITAL PARTICIPATED IN AVATAR INTERNATIONAL AND PRESS GANEY INTERNATIONAL, THIRD-PARTY PATIENT FEEDBACK SYSTEMS. THE COMMENTS MADE WITHIN THIS PROCESS ARE REVIEWED AND CONSIDERED FOR NEW PROGRAMS BOTH IN THE COMMUNITY AND AT THE HOSPITAL. LIKEWISE, INFORMATION GAINED FROM THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) IS REVIEWED FOR OPPORTUNITIES TO ADDRESS COMMUNITY HEALTHCARE NEEDS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE COMMUNICATIONS TO THE PUBLIC ON FINANCIAL ASSISTANCE INCLUDES THE NORTH VALLEY HOSPTIAL WEBSITE, FACILITY SIGNAGE, FINANCIAL COUNSELORS AND CERTIFIED APPLICATION COUNSELORS, PATIENT HANDBOOK, GUIDE TO YOUR BILL BROCHURE, AND PATIENT/VISITOR GUIDE. PATIENTS ARE OFTEN REFERRED TO APPLICABLE NON-PROFITS AND STATE CHARITY CARE SERVICES SUCH AS SAVE-A- SISTER ORGANIZATION (AN ORGANIZATION THAT ASSISTS LOW INCOME WOMEN WITH FREE MAMMOGRAM SCREENINGS), CHIPS, MONTANA BREAST PROGRAM, SHEPHERD'S HAND FREE CLINC AND FLATHEAD CITY-COUNTY HEATLH DEPARTMENT. NOTICES OF FINANCIAL AID AVAILABILITY ARE AVAILABLE AT THE FLATHEAD UNITED WAY COMMUNITY CENTER. PART VI, LINE 4 - COMMUNITY INFORMATION THE HOSPITAL SERVES A WIDE VARIETY OF PATIENTS, MANY OF WHOM ARE SELF- EMPLOYED, YOUNG FAMILIES, UNEMPLOYED, SEASONAL WORKERS OR HAVE MINIMUM-WAGE JOBS AND CAN'T AFFORD INSURANCE. MEDICARE AND MEDICAID MADE UP THE MAJORITY OF THE HOSPITAL'S PAYERS AT APPROXIMATELY 60 PERCENT. THE HOSPITAL PROVIDES SERVICES TO RESIDENTS FROM EUREKA IN THE NORTH, TO WEST GLACIER IN THE EAST, AND LAKESIDE/SOMERS TO THE SOUTH. THE DEMOGRAPHICS OF THE HOSPITAL'S PRIMARY SERVICE AREAS OF WHITEFISH, COLUMBIA FALLS AND KALISPELL ARE AS FOLLOWS: (SOURCES: US CENSUS 2010 AND 2015 PROJECTIONS) WHITEFISH: 6.43 SQUARE MILES. POPULATION 7,073, MEDIAN AGE 40, AVERAGE HOUSEHOLD 2.16 PEOPLE, PER CAPITA INCOME 31,410 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 51,122, LARGELY WHITE POPULATION 95.8%, PERSONS OVER 65 YEARS OLD = 14.3%. COLUMBIA FALLS: 2.04 SQUARE MILES. POPULATION 5,093, MEDIAN AGE 35.6, AVERAGE HOUSEHOLD 2.44 PEOPLE, PER CAPITA INCOME 21,284 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 47,352,LARGELY WHITE POPULATION 94.4%, NEXT IS AMERICAN INDIAN 1.8%, PERSONS OVER 65 YEARS OLD = 13.2%. KALISPELL: 11.64 SQURE MILES. POPULATION 22,052, MEDIAN AGE 39.9, AVERAGE HOUSEHOLD 2.27 PEOPLE, PER CAPITA INCOME 22,782 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 41,097, LARGELY WHITE POPULATION 94.5%, NEXT IS HISPANIC 2.9%, PERSONS OVER 65 YEARS OLD = 15.4%. FLATHEAD COUNTY: TOTAL POPULATION 98,082, MEDIAN AGE 41.7, PER CAPITA INCOME 26,388 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 41,851, LARGELY WHITE POPULATION 95.5%, NEXT IS HISPANIC 2.3%, PERSONS OVER 65 YEARS OLD = 17.7%. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE HOSPITAL PROVIDES RESOURCES AND FINANCIAL ASSISTANCE TO OTHER NON-PROFITS AND HEALTH-RELATED ENTITIES TO IMPROVE THE WELL-BEING OF THE COMMUNITY. THE HOSPITAL HAS BEEN INSTRUMENTAL IN PROVIDING RURAL AREAS WITH PRIMARY,WELLNESS AND WALK-IN CARE THROUGH CLINICS IN EUREKA AND COLUMBIA FALLS YEAR-ROUND AND SEASONALLY WHEN TOURISM DEFINES THE EXTRA NEED AT WHITEFISH MOUNTAIN RESORT AND WEST GLACIER. EUREKA CLINIC PROVIDES DIGITAL X-RAYS, CLIA-CERTIFIED LAB SERVICES AND ULTRASOUND; COLUMBIA FALLS OFFERS X-RAY AND LAB SERVICES. THE EUREKA AND COLUMBIA FALLS CLINICS ARE DESIGNATED RURAL HEALTH CLINICS PROVIDING A SLIDING FEE SCALE FOR THOSE FINANCIALLY QUALIFIED. SCHOOL BASED HEALTH CLINIC IN COLUMBIA FALLS HIGHSCHOOL PROVIDES PHYSICAL AND MENTAL HEATLH SERVICES FOR STUDENTS AND STAFF. THE SEASONAL CLINICS ARE OPEN DAILY IN THEIR RESPECTIVE LOCATIONS TO PROVIDE WELLNESS AND URGENT CARE TO AREA RESIDENTS AND VISITORS. AVAILABLE ARE PHARMACEUTICALS, DIGITAL X-RAYS AND CLIA-CERTIFIED LABS. IN HOSPITAL CLINICS, AS WELL AS THE HOSPITAL, THE PICTURE ARCHIVING COMPUTER SYSTEM (PACS) IS USED TO QUICKLY SHARE DATA WITH OTHER MEDICAL FACILITIES. ELECTRONIC MEDICAL RECORDS SYSTEM WAS LAUNCHED ON DECEMBER 9, 2013 WITH PATIENT PORTAL ACCESSIBLE VIA THE HOSPITAL WEBSITE IN MARCH 2014. INPATIENTS AND OUTPATIENTS RECEIVE A BROCHURE AND INSTRUCTIONS REGARDING THE PATIENT PORTAL WITH EACH ADMISSION. THE BROCHURE IS ALSO AVAILABLE ON THE WEBSITE. THE HOSPITAL HELPS SUPPORT THE SHEPHERD'S HAND FREE CLINIC IN WHITEFISH WITH FREE TESTING AND SERVICES THAT THE CLINIC IS UNABLE TO PROVIDE ON ITS OWN. MANY OF THE HOSPITAL PHYSICIANS AND NURSING STAFF VOLUNTEER THEIR OWN TIME CONTRIBUTING TO THIS CLINIC. THE HOSPITAL ALSO PROVIDED FINANCIAL AND PERSONNEL RESOURCES TO WINGS CANCER SUPPORT FOR RESIDENTS WHO NEED TO TRAVEL OUTSIDE OF THE AREA FOR MEDICAL SERVICES. THE HOSPITAL ALSO ASSISTS WITH SUPPORTING THE ALERT MEDICAL HELICOPTER. THE HOSPITAL DONATES TO PROGRAMS THAT ENCOURAGE CHILDREN TO LEAD POSITIVE LIVES, STAY IN SCHOOL, AND PARTICIPATE IN CONSTRUCTIVE ACTIVITIES THAT ARE DRUG AND ALCOHOL FREE. THESE INCLUDE CHILDREN'S SPORTS ASSOCIATIONS, SCHOOL BOOSTER CLUBS, HEALTH OCCUPATION STUDENT ASSOCIATIONS AND CIVIC ORGANIZATIONS THAT PROMOTE THESE SAME IDEALS SUCH AS ROTARY. STAFF WAS ACTIVE ON MANY BOARDS SUCH AS UNITED WAY, CANCER SERVICES INCLUDING RELAY FOR LIFE,TO RAISE AWARENESS AND MONEY FOR RESEARCH; EMS TO STREAMLINE SERVICES; MARCH OF DIMES TO PROVIDE PRE AND POST-NATAL EDUCATION AND SUPPORT, AND MORE. OTHER ACTIVE MEMBERSHIPS INCLUDE ROTARY, WHITEFISH AND COLUMBIA CHAMBER OF COMMERCE BOARDS. THE HOSPITAL FOCUSES ON HEALTH EDUCATION, EARLY DETECTION AND PREVENTION. THE HOSPITAL HAS A COMMUNITY HEALTH LIBRARY HOUSING HEALTH- RELATED BOOKS AND PUBLIC ACCESS TO THE INTERNET. STAFF AND PHYSICIANS PROVIDE HEALTH- RELATED COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS NUTRITION, PRE AND POSTNATAL HEALTH, DIABETES PREVENTION, BALANCE AND FALLS PRVENTION, MEN'S AND WOMEN'S HEALTH. A FREE COMMUNITY-WIDE CELEBRATION, THE PLANETREE FESTIVAL, WAS HELD TO PROVIDE HEALTH AND WELLNESS INFORMATION, PREVENTATIVE SCREENINGS, DRIVING SAFETY RESOURCES, SUICIDE PREVENTION AND MUCH NORE. POSTPARTUM DEPRESSION WORKSHOPS FOR THE PUBLIC AND MEDICAL PROVIDERS WERE HOSTED. THE HOSPITAL COMMUNITY HEALTH NURSE TEACHES A CPR AND CPR/FIRST AID CLASS. THE