LOGAN HEALTH - WHITEFISH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: LOGAN HEALTH - WHITEFISH (EIN 81-0247969)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201341339349302744
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T12:33:11-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DINGUS ZARECOR & ASSOCIATES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12015 E MAIN STE A	AddressLine1
City	SPOKANE VALLEY	City
State	WA	State
ZIP Code	99206	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	810247969	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTH VALLEY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	4068633529	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 HOSPITAL WAY	AddressLine1
City	WHITEFISH	City
State	MT	State
ZIP Code	59937	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JASON SPRING	Name
Title	CEO	Title
Phone	4068633529	Phone
Date Signed	2013-05-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THOMAS DINGUS	Name
Phone	5092420874	Phone
Date Prepared	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JASON SPRING	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1600 HOSPITAL WAY	AddressLine1
City	WHITEFISH	City
State	MT	State
ZIP Code	59937	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	43480396	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.NVHOSP.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	386	TotalNbrEmployees
Total Nbr Volunteers	68	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	89975	ContributionsGrantsPriorYear
Contributions Grants Current Year	997	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	39257803	ProgramServiceRevenuePriorYear
Program Service Revenue CY	42998929	ProgramServiceRevenueCY
Investment Income Prior Year	105612	InvestmentIncomePriorYear
Investment Income Current Year	119050	InvestmentIncomeCurrentYear
Other Revenue Prior Year	315801	OtherRevenuePriorYear
Other Revenue Current Year	358585	OtherRevenueCurrentYear
Total Revenue Prior Year	39769191	TotalRevenuePriorYear
Total Revenue Current Year	43477561	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	16158688	SalariesEtcPriorYear
Salaries Etc Current Year	17361593	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	223806	TotalFundrsngExpCurrentYear
Other Expense Prior Year	24089538	OtherExpensePriorYear
Other Expenses Current Year	25187654	OtherExpensesCurrentYear
Total Expenses Prior Year	40248226	TotalExpensesPriorYear
Total Expenses Current Year	42549247	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-479035	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	928314	RevenuesLessExpensesCY
Total Assets BOY	52269495	TotalAssetsBOY
Total Assets EOY	50243969	TotalAssetsEOY
Total Liabilities BOY	29975023	TotalLiabilitiesBOY
Total Liabilities EOY	29479328	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	22294472	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	20764641	NetAssetsOrFundBalancesEOY
Mission Description	NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	35130914	Expense
Revenue	42998929	Revenue
Description	NORTH VALLEY HOSPITAL OPERATES A 25-BED ACUTE CARE HOSPITAL WHICH PROVIDES EMERGENCY, INPATIENT, OUTPATIENT, ACUTE CARE AND SUBACUTE SERVICES IN HOSPITAL AND CLINIC SETTINGS. THE HOSPITAL PROVIDED 7,646 ER VISITS, 5,920 DAYS OF PATIENT SERVICES, 53,412 OUTPATIENT VISITS WHICH INCLUDES 24,317 CLINIC VISITS, AND 483 BIRTHS FOR THE YEAR ENDED JUNE 30, 2012. THE HOSPTIAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,906,600 FOR CHARITY CARE, 271,053 FOR MEDICAID, 8,160,233 FOR MEDICARE, AND 5,253,274 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED JUNE 30, 2012.	Description
Total Program Service Expense	35130914	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	85	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	386	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MT	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RANDY NIGHTENGALE	NamePerson
Telephone Number	4068633556	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1600 HOSPITAL WAY	AddressLine1
City	WHITEFISH	City
State	MT	State
ZIP Code	59937	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
LIN AKEY
BOARD MEMBER	1.00	X	0	0	0
HENRY RICKLEFS
BOARD MEMBER	1.00	X	0	0	0
JENNIE ECKSTROM MD
BOARD MEMBER	1.00	X	0	0	0
STEVE STAHLBERG CPA
SECRETARY	1.00	X	0	0	0	X
DAVID FEFFER
VICE CHAIR	1.00	X	0	0	0	X
PENNI CHISHOLM
CHAIR	1.00	X	0	0	0	X
JAKE HECKATHORN
BOARD MEMBER	1.00	X	0	0	0
SUZANNE DANIELL MD
BOARD MEMBER	1.00	X	0	0	0
RANDY BEACH MD
BOARD MEMBER	1.00	X	0	0	0
HAP HASELDEN
BOARD MEMBER	1.00	X	0	0	0
TURNER ASKEW
BOARD MEMBER	1.00	X	0	0	0
DEBBIE MELBY
BOARD MEMBER	1.00	X	0	0	0
LIZ MARCHI
BOARD MEMBER	1.00	X	0	0	0
DAVE WICK
BOARD MEMBER	1.00	X	0	0	0
MATT BAILEY MD
BOARD MEMBER	1.00	X	0	0	0
JASON SPRING
CEO	50.00		267905	0	65382	X
RANDY NIGHTENGALE
CFO	50.00		69908	0	17826	X
MAURA FIELDS
COO	50.00		149901	0	21460		X
ELIZABETH WHITE MD
CHIEF OF STA	40.00		148834	0	5317		X
MARY ANN CARLSON
PHYSICIAN	40.00		125503	0	11295		X
MARGARET BUMGARNER
OP SERVICES	40.00		124532	0	4835		X
MICHAEL BARNES
CIO	40.00		117864	0	11391		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1004447	TotalReportableCompFromOrg
