KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
Tax period
2013-04-01 to 2014-03-31
Filed
2015-02-13
IRS object ID
201540449349302489
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-02-13T15:32:33-06:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810497523PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JORDAHL & SLITER PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8600AddressLine1
CityKALISPELLCity
StateMTState
ZIP Code599041600ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237293874EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlKALIBusinessNameControlTxt
Phone4067525111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES PEARCEPersonNm
Person TitleCFIOPersonTitleTxt
Phone4067521724PhoneNum
Signature2015-02-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN P SLITERPreparerPersonNm
PTINP00188996PTIN
Phone4067521040PhoneNum
Preparation2015-02-09PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES PEARCEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$308,828,309GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KRH.ORG/KRMCWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionPROVIDE ACUTE HOSPITAL CAREActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2262TotalEmployeeCnt
Total Volunteers140TotalVolunteersCnt
Total Gross UBI$1,256,666TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$114,246NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$757,987PYContributionsGrantsAmt
CY Contributions Grants$820,398CYContributionsGrantsAmt
PY Program Service Revenue$245,746,315PYProgramServiceRevenueAmt
CY Program Service Revenue$259,180,774CYProgramServiceRevenueAmt
PY Investment Income$1,389,958PYInvestmentIncomeAmt
CY Investment Income$9,950,284CYInvestmentIncomeAmt
PY Other Revenue$2,870,325PYOtherRevenueAmt
CY Other Revenue$3,596,274CYOtherRevenueAmt
PY Total Revenue$250,764,585PYTotalRevenueAmt
CY Total Revenue$273,547,730CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$126,802,858PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$137,956,020CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$108,797,148PYOtherExpensesAmt
CY Other Expenses$116,048,324CYOtherExpensesAmt
PY Total Expenses$235,600,006PYTotalExpensesAmt
CY Total Expenses$254,004,344CYTotalExpensesAmt
PY Revenues Less Expenses$15,164,579PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,543,386CYRevenuesLessExpensesAmt
Total Assets BOY$234,662,297TotalAssetsBOYAmt
Total Assets EOY$252,054,367TotalAssetsEOYAmt
Total Liabilities BOY$107,550,726TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,369,684TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$127,111,571NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$143,684,683NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE ACUTE HOSPITAL CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$226,650,638ExpenseAmt
Revenue$257,924,108RevenueAmt
DescOPERATION OF REGIONAL ACUTE CARE HOSPITAL.Desc
Total Program Service Expenses$226,650,638TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document236IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2262EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHARLES PEARCEPersonNm
Phone4067521724PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES GRENIER
TRUSTEE - PART YEAR1.00Yes (X)$2,600$0$0
WILSON HIGGS MD
TRUSTEE - PART YEAR1.00Yes (X)$3,218$0$0
JON JOHNSON MD
TRUSTEE - PART YEAR29.00Yes (X)$201,015$0$18,782
GWEN JONAS MD
TRUSTEE1.00Yes (X)$35,546$0$0
PETER L LARSON
TRUSTEE1.00Yes (X)$1,518$0$0
JEANNIE LUCKEY
TRUSTEE - PART YEAR1.00Yes (X)$2,600$0$0
ROGER BARTH MD
TRUSTEE1.00Yes (X)$26,713$0$0
CURTIS LUND
TRUSTEE1.00Yes (X)$900$0$0
DENNIS SABO
TRUSTEE1.00Yes (X)$1,830$0$0
CAL SWEET
TRUSTEE - PART YEAR1.00Yes (X)$2,600$0$0
MUFFIE THOMSON
TRUSTEE1.00Yes (X)$900$0$0
WILLIAM BENEDETTO MD
TRUSTEE1.00Yes (X)$1,800$0$0
VELINDA STEVENS
PRESIDENT12.50Yes (X)$0$687,778$34,910Yes (X)
LOUISE SWANBERG MD
TRUSTEE40.00Yes (X)$340,570$0$19,283
JAMES STRAINER
TRUSTEE1.00Yes (X)$900$0$0
PETE FISHER MD
TRUSTEE1.00Yes (X)$1,598$0$0
CHRISTOPHER GILL MD
TRUSTEE - PART YEAR1.00Yes (X)$321,170$0$19,868
BARBRA BENNETT
TRUSTEE - PART YEAR1.00Yes (X)$0$0$0
MARCIA JOHNSON
TRUSTEE - PART YEAR1.00Yes (X)$0$0$0
CHARLES LUDDEN MD
TRUSTEE - PART YEAR1.00Yes (X)$0$0$0
BOB WHITE
TRUSTEE - PART YEAR1.00Yes (X)$618$0$0
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT30.00$0$511,468$34,589Yes (X)
KAREN LEE
CHIEF NURSING OFFICER38.00$565,236$0$25,078Yes (X)
DEB WILSON
CHIEF OPERATION OFFICER35.00$362,620$0$54,495Yes (X)
AC EDDY
CHIEF MEDICAL OFFICER29.00$511,042$0$53,545Yes (X)
TONY PATTERSON
CHIEF ADMIN OFFICER & GENE13.60$437,578$0$54,204Yes (X)
TATE KREITINGER
THE HEALTHCENTER CEO20.00$394,688$0$33,447Yes (X)
ROBERT YACAVONE MD
PHYSICIAN50.00$838,070$0$19,368Yes (X)
FRANK BISHOP MD
PHYSICIAN50.00$680,847$0$20,876Yes (X)
