2015-05-05T17:26:37-05:00 2014-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2013-07-01 810247969 NORTH VALLEY HOSPITAL INC NORT 4068633500 1600 HOSPITAL WAY WHITEFISH MT 59937 JASON SPRING CEO 4068633500 2015-05-04 true THOMAS DINGUS P00951009 5092420874 2015-05-05 2013 2016-02-25 16:41:14Z JASON SPRING 1600 HOSPITAL WAY WHITEFISH MT 59937 48387546 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 9 452 70 0 502522 3451693 41347037 42941428 88941 1506460 401256 468937 42339756 48368518 0 0 18757736 21295376 0 188464 22124015 25973220 40881751 47268596 1458005 1099922 52033551 52740944 29409117 28866642 22624434 23874302 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 37879418 42941428 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 7,375 ER VISITS, 4,609 DAYS OF PATIENT SERVICES, 69,242 OUTPATIENT VISITS WHICH INCLUDES 19,892 CLINIC VISITS, AND 498 BIRTHS FOR THE YEAR ENDED JUNE 30, 2014. 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 2,570,409 FOR CHARITY CARE, 2,544,306 FOR MEDICAID, 8,129,633 FOR MEDICARE, AND 6,016,138 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED JUNE 30, 2014. 37879418 true true false false false false false false false false true false false true 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 94 0 true 452 true false false false false false false false false false false X 12 9 false true false false false false true true true false false true true true true true true true true false MT X X WESLEY WHITE 4068639826 1600 HOSPITAL WAY WHITEFISH MT 59937 PENNI CHISHOLM CHAIR 1.00 X X 0 0 0 STEVE STAHLBERG VICE CHAIR 1.00 X X 0 0 0 DEBBIE MELBY SECRETARY 1.00 X 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 HAP HASELDEN BOARD MEMBER 1.00 X 0 0 0 SUZANNE DANIELL MD BOARD MEMBER 1.00 X 0 0 0 RANDY BEACH 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 TROY BOWMAN BOARD MEMBER 1.00 X 0 0 0 JANE KARAS BOARD MEMBER 1.00 X 0 0 0 JASON SPRING CEO 40.00 X 307050 0 70731 RANDY NIGHTENGALE CFO THRU DEC 40.00 X 124506 0 27081 WESLEY WHITE CFO AS OF DE 40.00 X 10884 0 2808 ELIZABETH WHITE PHYSICIAN 40.00 X 222366 0 9720 CAMERON GARDNER PHYSICIAN 40.00 X 189851 0 17044 MICHELLE MARTIN-THOMPSON PHYSICIAN 40.00 X 172964 0 17814 MAURA FIELDS CCO 40.00 X 153928 0 23194 MARGARET BUMGARNER PHY SERVICES 40.00 X 141640 0 8881 1323189 177273 15 false true true KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 HEALTH CARE SVS 1235524 NORTHERN ROCKIES ANESTHESIA 1075 MARTIN CREEK LANE WHITEFISH MT 59937 PHYSICIAN SVS 1153800 QUORUM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SVS 1144289 XTEND HEALTHCARE LLC 500 WEST MAIN STREET STE 14 HENDERSONVILLE TN 37075 BUSINESS SVS. 1006740 EMERGENCY PHYSICIANS INTEGRATED CAR PO BOX 96348 OKLAHOMA CITY OK 73143 ER PHYSICIANS 902848 21 52851 3290030 108812 3451693 NET HEALTHCARE SERVICES 624100 42917769 42917769 RENTAL INCOME 621110 23659 23659 42941428 17966 17966 1507522 19028 1488494 1488494 1507522 -19028 CAFETERIA 722210 231705 231705 OTHER REVENUE 900099 120529 120529 REBATES 900099 116703 116703 468937 48368518 44448950 467875 X 573598 573598 16898099 13399667 3397011 101421 635356 503818 127725 3813 1744259 1383143 350647 10469 1444064 1145098 290299 8667 351344 351344 124545 124545 52200 52200 8948822 7216697 1692768 39357 174164 3649 170515 2649869 2192093 450135 7641 1753587 817759 935828 1278888 1128100 146707 4081 81550 47275 32761 1514 