2013-05-13T12:33:11-05:00 2012-06-30 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2011-07-01 810247969 NORTH VALLEY HOSPITAL INC NORT 4068633529 1600 HOSPITAL WAY WHITEFISH MT 59937 JASON SPRING 4068633529 2013-05-06 true THOMAS DINGUS 5092420874 2013-05-13 2011 2016-02-24 21:20:13Z JASON SPRING 1600 HOSPITAL WAY WHITEFISH MT 59937 43480396 false X WWW.NVHOSP.ORG X 1955 MT NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA. 15 11 386 68 0 89975 997 39257803 42998929 105612 119050 315801 358585 39769191 43477561 0 0 16158688 17361593 0 223806 24089538 25187654 40248226 42549247 -479035 928314 52269495 50243969 29975023 29479328 22294472 20764641 NORTH VALLEY HOSPITAL PROVIDES HOSPITAL AND REHABILITATIVE SERVICES, OTHER HEALTH CARE SERVICES AS NECESSARY AND ADVISABLE, AND SERVES AS A STIMULUS FOR THE PROVISION OF HEALTH CARE SERVICES IN THE AREA. false false 35130914 42998929 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. 35130914 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false true false true false false false false false true true false false false true 85 0 true 386 true false false false false false false false false false false X 15 11 false true false false false false true true true false false true true true true true true true true false MT X RANDY NIGHTENGALE 4068633556 1600 HOSPITAL WAY WHITEFISH MT 59937 LIN AKEY 1.00 X 0 0 0 HENRY RICKLEFS 1.00 X 0 0 0 JENNIE ECKSTROM MD 1.00 X 0 0 0 STEVE STAHLBERG CPA 1.00 X X 0 0 0 DAVID FEFFER 1.00 X X 0 0 0 PENNI CHISHOLM 1.00 X X 0 0 0 JAKE HECKATHORN 1.00 X 0 0 0 SUZANNE DANIELL MD 1.00 X 0 0 0 RANDY BEACH MD 1.00 X 0 0 0 HAP HASELDEN 1.00 X 0 0 0 TURNER ASKEW 1.00 X 0 0 0 DEBBIE MELBY 1.00 X 0 0 0 LIZ MARCHI 1.00 X 0 0 0 DAVE WICK 1.00 X 0 0 0 MATT BAILEY MD 1.00 X 0 0 0 JASON SPRING 50.00 X 267905 0 65382 RANDY NIGHTENGALE 50.00 X 69908 0 17826 MAURA FIELDS 50.00 X 149901 0 21460 ELIZABETH WHITE MD 40.00 X 148834 0 5317 MARY ANN CARLSON 40.00 X 125503 0 11295 MARGARET BUMGARNER 40.00 X 124532 0 4835 MICHAEL BARNES 40.00 X 117864 0 11391 1004447 137506 7 false true false 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 18 997 997 NET HEALTHCARE SERVICES 624100 42977860 42977860 RENTAL INCOME 621110 21069 21069 42998929 121885 121885 2835 -2835 -2835 -2835 CAFETERIA 722210 194219 194219 REBATES 900099 109165 109165 OTHER REVENUE 900099 55201 55201 358585 43477561 42998929 477635 512325 512325 13524978 10696030 2695331 133617 532894 421431 106198 5265 1601129 1266229 319082 15818 1190267 941305 237203 11759 311575 311575 62874 62874 56437 56437 6869595 6231510 627609 10476 293173 3863 289310 2368139 2000098 348535 19506 860729 13220 847509 1735948 1520207 208727 7014 53183 36585 13558 3040 127080 56404 62585 8091 297027 297027 3633968 2932561 697225 4182 502056 372141 129915 BAD DEBTS 3217740 3217740 MEDICAL SUPPLIES & DRUGS 3210693 3210693 REPAIRS AND MAINTENANCE 919948 819464 100484 OTHER EXPENSES 667489 501253 164138 2098 593153 -596093 2940 42549247 35130914 7194527 223806 215674 754451 13139362 13908361 5249121 5501898 1380485 1283730 755810 686248 47858810 20382584 29642137 27476226 39475 41934 4991 1842440 591121 52269495 50243969 3632613 4096749 24600522 25332743 1009667 782057 29975023 29479328 X 22294472 20764641 22294472 20764641 52269495 50243969 X 928314 -2458145 X false true true X false X false false false false false false false false false false 1923348 1923348 26238370 8813193 17425177 15105007 10453633 4651374 4592085 1115758 3476327 27476226 COLLATERALIZED AR 465414 THIRD-PARTY SETTLEMENTS 316643 782057 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE 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. true true true X 2.50000 true X true true true false true true 1258356 820572 437784 0.01110 4476855 4476855 5735211 5297427 437784 0.01110 7 4920 95146 5490 89656 0.00230 3 24 21926 21926 0.00060 3 4179 42366 42366 0.00110 3 25128 107943 400 107543 0.00270 16 34251 267381 5890 261491 0.00670 16 34251 6002592 5303317 699275 0.01780 1 11325 11325 0.00030 3 400000 17012 17012 0.00040 1 4322 4322 0.00010 1 200000 27419 27419 0.00070 2 30 1591 1591 8 600030 61669 61669 0.00150 true 2123708 10502772 10398783 103989 X true false ALPINE WOMENS CENTER PHYSICIAN GROUP 0.33000 GLACIER MEDICAL ASSO PHYSICIAN GROUP 0.25000 1 1 NORTH VALLEY HOSPITAL