Total Other Compensation	137506	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KALISPELL REGIONAL MEDICAL CENTER
310 SUNNYVIEW LANE	KALISPELL	MT	59901	HEALTH CARE SVS	1054641
MONTALASKA
200 STAGELINE DRIVE	WHITEFISH	MT	59937	ER PHYSICIANS	1023449
QUORUM HEALTH RESOURCES
105 CONTINENTAL PLACE	BRENTWOOD	TN	37027	SALARIES/MGMT	911937
THOMAS MANAGEMENT CO
640 E FRANKLIN ROAD	MERIDIAN	ID	83642	FOOD SERVICE MG	463598
NORTHERN ROCKIES ANESTHESIA
1075 MARTIN CREEK LANE	WHITEFISH	MT	59937	PHYSICIAN	401450

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	18	NumberOfContractorsGT100K
All Other Contributions	997	AllOtherContributions
Total Contributions	997	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET HEALTHCARE SERVICES	624100	42977860	42977860
RENTAL INCOME	621110	21069	21069

Field	Value	IRS element (for citing)
Total Program Service Revenue	42998929	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	121885	TotalRevenueColumn
Exclusion	$121,885	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2835	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-2835	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2835	TotalRevenueColumn
Exclusion	-$2,835	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722210	194219	$194,219
REBATES	900099	109165	$109,165
OTHER REVENUE	900099	55201	$55,201

Field	Value	IRS element (for citing)
Total Other Revenue	358585	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	43477561	TotalRevenueColumn
Related Or Exempt Function Income	42998929	RelatedOrExemptFunctionIncome
Exclusion	$477,635	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	512325	Total
Management And General	512325	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	13524978	Total
Program Services	10696030	ProgramServices
Management And General	2695331	ManagementAndGeneral
Fundraising	133617	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	532894	Total
Program Services	421431	ProgramServices
Management And General	106198	ManagementAndGeneral
Fundraising	5265	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1601129	Total
Program Services	1266229	ProgramServices
Management And General	319082	ManagementAndGeneral
Fundraising	15818	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1190267	Total
Program Services	941305	ProgramServices
Management And General	237203	ManagementAndGeneral
Fundraising	11759	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	311575	Total
Management And General	311575	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	62874	Total
Management And General	62874	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	56437	Total
Management And General	56437	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6869595	Total
Program Services	6231510	ProgramServices
Management And General	627609	ManagementAndGeneral
Fundraising	10476	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	293173	Total
Program Services	3863	ProgramServices
Management And General	289310	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2368139	Total
Program Services	2000098	ProgramServices
Management And General	348535	ManagementAndGeneral
Fundraising	19506	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	860729	Total
Program Services	13220	ProgramServices
Management And General	847509	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1735948	Total
Program Services	1520207	ProgramServices
Management And General	208727	ManagementAndGeneral
Fundraising	7014	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	53183	Total
Program Services	36585	ProgramServices
Management And General	13558	ManagementAndGeneral
Fundraising	3040	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	127080	Total
Program Services	56404	ProgramServices
Management And General	62585	ManagementAndGeneral
Fundraising	8091	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	297027	Total
Program Services	297027	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3633968	Total
Program Services	2932561	ProgramServices
Management And General	697225	ManagementAndGeneral
Fundraising	4182	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	502056	Total
Program Services	372141	ProgramServices
Management And General	129915	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBTS	3217740	3217740
MEDICAL SUPPLIES & DRUGS	3210693	3210693
REPAIRS AND MAINTENANCE	919948	819464	100484
OTHER EXPENSES	667489	501253	164138	2098

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Program Services	593153	ProgramServices
Management And General	-596093	ManagementAndGeneral
Fundraising	2940	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	42549247	Total
Program Services	35130914	ProgramServices
Management And General	7194527	ManagementAndGeneral
Fundraising	223806	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	215674	BOY
EOY	754451	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	13139362	BOY
EOY	13908361	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5249121	BOY
EOY	5501898	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1380485	BOY
EOY	1283730	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	755810	BOY
EOY	686248	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	47858810	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20382584	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	29642137	BOY