162066 63706 96802 1558 185882 185882 4020065 3367201 649520 3344 497508 241196 256312 MEDICAL SUPPLIES & DRUGS 3799844 3799844 REPAIRS AND MAINTENANCE 1219723 987224 232499 OTHER EXPENSES 673163 492886 177359 2918 INDIRECT COST CTR ALLOCAT 904180 -907861 3681 47268596 37879418 9200714 188464 1407720 11702269 5251322 6517431 6662491 2774 1306538 951111 680708 897243 58409487 27148923 29727240 31260564 48567 1756853 640304 5961360 52033551 52740944 5421300 5351626 23330873 22009849 656944 1505167 29409117 28866642 X 22624434 23874302 22624434 23874302 52033551 52740944 1099922 149946 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1923340 1923340 27005886 11526852 15479034 24959158 14046412 10912746 4521103 1575659 2945444 31260564 EHR INCENTIVE 3290030 THIRD-PARTY SETTLEMENTS 1222291 DUE FROM SALE OF MUTUAL INSURANCE CO 1006566 OTHER RECEIVABLES, NET 255439 UNAMORTIZED BOND ISSUE COSTS 187034 5961360 DSH PROGRAM PAYABLE 1442038 COLLATERALIZED AR 63129 1505167 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 JUNE 30, 2014 AND 2013, THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X true true false true true 2628901 2628901 0.05560 5728236 5728236 8357137 5728236 2628901 0.05560 7 4466 75985 1835 74150 0.00160 4 52 142484 800 141684 0.00300 2 528 13375 13375 0.00030 3 195203 118282 12370 105912 0.00220 16 200249 350126 15005 335121 0.00710 16 200249 8707263 5743241 2964022 0.06270 1 8000 4982 4982 0.00010 3 321280 38320 38320 0.00080 1 5009 5009 0.00010 1 30424 30424 0.00060 2 817 2294 2294 8 330097 81029 81029 0.00170 true 2128384 11091992 11173774 -81782 X true false ALPINE WOMENS CENTER PHYSICIAN GROUP 0.33000 GLACIER MEDICAL ASSO PHYSICIAN GROUP 0.25000 1 1 NORTH VALLEY HOSPITAL 1600 HOSPITAL WAY WHITEFISH MT 59937 X X X X NORTH VALLEY HOSPITAL 1 true X X X X X X X X X X 13 true true true X WWW.NVHOSP.ORG X X X X X X false false true true 100.000000000000 true 400.000000000000 true X true true X X X true false X X X X true X false false FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 3 IN 2012/2013 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. 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. QUALITATIVE RESEARCH WAS CONDUCTED WITH COMMUNITY LEADERS AND REPRESENATIVES FROM 27 HEALTHCARE, EDUCATION AND SOCIAL SERVICE AGENCIES BETWEEN MAY 29 AND JUNE 27, 2012. SURVEYS WERE CONDUCTED WITH THE HOMELESS OR AT RISK RESIDENTS ON JUNE 6 AND 7, 2012. FOUR FOCUS GROUPS WERE HELD TO GATHER INPUT FROM VARIOUS HEALTH, MENTAL HEALTH, AND SOCIAL SERVICE PROVIDERS FROM ACROSS THE COUNTY. PARTICIPANTS WERE RECRUITED BASED ON THEIR ORGANIZATIONAL TYPE AND GEOGRAPHY. THE PARTNERS COLLECTIVELY DEVELOPED POTENTIAL INVITEE LISTS AND MAILED OUT 203 INVITATIONS. OF THE 203 INVITATIONS, 48 WERE ACCEPTED AND, IN TURN, ATTENDED ONE OF THE FOUR FOCUS GROUPS. FOCUS GROUP QUESTIONS WERE DETERMINED BY CONSENSUS OF THE COLLABORATING ORGANIZATIONS, AND WERE PRESENTED BY A FACILITATOR/CONSULTANT. ADDITIONAL FOLLOW-UP QUESTIONS WERE ASKED BY THE FACILITATOR FOR CLARIFICATION OR EXPANSION OF IDEAS. THE SESSIONS LASTED BETWEEN 90 MINUTES AND 2 HOURS IN LENGTH AND WERE ELECTRONICALLY RECORDED AND THEN TRANSCRIBED. RESPONSES WERE NOT ATTRIBUTED TO THE PARTICIPANT SPEAKING, TO GIVE ANONYMITY. THE CONSULTANT THEN COLOR-CODED EACH SESSION'S TRANSCRIPTS, AND COMPILED RESPONSES TO EACH QUESTION FROM ALL FOUR SESSIONS INTO A SINGLE DOCUMENT. THE CONSULTANT REVIEWED THE COMPILED RESPONSES IN DETAIL USING A QUALITATIVE DATA ANALYSIS APPROACH, LOOKING FOR KEYWORDS AND SIMILAR IDEAS. PROPOSED TITLES FOR EACH CATEGORY WERE DRAFTED BY THE CONSULTANT FOR CONSIDERATION BY THE PARTNER ORGANIZATIONS. REPRESENTATIVES FROM THE PARTNER ORGANIZATIONS REVIEW THE COMBINED, CATEGORIZED TRANSCRIPTS, AND VALIDATED THE CATEGORY NAMES SUGGESTED BY THE CONSULTANT. EACH SECTION WAS THEN SUMMARIZED BY THE PARTNERS. 