THOMAS ORIGITANO MD
PHYSICIAN50.00$933,485$0$16,782Yes (X)
HOWARD TICE MD
PHYSICIAN50.00$629,627$0$19,368Yes (X)
CRAIG HARRISON MD
PHYSICIAN50.00$662,543$0$3,066Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,961,832TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,199,246TotReportableCompRltdOrgAmt
Total Other Compensation$427,661TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K171IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SILVER TIP EMERGENCY PHYSICIANS
310 SUNNYVIEW LANEKALISPELLMT59901EMERGENCY ROOM PHYSICIANS$3,424,949
GLACIER REGIONAL PATHOLOGY
495 NORTH MAIN STREETKALISPELLMT59901PATHOLOGY SERVICES$696,345
NORTHWEST IMAGING PC
PO BOX 9110KALISPELLMT59904IMAGING SERVICES$671,109
NORTHERN ROCKIES ANESTHESA CONSULTANTS
1075 MARTIN CREEK LANEWHITEFISHMT59937ANESTHESIA SERVICES$591,758
THE ADVISORY BOARD CO
PO BOX 79461BALTIMOREMD212790461CONSULTING SERVICES$333,681
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$782,535RelatedOrganizationsAmt
Government Grants$30,000GovernmentGrantsAmt
All Other Contributions$7,863AllOtherContributionsAmt
Noncash Contributions$77,006NoncashContributionsAmt
Total Contributions$820,398TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICE REVENUE621990$249,105,725$247,849,059$1,256,666
PARTNERSHIP INCOME621990$4,114,428$4,114,428
MEANINGFUL USE REVENUE900099$2,188,720$2,188,720
OUTREACH PROGRAMS621990$809,272$809,272
RESEARCH621990$638,674$638,674

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,323,955TotalRevenueColumnAmt
Related Or Exempt Func Income$2,323,955RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$259,180,774TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,159,702TotalRevenueColumnAmt
Exclusion$1,159,702ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$270,266RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$270,266RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$270,266TotalRevenueColumnAmt
Exclusion$270,266ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$43,997,091SecuritiesAmt
Other$74,070OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,071,471SecuritiesAmt
Other$209,108OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,925,620SecuritiesAmt
Other-$135,038OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,790,582TotalRevenueColumnAmt
Exclusion$8,790,582ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$1,593,523$1,593,523
CHILD CARE624410$1,543,599$1,543,599
MISC. REVENUE900099$188,886$188,886
FieldValueIRS element (for citing)
Other Revenue Total$3,326,008OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$273,547,730TotalRevenueColumnAmt
Related Or Exempt Func Income$257,924,108RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,256,666UnrelatedBusinessRevenueAmt
Exclusion$13,546,558ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,968,883TotalAmt
Management And General$1,968,883ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$111,149,748TotalAmt
Program Services$101,258,320ProgramServicesAmt
Management And General$9,891,428ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,692,160TotalAmt
Program Services$3,325,297ProgramServicesAmt
Management And General$366,863ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,957,189TotalAmt
Program Services$12,769,784ProgramServicesAmt
Management And General$1,187,405ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,188,040TotalAmt
Program Services$6,436,700ProgramServicesAmt
Management And General$751,340ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$637,501TotalAmt
Management And General$637,501ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,969TotalAmt
Management And General$90,969ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,240,517TotalAmt
Program Services$6,936,611ProgramServicesAmt
Management And General$2,303,906ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,106,875TotalAmt
Program Services$443,577ProgramServicesAmt
Management And General$663,298ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,028,846TotalAmt
Program Services$1,939,728ProgramServicesAmt
Management And General$1,089,118ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,204,357TotalAmt
Program Services$9,904,390ProgramServicesAmt
Management And General$2,299,967ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,549,551TotalAmt
Program Services$989,407ProgramServicesAmt
Management And General$560,144ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,818,394TotalAmt
Program Services$2,818,394ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,551,941TotalAmt
Program Services$10,505,546ProgramServicesAmt
Management And General$2,046,395ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,598,476TotalAmt
Program Services$2,597,696ProgramServicesAmt
Management And General$780ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$43,927,744$43,299,704$628,040