EOY	27476226	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	39475	BOY
EOY	41934	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4991	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1842440	BOY
EOY	591121	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	52269495	BOY
EOY	50243969	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3632613	BOY
EOY	4096749	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
EOY	24600522	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	25332743	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1009667	BOY
EOY	782057	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	29975023	BOY
EOY	29479328	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22294472	BOY
EOY	20764641	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	22294472	BOY
EOY	20764641	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	52269495	BOY
EOY	50243969	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	928314	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2458145	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1923348	OtherCostOrOtherBasis
Book Value	1923348	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26238370	OtherCostOrOtherBasis
Depreciation	8813193	Depreciation
Book Value	17425177	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15105007	OtherCostOrOtherBasis
Depreciation	10453633	Depreciation
Book Value	4651374	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4592085	OtherCostOrOtherBasis
Depreciation	1115758	Depreciation
Book Value	3476327	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	27476226	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
COLLATERALIZED AR	$465,414
THIRD-PARTY SETTLEMENTS	$316,643

Field	Value	IRS element (for citing)
Total Of Amounts	782057	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	LIABILITY UNDER FIN 48 FOOTNOTE	Identifier
Return Reference	SCHEDULE D, PAGE 3, PART X	ReturnReference
Explanation	THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINITY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2012 AND 2011, THE HOSPITAL HAD NO UNCERTAIN TAX POSTIONS REQUIRING ACCRUAL.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.50000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1258356	TotalCommunityBenefitExpense
Direct Offsetting Revenue	820572	DirectOffsettingRevenue
Net Community Benefit Expense	437784	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4476855	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4476855	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5735211	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5297427	DirectOffsettingRevenue
Net Community Benefit Expense	437784	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	4920	PersonsServed
Total Community Benefit Expense	95146	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5490	DirectOffsettingRevenue
Net Community Benefit Expense	89656	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	24	PersonsServed
Total Community Benefit Expense	21926	TotalCommunityBenefitExpense
Net Community Benefit Expense	21926	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	4179	PersonsServed
Total Community Benefit Expense	42366	TotalCommunityBenefitExpense
Net Community Benefit Expense	42366	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	25128	PersonsServed
Total Community Benefit Expense	107943	TotalCommunityBenefitExpense
Direct Offsetting Revenue	400	DirectOffsettingRevenue
Net Community Benefit Expense	107543	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	34251	PersonsServed
Total Community Benefit Expense	267381	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5890	DirectOffsettingRevenue
Net Community Benefit Expense	261491	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	34251	PersonsServed
Total Community Benefit Expense	6002592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5303317	DirectOffsettingRevenue
Net Community Benefit Expense	699275	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	11325	TotalCommunityBuildingExpense
Net Community Building Expense	11325	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	400000	PersonsServed
Total Community Building Expense	17012	TotalCommunityBuildingExpense
Net Community Building Expense	17012	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	4322	TotalCommunityBuildingExpense
Net Community Building Expense	4322	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	200000	PersonsServed
Total Community Building Expense	27419	TotalCommunityBuildingExpense
Net Community Building Expense	27419	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	30	PersonsServed
Total Community Building Expense	1591	TotalCommunityBuildingExpense
Net Community Building Expense	1591	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	600030	PersonsServed
Total Community Building Expense	61669	TotalCommunityBuildingExpense
Net Community Building Expense	61669	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,123,708	BadDebtExpenseAmount
Amount Reimbursed By Medicare	10502772	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10398783	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	103989	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership
ALPINE WOMENS CENTER
PHYSICIAN GROUP	0.33000
GLACIER MEDICAL ASSO
PHYSICIAN GROUP	0.25000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTH VALLEY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1600 HOSPITAL WAY	AddressLine1
City	WHITEFISH	City
State	MT	State
ZIP Code	59937	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH VALLEY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	250.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
NORTH COUNTRY MEDICAL CLINIC
1343 HWY 93 NORTH	EUREKA	MT	59917	OUTPATIENT CLINIC
THE BASE LODGE CLINIC
3840 BIG MOUNTAIN ROAD	WHITEFISH	MT	59937	OUTPATIENT CLINIC
COLUMBIA FALLS CLINIC PROFESSIONAL
2165 9TH STREET WEST	COLUMBIA FALLS	MT	59912	OUTPATIENT CLINIC
INTERNAL MEDICINE CLINIC
711 13TH STREET EAST	WHITEFISH	MT	59937	OUTPATIENT CLINIC
GLACIER MATERNITY & WOMENS CENTER
195 COMMONS LOOP ROAD SUITE D	KALISPELL	MT	59901	OUTPATIENT CLINIC
WEST GLACIER CLINIC
100 REA ROAD	WEST GLACIER	MT	59936	OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THE HOSPITAL HAS NOT INCLUDED ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I LINE 7G
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A OF 3217740 WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN PART I LINE 7 COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COSTTOCHARGES FOR AMOUNTS REPORTED IN THE TABLE TOTAL OPERATING EXPENSES LESS BAD DEBT NONPATIENT CARE ACTIVITIES MEDICAID PROVIDER TAXES TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES
COMMUNITY BUILDING ACTIVITIES	PART II	LEADERSHIP AT NORTH VALLEY HOSPITAL ARE ACTIVE MEMBERS OF AREA CHAMBERS OF COMMERCE AND ROTARY CLUBS MONTANA WEST ECONOMIC DEVELOPMENT FIRST BEST PLACE TASK FORCE FLATHEAD AREA YOUNG PROFESSIONALS WHITEFISH CONVENTION AND VISITORS BUREAU AND MORE IN ADDITION NORTH VALLEY HOSPITAL SPONSORS A STAFF MEMBER EACH YEAR TO ATTEND LEADERSHIP FLATHEAD A TWOYEAR COMMITMENT OF LEARNING THE INS AND OUTS OF THE FLATHEAD VALLEY AND SPEARHEADING A PROJECT THAT FULFILLS A NEED IN THE COMMUNITY NORTH VALLEY HOSPITAL MANAGEMENT AND STAFF SPEND COUNTLESS HOURS DEVELOPING RELATIONSHIPS WITH AREA HIGH SCHOOLS COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED FIELDS AND THE FACILITY IS A RESOURCE FOR INTERNS AND JOB SHADOWS THE HOSPITAL HUMAN RESOURCES STAFF CONTRIBUTE MUCH OF THEIR TIME TO CAREER COUNSELING AND ARE ACTIVE PARTICIPANTS IN THE LOCAL CHAPTER OF HOSA HEALTHCARE OCCUPATION STUDENTS OF AMERICA IN ADDITION STAFF PROVIDE A FORUM FOR THE PERFORMANCE IMPROVEMENT NETWORK AND INFANT MORTALITY REVIEW WHICH PROVIDES QUALITY ASSURANCE FOR FUTURE HEALTH CARE THEY ALSO HAVE BEEN INSTRUMENTAL IN STARTING THE STATES MEDICATION RECONCILIATION PROGRAM AND ARE AN IMPORTANT CONTRIBUTOR FOR THE MONTANA CRITICAL ACCESS NETWORK SEVERAL STAFF ARE VERY ACTIVE IN THE HEALTH INFORMATION EXCHANGE OF MONTANA HIEM ESTABLISHING A CENTRAL LOCATION FOR SHARED MEDICAL INFORMATION HELPS TO ELIMINATE DUPLICATION AND ENABLES EXPEDIENCY OF SHARED INFORMATION OR FASTER TREATMENT AN INCIDENT MANAGEMENT SYSTEM WITH HOSPITAL COMMAND CENTER IS ESTABLISHED AT NORTH VALLEY HOSPITAL FOR EMERGENCY PREPAREDNESS INTERNALLY THE MEMBERS REGULARLY EXECUTE DRILLS AND REVIEW EMERGENCY MEASURES FOR IMPROVEMENT AS WELL AS ASSESS RESOURCE NEEDS ALSO THEY PROVIDE CORE REPRESENTATIVES FROM NORTH VALLEY HOSPITAL WHO ARE PART OF THE FLATHEAD VALLEYS LARGER EFFORT OF DISASTER PREPAREDNESS A COALITION OF MEMBERS FROM OTHER EMERGENCY MEDICAL AND CITYCOUNTY SERVICES MEET REGULARLY TO ASSESS RESOURCES SCENARIOS COMMUNITY NEEDS AND MORE FOR THE BENEFIT OF THE COMMUNITY IF DISASTER SHOULD HAPPEN QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION COMMUNITY SUPPORT DONATIONS TO BUT ACCOUNTED FOR IN CBISA UNDER CASH DONATIONS TAMARACK GRIEF RESOURCE CENTER WHITEFISH WINTER CLASSIC DRUGFREE GRADUATION PARTY SPONSORSHIPS SHEPHERDS HAND CLINIC BOYS AND GIRLS CLUB SCHOOL SPORTS ASSOCIATIONS WINGS FINANCIAL SUPPORT SCHOOL BOOSTER CLUBS MEMORY WALK KIWANIS UNITED WAY SAVE A SISTER MAMMOGRAM INITIATIVE RELAY FOR LIFE FLATHEAD INDUSTRIES SPECIAL OLYMPICS WHITEFISH PARKS AND RECREATION SUMMER CAMP FOR CHILDREN ALS FOUNDATION DREAM ADAPTIVE PROSTATE CANCER AWARENESS FOUNDATION ECONOMIC DEVELOPMENT MONTANA WEST ECONOMIC DEVELOPMENT CHAMBER OF COMMERCE BOARDS LEADERSHIP FLATHEAD FLATHEAD AREA YOUNG PROFESSIONALS ASSOCIATION FIRST BEST PLACE TASK FORCE IN COLUMBIA FALLS WHITEFISH CONVENTION AND VISITOR BUREAU FLATHEAD BUSINESS AND INDUSTRY WORKFORCE DEVELOPMENT MENTORING AND JOB SHADOWING CAREER COUNSELING FLATHEAD BUSINESS AND INDUSTRY HEALTH OCCUPATIONS STUDENT ORGANIZATION COALITION BUILDING PERFORMANCE IMPROVEMENT NETWORK HEALTH OCCUPATIONS STUDENT ASSOCIATION FETAL INFANT CHILD MORTALITY REVIEW SUICIDE PREVENTIONINTERVENTIONPOSTVENTION COLLEGES FOR NURSING PROGRAMS HEALTH PROVIDER PRECEPTORS AND MEETINGS MEDICATION RECONCILIATION PROGRAM STUDENT RECRUITMENT CRITICAL ACCESS NETWORK HIEM AND DISASTER PREPAREDNESS NVH HAS ESTABLISHED A MENTAL HEALTH PROGRAM TARGETED AT ADULTS 55 YEARS OLD AND OLDER TO ADDRESS ISSUES OF DEPRESSION LOSS WITHDRAWAL ETC IT IS THE 1ST STRUCTURED OUTPATIENT PROGRAM OF ITS KIND IN NORTHWEST MONTANA EMBRACE HEALTH IS AN OUTPATIENT PROGRAM FOR SENIOR ADULTS THAT PROVIDES INDIVIDUALIZED TREATMENT FOR