1600 HOSPITAL WAY WHITEFISH MT 59937

X X X X NORTH VALLEY HOSPITAL 1 true X X X X X X X X X X 11 true false true X X X X X X X false true true 100.0 true 250.0 true X true true X X X true false X X X X true X false false 6 NORTH COUNTRY MEDICAL CLINIC

1343 HWY 93 NORTH EUREKA MT 59917

OUTPATIENT CLINIC THE BASE LODGE CLINIC

3840 BIG MOUNTAIN ROAD WHITEFISH MT 59937

OUTPATIENT CLINIC COLUMBIA FALLS CLINIC PROFESSIONAL

2165 9TH STREET WEST COLUMBIA FALLS MT 59912

OUTPATIENT CLINIC INTERNAL MEDICINE CLINIC

711 13TH STREET EAST WHITEFISH MT 59937

OUTPATIENT CLINIC GLACIER MATERNITY & WOMENS CENTER

195 COMMONS LOOP ROAD SUITE D KALISPELL MT 59901

OUTPATIENT CLINIC WEST GLACIER CLINIC

100 REA ROAD WEST GLACIER MT 59936

OUTPATIENT CLINIC 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 X true true X X X false false false false false true false false false JASON SPRING 220000 47905 65382 333287 MAURA FIELDS 136277 13624 21460 171361 ELIZABETH WHITE MD 148834 5317 154151 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. MONTANA FACILITY FINANCE AUTHORITY 364615155 2012-01-30 25000000 REFINANCING NEW HOSPITAL false false false 25000000 2002533 22997467 2007 false false true true false true false false false false 0.02000 0.02000 true false false false false false false X LIN AKEY BOARD MEMBER BANK PRESIDENT false RANDY BEACH MD BOARD MEMBER 206181 PHYS. GROUP PARTNER false SUZANNE DANIELL MD BOARD MEMBER 122366 PHYS. GROUP PARTNER false JENNIE ECKSTROM MD BOARD MEMBER 122366 PHYS. GROUP PARTNER false 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) NORTH VALLEY HOSPITAL FOUNDATION 1600 HOSPITAL WAY WHITEFISH MT 59937 810526541 SUPPORT MT 501C3 11C NA N/A false false false true false false false false false false false true true false false false false false false