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      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <BeginningYearBalanceAmt>9430537</BeginningYearBalanceAmt>
        <ContributionsAmt>2460359</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-128719</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>11762176</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7014196</BeginningYearBalanceAmt>
        <ContributionsAmt>2343884</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>72457</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>9430537</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3984516</BeginningYearBalanceAmt>
        <ContributionsAmt>2988068</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>41612</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>7014196</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1917545</BeginningYearBalanceAmt>
        <ContributionsAmt>2059932</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>7039</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>3984516</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1480454</BeginningYearBalanceAmt>
        <ContributionsAmt>280808</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>156283</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1917545</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.23150</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.76850</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>282845</OtherCostOrOtherBasisAmt>
        <BookValueAmt>282845</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>144510834</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>74452563</DepreciationAmt>
        <BookValueAmt>70058271</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>77757008</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>50635957</DepreciationAmt>
        <BookValueAmt>27121051</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>10135148</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10135148</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>107597315</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO CONTRACTUAL AGENCIES</Desc>
        <Amt>4133084</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCOUNTS PAYABLE TO AFFILIATES</Desc>
        <Amt>722837</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASES PAYABLE</Desc>
        <Amt>755864</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>53317</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5665102</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>285920170</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1350444</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>624614</OtherRevenueAmt>
      <RevenueNotReportedAmt>-725830</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>286646000</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>13351305</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>13351305</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>299997305</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>270012799</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>879397</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>879397</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>269133402</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>12209993</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>12209993</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>281343395</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FASB FAS 136 INVESTMENT IN NET ASSETS OF FOUNDATION -261,491. FOUNDATION INCOME RECORDED ON CONSOLIDATED BASIS 879,397. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 6,708.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORT FROM AFFILIATED FOUNDATION 1,141,312. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 12,209,993.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUNDATION EXPENSES RECORDED ON CONSOLIDATED BASIS 879,397.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE INCLUDED IN NET REVENUES 12,209,993.</ExplanationTxt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <TotalCommunityBenefitExpnsAmt>270780</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>270780</NetCommunityBenefitExpnsAmt>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>13</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTP://WWW.KALISPELLREGIONAL.ORG/KRMC/ABOUT-US</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