THOSE 55 YEARS AND OLDER WHO SUFFER FROM EMOTIONAL BEHAVIORAL OR MENTAL HEALTH DISORDERS SENIOR ADULTS AND THEIR CAREGIVERS HAVE UNIQUE PROBLEMS AND NEEDS PHYSICAL DECLINE LOSS OF INDEPENDENCE SAFETY CONCERNS AND MULTIPLE LOSSES ARE JUST A FEW THAT REQUIRE SPECIAL ATTENTION THIS PROGRAM PROVIDES AN INTENSIVE OUTPATIENT TREATMENT MONDAY THROUGH FRIDAY IN A CARING AND COMFORTABLE ENVIRONMENT THAT FOLLOWS NORTH VALLEY HOSPITALS PLANETREE PHILOSOPHY OF PATIENT CENTERED CARE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H PART III LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE THE HOSPITAL IDENTIFIES PATIENTS ELGIBLE FOR CHARITY CARE UP FRONT PRIOR TO TURNING THE BALANCE OVER TO THE COLLECTIONS AGENCY THE COLLECTION AGENCY ATTEMPTS TO COLLECT FROM THE PATIENT UNTIL DEEMED UNCOLLECTIBLE OR ELGIBLE FOR FINANCIAL ASSISTANCE AT WHICH POINT THE ACCOUNT IS CLOSED AND RETURNED TO THE HOSPITAL HOSPITAL FINANCIAL COUNSELORS AND OR THE EXTENDED BUSINESS OFFICE WILL ATTEMPT OTHER COLLECTION ACTIONS SUCH AS SUBSEQUENT BILLINGS COLLECTION LETTERS AND TELEPHONE CALLS AN ACCOUNT IS CONSIDERED FOR BAD DEBT DETERMINATION ONCE THE DEBT REMAINS UNPAID MORE THAN 120 DAYS ONCE AN ACCOUNT IS DETERMINED TO BE BAD DEBT IT IS SUBMITTED TO THE PATIENT FINANCIAL SERVICES SUPERVISOR WHO REVIEWS APPROVES AND RECORDS THE BAD DEBT AMOUNT ANY WRITEOFFS EXCEEDING 3000 IS ALSO REVIEWED BY THE CFO THE HOSPITAL DOES NOT HAVE ANY BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS CHARITY CARE POLICY THE HOSPITAL IDENTIFIES ALL THOSE ELIGIBLE FOR CHARITY CARE UPFRONT OR THROUGH THE COLLECTIONS AGENCY BEFORE ANY AMOUNTS ARE WRITTEN OFF TO BAD DEBT THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS RECEIVABLES ARISING FROM REVENUE FROM SERVICES TO PATIENTS ARE REDUCED BY ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS BASED ON EXPERIENCE THIRDPARTY CONTRACTUAL REIMBURSEMENT ARRANGEMENTS AND ANY UNUSUAL CIRCUMSTANCES WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THESE ALLOWANCES
MEDICARE EXPLANATION	PART III LINE 8	ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	SEE SECOND PARAGRAPH OF SCHEDULE H PART III LINE 4
NEEDS ASSESSMENT	PART VI	BOTH ONGOING QUALITATIVE AND QUANTITATIVE FEEDBACK IS TAKEN INTO ACCOUNT TO ASSESS COMMUNITY HEALTH CARE NEEDS A QUANTITATIVE NEEDS ASSESSMENT WAS CONDUCTED IN 2011 TO GAIN INSIGHTS FROM AREA RESIDENTS AND HEALTHCARE LEADERS AS TO THEIR HEALTHCARE ISSUES AND THEIR PERCEPTIONS REGARDING NEEDS IN THE COMMUNITY FOLLOWING THE QUANTITATIVE RESEARCH A FORUM OF COMMUNITY HEALTH CARE LEADERS WAS CONDUCTED THE PUBLIC INSIGHTS WERE MERGED WITH THOSE OF COMMUNITY LEADERS TO GUIDE AREAS OF FOCUS FOR NORTH VALLEY HOSPITAL COMMUNITY EFFORTS THE REPORT IS POSTED ON THE NORTH VALLEY HOSPITAL WEBSITE WITH HARD COPIES AVAILABLE QUALITATIVE INFORMATION IS GAINED REGULARLY THROUGH PARTNERSHIPS WITH THE CITY GOVERNMENT AREA SCHOOL DISTRICTS FEDERAL AND LOCAL LEGISLATORS AND FLATHEAD CITYCOUNTY HEALTH DEPARTMENT ADDITIONALLY THE HOSPITALS SCHOOL NURSE PHYSICIANS AND EMPLOYEES PROVIDE VALUABLE FEEDBACK FROM THEIR EXPERIENCE ON THE JOB AND WITHIN THE COMMUNITY NORTH VALLEY HOSPITAL SPONSORED COMMUNITY EDUCATION PRESENTATIONS ARE FOLLOWED BY A REQUEST FOR FEEDBACK FROM ATTENDEES ON THE VALUE OF THE PRESENTATION AND THEIR INTEREST IN OTHER HEALTH TOPICS NORTH VALLEY HOSPITAL HAS PARTICIPATED IN THE AVATAR INTERNATIONAL A THIRDPARTY PATIENT FEEDBACK SYSTEM SINCE 2002 THE COMMENTS MADE WITHIN THIS PROCESS ARE REVIEWED AND CONSIDERED FOR NEW PROGRAMS BOTH IN THE COMMUNITY AND AT THE HOSPITAL LIKEWISE INFORMATION GAINED FROM THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS HCAHPS ARE REVIEWED FOR OPPORTUNITIES TO ADDRESS COMMUNITY HEALTHCARE NEEDS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	WHEN PATIENTS REGISTER AT NORTH VALLEY HOSPITAL THEY ARE COUNSELED ON THE CHARITY PROGRAMS AVAILABLE TO THEM THROUGH THE REGISTRATION PROCESS EVERY PATIENT IS OFFERED A PRINTED HANDBOOK THAT DESCRIBES PATIENT RIGHTS AND OPTIONS THE HANDBOOK ALSO IS AVAILABLE IN A PDF FORMAT ON THE HOSPITAL WEBSITE A GUIDE TO YOUR BILL BROCHURE IS INSERTED IN EVERY PATIENT STATEMENT AND INVOICE THAT EXPLAINS ALL OF THE PATIENTS OPTIONS INCLUDING PHONE NUMBERS TO CALL FOR ASSISTANCE THE HOSPITAL ALSO HAS SEVERAL FINANCIAL COUNSELORS WHO ASSIST PATIENTS DURING AND AFTER THEIR VISIT TO HELP GUIDE THEM THROUGH THE PROCESS OF OBTAINING CHARITY CARE PATIENTS ARE OFTEN REFERRED TO APPLICABLE NONPROFITS AND STATE CHARITY CARE SERVICES SUCH AS SAVE A SISTER ORGANIZATION AN ORGANIZATION THAT ASSISTS LOW INCOME WOMEN WITH FREE MAMMOGRAM SCREENINGS CHIPS MONTANA BREAST PROGRAM SHEPHERDS HAND FREE CLINIC AND FLATHEAD CITYCOUNTY HEALTH DEPARTMENT