PURCHASED SERVICES$11,587,195$10,043,885$1,543,310
BAD DEBTS$10,920,372$10,920,372
OTHER$3,785,586$2,461,227$1,324,359

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$254,004,344TotalAmt
Program Services$226,650,638ProgramServicesAmt
Management And General$27,353,706ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$23,510,082BOYAmt
EOY$28,903,197EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$57,190,239BOYAmt
EOY$63,263,583EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,055,068BOYAmt
EOY$2,689,198EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,068,234BOYAmt
EOY$28,378,731EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,046,367BOYAmt
EOY$5,402,680EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,231,727BOYAmt
EOY$6,977,499EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,557,126BOYAmt
EOY$4,234,597EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$212,613,401LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$110,297,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$103,506,333BOYAmt
EOY$102,315,678EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,138,779BOYAmt
EOY$2,443,867EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$909,944BOYAmt
EOY$854,397EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,448,398BOYAmt
EOY$6,590,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$234,662,297BOYAmt
EOY$252,054,367EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,413,500BOYAmt
EOY$37,410,076EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$566,357BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,953,266BOYAmt
EOY$55,534,439EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,758,017BOYAmt
EOY$4,539,237EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,859,586BOYAmt
EOY$10,885,932EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,550,726BOYAmt
EOY$108,369,684EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,097,375BOYAmt
EOY$134,254,146EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,928,115BOYAmt
EOY$7,077,360EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,086,081BOYAmt
EOY$2,353,177EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,111,571BOYAmt
EOY$143,684,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$234,662,297BOYAmt
EOY$252,054,367EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,543,386ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,520,298NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$550,024OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$10,152GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$21,228DirectContactLegislatorsAmt
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$31,380TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,917,545BeginningYearBalanceAmt
Contributions$2,059,932ContributionsAmt
Investment Earnings Or Losses$7,039InvestmentEarningsOrLossesAmt
End Year Balance$3,984,516EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,480,454BeginningYearBalanceAmt
Contributions$280,808ContributionsAmt
Investment Earnings Or Losses$156,283InvestmentEarningsOrLossesAmt
End Year Balance$1,917,545EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,250,610BeginningYearBalanceAmt
Contributions$53,165ContributionsAmt
Investment Earnings Or Losses$176,679InvestmentEarningsOrLossesAmt
End Year Balance$1,480,454EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.24950PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.75050TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$139,572,479OtherCostOrOtherBasisAmt
Depreciation$68,397,317DepreciationAmt
Book Value$71,175,162BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,835,726OtherCostOrOtherBasisAmt
Depreciation$41,900,406DepreciationAmt
Book Value$22,935,320BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,922,351OtherCostOrOtherBasisAmt
Book Value$7,922,351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,315,678TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO CONTRACTUAL AGENCIES$1,081,131
ACCOUNTS PAYABLE TO AFFILIATES$5,125,095
LEASES PAYABLE$983,125
OTHER LIABILITIES$3,696,581
FieldValueIRS element (for citing)
Total Liability$10,885,932TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$259,256,644TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,520,298NetUnrealizedGainsInvstAmt
Other Revenue$932,119OtherRevenueAmt
Revenue Not Reported-$2,588,179RevenueNotReportedAmt
Revenue Subtotal$261,844,823RevenueSubtotalAmt
Other Revenues Not Included$11,702,907OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$11,702,907RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$273,547,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$243,865,855TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$781,883OtherExpensesIncludedAmt
Expenses Not Reported$781,883ExpensesNotReportedAmt