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        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.KALISPELLREGIONAL.ORG/DATA/CONTENT/CHARITYAPP615.PDF</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.KALISPELLREGIONAL.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRA</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>1</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: KALISPELL REGIONAL HEALTHCARE SERVICES, THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT, AND NORTH VALLEY HOSPITAL COLLABORATED TO ARRANGE QUALITATIVE DATA COLLECTION DESIGNED TO ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY. FOUR FOCUS GROUPS AND TWO SURVEYS WERE CONDUCTED IN AN EFFORT TO OBTAIN THE BEST INFORMATION REGARDING THE HEALTH NEEDS OF ALL INDIVIDUALS IN THE COMMUNITY. THE FOCUS GROUPS CONSISTED OF INDIVIDUALS SELECTED TO PARTICIPATE BASED ON THEIR AREA OF EXPERTISE WITHIN HEALTHCARE.FOCUS GROUP PARTICIPANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED; REPRESENTATIVES MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED; HEALTHCARE CONSUMER ADVOCATES; REPRESENTATIVES OF NONPROFIT ORGANIZATIONS; ACADEMIC EXPERTS; LOCAL GOVERNMENT OFFICIALS; REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS; HEALTHCARE PROVIDERS, AND PRIVATE BUSINESS LEADERS.ORGANIZATIONS REPRESENTED INCLUDED: BRENDAN HOUSE (SKILLED NURSING FACILITY), HOME OPTIONS (HOME HEALTH AND HOSPICE), A PLUS HEALTH CARE (HOME HEALTH), PATHWAYS TREATMENT CENTER (MENTAL HEALTH AND SUBSTANCE ABUSE), IMMANUEL LUTHERAN HOME (SKILLED NURSING FACILITY), AGENCY ON AGING, NORTH VALLEY EMBRACE HEALTH (SENIOR MENTAL HEALTH), AMERICAN ASSOCIATION OF RETIRED PEOPLE, ADULT PROTECTIVE SERVICES, SUNBURST MENTAL HEALTH CENTER, SCHOOL DISTRICT #44, NORTH VALLEY PROFESSIONAL CENTER, NORTH VALLEY HOSPITAL EMERGENCY ROOM, SCHOOL DISTRICT #6, SHEPHERDS HAND FREE HEALTH CLINIC, NORTHWEST IMAGING, COURT APPOINTED SPECIAL ADVOCATES, FLATHEAD COMMUNITY HEALTH CENTER, NORTHWEST MONTANA HEAD START, COMMUNITY ACTION PARTNERSHIP, CHILD DEVELOPMENT CENTER, CHILDREN MENTAL HEALTH BUREAU, ABBIE SHELTER, BODY BALANCE DISORDERED EATING PROGRAM, BIG SKY FAMILY MEDICINE, WOODLAND CLINIC, KALISPELL REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT, MATERNAL CHILD HEALTH HOME VISITING PROGRAM.IN ADDITION TO THE FOCUS GROUPS, THE COLLABORATORS CONDUCTED TWO PUBLIC SURVEYS. THE FIRST SURVEY WAS CONDUCTED ON JUNE 7 AND 8, 2012 AT PROJECT HOMELESS CONNECT. IT CONSISTED OF FIVE QUESTIONS AND 40 INDIVIDUALS PARTICIPATED IN THE SURVEY. THE SECOND SURVEY WAS CONDUCTED FROM JUNE 26, 2012 TO JUNE 29, 2102 AT FLATHEAD JOB SERVICE. IT CONSISTED OF SIX QUESTIONS AND 60 INDIVIDUALS WHO WERE SEARCHING OR HELPING OTHERS SEARCH FOR JOBS PARTICIPATED IN THE SURVEY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: NORTH VALLEY HOSPITAL, WHITEFISH, MT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: AS A RESULT OF THE RESEARCH AND RECOMMENDATIONS THAT APPEAR IN THE FLATHEAD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2012-2013 AND FURTHER EXPLORATION WITH KALISPELL REGIONAL MEDICAL CENTER (KRMC) ADMINISTRATORS, MEDICAL STAFF AND BOARD OF TRUSTEES, THE FOLLOWING FIVE PRIORITIZED STRATEGIES, STATED IN THE IMPLEMENTATION STRATEGY ADOPTED BY THE BOARD OF TRUSTEES ON MARCH 12, 2013, GUIDE KRMC'S LEADERSHIP IN ADDRESSING THE COMMUNITY'S IDENTIFIED HEALTH NEEDS: 1. ADDRESS GAPS IN THE PROVISION OF MENTAL HEALTH CARE. KALISPELL REGIONAL MEDICAL CENTER IS COMMITTED TO CONTINUING THE PROVISION OF MENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES:- PATHWAYS TREATMENT CENTER FOR ACUTE MENTAL HEALTH AND SUBSTANCE ABUSE PATIENTS (ADOLESCENTS AND ADULTS), AND AN OUTPATIENTSUPPORT GROUP FOR THOSE DISCHARGED FROM PATHWAYS TREATMENT CENTER.