COMMUNITY INFORMATION	PART VI	NORTH VALLEY HOSPITAL SERVES A WIDE VARIETY OF PATIENTS MANY OF WHOM ARE SELFEMPLOYED YOUNG FAMILIES UNEMPLOYED SEASONAL WORKERS OR HAVE MINIMUMWAGE JOBS AND CANT AFFORD INSURANCE SELF PAY AND COMMERCIAL INSURANCE INDIVIDUALS MAKE UP 56 PERCENT OF NORTH VALLEY HOSPITALS PAYERS MAKING THEM THE MAJORITY MEDICARE CONSTITUTES 32 PERCENT OF THE HOSPITALS PAYERS AND MEDICAIDPHS IS 12 PERCENT NORTH VALLEY HOSPITAL HAS BEEN INSTRUMENTAL IN PROVIDING RURAL AREAS WITH PRIMARY WELLNESS AND URGENT CARE THROUGH CLINICS IN EUREKA YEARROUND AND SEASONALLY WHEN TOURISM DEFINES THE EXTRA NEED AT WHITEFISH MOUNTAIN RESORT AND WEST GLACIER THE EUREKA CLINIC ALSO PROVIDES A LOCATION FOR SPECIALISTS IN GENERAL SURGERY OBSTETRICS GYNECOLOGY CARDIOLOGY ORTHOPEDICS AND UROLOGY TO MEET WITH PATIENTS ON REGULAR SCHEDULES WITHOUT THE PATIENTS HAVING TO TRAVEL FAR FOR SERVICES THE EUREKA CLINIC ALSO PROVIDES DIGITAL XRAYS CLIACERTIFIED LAB SERVICES AND ULTRASOUND THE SEASONAL CLINICS ARE OPEN DAILY IN THEIR RESPECTIVE LOCATIONS TO PROVIDE WELLNESS AND URGENT CARE TO AREA RESIDENTS AND VISITORS AVAILABLE ARE PHARMACEUTICALS DIGITAL XRAYS AND CLIACERTIFIED LABS REMOTE ACCESS TO NEUROLOGISTS OUTSIDE OF THE AREA IS AVAILABLE VIA NORTH VALLEY HOSPITALS TELESTROKE SYSTEM PROVIDING TIMELY EVALUATION AND TREATMENT FOR POTENTIAL STROKE VICTIMS IN HOSPITAL CLINICS AS WELL AS THE HOSPITAL THE PICTURE ARCHIVING COMPUTER SYSTEM PACS IS USED TO QUICKLY SHARE DATA WITH OTHER MEDICAL FACILITIES NORTH VALLEY HOSPITAL PROVIDES SERVICES TO RESIDENTS FROM EUREKA IN THE NORTH TO WEST GLACIER IN THE EAST AND LAKESIDESOMERS TO THE SOUTH THE DEMOGRAPHICS OF THE HOSPITALS PRIMARY SERVICE AREAS OF WHITEFISH COLUMBIA FALLS AND KALISPELL ARE AS FOLLOWS SOURCES US CENSUS 2010 AND ESRI FORECAST FOR 2011 WHITEFISH POPULATION 6357 MEDIAN AGE 401 AVERAGE HOUSEHOLD 21 PEOPLE PER CAPITA INCOME 26711 2011 DOLLARS WITH MEDIAN HOUSEHOLD INCOME 41957 LARGELY WHITE POPULATION 958 HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25000 29 COLUMBIA FALLS POPULATION 4688 MEDIAN AGE 356 AVERAGE HOUSEHOLD 247 PEOPLE PER CAPITA INCOME 18923 2011 DOLLARS WITH MEDIAN HOUSEHOLD INCOME 44491 LARGELY WHITE POPULATION 944 NEXT IS AMERICAN INDIAN 18 HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25000 257 KALISPELL POPULATION 16065 MEDIAN AGE 399 AVERAGE HOUSEHOLD 227 PEOPLE PER CAPITA INCOME 19801 2011 DOLLARS WITH MEDIAN HOUSEHOLD INCOME 37752 LARGELY WHITE POPULATION 945 NEXT IS HISPANIC 34 HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25000 318 FLATHEAD COUNTY TOTAL POPULATION 90959 MEDIAN AGE 417 PER CAPITA INCOME 19885 2011 DOLLARS WITH MEDIAN HOUSEHOLD INCOME 41027 LARGELY WHITE POPULATION 950 NEXT IS HISPANIC 32 HOUSEHOLDS WITH INCOME LESS THAN OR EQUAL TO 25000 273
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	NORTH VALLEY HOSPITAL PROVIDES RESOURCES AND FINANCIAL ASSISTANCE TO OTHER NONPROFITS AND HEALTHRELATED ENTITIES TO IMPROVE THE WELLBEING OF THE COMMUNITY NORTH VALLEY HOSPITAL HELPS SUPPORT THE SHEPHERDS HAND FREE CLINIC IN WHITEFISH WITH FREE TESTING AND SERVICES THAT THE CLINIC IS UNABLE TO PROVIDE ON ITS OWN MANY OF THE NORTH VALLEY HOSPITAL PHYSICIANS AND NURSING STAFF VOLUNTEER THEIR OWN TIME CONTRIBUTING TO THIS CLINIC NVH ALSO PROVIDES FINANCIAL AND PERSONNEL RESOURCES FOR RESIDENTS WHO NEED TO TRAVEL OUTSIDE OF THE AREA FOR MEDICAL SERVICES WHITEFISH WINTER CLASSIC FAMILIES OF SICK CHILDREN AND WINGS CANCER PATIENTS NORTH VALLEY HOSPITAL ALSO ASSISTS WITH SUPPORTING THE ALERT MEDICAL HELICOPTER NVH DONATES TO PROGRAMS THAT ENCOURAGE CHILDREN TO LEAD POSITIVE LIVES STAY IN SCHOOL AND PARTICIPATE IN CONSTRUCTIVE ACTIVITIES THAT ARE DRUG AND ALCOHOL FREE THESE INCLUDE CHILDRENS SPORTS ASSOCIATIONS SCHOOL BOOSTER CLUBS BOYS AND GIRLS CLUB NORTH VALLEY MUSIC SCHOOL AND CIVIC ORGANIZATIONS THAT PROMOTE THESE SAME IDEALS SUCH AS KIWANIS AND SOROPTIMISTS STAFF IS ACTIVE ON MANY BOARDS SUCH AS MSHHRA MONTANA SOCIETY OF HEALTHCARE HUMAN RESOURCE ADMINISTRATION TO ASSIST WITH DEVELOPING HEALTHY WORK PLACES AREA AGENCY ON AGINGEAGLE TRANSIT TO PROVIDE A VOICE FOR SUBSIDIZED RIDES TO MEDICAL FACILITIES FLATHEAD VALLEY COMMUNITY COLLEGE FOUNDATION FOR FUNDRAISING TOWARD THE NURSING PROGRAM AMERICAN CANCER SOCIETY AND RELAY FOR LIFE TO RAISE AWARENESS AND MONEY FOR RESEARCH EMS TO STREAMLINE SERVICES AND MORE OTHER ACTIVE MEMBERSHIPS INCLUDE ROTARY POLICE ASSOCIATION DRUG AWARENESS TASK FORCE AND FLATHEAD VALLEY CARE NORTH VALLEY HOSPITAL FOCUSES ON HEALTH EDUCATION EARLY DETECTION AND PREVENTION THE HOSPITAL HAS A COMMUNITY HEALTH LIBRARY COMPLETE WITH HUNDREDS OF HEALTHRELATED BOOKS AND PUBLIC ACCESS TO THE INTERNET A NEW HEALTH AND HEALTHCARE SECTION WAS ESTABLISHED AT THE WHITEFISH LIBRARY THROUGH DONATIONS FROM NORTH VALLEY HOSPITAL STAFF AND PHYSICIANS PROVIDE HEALTHRELATED COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS NUTRITION HEART HEALTH ORTHOPEDICS OSTEOPOROSIS MENS AND WOMENS HEALTH AND MORE THE NORTH VALLEY HOSPITAL COMMUNITY HEALTH NURSE TEACHES A MONTHLY CPR AND CPRFIRST AID CLASS ALONG WITH A SAFE SITTER COURSE SEVERAL TIMES A YEAR THE HOSPITAL HAS AN EMPHASIS ON EXERCISE BY SUPPORTING ATHLETIC TRAINERS IN WHITEFISH AND COLUMBIA FALLS SCHOOLS NORTH VALLEY HOSPITAL PARTICIPATES IN EVENTS THROUGHOUT THE YEAR PROVIDING FREE OR REDUCED HEALTH SCREENINGS AND CONTRIBUTES RESOURCES FOR FUNDRAISERS SUCH AS SAVE A SISTER WHICH PROVIDES FREE MAMMOGRAMS TO QUALIFIED WOMEN IN THE FLATHEAD VALLEY THE HOSPITAL OFFERS FREE SUPPORT GROUPS FOR BOTH CANCER SURVIVORS AND TO THOSE WHO HAVE HAD A MISCARRIAGE STILLBIRTH OR NEONATAL LOSS A FREE MOMBABY SUPPORT GROUP FACILITATED BY A REGISTERED NURSE IS OFFERED WEEKLY TO HELP NEW PARENTS ADJUST TO THEIR NEW FAMILY DYNAMICS AND TO WEIGH THEIR BABIES TO MONITOR