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. THE PARTNERS REVIEWED THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA TO IDENTIFY TRENDS AND MAJOR NEEDS GROUPS. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HOSPITAL IMPMEMENTATION PLAN WAS APPROVED BY THE HOSPTIAL BOARD OF DIRECTORS ON JUNE 25, 2013 AND PLACED ON THE HOSPITAL WEBSITE ON JUNE 28, 2013. FACILITY 1, NORTH VALLEY HOSPITAL - PART V, LINE 4 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 7 THE HOSPITAL DID NOT ADDRESS AREAS IDENTIFIED AS LOW PRIORITY/RESPONSIBILITY, SUCH MOTOR VEHICLE ACCIDENTS 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 12I 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 20D 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. 6 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 INTERNAL MEDICINE CLINIC 711 13TH STREET EAST WHITEFISH MT 59937 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 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, MONTANA WEST ECONOMIC DEVELOPMENT, WHITEFISH CONVENTION AND VISITORS BUREAU, UNITED WAY, EMERGENCY MEDICAL SERVICES BOARD, AERO BOARD AND MORE. IN ADDITION, 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. HOSPTIAL STAFF PROVIDE A FORUM FOR THE PERFORMANCE IMPROVEMENT NETWORK, WHICH PROVIDES QUALITY ASSURANCE FOR FUTURE HEALTH CARE. WE PARTICIPATED IN ED TRANSFER COMMUNICATIONS STUDY, HOSPITAL ACQUIRED INFECTION LEARNING AREA NETWORK THROUGH THE MOUNTAIN PACIFIC QUALITY IMPROVEMENT ORGANIZATION, AHA HOSPITAL ENGAGEMENT NETWORK, FRONTIER MEDICINE HOSPITAL IMPROVEMENT PROGRAM WORKING TO ACHIEVE THE "TRIPLE AIM" OF POPULATION HEALTH, COST EFFECTIVENESS AND QUALITY. 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 TAMARACK GRIEF RESOURCE CENTER, MARCH OF DIMES, WHITEFISH WINTER CLASSIC, DRUG-FREE GRADUATION PARTY SPONSORSHIPS, SHEPHERD'S HAND CLINIC, BOYS AND GIRLS CLUB, SCHOOL SPORTS AND BOOSTER CLUB ASSOCIATIONS, WINGS FINANCIAL SUPPORT, UNITED WAY, SAVE A SISTER MAMMOGRAM INITIATIVE, RELAY FOR LIFE, SPECIAL OLYMPICS, ALS FOUNDATION, PROSTATE CANCER AWARENESS FOUNDATION, FLATHEAD CANCER AID, FLATHEAD BREASTFEEDING COALITION, K9 MT FOR WOUNDED WARRIORS, ROCKY MOUNTAIN RURAL HEALTH, PROJECT WHITEFISH AND LOUISE BURKE BREAST CANCER FOUNDATION. ECONOMIC DEVELOPMENT - MONTANA WEST ECONOMIC DEVELOPMENT, CHAMBER OF COMMERCE BOARDS, LEADERSHIP FLATHEAD, WHITEFISH CONVENTION AND VISITOR BUREAU, AERO (AIRLINE ENHANCEMENT AND RETENTION ORGANIZATION). 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, FRONTIER MEDICINE BETTER HEALTH PARTNERSHIP, 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. NORTH VALLEY GERIATRIC SPECIALTIY SERVICES WAS ESTABLISHED IN 2013 TO PROVIDE GERIATRIC MEDICINE AND ASSESSMENT. THE CLINIC COORDINATES CARE FOR SENIORS IN THE AREA AND INCLUDES A TEAM APPROACH INVOLVING A GERIATRIC PHYSICIAN, PHARMACIST, NUTRITIONIST, MENTAL HEALTH SPECIALISTS AND PHYSICAL THERAPISTS WHO CREATE CARE PLANS FOR THE PATIENTS WITH THE GOAL OF INCREASED OVERALL WELL BEING AND REDUCTION OF HOSPITAL READMISSIONS. 