- TURTLE BAY (INTENSIVE THERAPEUTIC OUTPATIENT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH EMOTIONAL PROBLEMS.- SCHOOL-BASED PROGRAM SERVING ALL SCHOOL DISTRICTS (EXCEPT EVERGREEN) (SEES 120 CHILDREN PER DAY, INCLUDING LOW-INCOME).TO AUGMENT THESE SERVICES, KALISPELL REGIONAL MEDICAL CENTER WILL WORK WITH COMMUNITY GROUPS TO:- ADDRESS THE SHORTAGE OF OUTPATIENT MENTAL HEALTH PROVIDERS BY RECRUITING TWO TO THREE PSYCHIATRISTS AND ONE NURSE PRACTITIONER WITH ADVANCED MENTAL HEALTH TRAINING. THE NURSE PRACTITIONER WILL ROTATE WITHIN VARIOUS PRIMARY CARE OFFICES TO SEE PATIENTS ON SITE.- DEVELOP PROCEDURES FOR IDENTIFYING SUICIDE RISKS AND CONNECTING AT RISK PATIENTS WITH AVAILABLE PREVENTION SERVICES, ESPECIALLY WITHIN THE PUBLIC PRIMARY AND SECONDARY SCHOOLS.- EVALUATE OPPORTUNITIES TO COLLABORATE WITH FLATHEAD VALLEY COMMUNITY COLLEGE TO EXPLORE THE DEVELOPMENT OF A COUNSELING EDUCATION PROGRAM TO ADDRESS MENTAL HEALTH PROFESSIONAL SHORTAGES IN THE AREA.- PROVIDE TRAINING FOR KRMC SOCIAL SERVICES PERSONNEL TO NAVIGATE PATIENTS/FAMILIES WITHIN THE MENTAL HEALTH CARE SYSTEM.- PROVIDE TRAINING FOR KRMC BILLING STAFF TO HELP PATIENTS QUALIFY FOR VARIOUS PUBLIC ASSISTANCE PROGRAMS AND INSURANCE PLANS THAT CAN COVER MENTAL HEALTH SERVICES. 2. IMPROVE PATIENT ADVOCACY AND THE COORDINATION OF CARE AMONG MULTIPLE ENTITIES/AGENCIES.NAVIGATING THE TWISTS AND TURNS WITHIN THE KALISPELL REGIONAL HEALTHCARE SYSTEM IS A CHALLENGE FOR PATIENTS AND CAREGIVERS. WHILE THE RECENT INTEGRATION OF MANY PRIMARY CARE MEDICAL PRACTICES UNDER KALISPELL REGIONAL MEDICAL CENTER HAS RESULTED IN MORE COORDINATED CARE FOR PATIENTS, ADDITIONAL EFFORTS TO ENHANCE PATIENT ADVOCACY INCLUDE:- A CONTINUED EXPANSION OF THE NURSE NAVIGATOR PROGRAM TO PROVIDE RESOURCES AND GUIDANCE TO PATIENTS.- A SUPPORT SYSTEM (WHICH COULD INCLUDE JOINT FUNDING OF INITIATIVES, DIRECT SUPPORT FUNDING, PROVIDING LEADERSHIP TO GOVERNING BOARDS, INFORMATION SHARING AND OTHER POSSIBLE COOPERATIVE VENTURES) FOR INDEPENDENT COMMUNITY EFFORTS TO ESTABLISH A LOCAL ADVOCACY CENTER. 3. INCREASE AWARENESS, EDUCATION AND UTILIZATION OF PROGRAMS TARGETING PREVENTABLE DISEASES.IN RECENT YEARS, KALISPELL REGIONAL MEDICAL CENTER HAS INVESTED IN MANY PROGRAMS AND SERVICES TO TREAT SOME OF THE MOST PREVALENT CAUSES OF DEATH IN OUR COUNTY:- A COMPREHENSIVE CARDIOVASCULAR PROGRAM INCLUDING INTERVENTIONAL CARDIOLOGY, HEART SURGERY, ELECTROPHYSIOLOGY, CARDIAC REHABILITATION, A HEART FAILURE CLINIC AND PREVENTION EDUCATION.- A COMPREHENSIVE CANCER PROGRAM INCLUDING MEDICAL ONCOLOGY, SURGICAL ONCOLOGY, RADIATION ONCOLOGY, SUPPORTIVE CARE AND PREVENTIVE SCREENINGS.- A NEUROSCIENCE &amp; SPINE INSTITUTE INCLUDING NEUROSURGERY, NEUROLOGY AND A STROKE PROGRAM.- A TRAUMA PREVENTION PROGRAM INCLUDING SCHOOL PRESENTATIONS AND A HELMET SAFETY INITIATIVE.- A DIABETES CARE AND PREVENTION CENTER PROVIDING GROUP EDUCATION, ONE-ON ONE COUNSELING AND CHRONIC DISEASE MANAGEMENT EDUCATION.TO COMPLEMENT THESE SERVICES KALISPELL REGIONAL MEDICAL CENTER WILL:- EVALUATE ADDITIONAL OPPORTUNITIES TO PROVIDE FINANCIAL SCHOLARSHIPS THROUGH THE KALISPELL REGIONAL HEALTHCARE FOUNDATION TO PATIENTS FOR FITNESS CENTER MEMBERSHIPS, WEIGHT LOSS PROGRAMS, WELLNESS PROGRAMS AND OTHER PREVENTION ACTIVITIES.- HOST COMMUNITY HEALTH FAIRS AND FREE SCREENINGS FOR PREVENTABLE DISEASES SUCH AS HEART DISEASE, TYPE 2 DIABETES AND OBESITY.- HOST COMMUNITY EDUCATION PROGRAMS AND LECTURES ON PREVENTION AWARENESS AND WELLNESS.