Expenses Subtotal$243,083,972ExpensesSubtotalAmt
Other Expenses Not Included$10,920,372OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$10,920,372ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$254,004,344TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:KALISPELL REGIONAL HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS WILL BE DISBURSED ACCORDING TO THE FUND'S DESIGNATED PURPOSE CONSIDERING ANY RESTRICTIONS AND/OR CONDITIONS ON THE FUND. WHERE THERE IS AN UNDESIGNATED ENDOWMENT FUND WITHOUT RESTRICTIONS AND/OR CONDITIONS, THE ORGANIZATION WILL REVIEW REQUESTS FOR FUNDING FROM KALISPELL REGIONAL MEDICAL CENTER, THE SUPPORTED ORGANIZATION, ON A PERIODIC BASIS. HISTORICALLY, ENDOWMENT FUND DISBURSEMENTS HAVE FUNDED EQUIPMENT REQUESTS FROM KALISPELL REGIONAL MEDICAL CENTER.
PART X, LINE 2:THE HOSPITAL ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE ASC AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HOSPITAL HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FASB FAS 136 INVESTMENT IN NET ASSETS OF FOUNDATION 158,473. FOUNDATION INCOME RECORDED ON CONSOLIDATED BASIS 781,883. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) -8,237.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SUPPORT FROM AFFILIATED FOUNDATION 782,535. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 10,920,372.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION EXPENSES RECORDED ON CONSOLIDATED BASIS 781,883.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE INCLUDED IN NET REVENUES 10,920,372.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,344,591TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,344,591NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,433,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,381,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,051,710NetCommunityBenefitExpnsAmt
Total Expense0.02490TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,778,166TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,381,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,396,301NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230,584TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230,584NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$244,923TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$244,923NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,034,084TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,860,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,174,067NetCommunityBenefitExpnsAmt
Total Expense0.07070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,068TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,068NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,529,659TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,860,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,669,642NetCommunityBenefitExpnsAmt
Total Expense0.07270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,307,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,241,882DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,065,943NetCommunityBenefitExpnsAmt
Total Expense0.12780TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,039TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,039NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,220TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,220NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,334TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,334NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,593TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$101,593NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,164,681BadDebtExpenseAmt
Reimbursed By Medicare$81,920,874ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$113,595,520CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$31,674,646MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 MRICT JOINT OPERATING AGREEMENTBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesIMAGINGPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.01930OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.17660PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Prioritize ServicesYes (X)PrioritizeServicesInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
KALISPELL REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 3: 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, SHEPARDS 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.
KALISPELL REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 4: NORTH VALLEY HOSPITAL, WHITEFISH, MT
KALISPELL REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6I: USE FINANCIAL ASSISTANCE TO FREE DENTAL CLINIC; EXPANSION OF DIABETES EDUCATION AND ASSESSMENT FUNCTIONS; EXPANSION OF MENTAL HEALTH SERVICES; PARTICIPATION IN FORMATION AND COLLABORTION OF PATIENT ADVOCACY EFFORTS; EXPANDING PRIMARY CARE PRACTITIONERS.