HOSPITAL HAS AN EMPHASIS ON EXERCISE BY SUPPORTING ATHLETIC TRAINERS IN WHITEFISH AND COLUMBIA FALLS SCHOOLS. THE HOSPITAL CONTRIBUTES RESOURCES FOR FUNDRAISERS SUCH AS SAVE A SISTER, WHICH PROVIDES FREE MAMMOGRAMS TO QUALIFIED WOMEN IN THE FLATHEAD VALLEY. THE HOSPITAL OFFERS FREE SUPPORT GROUPS THOSE WHO HAVE HAD A MISCARRIAGE, STILLBIRTH OR NEONATAL LOSS. A FREE MOM/BABY SUPPORT GROUP FACILITATED BY A REGISTERED NURSE IS OFFERED WEEKLY TO HELP NEW PARENTS ADJUST TO THEIR NEW FAMILY DYNAMICS AND TO WEIGH THEIR BABIES TO MONITOR GROWTH. THE HOSPITAL ALSO PROVIDES A LOCATION FOR AARP CLASSES. IN-KIND GOODS TO AREA NONPROFITS ARE PROVIDED TO A VARIETY OF HEALTH-RELATED LOCAL ORGANIZATIONS. QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION: BOARD POSITIONS INCLUDE: UNITED WAY, WHITEFISH AND COLUMBIA FALLS CHAMBER OF COMMERCE, EMS BOARD, SHEPHERDS HAND CLINIC BOARD, MONTANA HEALTH INFORAMATION EXCHANGE. ACTIVE MEMBERSHIPS INCLUDE: WHITEFISH ROTARY, CHAMBERS OF COMMERCE, WHITEFISH CONVENTION AND VISITOR BUREAU, BEST BEGINNINGS, CARE TRANSITIONS COALITION, HEALTHY COMMUNITIES COALITION, MOUNTAIN PACIFIC SPECIAL IMPROVEMENT PROJECT CARE TRANSITIONS, WHITEFISH AFFORDABLE HOUSING COMMITTEE. PREVENTION PROGRAMS: SAVE A SISTER MAMMOGRAMS, SCHOOL ATHLETIC TRAINERS, EDUCATION (PROVIDER HEALTH RELATED COMMUNITY EDUCATION, PRE AND POST-NATAL CLASSES, CPR/FIRST AID, SCREENINGS, NUTRITION COUNSELING, SUPPORT GROUPS, BALANCE AND FALLS PREVENTION CLASSES, DIABETES PREVENTION PROGRAMS, ASTHAMA PRVENTION EDUCATION IN-KIND DONATIONS TO: AARP, ROTARY EVENTS FOR THE NEEDY IN THE COMMUNITY, SHEPHERD'S HAND CLINIC. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM N/A PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MONTANA X true true X X X false false false false false true false false false RYAN GUNLIKSON MD BOARD MEMBER/COS 154411 1800 156211 JASON SPRING CEO THRU APR 2016 255000 67663 322663 WESLEY WHITE CFO THRU JUL 2015 132110 12000 21757 165867 AREBI GARSA INTERIM CFO 46857 11678 58535 RANDY NIGHTENGALE CFO 41616 41616 JOHN MUIR PSYCHIATRIST 365608 18490 384098 LINDA HITCHCOCK GERIATRICIAN 270079 15625 285704 MICHELLE MARTIN-THOMPSON PHYSICIAN 198493 22151 220644 CAMERON GARDNER PHYSICIAN 185264 21189 206453 JASON DEFLUITER PHYSICIAN 179468 22151 201619 SCHEDULE J, PAGE 1, PART I, LINE 1A THE BOARD OF DIRECTORS AUTHORIZES NORTH VALLEY HOSPITAL TO PAY FOR THE CEO'S MEMBERSHIP IN THE WHITEFISH ROTARY CLUB. ROTARY INTERNATIONAL IS A VOLUNTEER ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, AND HELP TO BUILD GOODWILL AND PEACE IN THE WORLD. ROTARY CLUBS EXIST TO IMPROVE COMMUNITIES THROUGH A RANGE OF HUMANITARIAN INTERCULTURAL, AND EDUCATIONAL ACTIVITIES. SCHEDULE J, PAGE 1, PART I, LINE 6A THE CEO AND CFO MAY BE PAID A BONUS THROUGH THE MANAGEMENT COMPANY BASED ON QUALITATIVE RESULTS, BUT CONTINGENT ON POSITIVE FINANCIAL RESULTS OF THE HOSPITAL. A MONTANA FACILITY FINANCE AUTHORITY 364615155 2012-01-30 25000000 REFINANCING NEW HOSPITAL false false false A 25000000 2024288 22975712 2007 false false true true A false true false false 