- COLLABORATE WITH NATIONAL ORGANIZATIONS (AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN STROKE ASSOCIATION AND AMERICAN DIABETES ASSOCIATION) ON PREVENTION AWARENESS MESSAGES AND ANNUAL HEALTH OBSERVANCES ACTIVITIES.- SUPPORT STATE-LED PREVENTION INITIATIVES INCLUDING MONTANA CANCER CONTROL COALITION, MONTANA STROKE INITIATIVE, MONTANA CARDIOVASCULAR HEALTH PROGRAM AND MONTANA DIABETES PROJECT.- COLLABORATE WITH LOCAL ORGANIZATIONS ON JOINT COMMUNICATIONS PLANS FOR PREVENTION AWARENESS. 4. FACILITATE ABILITY TO ACCESS TO PRIMARY CARE FOR LOW INCOME, NO INCOME, MIDERINSURED OR UNINSURED RESIDENTS.WITH MORE THAN 40 PRIMARY CARE PROVIDERS (MDS, DOS, NPS, AND PAS) IN EIGHT KALISPELL REGIONAL MEDICAL CENTER PRIMARY CARE PRACTICES IN FLATHEAD COUNTY (FAMILY PRACTICE, INTERNAL MEDICINE AND PEDIATRICS) THE ORGANIZATION HAS INVESTED IN ENSURING AN AMPLE SUPPLY OF CAREGIVERS. IN ADDITION, KALISPELL REGIONAL MEDICAL CENTER WILL:- CONTINUE ITS COMMITMENT TO OFFERING PRIMARY HEALTHCARE TO PATIENTS COVERED BY MEDICARE AND MEDICAID, AS WELL AS PROVIDING FINANCIAL ASSISTANCE TO CHARITY PATIENTS.- PROVIDE TRAINING FOR BILLING STAFF TO HELP PATIENTS QUALIFY FOR VARIOUS GOVERNMENT OR PUBLIC ASSISTANCE PROGRAMS/INSURANCE PLANS THAT CAN COVER PRIMARY CARE HEALTH SERVICES.- EDUCATE THE EOMMUNITY ABOUT THE,IMPERTA.NCS-OF PRIMARY CARE AND HAVING A MEDICAL HOME.- ESTABLISH A PRIMARY CARE RESIDENCY PROGRAM AT KALISPELL REGIONAL MEDICAL CENTER TO HELP ENSURE THE AVAILABILITY OF FUTURE PRIMARY CARE PROVIDERS.5. SUPPORT LOCAL EFFORTS TO IMPROVE ACCESS TO DENTAL CARE.KALISPELL REGIONAL MEDICAL CENTER RECOGNIZES THAT LACK OF DENTAL HEALTH CARE IS A SERIOUS CONCERN IN OUR COMMUNITY. WHILE KALISPELL REGIONAL MEDICAL CENTER'S FOCUS IS ON MEDICAL CARE, THE ORGANIZATION WILL:- CONTINUE TO OFFER THE SERVICES OF ORAL SURGEONS AND DENTISTS ON THE MEDICAL STAFF AND ON-CALL AT THE HOSPITAL EMERGENCY ROOM TO TREAT EMERGENT DENTAL NEEDS THAT PRESENT IN THE EMERGENCY ROOM.- CONTINUE TO INTERVENE TO PROVIDE A DENTAL VISIT AND TREATMENT FOR PATIENTS WITHOUT INSURANCE WHO MUST HAVE A DENTAL EXAMINATION BEFORE CERTAIN MEDICAL PROCEDURES.- SUPPORT EFFORTS LED BY THE LOCAL DENTAL COMMUNITY AND FLATHEAD CITY-COUNTY HEALTH DEPARTMENT TO ENHANCE ACCESS TO DENTAL CARE.- SUPPORT SHEPHERD'S HAND FREE CLINIC, WHICH PROVIDES FREE MEDICAL AND DENTAL CARE TO PERSONS WHO ARE UNINSURED AND MEET CERTAIN FPL GUIDELINES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE OR NON-INSURED STATUS. AN ADJUSTMENT IS THEN MADE TO THE CHARGE FOR PATIENTS WHO ARE ELIGIBLE INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.KALISPELLREGIONAL.ORG/KRMC/PAY-BILL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.KALISPELLREGIONAL.ORG/DATA/CONTENT/CHARITYAPP615.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.KALISPELLREGIONAL.ORG/KRHC/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRA</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST ACCOUNTING WAS UTILIZED FOR THE ENTIRE TABLE. COST ACCOUNTING COVERS ALL PATIENT SEGMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $12,209,993.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED ON PAGES 14 THROUGH 16 OF THE ORGANIZATION'S FINANCIAL STATEMENTS.PART III, LINE 2: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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FY 2015 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>KRMC DISPLAYS ITS CHARITY POLICY ON ITS WEBSITE. CHARITY CARE IS DISCUSSED WITH ALL PATIENTS AT THE TIME OF THEIR ADMIT. THROUGH THE MEDIA, KRMC NOTIFIED THE COMMUNITY OF ITS CHARITY CARE POLICY AND ELIGIBILITY REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>KRMC IS THE SOLE COMMUNITY MEDICARE AND MEDICAID PROVIDER 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS WAS ANSWERED BY QUESTION 2 INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>657361</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>84000</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEROME A PATTERSON</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER &amp; GENE</TitleTxt>
