KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-02-15
IRS object ID
201440499349301779
Schema version
2012v2.1
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)
Timestamp2014-02-15T16:07:35-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN810497523EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8600AddressLine1
CityKALISPELLCity
StateMTState
ZIP Code599041600ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237293874EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKALINameControl
Phone4067525111Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES PEARCEName
TitleCFIOTitle
Phone4067521724Phone
Date Signed2014-02-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJUSTIN P SLITERName
PTINP00188996PTIN
Phone4067521040Phone
Date Prepared2014-02-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES PEARCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts251979140GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NWHC.ORG/KRMCWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionPROVIDE ACUTE HOSPITAL CAREActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2152TotalNbrEmployees
Total Nbr Volunteers143TotalNbrVolunteers
Total Gross UBI2151381TotalGrossUBI
Net Unrelated Business Txbl Income-437055NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year800578ContributionsGrantsPriorYear
Contributions Grants Current Year757987ContributionsGrantsCurrentYear
Program Service Revenue Prior Year217873275ProgramServiceRevenuePriorYear
Program Service Revenue CY245746315ProgramServiceRevenueCY
Investment Income Prior Year2052850InvestmentIncomePriorYear
Investment Income Current Year1389958InvestmentIncomeCurrentYear
Other Revenue Prior Year2979782OtherRevenuePriorYear
Other Revenue Current Year2870325OtherRevenueCurrentYear
Total Revenue Prior Year223706485TotalRevenuePriorYear
Total Revenue Current Year250764585TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year114428534SalariesEtcPriorYear
Salaries Etc Current Year126802858SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year101681994OtherExpensePriorYear
Other Expenses Current Year108797148OtherExpensesCurrentYear
Total Expenses Prior Year216110528TotalExpensesPriorYear
Total Expenses Current Year235600006TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7595957RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15164579RevenuesLessExpensesCY
Total Assets BOY215953130TotalAssetsBOY
Total Assets EOY234662297TotalAssetsEOY
Total Liabilities BOY107327768TotalLiabilitiesBOY
Total Liabilities EOY107550726TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY108625362NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY127111571NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE ACUTE HOSPITAL CAREMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense209818364Expense
Revenue243594934Revenue
DescriptionOPERATION OF REGIONAL ACUTE CARE HOSPITAL.Description
Total Program Service Expense209818364TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096239NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2152NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLES PEARCENamePerson
Telephone Number4067521724TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES GRENIER
TRUSTEE1.00X120000
WILSON HIGGS MD
TRUSTEE1.00X181800
JON JOHNSON MD
TRUSTEE1.00X282339019782
GWEN JONAS MD
TRUSTEE1.00X3778000
PETER L LARSON
TRUSTEE1.00X181800
JEANNIE LUCKEY
TRUSTEE1.00X120000
ROGER BARTH MD
TRUSTEE1.00X2834300
CURTIS LUND
TRUSTEE1.00X213000
DENNIS SABO
TRUSTEE1.00X213000
CAL SWEET
TRUSTEE1.00X213000
MUFFIE THOMSON
TRUSTEE1.00X120000
WILLIAM BENEDETTO MD
TRUSTEE1.00X240000
VELINDA STEVENS
PRESIDENT12.50X066464334748X
LOUISE SWANBERG MD
TRUSTEE1.00X223654018082
JAMES STRAINER
TRUSTEE1.00X000
PETE FISHER MD
TRUSTEE1.00X000
JANE KARAS
TRUSTEE - PART YEAR1.00X207400
DAVID WALKER MD
TRUSTEE - PART YEAR1.00X90000
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT30.00045591531474X
KAREN LEE
CHIEF NURSING OFFICER40.00311137046198X
DEB WILSON
CHIEF OPERATION OFFICER38.00293772050520X
AC EDDY
CHIEF MEDICAL OFFICER30.00477875052926X
TONY PATTERSON
CHIEF ADMIN OFFICER & GENE22.00486504046557X
TATE KREITINGER
THE HEALTHCENTER CEO25.00355290029943X
ROBERT YACAVONE MD
PHYSICIAN50.00933552024368X
ALAN WILLIAMS MD
PHYSICIAN50.0065006203066X
DREW KIRSHNER MD
PHYSICIAN50.00603756024361X
HOWARD TICE MD
PHYSICIAN50.00636246021869X
CRAIG HARRISON MD
PHYSICIAN50.0062603703066X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5965347TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1120558TotalReportableCompFrmRltdOrgs
Total Other Compensation406960TotalOtherCompensation
Number Individuals GT100 K138NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SILVER TIP EMERGENCY PHYSICIANS
310 SUNNYVIEW LANEKALISPELLMT59901EMERGENCY ROOM PHYSICIANS3575575
GLACIER REGIONAL PATHOLOGY
495 NORTH MAIN STREETKALISPELLMT59901PATHOLOGY SERVICES850039
NORTHWEST IMAGING PC
PO BOX 9110KALISPELLMT59904IMAGING SERVICES792172
MAYO MEDICAL LAB
PO BOX 9146MINNEAPOLISMN554809146LAB SERVICES591773
NORTHERN ROCKIES ANESTHESA CONSULTANTS
1075 MARTIN CREEK LANEWHITEFISHMT59937ANESTHESIA SERVICES586423
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations720286RelatedOrganizations
Government Grants37701GovernmentGrants
Noncash Contributions291013NoncashContributions
Total Contributions757987TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEDICAL SERVICE REVENUE6219902340396352318882542151381
PARTNERSHIP INCOME62199039809923980992
MEANINGFUL USE REVENUE90009929497902949790
OUTREACH PROGRAMS621990840324840324
RESEARCH621990725044725044

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3210530TotalRevenueColumn
Related Or Exempt Function Income3210530RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue245746315TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1212960TotalRevenueColumn