KALISPELL REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 20D: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE OR NON-INSURED STATUS. AN ADJUSTMENT IS THEN MADE TO THE CHARGE FOR PATIENTS WHO ARE ELIGIBLE INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY.
KALISPELL REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 22: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE OR NON-INSURED STATUS. AN ADJUSTMENT IS THEN MADE TO THE CHARGE FOR PATIENTS WHO ARE ELIGIBLE INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY.

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:COST ACCOUNTING WAS UTILIZED FOR THE ENTIRE TABLE. COST ACCOUNTING COVERS ALL PATIENT SEGMENTS.
PART I, LN 7 COL(F):TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $10,920,372.
PART II, COMMUNITY BUILDING ACTIVITIES:KRMC PROVIDES FUNDING TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, KRMC IS ACTIVELY INVOLVED IN THE KALISPELL CHAMBER OF COMMERCE AND OTHER ORGANIZATIONS FOR THE PURPOSES OF ECONOMIC DEVELOPMENT. KRMC PROVIDES FURTHER DONATIONS TO BENEFIT THE BROADER COMMUNITY.
PART III, LINE 4:COST ACCOUNTING WAS UTILIZED TO DETERMINE BAD DEBT EXPENSE.PROVISION FOR BAD DEBTS: THE HOSPITAL PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AN AMOUNT THAT COULD BECOME UNCOLLECTIBLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON THE UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN ON COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND HAVE AN IMPACT ON THE ESTIMATION PROCESS.THE FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED ON PAGES 15 AND 16 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS.
PART III, LINE 8:COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FY 2014 COST REPORT. MEDICARE TOTALS PROVIDED EXCLUDE AMOUNTS REPORTED UNDER COMMUNITY BENEFIT PROGRAMS. THE ORGANIZATION PROVIDES CARE TO THE ELDERLY AND DISABLED AT A REDUCED REIMBURSEMENT TO ENSURE ALL OF THE COMMUNITY MEMBERS IN NORTHWEST MONTANA RECEIVE GOOD QUALITY HEALTHCARE REGARDLESS OF AGE, DISABILITY, OR MEANS.
PART VI, LINE 2:KRMC IDENTIFIES NEEDS THROUGHOUT THE COMMUNITY BY UTILIZING COMMUNITY REPRESENTATIVES ON KRMC GOVERNANCE BOARDS, SOLICITATION OF IDEAS FROM COMMUNITY LEADERS AND OTHER MEMBERS VIA THE MEDIA AND OTHER FORMS OF COMMUNICATION, AND KEY STAFF AIDING IN IDENTIFYING HEALTH CARE SERVICE AREA SHORTAGES. KRMC MAINTAINS A CLOSE RELATIONSHIP TO THE COMMUNITY BY PROVIDING INFORMATION AND EDUCATION ABOUT UPCOMING HEALTH CARE ISSUES OR CHANGES AT KRMC AND SOLICITS FEEDBACK FROM THE COMMUNITY. ONCE NEEDS ARE IDENTIFIED, THE KRMC BOARD AND ADMINISTRATION WORK TO PRIORITIZE NEEDS BASED UPON THE MISSION AND VALUES OF KRMC.
PART VI, LINE 3:KRMC DISPLAYS OUR CHARITY POLICY ON OUR WEBSITE. CHARITY CARE IS DISCUSSED WITH ALL PATIENTS AT THE TIME OF THEIR ADMIT. THROUGH THE MEDIA, KRMC NOTIFIED THE COMMUNITY OF OUR CHARITY CARE POLICY AND ELIGIBILITY REQUIREMENTS.