0.02000 0.02000 true false true A false false false false false false false false false A true MATT BAILEY MD BOARD MEMBER 239000 PHYS. GROUP PARTNER false RYAN GUNLIKSON FAMILY MEMBER 154411 EMPLOYMENT false MIRNA BOWDEN BOARD MEMBER 153838 PHYS. GROUP PARTNER false FORM 990, PAGE 6, PART VI, LINE 2 JASON SPRING RYAN GUNLIKSON CEO BOARD MEMBER FAMILY RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 3 THE HOSPITAL CONTRACTS WITH QUORUM HEALTH RESOURCES, LLC (QHR), AN UNRELATED MANAGEMENT COMPANY, FOR MANAGEMENT SERVICES AND UTILIZES AN EMPLOYEE OF QHR AS ITS CHIEF EXECUTIVE OFFICER AND ITS CHIEF FINANCIAL OFFICER. FORM 990, PAGE 6, PART VI, LINE 4 THE BOARD OF TRUSTEES OF THE HOSPITAL HAVE ENTERED INTO AN AFFILIATION AGREEMENT WITH KALISPELL REGIONAL HEALTHCARE SYSTEM (KRHS). THE AFFILIATION AGREEMENT, EFFECTIVE MAY 1, 2016, CHANGED THE MAKEUP OF THE HOSPITAL'S BOARD OF TRUSTEES TO INCLUDE TWO MEMBERS OF THE KRHS BOARD OF TRUSTEES AND KRHS WILL BECOME THE SOLE MEMBER OF THE HOSPITAL. THE AFFILIATION AGREEMENT WILL INCLUDE A FIVE-YEAR UNWIND PROVISION. FORM 990, PAGE 6, PART VI, LINE 6 SEE PART VI, LINE 4 AND PART VI, LINE 7A. FORM 990, PAGE 6, PART VI, LINE 7A KALISPELL REGIONAL HEALTHCARE SYSTEM (KRHS) IS THE SOLE MEMBER OF THE HOSPITAL EFFECTIVE MAY 1, 2016. THE HOSPITAL MAY NOT MAKE CHANGES TO ITS ACUTE CARE OFFERINGS, SELL, DISPOSE, ASSIGN OR EXCHANGE ANY PROPERTY OR ASSETS, OR ENTER INTO ANY NEW DEBT, WITHOUT THE APPROVAL OF KRHS AMONG OTHER TRANSACTIONS. FORM 990, PAGE 6, PART VI, LINE 7B GLACIER BANK HAS THE AUTHORITY TO VETO ANY MAJOR PURCHASE OR SERVICE AGREEMENT DECISIONS MADE BY THE BOARD, REGARDLESS OF WHETHER IT RELATES TO THE USE OF THE HOSPITAL'S REAL ESTATE LOAN. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. THE BOARD REVIEWS ALL MEMBERS' STATEMENTS AND IF POTENTIAL ISSUES ARISE, THE MEMBER IN QUESTION MAY BE ASKED TO LEAVE THE ROOM WHILE THE REST OF THE BOARD DISCUSSES AND VOTES ON THE MATTER. BOARD MEMBERS WITH A POTENTIAL CONFLICT OF INTEREST WHO ARE PRESENT FOR A VOTE WILL CAST AN ABSTAINING VOTE. ALL BOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST POLICY UNDER THE HOSPITAL'S COMPLIANCE STANDARDS. ALL EMPLOYEES ARE REQUIRED TO REPORT TO THEIR SUPERVISOR OR THE COMPLIANCE OFFICER ANY POTENTIAL INSTANCES THAT CREATE A CONFLICT OF INTEREST SITUATION. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS REVIEW AND APPROVE MANAGEMENT WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF DIRECTORS REVIEW AND APPROVE OFFICERS WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY. FORM 990, PAGE 6, PART VI, LINE 19 NORTH VALLEY HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 6,666,348 1,194,508 31,260 FORM 990, PART XI, LINE 9 CHANGE IN EHR INCENTIVE -86,543 TOTAL -86,543 NORTH VALLEY HOSPITAL FOUNDATION 1600 HOSPITAL WAY WHITEFISH MT 59937 810526541 SUPPORT MT 501C3 11C NA N/A false false false true false false false false false false false false true true true true false false false false NORTH VALLEY HOSPITAL FOUNDATION C 630459 ACTUAL NORTH VALLEY HOSPITAL FOUNDATION O 62586 ACTUAL