Exclusion$1,212,960ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real281490Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real281490Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column281490TotalRevenueColumn
Exclusion$281,490ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1302969Securities
Other88584Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1004844Securities
Other209711Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities298125Securities
Other-121127Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column176998TotalRevenueColumn
Exclusion$176,998ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222101549521$1,549,521
CHILD CARE624410760541$760,541
MISC. REVENUE900099278773$278,773
FieldValueIRS element (for citing)
Total Other Revenue2588835TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column250764585TotalRevenueColumn
Related Or Exempt Function Income243594934RelatedOrExemptFunctionIncome
Unrelated Business Revenue2151381UnrelatedBusinessRevenue
Exclusion$4,260,283ExclusionAmount

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1771752Total
Management And General1771752ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102678311Total
Program Services92936214ProgramServices
Management And General9742097ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3473440Total
Program Services3246249ProgramServices
Management And General227191ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12404496Total
Program Services11028517ProgramServices
Management And General1375979ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6474859Total
Program Services5773230ProgramServices
Management And General701629ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total537976Total
Program Services28564ProgramServices
Management And General509412ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79028Total
Management And General79028ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9123752Total
Program Services6811284ProgramServices
Management And General2312468ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1067799Total
Program Services428798ProgramServices
Management And General639001ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2480297Total
Program Services1679564ProgramServices
Management And General800733ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10758168Total
Program Services9141172ProgramServices
Management And General1616996ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1423524Total
Program Services1028548ProgramServices
Management And General394976ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1044474Total
Program Services1044474ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9341191Total
Program Services7366114ProgramServices
Management And General1975077ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1859283Total
Program Services1857703ProgramServices
Management And General1580ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES4324679442691120555674
PURCHASED SERVICES12223651105875011636150
BAD DEBTS1219080812190808

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3420403Total
Program Services1978504ProgramServices
Management And General1441899ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total235600006Total
Program Services209818364ProgramServices
Management And General25781642ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6446029BOY
EOY23510082EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY50883925BOY
EOY57190239EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY3055068EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31893429BOY
EOY27068234EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3882976BOY
EOY3046367EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6171367BOY
EOY6231727EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4651135BOY
EOY2557126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis204044292LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100537959LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY81883654BOY
EOY103506333EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2409569BOY
EOY2138779EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY966101BOY
EOY909944EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26764945BOY
EOY5448398EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY215953130BOY
EOY234662297EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35649155BOY
EOY36413500EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY566357EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY58964540BOY
EOY57953266EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4648937BOY
EOY2758017EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8065136BOY
EOY9859586EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY107327768BOY
EOY107550726EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY104640846BOY
EOY120097375EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2097510BOY
EOY4928115EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1887006BOY
EOY2086081EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108625362BOY
EOY127111571EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY215953130BOY
EOY234662297EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15164579ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4653479ReconciliationUnrealizedInvest
Reconcilation Other Changes-1331849ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$9,767GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$24,321DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB34088TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3984516BeginningOfYearBalance
Contributions2988068Contributions
Investment Earnings Or Losses41612InvestmentEarningsOrLosses
End Of Year Balance7014196EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1917545BeginningOfYearBalance