PART VI, LINE 4:KRMC IS A SOLE COMMUNITY MEDICARE HOSPITAL IN NORTHWEST MONTANA. KRMC SERVES PATIENTS IN A LARGE GEOGRAPHIC AREA, THAT COVERS ALL OF NORTHWESTERN MONTANA, PARTS OF NORTHEASTERN IDAHO AND AREAS OF CENTRAL MONTANA. KRMC SERVES ALL PATIENTS REGARDLESS OF THEIR INCOME AND REGARDLESS OF THEIR PAYER. IN FLATHEAD COUNTY, 14.2% OF THE RESIDENTS LIVE AT OR BELOW 100% OF FEDERAL POVERTY LEVELS.
PART VI, LINE 5:THIS WAS ANSWERED BY QUESTION 2 INFORMATION.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JON JOHNSON MD
TRUSTEE - PART YEAR$135,096$0$30,000$0$35,919$0$3,000$0$15,782$0$219,797$0$0$0
VELINDA STEVENS
PRESIDENT$0$444,440$0$125,773$0$117,565$0$15,000$0$19,910$0$722,688$0$0
LOUISE SWANBERG MD
TRUSTEE$155,106$0$104,893$0$80,571$0$3,000$0$16,283$0$359,853$0$0$0
CHRISTOPHER GILL MD
TRUSTEE - PART YEAR$290,373$0$0$0$30,797$0$3,000$0$16,868$0$341,038$0$0$0
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT$0$324,982$0$90,816$0$95,670$0$15,000$0$19,589$0$546,057$0$0
KAREN LEE
CHIEF NURSING OFFICER$221,617$0$62,565$0$281,054$0$15,000$0$10,078$0$590,314$0$77,500$0
DEB WILSON
CHIEF OPERATION OFFICER$251,016$0$67,795$0$43,809$0$37,655$0$16,840$0$417,115$0$0$0
AC EDDY
CHIEF MEDICAL OFFICER$340,893$0$103,173$0$66,976$0$36,343$0$17,202$0$564,587$0$0$0
TONY PATTERSON
CHIEF ADMIN OFFICER & GENE$340,169$0$96,152$0$1,257$0$37,275$0$16,929$0$491,782$0$0$0
TATE KREITINGER
THE HEALTHCENTER CEO$252,162$0$69,262$0$73,264$0$15,000$0$18,447$0$428,135$0$0$0
ROBERT YACAVONE MD
PHYSICIAN$556,962$0$268,211$0$12,897$0$3,000$0$16,368$0$857,438$0$0$0
FRANK BISHOP MD
PHYSICIAN$680,847$0$0$0$0$0$3,000$0$17,876$0$701,723$0$0$0
THOMAS ORIGITANO MD
PHYSICIAN$781,955$0$50,000$0$101,530$0$3,000$0$13,782$0$950,267$0$0$0
HOWARD TICE MD
PHYSICIAN$449,727$0$179,900$0$0$0$3,000$0$16,368$0$648,995$0$0$0
CRAIG HARRISON MD
PHYSICIAN$500,011$0$162,532$0$0$0$3,000$0$66$0$665,609$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST CLASS OR CHARTER TRAVEL - KRMC DOES NOT PROVIDE FIRST CLASS TRAVEL. CHARTER TRAVEL IS UTILIZED FOR THESE INDIVIDUALS WHEN A GROUP IS FLYING TOGETHER TO A CONFERENCE OR MEETING AND IT IS LESS EXPENSIVE THAN FLYING COMMERCIAL OR NO COMMERCIAL FLIGHT IS AVAILABLE. THIS WAS NOT INCLUDED AS TAXABLE COMPENSATION AS IT WAS BUSINESS RELATED. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - THE MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $23,000 FOR 2013. THIS AMOUNT IS GROSSED-UP TO TAKE CARE OF THE APPLICABLE TAXES. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, AND THE HEALTHCENTER CEO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - ALL EXECUTIVE TEAM MEMBERS RECEIVE A FREE MEMBERSHIP TO THE SUMMIT.
PART I, LINES 4A-BMEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $23,000 FOR 2013. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, CAO, AND THE HEALTHCENTER CEO.