        <BaseCompensationFilingOrgAmt>343990</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>96318</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>72617</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>38000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15440</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>566365</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TATE KREITINGER</PersonNm>
        <TitleTxt>THE HEALTHCENTER CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>248414</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>69556</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>91742</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19838</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>444550</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT YACAVONE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>561450</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>178526</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21762</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19248</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>783986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANK BISHOP MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>701262</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1586</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19249</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>825097</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS ORIGITANO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>781955</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>69611</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14135</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>918701</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SRAMEK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>766260</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18750</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>838010</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRAIG HARRISON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>500011</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>225688</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4167</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>66</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>732932</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST 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 $23,000 FOR 2014. 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 MEDICAL FITNESS CENTER, AN AFFILIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $23,000 FOR 2014. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, AND THE HEALTHCENTER CEO. THE COO VESTED IN THE 457 PLAN DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS PLANS ADMIN AND MGMT-BASED ON A NUMBER OF FACTORS INCLUDING BUT NOT LIMITED TO: QUALITY AND FINANCIAL INDICATORS INCLUDING DEPARTMENT SPECIFIC GOALS AND INITIATIVES, PATIENT SATISFACTION, PRODUCTIVITY, EMPLOYEE SATISFACTION, AND EMPLOYEE EVALUATION TIMELINESS. SUCCESSFUL IMPLEMENTATION OF COMPANY FISCAL YEAR ACTION PLANS AND THE OVERALL FINANCIAL HEALTH AND STABILITY OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTANA FACILITY FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>364615155</BondIssuerEIN>
        <CUSIPNum>612043XXX</CUSIPNum>
        <BondIssuedDt>2010-11-01</BondIssuedDt>
        <IssuePriceAmt>57115000</IssuePriceAmt>
        <PurposeDesc>REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTANA FACILITY FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>364615155</BondIssuerEIN>
        <BondIssuedDt>2011-08-03</BondIssuedDt>