Contributions2059932Contributions
Investment Earnings Or Losses7039InvestmentEarningsOrLosses
End Of Year Balance3984516EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1480454BeginningOfYearBalance
Contributions280808Contributions
Investment Earnings Or Losses156283InvestmentEarningsOrLosses
End Of Year Balance1917545EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1250610BeginningOfYearBalance
Contributions53165Contributions
Investment Earnings Or Losses176679InvestmentEarningsOrLosses
End Of Year Balance1480454EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1225468BeginningOfYearBalance
Contributions224116Contributions
Investment Earnings Or Losses-198974InvestmentEarningsOrLosses
End Of Year Balance1250610EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.29740PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.70260TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis282845OtherCostOrOtherBasis
Book Value282845BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96129258OtherCostOrOtherBasis
Depreciation62576062Depreciation
Book Value33553196BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis55420501OtherCostOrOtherBasis
Depreciation37961897Depreciation
Book Value17458604BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis52211688OtherCostOrOtherBasis
Book Value52211688BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings103506333TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO CONTRACTUAL AGENCIES$1,889,946
ACCOUNTS PAYABLE TO AFFILIATES$3,000,188
LEASES PAYABLE$1,401,609
OTHER LIABILITIES$3,567,843
FieldValueIRS element (for citing)
Total Of Amounts9859586TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt243299142TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4653479NetUnrealizedGainsInvestments
Other Revenues792172OtherRevenues
Revenue Not Rptd F9905445651RevenueNotRptdF990
Revenue Subtotal237853491RevenueSubtotal
Other Revenues Not Included12911094OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt12911094RevenueNotRptdOnFinStmt
Total Revenue Per Form990250764585TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt224116080TotExpensesEtcAuditedFinclStmt
Other Expenses Included706882OtherExpensesIncluded
Expenses Not Rptd F990706882ExpensesNotRptdF990
Expenses Subtotal223409198ExpensesSubtotal
Other Expenses Not Included12190808OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12190808ExpensesNotRptdOnFinStmt
Total Expenses Per Form990235600006TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 44,125. FOUNDATION INCOME RECORDED ON CONSOLIDATED BASIS 706,882. ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 41,165.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SUPPORT FROM AFFILIATED FOUNDATION 720,286. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 12,190,808.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION EXPENSES RECORDED ON CONSOLIDATED BASIS 706,882.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE INCLUDED IN NET REVENUES 12,190,808.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7499394TotalCommunityBenefitExpense
Net Community Benefit Expense7499394NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25206344TotalCommunityBenefitExpense
Direct Offsetting Revenue17198071DirectOffsettingRevenue
Net Community Benefit Expense8008273NetCommunityBenefitExpense
Percent Of Total Expense0.03580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense32705738TotalCommunityBenefitExpense
Direct Offsetting Revenue17198071DirectOffsettingRevenue
Net Community Benefit Expense15507667NetCommunityBenefitExpense
Percent Of Total Expense0.06940PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense145518TotalCommunityBenefitExpense
Net Community Benefit Expense145518NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense236323TotalCommunityBenefitExpense
Net Community Benefit Expense236323NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense57860526TotalCommunityBenefitExpense
Direct Offsetting Revenue44619295DirectOffsettingRevenue
Net Community Benefit Expense13241231NetCommunityBenefitExpense
Percent Of Total Expense0.05930PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense58242367TotalCommunityBenefitExpense
Direct Offsetting Revenue44619295DirectOffsettingRevenue
Net Community Benefit Expense13623072NetCommunityBenefitExpense
Percent Of Total Expense0.06110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense90948105TotalCommunityBenefitExpense
Direct Offsetting Revenue61817366DirectOffsettingRevenue
Net Community Benefit Expense29130739NetCommunityBenefitExpense
Percent Of Total Expense0.13050PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8940TotalCommunityBuildingExpense
Net Community Building Expense8940NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense47830TotalCommunityBuildingExpense
Net Community Building Expense47830NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3268TotalCommunityBuildingExpense
Net Community Building Expense3268NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense60038TotalCommunityBuildingExpense
Net Community Building Expense60038NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,890,411BadDebtExpenseAmount
Amount Attributable To1086780AmountAttributableTo
Amount Reimbursed By Medicare82285816AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare100253916CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17968100MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 MRI - CTBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityIMAGINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.51000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00850OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.18740PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: COST ACCOUNTING WAS UTILIZED FOR THE ENTIRE TABLE. COST ACCOUNTING COVERS ALL PATIENT SEGMENTS.