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 OF THE FY2014 AUDITED FINANCIAL STATEMENTS 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 2012, WITH ANALYSIS AND PUBLICATION COMPLETED IN 2013, 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: HTTP://WWW.NVHOSP.ORG/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 COMMUNITY NURSE, 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 HAS PARTICIPATED IN THE AVATAR INTERNATIONAL, A THIRD-PARTY PATIENT FEEDBACK SYSTEM, SINCE 2002. 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IS PRESENTED WHEN PATIENTS REGISTER AT THE HOSPITAL AND THEY ARE COUNSELED ON THE CHARITY PROGRAMS AVAILABLE TO THEM. THROUGH THE REGISTRATION PROCESS, EVERY PATIENT IS OFFERED A PRINTED HANDBOOK THAT DESCRIBES PATIENT RIGHTS AND OPTIONS. THE HANDBOOK ALSO IS AVAILABLE IN A PDF FORMAT ON THE HOSPITAL WEBSITE. A 'GUIDE TO YOUR BILL' IS AVAILABLE AT EACH REGISTRATION AREA, AS WELL AS DISTRIBUTED THROUGHOUT THE YEAR AT THE HOSPITAL CLINICS, LOCAL CHAMBER OF COMMERCE, AND SHEPHERD'S HAND. IN ADDITION, PUBLIC NOTICE WILL BE POSTED SEMI-ANNUALLY IN THE LOCAL NEWSPAPERS AND ALL MONTHLY STATEMENTS CONTAIN LANGUAGE RELATED TO FINANCIAL ASSISTANCE AND APPLICABLE PHONE NUMBERS FOR ASSISTANCE. THE HOSPITAL ALSO HAS SEVERAL FINANCIAL COUNSELORS AND AS OF MARCH 2015, CERTIFIED APPLICATON COUNSELORS, WHO ASSIST PATIENTS DURING AND AFTER THEIR VISIT TO HELP GUIDE THEM THROUGH THE PROCESS OF OBTAINING CHARITY CARE. 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 CLINIC AND FLATHEAD CITY/COUNTY HEALTH DEPARTMENT. 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. SELF PAY AND COMMERCIAL INSURANCE INDIVIDUALS MAKE UP 47 PERCENT OF THE HOSPITAL'S PAYERS, MAKING THEM THE MAJORITY. MEDICARE CONSTITUTES 32 PERCENT OF THE HOSPITAL'S PAYERS AND MEDICAID/PHS IS 11 PERCENT. 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. THE EUREKA CLINIC ALSO PROVIDES A LOCATION FOR SPECIALISTS IN WOMEN'S HEALTH, HEARING, PHYSICAL THERAPY, CARDIOLOGY, ORTHOPEDICS AND UROLOGY TO MEET WITH PATIENTS ON REGULAR SCHEDULES WITHOUT THE PATIENTS HAVING TO TRAVEL FAR FOR SERVICES. THE 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. 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 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 ESRI FORECAST FOR 2011) WHITEFISH POPULATION 6,357, MEDIAN AGE 40.1, AVERAGE HOUSEHOLD 2.1 PEOPLE, PER CAPITA INCOME 26,711 (2011 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 41,957, LARGELY WHITE POPULATION 95.8%, HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25,000 29%. COLUMBIA FALLS POPULATION 4,688, MEDIAN AGE 35.6, AVERAGE HOUSEHOLD 2.47 PEOPLE, PER CAPITA INCOME 18,923 (2011 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 44,491, LARGELY WHITE POPULATION 94.4%, NEXT IS AMERICAN INDIAN 1.8%, HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25,000 25.7%. KALISPELL POPULATION 16,065, MEDIAN AGE 39.9, AVERAGE HOUSEHOLD 2.27 PEOPLE, PER CAPITA INCOME 19,801 (2011 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 37,752, LARGELY WHITE POPULATION 94.5%, NEXT IS HISPANIC 3.4%, HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25,000 31.8%. FLATHEAD COUNTY TOTAL POPULATION 90,959, MEDIAN AGE 41.7, PER CAPITA INCOME 19,885 (2011 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME 41,027, LARGELY WHITE POPULATION 95.0%, NEXT IS HISPANIC 3.2%, HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25,000 27.3%. 