PART I, LINE 7BONUS PLANS ADMIN AND MGMT-BASED ON A NUMBER OF FACTORS INCLUDING BUT NOT LIMITED TO: QUALITY AND FINANCIAL INDICATORS INCLUDING DEPARTMENT SPECIFIC GOALS AND INITIATIVES, PATIENT SATISFACTION, PRODUCTIVITY, EMPLOYEE SATISFACTION, AND EMPLOYEE EVALUATION TIMELINESS. SUCCESSFUL IMPLEMENTATION OF COMPANY FISCAL YEAR ACTION PLANS AND THE OVERALL FINANCIAL HEALTH AND STABILITY OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A364615155612043XXX2010-11-01$57,115,000REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT000
MONTANA FACILITY FINANCE AUTHORITY
B3646151552011-08-03$4,174,486CAPITAL EXPENDITURES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$57,308,306$3,641,233$891,005$42,004,808$10,771,2602013Yes (1)0Yes (1)Yes (1)
B$4,174,486$12,486$4,162,000201200Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2013
PART II, LINE 3THE PROCEEDS OF THE BOND ISSUANCE EXCEED THE ISSUE PRICE OF $57,115,000 BY $193,306. THIS AMOUNT IS THE NET ORIGINAL ISSUE PREMIUM.
PART II, LINE 11OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GLACIER REGIONAL PATHOLOGY
DR. FISHER, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.$555,242PATHOLOGY & LAB SERVICES0
ROCKY MOUNTAIN SUB-SPECIALTY ASSOC
DR. JOHNSON, A PART YEAR TRUSTEE, IS A GREATER THAN 5% PARTNER.$935,341RENT AND JANITORIAL SERVICES0
NORTHWEST IMAGING INC
DR. BENEDETTO, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.$586,146RADIOLOGY SERVICES0
KEN JONAS MD
SPOUSE OF CURRENT TRUSTEE$249,318SALARY0
SWANBERG BUILDING INC
DR. SWANBERG, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.$108,000RENT0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIPMENTDesc
Contribution5ContributionCnt
Noncash Contributions Rpt F990$77,006NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2DENIS SABO AND BOB WHITE HAVE A BUSINESS RELATIONSHIP. MARCIA JOHNSON AND PETER LARSON HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS MAILED TO ALL BOARD MEMBERS WITH THE FEBRUARY BOARD PACKET. THE BOARD MEMBERS HAVE A CHANCE TO REVIEW THE FORM BEFORE THE FINANCE COMMITTEE MEETING WHERE A PRESENATION ON THE FORM 990 IS DONE. QUESTION AND ANSWER SESSIONS ARE HELD AT BOTH THE FINANCE COMMITTEE MEETING AND THE BOARD MEETING CONCERNING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICE REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY.
FORM 990, PART VI, SECTION B, LINE 15KALISPELL REGIONAL HEALTHCARE SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE AND REPORTED TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THESE REPORTS ARE CONSIDERED BY THE COMMITTEE, AND A DETERMINATION IS MADE AS TO THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD AND EXECUTIVE COMPENSATION COMMITTEE EMBRACE THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL WHICH WILL FAVOR RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE PERIODIC RETENTION OF A COMPENSATION CONSULTANT AND MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN AN ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD COMMITTEE ALSO INCLUDES A REVIEW OF PERFORMANCE TARGETS WHICH ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION. THESE MEASURES INCLUDE ORGANIZATIONAL AND INDIVIDUAL GOALS, EFFORTS TO FURTHER THE MISSION AND VISION OF KALISPELL REGIONAL HEALTHCARE SYSTEM, QUALITY INDICATORS, CUSTOMER/PATIENT SATISFACTION, AND FINANCIAL PERFORMANCE OBJECTIVES. THE BOARD COMMITTEE REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. THE BOARD EXECUTIVE COMPENSATION COMMITTEE MAKES ITS REPORT TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19ONLY FORM 990 IS AVAILABLE.