PART I, L7 COL(F): TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 2, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $12,190,808.
PART II: 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 2013 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 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 CENTER
PART V, SECTION B, LINE 4: NORTH VALLEY HOSPITAL, WHITEFISH, MTKALISPELL REGIONAL MEDICAL CENTER
PART 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 CENTER
PART 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 FAP-ELIGIBLE INDIVIDUALS.KALISPELL REGIONAL MEDICAL CENTER
PART 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 FAP-ELIGIBLE INDIVIDUALS.KALISPELL REGIONAL MEDICAL CENTER
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, 12.5% OF THE RESIDENTS LIVE AT OR BELOW 100% OF FEDERAL POVERTY LEVELS AND ACCORDING TO THE MONTANA MEDICAL ASSOCIATION APPROXIMATELY 22.3% OF THE COUNTY RESIDENTS UNDER THE AGE OF 65 ARE UNINSURED.
PART VI, LINE 5: THIS WAS ANSWERED BY QUESTION 2 INFORMATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JON JOHNSON MD
TRUSTEE1350960300000117243030000167820302121000
VELINDA STEVENS
PRESIDENT041924501173880128010015000019748069939100
LOUISE SWANBERG MD
TRUSTEE155106024728043820030000150820241736000
CHARLES PEARCE
CHIEF FINANCIAL & INFORMAT0280217078461097237010403021071048738900
KAREN LEE
CHIEF NURSING OFFICER199472055852055813036721094770357335000
DEB WILSON
CHIEF OPERATION OFFICER1941660514440481620332770172430344292000
AC EDDY
CHIEF MEDICAL OFFICER3231490904820642440352520176740530801000
TONY PATTERSON
CHIEF ADMIN OFFICER & GENE3274340916810673890319780145790533061000
TATE KREITINGER
THE HEALTHCENTER CEO2190240613270749390122570176860385233000
ROBERT YACAVONE MD
PHYSICIAN476187044956707798030000213680957920000
ALAN WILLIAMS MD
PHYSICIAN507562060000082500030000660653128000
DREW KIRSHNER MD
PHYSICIAN55375605000000030000213610628117000
HOWARD TICE MD
PHYSICIAN447252018899400030000188690658115000
CRAIG HARRISON MD
PHYSICIAN500011012602600030000660629103000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 $22,500 FOR 2012. 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, LINE 4BMEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $22,500 FOR 2012. 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

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MONTANA FACILITY FINANCE AUTHORITY
A364615155612043XXX2010-11-0157115000REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT000
MONTANA FACILITY FINANCE AUTHORITY
B3646151552011-08-034174486CAPITAL EXPENDITURES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A1545000573083063641233891005420048081077126020131011
B958844417448612486416200020120011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000100001
B001000001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2013
PART II, LINE 3DIFFERENCE IN PROCEEDS:THE PROCEEDS OF THE BOND ISSUANCE EXCEED THE ISSUE PRICE OF $57,115,000 BY $193,306. THIS AMOUNT IS THE NET ORIGINAL ISSUE PREMIUM.
PART II, LINE 11OTHER SPENDING:OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GLACIER REGIONAL PATHOLOGY
DR. FISHER, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.838039PATHOLOGY & LAB SERVICES0
ROCKY MOUNTAIN SUB-SPECIALTY ASSOC
DR. JOHNSON, A CURRENT TRUSTEE, IS A GREATER THAN 5% PARTNER.679889RENT AND JANITORIAL SERVICES0
NORTHWEST IMAGING INC
DR. BENEDETTO, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.710151RADIOLOGY SERVICES0
KEN JONAS MD
SPOUSE OF CURRENT TRUSTEE286639SALARY0
SWANBERG BUILDING INC
DR. SWANBERG, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER.117290RENT0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990291013NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BKALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS MAILED TO ALL BOARD MEMBERS WITH THE FEBRUARY BOARD PACKET. THE BOARD MEMBERS HAVE A CHANCE TO REVIEW THE FORM BEFORE THE FINANCE COMMITTEE MEETING WHERE A PRESENATION ON THE FORM 990 IS DONE. QUESTION AND ANSWER SESSIONS ARE HELD AT BOTH THE FINANCE COMMITTEE MEETING AND THE BOARD MEETING CONCERNING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICE REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY.