GROWTH NORTH VALLEY HOSPITAL ALSO PROVIDES A LOCATION FOR AARP CLASSES AND SPACE TO STORE THE ASSISTIVE EQUIPMENT FOR THE COMMUNITY LOANER PROGRAM INKIND GOODS TO AREA NONPROFITS ARE DONATED TO FOOD BANKS MONTANA NATIONAL GUARDS CHRISTMAS AT OUR HOUSE FREE DINNERS FOR MORE THAN 2500 FLATHEAD VALLEY RESIDENTS ALPINE THEATERS CHILDRENS GROUPS AND HEALTHRELATED ORGANIZATIONS QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION BOARD POSITIONS INCLUDE MSHHRA HEALTHY WORK PLACES AREA AGENCY ON AGINGEAGLE TRANSIT AMERICAN CANCER SOCIETY WINGS WHITEFISH AND COLUMBIA FALLS CHAMBER OF COMMERCE ACTIVE MEMBERSHIPS INCLUDE WHITEFISH AND KALISPELL ROTARY EMS SOROPTIMIST CHAMBERS OF COMMERCE WHITEFISH CONVENTION AND VISITOR BUREAU FIRST BEST PLACE TASK FORCE PREVENTION PROGRAMS PSA SCREENINGS SAVE A SISTER AND ATHLETIC TRAINERS EDUCATION PROVIDER HEALTH RELATED COMMUNITY EDUCATION BIRTH CPRFIRST AID SCREENINGS NUTRITION SUPPORT GROUPS COMMUNITY HEALTH LIBRARY INKIND DONATIONS TO FOOD BANK AARP ASSISTIVE EQUIPMENT LOANER PROGRAM EUREKA BREAST CANCER LUNCHEON LOCAL FAMILIES THANKSGIVING BASKETS SHEPHERDS HAND CLINIC
AFFILIATED HEALTH CARE INFORMATION	PART VI	NA
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MONTANA
NORTH VALLEY HOSPITAL LINE NUMBER 1 PART V LINE 3	PART V LINE 3	NVH DISTRIBUTED A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WITHIN THE LOCAL POPULATION FOR ANY RESIDENT TO COMPLETE 116 AREA RESIDENTS COMPLETED THE SURVEY THE SURVEY WAS CREATED WITH INPUT FROM JAY ERICKSON MD A VOLUNTEER MEDICAL DIRECTOR AT SHEPHERDS HAND CLINIC FREE CLINIC PROVIDING MEDICAL CARE TO THOSE WITHOUT INSURANCE AND CANNOT ACCESS HEALTHCARE THROUGH OTHER MEANS THE SURVEY WAS PROMOTED VIA PAID ADVERTISING POSTING OF FLYERS PRESENTATIONS TO CIVIC ORGANIZATIONS NEWSPAPER EDITORIAL RADIO INTERVIEWS AND ON THE NVH WEBSITE HARD COPIES WERE AVAILABLE AT NVH AND EACH NVH CLINIC RESPONDENTS REPLIED TO THE SURVEY STARTING APRIL 15 2011 WITH THE LAST RESPONSE ON MAY 23 2011 THE TERMS OF GAINING INPUT STIPULATED EACH RESPONDENT WOULD REMAIN ANONYMOUS THE ADMINISTRATION OF AN INTERNET BASED SURVEY WAS PROMOTED THROUGH A PAID ADVERTISEMENT IN A LOCAL NEWSPAPER AND WAS DISTRIBUTED TO LOCAL CIVIC ORGANIZATIONS WITH A REQUEST FOR PARTICIPATION PRELIMINARY CONCLUSIONS WERE PRESENTED TO A LOCAL GROUP OF EXPERTS WHO WERE ASKED TO VALIDATE PRIOR ASSESSMENTS AND TO ESTABLISH PRIORITY AMONG VARIOUS IDENTIFIED HEALTH AND MEDICAL ISSUES AND ANALYZING THE INFORMATION SHOWING HOW FLATHEAD COUNTY COMPARED TO ITS PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS AND OTHER ISSUES OF UNINSURED LOW INCOME AND MINORITY GROUPS THIS INFORMATION WAS AUGMENTED BY LOCAL OPINION FROM RESPONDENTS COMMENTING ON WHETHER OR NOT THEY BELIEVE CERTAIN POPULATION GROUPS OR PEOPLE WITH CERTAIN SITUATIONS NEED HELP TO IMPROVE THEIR CONDITION AND IF THE ANSWER IS YES WHICH ORGANIZATIONS SHOULD BE RESPONSIBLE FOR MAKING THE IDENTIFIED IMPROVEMENTS AFTER ANALYZING THE PRECEDING DATA AND INFORMATION WE PUT THE INFORMATION AND SUMMARY CONCLUSIONS BEFORE OUR LOCAL GROUP OF EXPERTS LOCAL EXPERTS WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS THEY ALSO WERE AT LIBERTY TO AUGMENT POTENTIAL CONCLUSIONS WITH ADDITIONAL STATEMENTS OF NEED NEW NEEDS COULD AND DID EMERGE FROM THIS CONSULTATION CONSULTATION WITH OUR LOCAL EXPERTS OCCURRED BY RESPONSE TO AN ONLINE SURVEY THE FIRST SURVEY WAS COMPLETED ON SEPTEMBER 8 2011 AND THE LAST RESPONSE WAS SUBMITTED ON SEPTEMBER 23 2011 WITH THE PRIOR STEPS IDENTIFYING POTENTIAL COMMUNITY NEEDS THE LOCAL EXPERTS PARTICIPATED IN A DELPHI METHOD WHICH IS A STRUCTURED COMMUNICATION TECHNIQUE ORIGINALLY DEVELOPED AS A SYSTEMATIC INTERACTIVE FORECASTING METHOD THAT RELIES ON A PANEL OF EXPERTS THE EXPERTS ANSWER QUESTIONNAIRES IN A SERIES OF ROUNDS WE CONTEMPLATED AND IMPLEMENTED ONE ROUND AS REFERENCED IN THE ABOVE DATES WE PROVIDED THE RESULTS OF OUR ANALYSIS AND THE PUBLIC OPINIONS TO THE LOCAL EXPERTS AS WELL AS THE REASONS PROVIDED FOR THE JUDGMENTS BY LOCAL SURVEY PARTICIPANTS THE EXPERTS WERE ENCOURAGED TO INFORM THEIR ANSWERS IN LIGHT OF THE REPLIES TYPICALLY THIS PROCESS DECREASES THE RANGE OF ANSWERS WITH THE EXPERT OPINIONS MOVING TOWARD A CONSENSUS CORRECT ANSWER THIS PROCESS STOPPED WHEN WE ACHIEVED IDENTIFICATION OF THE MOST PRESSING HIGHEST PRIORITY COMMUNITY NEEDS IN THE NVH PROCESS WE IDENTIFIED COMMUNITY NEEDS THROUGH THE LOCAL EXPERT COMMUNITY HEALTH NEEDS SURVEY EACH EXPERT WAS ASKED TO ALLOCATE 100 POINTS AMONG ALL IDENTIFIED NEEDS AGAIN HAVING THE OPPORTUNITY TO INTRODUCE NEEDS PREVIOUSLY UNIDENTIFIED AND TO CHALLENGE CONCLUSIONS DEVELOPED FROM THE DATA ANALYSIS THIS RESULTED IN A RANK ORDER OF PRIORITIES WITH SOME NEEDS NOT RECEIVING ANY AND SOME NEEDS RECEIVING IDENTICAL POINT ALLOCATIONS WE DICHOTOMIZED THE RANK ORDER INTO TWO GROUPS NEEDS HAVING HIGH PRIORITY AND NEEDS HAVING LOW PRIORITY THE DETERMINATION OF THE BREAK POINT HIGH AS OPPOSED TO LOW WAS A QUALITATIVE INTERPRETATION BY THE MANAGEMENT COMPANY QHR AND BY THE NVH EXECUTIVE TEAM OF WHERE THERE WAS A REASONABLE BREAK POINT IN RANK AS INDICATED BY THE WEIGHT AMOUNT OF POINTS EACH POTENTIAL NEED RECEIVED IN THE NVH PROCESS SEVERAL NEEDS APPEARED TO BE ASPECTS OF A LARGER ISSUE AND WERE AGGREGATED INTO A GROUP NEED TO WHICH THE HOSPITAL COULD UNDERSTAND AND ORGANIZE ITS RESPONSE THIS DICHOTOMIZED HIGH PRIORITY NEED VS LOW PRIORITY NEED RANK ORDER WAS PRESENTED TO THE NVH EXECUTIVE TEAM TO INDICATE WHICH NEEDS DID THE MEDICAL CENTER CONSIDER THEY HELD HIGH RESPONSIBILITY TO RESPOND VS LOW RESPONSIBILITY TO RESPOND THIS RESULTED IN A MATRIX OF NEEDS AND GUIDED THE MEDICAL CENTER IN DEVELOPING ITS IMPLEMENTATION RESPONSE