        <IssuePriceAmt>4174486</IssuePriceAmt>
        <PurposeDesc>CAPITAL EXPENDITURES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>57308306</TotalProceedsAmt>
        <CapitalizedInterestAmt>3641233</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>891005</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>42004808</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>10771260</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>4174486</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>12486</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>4162000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2013</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCEEDS OF THE BOND ISSUANCE EXCEED THE ISSUE PRICE OF $57,115,000 BY $193,306. THIS AMOUNT IS THE NET ORIGINAL ISSUE PREMIUM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GLACIER REGIONAL PATHOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DR. FISHER, A CURRENT TRUSTEE, IS A GREATER THAN 35% CONTROL OWNER.</RelationshipDescriptionTxt>
        <TransactionAmt>442104</TransactionAmt>
        <TransactionDesc>SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KEN JONAS MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF CURRENT TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>91629</TransactionAmt>
        <TransactionDesc>SALARY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SWANBERG BUILDING INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DR. SWANBERG, A FORMER TRUSTEE, IS A GREATER THAN 35% CONTROL OWNER.</RelationshipDescriptionTxt>
        <TransactionAmt>108000</TransactionAmt>
        <TransactionDesc>RENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARY ANNE GILL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF CURRENT TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>14468</TransactionAmt>
        <TransactionDesc>SALARY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHANNON LEE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF CURRENT TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>126350</TransactionAmt>
        <TransactionDesc>SALARY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EQUIPMENT</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>97066</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VELINDA STEVENS AND BARBRA BENNETT HAVE A BUSINESS RELATIONSHIP. VELINDA STEVENS AND DENNIS SABO HAVE A BUSINESS RELATIONSHIP. VELINDA STEVENS AND BOB WHITE HAVE A BUSINESS RELATIONSHIP. MARCIA JOHNSON AND PETER LARSON HAVE A BUSINESS RELATIONSHIP. PETER LARSON AND BOB WHITE HAVE A BUSINESS RELATIONSHIP. DENNIS SABO AND BOB WHITE HAVE A BUSINESS RELATIONSHIP. BOB WHITE AND JEROME A. PATTERSON HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICE REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>KALISPELL REGIONAL HEALTHCARE SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ONLY FORM 990 IS AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND BALANCE TRANSFERRED TO AFFILIATES -2,114,068. ADJUSTMENT FOR FOUNDATION ACTIVITY -1,305,738. NET CHANGE IN RESTRICTED ASSETS 2,331,640. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 6,708.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COLUMN (B) - AVERAGE HOURS PER WEEK</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS OF KALISPELL REGIONAL MEDICAL CENTER DIVIDE THEIR TIME AMONG THE OTHER RELATED ENTITIES FOR WHICH THEY ARE ALSO OFFICERS. THEIR TOTAL AVERAGE WEEKLY HOURS DEVOTED TO ALL OF THE ENTITIES IS IN EXCESS OF 50 HOURS. SEVERAL OF THE TRUSTEES WHO ARE PHYSICIANS RECEIVE COMPENSATION FOR MEDICAL SERVICES RENDERED TO THE HOSPITAL. THEIR AVERAGE WEEKLY HOURS DEVOTED TO THE HOSPITAL VARIES. TATE KREITINGER DEVOTES APPROXIMATELY 50% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 50% OF HIS TIME TO HEALTHCENTER NORTHWEST, LLC, A RELATED ENTITY.</ExplanationTxt>
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