FORM 990, PART XI, LINE 9:FUND BALANCE TRANSFERRED TO AFFILIATES -1,311,024. ADJUSTMENT FOR FOUNDATION ACTIVITY -547,056. NET CHANGE IN RESTRICTED ASSETS 2,416,341. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY -8,237.
FORM 990, PART VII, SECTION A, COLUMN (B) - AVERAGE HOURS PER WEEKTHE OFFICERS OF KALISPELL REGIONAL MEDICAL CENTER DIVIDE THEIR TIME AMONG THE OTHER RELATED ENTITIES FOR WHICH THEY ARE ALSO OFFICERS. THEIR TOTAL AVERAGE WEEKLY HOURS DEVOTED TO ALL OF THE ENTITIES IS IN EXCESS OF 50 HOURS. SEVERAL OF THE TRUSTEES WHO ARE PHYSICIANS RECEIVE COMPENSATION FOR MEDICAL SERVICES RENDERED TO THE HOSPITAL. THEIR AVERAGE WEEKLY HOURS DEVOTED TO THE HOSPITAL VARIES. TATE KREITINGER DEVOTES APPROXIMATELY 50% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 50% OF HIS TIME TO HEALTHCENTER NORTHWEST, A RELATED ENTITY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KALISPELL REGIONAL HEALTHCARE SYSTEM
310 SUNNYVIEW LANEKALISPELLMT59901810406485SUPPORT SUBSIDIARY TAX EXEMPT ORGANIZATIONSMT501(C)(3)11, TYPE IIN/A0
KALISPELL REGIONAL HEALTHCARE FOUNDATION
310 SUNNYVIEW LANEKALISPELLMT59901311703013SUPPORTING ORGANIZATIONMT501(C)(3)11, TYPE IYes (1)KALISPELL REGIONAL MEDICAL CENTER
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANEKALISPELLMT59901810420653OPERATE LONG TERM AMBULATORY FACILITYMT501(C)(3)9Yes (1)KALISPELL REGIONAL HEALTHCARE SYSTEM
THE SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANEKALISPELLMT59901203752312COMMUNITY HEALTH & WELLNESS CENTERMT501(C)(3)9Yes (1)KALISPELL REGIONAL HEALTHCARE SYSTEM
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANEKALISPELLMT59901273866474SUPPORTING ORGANIZATIONMT501(C)(3)9Yes (1)KALISPELL REGIONAL MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
MRICT JOINT OPERATING AGREEMENT
310 SUNNYVIEW LANEKALISPELLMT59901205010390DIAGNOSTIC SCREENINGMTKALISPELL REGIONAL MEDICAL CENTERRELATED$3,988,407$1,913,473Yes (1)Yes (1)0.51000
HEALTHCENTER NORTHWEST LLC
310 SUNNYVIEW LANEKALISPELLMT59901810540517ACUTE CARE HOSPITALMTN/A00N/A
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
310 SUNNYVIEW LANEKALISPELLMT59901810541707COMMERICAL BUILDING RENTALMTN/A00N/A
NORTHWEST ORTHOPEDICS & SPORTS MEDICINE LLC
310 SUNNYVIEW LANEKALISPELLMT59901371518772ORTHOPEDIC MEDICINEMTN/A00N/A
ORTHOPEDICS ONE LLC
310 SUNNYVIEW LANEKALISPELLMT59901800346984ORTHOPEDIC MEDICINEMTN/A00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1APPLIED HEALTH SERVICES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
EIN810413632EIN
Primary ActivitiesHEALTH RELATEDPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
A$30,764ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
A$175,549ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
C$782,536ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
A$27,804ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
B$1,311,024ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
K$509,859ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
K$89,410ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
K$1,276,106ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
K$274,836ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
L$476,900ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
L$127,226ACTUAL PAYMENT
NORTHWEST HORIZON INC
L$155,073ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
M$4,335,266ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
M$2,878,277ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
M$182,500ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
M$637,511ACTUAL PAYMENT
NORTHWEST HORIZON INC
M$652,092ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
K$342,142ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
A$2,300ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
A$2,248ACTUAL PAYMENT

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