FORM 990, PART VI, SECTION B, LINE 15KALISPELL REGIONAL HEALTHCARE SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE AND REPORTED TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THESE REPORTS ARE CONSIDERED BY THE COMMITTEE, AND A DETERMINATION IS MADE AS TO THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD AND EXECUTIVE COMPENSATION COMMITTEE EMBRACE THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL WHICH WILL FAVOR RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE PERIODIC RETENTION OF A COMPENSATION CONSULTANT AND MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN AN ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD COMMITTEE ALSO INCLUDES A REVIEW OF PERFORMANCE TARGETS WHICH ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION. THESE MEASURES INCLUDE ORGANIZATIONAL AND INDIVIDUAL GOALS, EFFORTS TO FURTHER THE MISSION AND VISION OF KALISPELL REGIONAL HEALTHCARE SYSTEM, QUALITY INDICATORS, CUSTOMER/PATIENT SATISFACTION, AND FINANCIAL PERFORMANCE OBJECTIVES. THE BOARD COMMITTEE REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. THE BOARD EXECUTIVE COMPENSATION COMMITTEE MAKES ITS REPORT TO THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19ONLY FORM 990 IS AVAILABLE.
FORM 990, PART XI, LINE 9:FUND BALANCE TRANSFERRED TO AFFILIATES -4,017,546. ADJUSTMENT FOR FOUNDATION ACTIVITY -385,148. NET CHANGE IN RESTRICTED ASSETS 3,029,680. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 41,165.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII, SECTION A, COLUMN (B)THE OFFICERS OF KALISPELL REGIONAL MEDICAL CENTER DIVIDE THEIR TIME AMONG THE OTHER RELATED ENTITIES FOR WHICH THEY ARE ALSO OFFICERS. THEIR TOTAL AVERAGE WEEKLY HOURS DEVOTED TO ALL OF THE ENTITIES IS IN EXCESS OF 50 HOURS. SEVERAL OF THE TRUSTEES WHO ARE PHYSICIANS RECEIVE COMPENSATION FOR MEDICAL SERVICES RENDERED TO THE HOSPITAL. THEIR AVERAGE WEEKLY HOURS DEVOTED TO THE HOSPITAL VARIES. TATE KREITINGER DEVOTES APPROXIMATELY 50% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 50% OF HIS TIME TO HEALTHCENTER NORTHWEST, A RELATED ENTITY.AVERAGE HOURS PER WEEK

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness 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 I1KALISPELL REGIONAL MEDICAL CENTER
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANEKALISPELLMT59901810420653OPERATE LONG TERM AMBULATORY FACILITYMT501(C)(3)91KALISPELL REGIONAL HEALTHCARE SYSTEM
THE SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANEKALISPELLMT59901203752312COMMUNITY HEALTH & WELLNESS CENTERMT501(C)(3)91KALISPELL REGIONAL HEALTHCARE SYSTEM
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANEKALISPELLMT59901273866474SUPPORTING ORGANIZATIONMT501(C)(3)91KALISPELL REGIONAL MEDICAL CENTER

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
MRICT JOINT OPERATING AGREEMENT
310 SUNNYVIEW LANEKALISPELLMT59901205010390DIAGNOSTIC SCREENINGMTKALISPELL REGIONAL MEDICAL CENTERRELATED40893142049718110.51000
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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1
CityKALISPELLCity
StateMTState
ZIP Code59901ZIPCode
FieldValueIRS element (for citing)
EIN810413632EIN
Primary ActivityHEALTH RELATEDPrimaryActivity
Legal Domicile StateMTLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
A30250ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
A175549ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE FOUNDATION
C720286ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
A27804ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
B4017546ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
K491330ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
K63033ACTUAL PAYMENT
KALISPELL REGIONAL HEALTHCARE SYSTEM
K1267879ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
K268393ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
L472535ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
L148348ACTUAL PAYMENT
NORTHWEST HORIZON INC
L267136ACTUAL PAYMENT
HEALTHCENTER NORTHWEST LLC
M4432544ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
M3269259ACTUAL PAYMENT
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
M182500ACTUAL PAYMENT
THE SUMMIT MEDICAL FITNESS CENTER INC
M573104ACTUAL PAYMENT
NORTHWEST HORIZON INC
M598247ACTUAL PAYMENT
FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC
K406593ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
H141065BEST ESTIMATE
NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC
A1600ACTUAL PAYMENT
APPLIED HEALTH SERVICES INC
A2228ACTUAL PAYMENT

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