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 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 PROVIDES FINANCIAL AND PERSONNEL RESOURCES FOR RESIDENTS WHO NEED TO TRAVEL OUTSIDE OF THE AREA FOR MEDICAL SERVICES: WHITEFISH WINTER CLASSIC (FAMILIES OF SICK CHILDREN), AND WINGS (CANCER PATIENTS). 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, BOYS AND GIRLS CLUB OF GLACIER COUNTRY, HEALTH OCCUPATION STUDENT ASSOCIATION AND CIVIC ORGANIZATIONS THAT PROMOTE THESE SAME IDEALS SUCH AS ROTARY. STAFF IS ACTIVE ON MANY BOARDS SUCH AS UNITED WAY; AREA AGENCY ON AGING/EAGLE TRANSIT TO PROVIDE A VOICE FOR SUBSIDIZED RIDES TO MEDICAL FACILITIES; FLATHEAD VALLEY COMMUNITY COLLEGE FOUNDATION FOR FUNDRAISING TOWARD THE NURSING PROGRAM; AMERICAN CANCER SOCIETY AND 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, WHITEFISH CONVENTION AND VISITORS BUREAU AND MONTANA WEST ECONOMIC DEVELOPMENT. 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, ORTHOPEDICS, OSTEOPOROSIS, MEN'S AND WOMEN'S HEALTH. THE HOSPITAL COMMUNITY HEALTH NURSE TEACHES A MONTHLY 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 PARTICIPATES IN EVENTS THROUGHOUT THE YEAR PROVIDING FREE OR REDUCED HEALTH SCREENINGS, AND 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 NON- PROFITS ARE DONATED TO FOOD BANKS, ALPINE THEATER'S CHILDREN'S GROUPS, AND HEALTH-RELATED ORGANIZATIONS. QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION: BOARD POSITIONS INCLUDE: AREA AGENCY ON AGING/EAGLE TRANSIT, UNITED WAY, WHITEFISH AND COLUMBIA FALLS CHAMBER OF COMMERCE, AERO BOARD, EMS BOARD, SHEPHERDS HAND CLINIC BOARD. ACTIVE MEMBERSHIPS INCLUDE: WHITEFISH AND KALISPELL ROTARY, CHAMBERS OF COMMERCE, WHITEFISH CONVENTION AND VISITOR BUREAU, BEST BEGINNINGS, CARE TRANSITIONS COALITION, HEALTHY COMMUNITIES COALITION, FRONTIER MEDICINE BETTER HEALTH IMPROVEMENT PARTNERSHIP. PREVENTION PROGRAMS: SAVE A SISTER MAMMOGRAMS, SCHOOL ATHLETIC TRAINERS, EDUCATION (PROVIDER HEALTH RELATED COMMUNITY EDUCATION, PRE AND POST-NATAL, CPR/FIRST AID, SCREENINGS, NUTRITION, SUPPORT GROUPS, DIABETES PREVENTION PROGRAMS, COMMUNITY HEALTH LIBRARY IN-KIND DONATIONS TO: FOOD BANK, AARP, EUREKA BREAST CANCER LUNCHEON, LOCAL FAMILIES THANKSGIVING BASKETS, 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 JASON SPRING CEO 238750 68300 70731 377781 RANDY NIGHTENGALE CFO THRU DEC 2013 104964 19542 27081 151587 WESLEY WHITE CFO AS OF DEC 2013 10884 2808 13692 ELIZABETH WHITE PHYSICIAN 222366 9720 232086 CAMERON GARDNER PHYSICIAN 189851 17044 206895 MICHELLE MARTIN-THOMPSON PHYSICIAN 172964 17814 190778 MAURA FIELDS CCO 153928 23194 177122 MARGARET BUMGARNER PHY SERVICES DIR 141640 8881 150521 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 ARE 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 2015008 22984992 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 RANDY BEACH MD BOARD MEMBER 58955 PHYS. GROUP PARTNER false SUZANNE DANIELL MD BOARD MEMBER 273361 PHYS. GROUP PARTNER false MATT BAILEY MD BOARD MEMBER 242945 PHYS. GROUP PARTNER false 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 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 7,216,697 1,692,768 39,357 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 52851 ACTUAL NORTH VALLEY HOSPITAL FOUNDATION O 101421 ACTUAL