NORTH VALLEY HOSPITAL LINE NUMBER 1 PART V LINE 7	PART V LINE 7	THE HOSPITAL DID NOT ADDRESS AREAS IDENTIFIED AS LOW PRIORITYRESPONSIBILITY SUCH AS LOWER BACK PAIN COLLEGE GRADUATES AND PALLIATIVE CARE BECAUSE THEY ARE VIEWED AS BEYOND THE MISSION OF THE HOSPITAL AND OTHER GROUPS ARE BETTER SUITED TO ADDRESS THE NEEDS
NORTH VALLEY HOSPITAL LINE NUMBER 1 PART V LINE 11H	PART V LINE 11H	PATIENTS ARE BILLED THE GROSS CHARGE FOR ALL SERVICES RECEIVED IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE BILL IS ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES
NORTH VALLEY HOSPITAL LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS THE HOSPITALS USUAL AND CUSTOMARY RATES THAT APPLY TO ALL PATIENTS REGARDLESS OF PAYOR CLASS FAP ELIGIBLE INDIVIDUALS THEN HAVE THE CHARGES REDUCED BASED ON INCOME CRITERIA PATIENTS AT 250 OF THE FPG ARE ELIGIBLE FOR A 25 REDUCTION WHILE PATIENTS AT 100 OF THE FPG ARE ELIGIBLE FOR A 100 REDUCTION

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
JASON SPRING
220000	47905	65382	333287
MAURA FIELDS
136277	13624	21460	171361
ELIZABETH WHITE MD
148834		5317	154151

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	THE BOARD OF DIRECTORS AUTHORIZES NORTH VALLEY HOSPITAL TO PAY FOR THE CEO'S MEMBERSHIP IN THE WHITEFISH ROTARY CLUB. ROTARY INTERNATIONAL IS A VOLUNTEER ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, AND HELP TO BUILD GOODWILL AND PEACE IN THE WORLD. ROTARY CLUBS EXIST TO IMPROVE COMMUNITIES THROUGH A RANGE OF HUMANITARIAN, INTERCULTURAL AND EDUCATIONAL ACTIVITIES.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	THE CEO IS PAID A BONUS THROUGH THE MANAGEMENT COMPANY BASED ON QUALITATIVE RESULTS, BUT CONTINGENT ON POSITIVE FINANCIAL RESULTS OF THE HOSPITAL.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MONTANA FACILITY FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	364615155	IssuerEIN
Date Issued	2012-01-30	DateIssued
Issue Price	25000000	IssuePrice
Description Of Purpose	REFINANCING NEW HOSPITAL	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	25000000	TotalProceeds
Amount In Reserve Fund	2002533	AmountInReserveFund
Capital Expenditures	22997467	CapitalExpenditures
Year Of Subst Completion	2007	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	false	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Engage Bond Counsel Research	false	EngageBondCounselResearch
Prcntge Prvt Business Use By Others	0.02000	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.02000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues	Amount Of TransactionAmountOfTransaction
LIN AKEY
BOARD MEMBER	BANK PRESIDENT	false
RANDY BEACH MD
BOARD MEMBER	PHYS. GROUP PARTNER	false	206181
SUZANNE DANIELL MD
BOARD MEMBER	PHYS. GROUP PARTNER	false	122366
JENNIE ECKSTROM MD
BOARD MEMBER	PHYS. GROUP PARTNER	false	122366

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	THE HOSPITAL CONTRACTS WITH QUORUM HEALTH RESOURCES, LLC (QHR) FOR MANAGEMENT SERVICES AND UTILIZES AN EMPLOYEE OF QHR AS ITS CHIEF EXECUTIVE OFFICER AND ITS CHIEF FINANCIAL OFFICER.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	GLACIER BANK HAS THE AUTHORITY TO VETO ANY MAJOR PURCHASE OR SERVICE AGREEMENT DECISIONS MADE BY THE BOARD, REGARDLESS OF WHETHER IT RELATES TO THE USE OF THE HOSPITAL'S REAL ESTATE LOAN.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. THE BOARD REVIEWS ALL MEMBERS' STATEMENTS AND IF POTENTIAL ISSUES ARISE, THE MEMBER IN QUESTION MAY BE ASKED TO LEAVE THE ROOM WHILE THE REST OF THE BOARD DISCUSSES AND VOTES ON THE MATTER. BOARD MEMBERS WITH A POTENTIAL CONFLICT OF INTEREST WHO ARE PRESENT FOR A VOTE WILL CAST AN ABSTAINING VOTE. ALL BOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST POLICY UNDER THE HOSPITAL'S COMPLIANCE STANDARDS. ALL EMPLOYEES ARE REQUIRED TO REPORT TO THEIR SUPERVISOR OR THE COMPLIANCE OFFICER ANY POTENTIAL INSTANCES THAT CREATE A CONFLICT OF INTEREST SITUATION.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS REVIEW AND APPROVE MANAGEMENT WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE BOARD OF DIRECTORS REVIEW AND APPROVE OFFICERS WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NORTH VALLEY HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	INSURANCE RECOVERY 84,356 LOSS ON REFINANCING (2,542,501) ============ (2,458,145)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NORTH VALLEY HOSPITAL FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1600 HOSPITAL WAY	AddressLine1
City	WHITEFISH	City
State	MT	State
ZIP Code	59937	ZIPCode

Field	Value	IRS element (for citing)
EIN	810526541	EIN
Primary Activities	SUPPORT	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	11C	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1
Business Name Line2	N/A	BusinessNameLine2

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg