KALISPELL REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- KALISPELL REGIONAL MEDICAL CENTER INC (EIN 23-7293874)
- Tax period
- 2010-04-01 to 2011-03-31
- Filed
- 2012-03-28
- IRS object ID
- 201240889349300724
- Schema version
- 2010v3.4
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-28T12:11:28-05:00 | Timestamp |
| Tax Period End Date | 2011-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JORDAHL & SLITER PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8600 | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 599041600 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237293874 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KALISPELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KALI | NameControl |
| Phone | 4067525111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES PEARCE | Name |
| Title | CFO | Title |
| Phone | 4067521724 | Phone |
| Date Signed | 2012-03-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUSTIN P SLITER | Name |
| Phone | 4067521040 | Phone |
| Date Prepared | 2012-03-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES PEARCE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 196742285 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NWHC.ORG/KRMC | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE ACUTE HOSPITAL CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1893 | TotalNbrEmployees |
| Total Nbr Volunteers | 155 | TotalNbrVolunteers |
| Total Gross UBI | 1877095 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -186616 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1160279 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 529235 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 170185380 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 179599470 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1154809 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1750874 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2067569 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2246864 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 174568037 | TotalRevenuePriorYear |
| Total Revenue Current Year | 184126443 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 81151708 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 93692552 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 82931200 | OtherExpensePriorYear |
| Other Expenses Current Year | 85114297 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 164082908 | TotalExpensesPriorYear |
| Total Expenses Current Year | 178806849 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10485129 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5319594 | RevenuesLessExpensesCY |
| Total Assets BOY | 155492366 | TotalAssetsBOY |
| Total Assets EOY | 200870659 | TotalAssetsEOY |
| Total Liabilities BOY | 53296854 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 95828119 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 102195512 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 105042540 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE ACUTE HOSPITAL CARE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 158800261 | Expense |
| Revenue | 177722375 | Revenue |
| Description | OPERATION OF REGIONAL ACUTE CARE HOSPITAL. | Description |
| Total Program Service Expense | 158800261 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 213 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1893 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHARLES PEARCE | NamePerson |
| Telephone Number | 4067521724 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHARLES GRENIER | ||||||||
| TRUSTEE | 1.00 | X | 1000 | 0 | 0 | |||
| WILSON HIGGS MD | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| JON JOHNSON MD | ||||||||
| TRUSTEE | 1.00 | X | 204123 | 0 | 15501 | |||
| GWEN JONAS MD | ||||||||
| TRUSTEE | 1.00 | X | 41800 | 0 | 0 | |||
| JANE KARAS | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| PETER L LARSON | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| JEANNIE LUCKEY | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| TOM MCELWAIN | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| DAVE MEREDITH | ||||||||
| TRUSTEE | 1.00 | X | 1100 | 0 | 0 | |||
| ANDY PALCHAK MD | ||||||||
| TRUSTEE - PART YEAR | 1.00 | X | 800 | 0 | 0 | |||
| CAL SWEET | ||||||||
| TRUSTEE | 1.00 | X | 1200 | 0 | 0 | |||
| MUFFIE THOMSON | ||||||||
| TRUSTEE | 1.00 | X | 1200 | 0 | 0 | |||
| DAVID WALKER MD | ||||||||
| TRUSTEE | 1.00 | X | 1200 | 0 | 0 | |||
| WILLIAM BENEDETTO MD | ||||||||
| TRUSTEE | 1.00 | X | 300 | 0 | 0 | |||
| CARL TINLIN MD | ||||||||
| TRUSTEE | 1.00 | X | 30000 | 0 | 0 | |||
| VELINDA STEVENS | ||||||||
| PRESIDENT | 17.50 | X | 0 | 580833 | 41022 | X | ||
| BERNADETTE VANBELOIS MD | ||||||||
| TRUSTEE | 1.00 | X | 15000 | 0 | 0 | |||
| LOUISE SWANBERG MD | ||||||||
| TRUSTEE - PART YEAR | 1.00 | X | 26930 | 0 | 0 | |||
| CHARLES PEARCE | ||||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 0 | 380705 | 24330 | X | |||
| FRANCES LAUKAITIS | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 298179 | 0 | 12104 | X | |||
| KAREN LEE | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 252101 | 0 | 33820 | X | |||
| DEB WILSON | ||||||||
| CHIEF HUMAN RESOURCES | 35.00 | 207932 | 0 | 39776 | X | |||
| AC EDDY | ||||||||
| CHIEF MEDICAL OFFICER | 29.00 | 199610 | 0 | 420 | X | |||
| TATE KREITINGER | ||||||||
| HCNW CEO | 25.00 | 312638 | 0 | 29477 | X | |||
| RICHARD PALAGI | ||||||||
| ADMINISTRATION REGIONAL | 5.00 | 349258 | 0 | 27856 | X | |||
| ALAN WILLIAMS MD | ||||||||
| PHYSICIAN | 50.00 | 640262 | 0 | 3084 | X | |||
| DAVID SHELDON MD | ||||||||
| PHYSICIAN | 50.00 | 558205 | 0 | 44184 | X | |||
| DAVID ROTH MD | ||||||||
| PHYSICIAN | 50.00 | 457508 | 0 | 15501 | X | |||
| TIM OBERMILLER MD | ||||||||
| PHYSICIAN | 50.00 | 426568 | 0 | 47859 | X | |||
| EVE GILLESPIE MD | ||||||||
| PHYSICIAN | 50.00 | 414202 | 0 | 45501 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4446616 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 961538 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 380435 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SILVERTIP EMERGENCY PHYSICIANS | |||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | EMERGENCY ROOM PHYSICIANS | 3441766 |
| SWANK ENTERPRISES | |||||
| PO BOX 10007 | KALISPELL | MT | 59901 | CONSTRUCTION | 991262 |
| GLACIER REGIONAL PATHOLOGY | |||||
| 495 N MAIN STREET | KALISPELL | MT | 59901 | PATHOLOGY SERVICES | 742621 |
| NORTHERN ROCKIES ANESTHESIA CONSULTANTS | |||||
| 1075 MARTIN CREEK LANE | WHITEFISH | MT | 59937 | ANESTHESIA SERVICES | 550679 |
| MAYO MEDICAL LAB | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LAB SERVICES | 546548 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Related Organizations | 498835 | RelatedOrganizations |
| Government Grants | 30400 | GovernmentGrants |
| Noncash Contributions | 47261 | NoncashContributions |
| Total Contributions | 529235 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICAL SERVICE REVENU | 621990 | 174521346 | 172644251 | 1877095 |
| PARTNERSHIP INCOME | 621990 | 2846418 | 2846418 | |
| OTHER OPERATING INCOME | 900099 | 2077800 | 2077800 | |
| MGMT CONTRACT SERVICES | 900099 | 95493 | 95493 | |
| EDUCATION INCOME | 621990 | 57265 | 57265 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1148 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1148 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 179599470 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1098389 | TotalRevenueColumn |
| Exclusion | $1,098,389 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 343532 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 343532 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 343532 | TotalRevenueColumn |
| Exclusion | $343,532 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12766487 | Securities |
| Other | 501840 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12172697 | Securities |
| Other | 443145 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 593790 | Securities |
| Other | 58695 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 652485 | TotalRevenueColumn |
| Exclusion | $652,485 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 722210 | 1269752 | $1,269,752 |
| CHILD CARE | 624410 | 612179 | $612,179 |
| MISC. REVENUE | 900099 | 393071 | $393,071 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -371670 | TotalRevenueColumn |
| Exclusion | -$371,670 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1903332 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184126443 | TotalRevenueColumn |
| Related Or Exempt Function Income | 177722375 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1877095 | UnrelatedBusinessRevenue |
| Exclusion | $3,997,738 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1460634 | Total |
| Management And General | 1460634 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72999329 | Total |
| Program Services | 65619519 | ProgramServices |
| Management And General | 7379810 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2692497 | Total |
| Program Services | 2469439 | ProgramServices |
| Management And General | 223058 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11527888 | Total |
| Program Services | 10238628 | ProgramServices |
| Management And General | 1289260 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5012204 | Total |
| Program Services | 4427067 | ProgramServices |
| Management And General | 585137 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 732102 | Total |
| Management And General | 732102 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87119 | Total |
| Management And General | 87119 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9377993 | Total |
| Program Services | 7609957 | ProgramServices |
| Management And General | 1768036 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 967393 | Total |
| Program Services | 463199 | ProgramServices |
| Management And General | 504194 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1864753 | Total |
| Program Services | 1125204 | ProgramServices |
| Management And General | 739549 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8170153 | Total |
| Program Services | 7147302 | ProgramServices |
| Management And General | 1022851 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1127618 | Total |
| Program Services | 760611 | ProgramServices |
| Management And General | 367007 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006128 | Total |
| Program Services | 1006128 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8639587 | Total |
| Program Services | 7377239 | ProgramServices |
| Management And General | 1262348 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1952155 | Total |
| Program Services | 1952155 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 29928340 | 29100634 | 827706 |
| BAD DEBTS | 10555948 | 10555948 | 0 |
| PURCHASED SERVICES | 7810602 | 7204547 | 606055 |
| OTHER EXPENSES | 2894406 | 1742684 | 1151722 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178806849 | Total |
| Program Services | 158800261 | ProgramServices |
| Management And General | 20006588 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12110394 | BOY |
| EOY | 6203380 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42636597 | BOY |
| EOY | 47698479 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21894648 | BOY |
| EOY | 25266388 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3566405 | BOY |
| EOY | 4246715 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3919464 | BOY |
| EOY | 5541756 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305042 | BOY |
| EOY | 2616203 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 147105770 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 87902603 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57346324 | BOY |
| EOY | 59203167 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5364999 | BOY |
| EOY | 6498505 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425390 | BOY |
| EOY | 1009145 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6923103 | BOY |
| EOY | 42586921 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155492366 | BOY |
| EOY | 200870659 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28720233 | BOY |
| EOY | 30825974 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18282477 | BOY |
| EOY | 56864697 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2232584 | BOY |
| EOY | 3232507 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4061560 | BOY |
| EOY | 4904941 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53296854 | BOY |
| EOY | 95828119 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100715058 | BOY |
| EOY | 103124995 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37144 | BOY |
| EOY | 122795 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1443310 | BOY |
| EOY | 1794750 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102195512 | BOY |
| EOY | 105042540 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155492366 | BOY |
| EOY | 200870659 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5319594 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2472566 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $10,355 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $74,380 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 84735 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | LOBBYING EXPENDITURES WERE INCURRED IN AN ATTEMPT TO ENSURE MEDICARE AND MEDICAID PAID COST OF SERVICES AND IN RELATION TO FUNDING FOR ADVANCE OF OUR ELECTRONIC HEALTH RECORD PROJECT. EXPENDITURES INCLUDED CONSULTANT, STAFF TIME AND A PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1480454 | BeginningOfYearBalance |
| Contributions | 280808 | Contributions |
| Investment Earnings Or Losses | 156283 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1917545 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1250610 | BeginningOfYearBalance |
| Contributions | 53165 | Contributions |
| Investment Earnings Or Losses | 176679 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1480454 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1225468 | BeginningOfYearBalance |
| Contributions | 224116 | Contributions |
| Investment Earnings Or Losses | -198974 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1250610 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.06400 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.93600 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 282845 | OtherCostOrOtherBasis |
| Book Value | 282845 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94460824 | OtherCostOrOtherBasis |
| Depreciation | 53953758 | Depreciation |
| Book Value | 40507066 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46644471 | OtherCostOrOtherBasis |
| Depreciation | 33948845 | Depreciation |
| Book Value | 12695626 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5717630 | OtherCostOrOtherBasis |
| Book Value | 5717630 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59203167 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| TRUSTEE FUNDS - RESERVE FUND | 42440510 |
| DEPOSITS | 21234 |
| OTHER | 125177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 42586921 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO CONTRACTUAL AGENCIES | $2,667,169 |
| ACCOUNTS PAYABLE TO AFFILIATES | $1,896,745 |
| LEASES PAYABLE | $341,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4904941 | TotalOfAmounts |
| Total Revenue | 184126443 | TotalRevenue |
| Total Expenses | 178806849 | TotalExpenses |
| Excess Or Deficit For Year | 5319594 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3575322 | NetUnrealizedGLOnInvestments |
| Other | -$6,484,979 | OtherAmount |
| Total Adjustments | -2909657 | TotalAdjustments |
| Excess Or Deficit Per FS | 2409937 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 187502678 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3575322 | NetUnrealizedGainsInvestments |
| Other Revenues | 299748 | OtherRevenues |
| Revenue Not Rptd F990 | 3875070 | RevenueNotRptdF990 |
| Revenue Subtotal | 183627608 | RevenueSubtotal |
| Other Revenues Not Included | 498835 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 498835 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 184126443 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 178806849 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 178806849 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 178806849 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | NORTHWEST HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS WILL BE DISBURSED ACCORDING TO THE FUND'S DESIGNATED PURPOSE CONSIDERING ANY RESTRICTIONS AND/OR CONDITIONS ON THE FUND. WHERE THERE IS AN UNDESIGNATED ENDOWMENT FUND WITHOUT RESTRICTIONS AND/OR CONDITIONS, THE ORGANIZATION WILL REVIEW REQUESTS FOR FUNDING FROM KALISPELL REGIONAL MEDICAL CENTER, THE SUPPORTED ORGANIZATION, ON A PERIODIC BASIS. HISTORICALLY, ENDOWMENT FUND DISBURSEMENTS HAVE FUNDED EQUIPMENT REQUESTS FROM KALISPELL REGIONAL MEDICAL CENTER. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL ADOPTED THE PROVISIONS OF ASC 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE ASC AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HOSPITAL HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | FUND BALANCE TRANSFERRED TO AFFILIATES ADJUSTMENT FOR FOUNDATION ACTIVITY | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FASB FAS 136 INVESTMENT IN NET ASSETS OF FOUNDATION 299,748. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SUPPORT FROM AFFILIATED FOUNDATION 451,574. CONTRIBUTION OF FIXED ASSETS BOOKED TO EQUITY 47,261. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5822111 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5822111 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03260 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18702745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14606969 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4095776 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02290 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24524856 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14606969 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9917887 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 173396 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 173396 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 216646 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 216646 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39741467 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31828967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7912500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04430 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19278 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19278 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40150787 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31828967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8321820 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 64675643 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46435936 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18239707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10210 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 16931 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 16931 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 57826 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 57826 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1966 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1966 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4331 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4331 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 81054 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 81054 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,331,809 | BadDebtExpenseAmount |
| Amount Attributable To | 983719 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 54403578 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 75063392 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20659814 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MRI - CT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | IMAGING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.01100 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.18500 | PhysicansProfitOrOwnership |
| 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 | KALISPELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| 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 | KALISPELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: COST ACCOUNTING WAS UTILIZED FOR THE ENTIRE TABLE. COST ACCOUNTING COVERS ALL PATIENT SEGMENTS. | |
| PART I, L7 COL(F): TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $10,555,948. | |
| PART II: KRMC PROVIDES FUNDING TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, KRMC IS ACTIVELY INVOLVED IN THE KALISPELL CHAMBER OF COMMERCE AND OTHER ORGANIZATIONS FOR THE PURPOSES OF ECONOMIC DEVELOPMENT. KRMC PROVIDES FURTHER DONATIONS TO BENEFIT THE BROADER COMMUNITY. | |
| PART III, LINE 4: COST ACCOUNTING WAS UTILIZED TO DETERMINE BAD DEBT EXPENSE.PROVISION FOR BAD DEBTS: THE HOSPITAL PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AN AMOUNT THAT COULD BECOME UNCOLLECTIBLE, WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE HOSPITAL ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON THE UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN ON COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND HAVE AN IMPACT ON THE ESTIMATION PROCESS. | |
| PART III, LINE 8: COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FY 2010 COST REPORT. ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE ORGANIZATION PROVIDES CARE TO THE ELDERLY AND DISABLED AT A REDUCED REIMBURSEMENT TO ENSURE ALL OF THE COMMUNITY MEMBERS IN NORTHWEST MONTANA RECEIVE GOOD QUALITY HEALTHCARE REGARDLESS OF AGE, DISABILITY, OR MEANS. | |
| PART V, SECTION B, LINE 19D: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE STATUS. | KALISPELL REGIONAL MEDICAL CENTER |
| PART VI, LINE 2: KRMC IDENTIFIES NEEDS THROUGHOUT THE COMMUNITY BY UTILIZING COMMUNITY REPRESENTATIVES ON KRMC GOVERNANCE BOARDS, SOLICITATION OF IDEAS FROM COMMUNITY LEADERS AND OTHER MEMBERS VIA THE MEDIA AND OTHER FORMS OF COMMUNICATION, AND KEY STAFF AIDING IN IDENTIFYING HEALTH CARE SERVICE AREA SHORTAGES. KRMC MAINTAINS A CLOSE RELATIONSHIP TO THE COMMUNITY BY PROVIDING INFORMATION AND EDUCATION ABOUT UPCOMING HEALTH CARE ISSUES OR CHANGES AT KRMC AND SOLICITS FEEDBACK FROM THE COMMUNITY. ONCE NEEDS ARE IDENTIFIED, THE KRMC BOARD AND ADMINISTRATION WORK TO PRIORITIZE NEEDS BASED UPON THE MISSION AND VALUES OF KRMC. | |
| PART VI, LINE 3: KRMC ESTABLISHED A NEW WEBSITE THAT DISPLAYS OUR CHARITY POLICY. CHARITY CARE IS DISCUSSED WITH ALL PATIENTS AT THE TIME OF THEIR ADMIT. THROUGH THE MEDIA, KRMC NOTIFIED THE COMMUNITY OF OUR CHARITY CARE POLICY AND ELIGIBILITY REQUIREMENTS. | |
| PART VI, LINE 4: KRMC IS A SOLE COMMUNITY HOSPITAL IN NORTHWEST MONTANA. KRMC SERVES PATIENTS IN A LARGE GEOGRAPHIC AREA, THAT COVERS ALL OF NORTHWESTERN MONTANA, PARTS OF NORTHEASTERN IDAHO AND AREAS OF CENTRAL MONTANA. KRMC SERVES ALL PATIENTS REGARDLESS OF THEIR INCOME AND REGARDLESS OF THEIR PAYER. APPROXIMATELY 19% OF THE COUNTY IS UNINSURED AND 12.5% IS BELOW THE FEDERAL POVERTY LEVEL ACCORDING TO DATA FROM THE STATE HEALTH DEPARTMENT. | |
| PART VI, LINE 6: THIS WAS ANSWERED BY QUESTION 2 INFORMATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HEALTHCARE FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 311703013 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 150000 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL USE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JON JOHNSON MD | |||||||||||||
| 131167 | 0 | 11600 | 0 | 61356 | 0 | 3000 | 0 | 12501 | 0 | 219624 | 0 | 0 | 0 |
| VELINDA STEVENS | |||||||||||||
| 0 | 458638 | 0 | 87542 | 0 | 34653 | 0 | 25407 | 0 | 15615 | 0 | 621855 | 0 | 0 |
| CHARLES PEARCE | |||||||||||||
| 0 | 287042 | 0 | 60789 | 0 | 32874 | 0 | 8761 | 0 | 15569 | 0 | 405035 | 0 | 0 |
| FRANCES LAUKAITIS | |||||||||||||
| 145895 | 0 | 52615 | 0 | 99669 | 0 | 4457 | 0 | 7647 | 0 | 310283 | 0 | 0 | 0 |
| KAREN LEE | |||||||||||||
| 204544 | 0 | 43426 | 0 | 4131 | 0 | 26781 | 0 | 7039 | 0 | 285921 | 0 | 0 | 0 |
| DEB WILSON | |||||||||||||
| 168178 | 0 | 37503 | 0 | 2251 | 0 | 26831 | 0 | 12945 | 0 | 247708 | 0 | 0 | 0 |
| AC EDDY | |||||||||||||
| 181242 | 0 | 15000 | 0 | 3368 | 0 | 0 | 0 | 420 | 0 | 200030 | 0 | 0 | 0 |
| TATE KREITINGER | |||||||||||||
| 234770 | 0 | 46005 | 0 | 31863 | 0 | 14064 | 0 | 15413 | 0 | 342115 | 0 | 0 | 0 |
| RICHARD PALAGI | |||||||||||||
| 282998 | 0 | 52504 | 0 | 13756 | 0 | 14700 | 0 | 13156 | 0 | 377114 | 0 | 0 | 0 |
| ALAN WILLIAMS MD | |||||||||||||
| 546062 | 0 | 60000 | 0 | 34200 | 0 | 3000 | 0 | 84 | 0 | 643346 | 0 | 0 | 0 |
| DAVID SHELDON MD | |||||||||||||
| 406682 | 0 | 121023 | 0 | 30500 | 0 | 29325 | 0 | 14859 | 0 | 602389 | 0 | 0 | 0 |
| DAVID ROTH MD | |||||||||||||
| 450008 | 0 | 0 | 0 | 7500 | 0 | 3000 | 0 | 12501 | 0 | 473009 | 0 | 0 | 0 |
| TIM OBERMILLER MD | |||||||||||||
| 328219 | 0 | 60000 | 0 | 38349 | 0 | 33000 | 0 | 14859 | 0 | 474427 | 0 | 0 | 0 |
| EVE GILLESPIE MD | |||||||||||||
| 309302 | 0 | 75000 | 0 | 29900 | 0 | 33000 | 0 | 12501 | 0 | 459703 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | FIRST CLASS OR CHARTER TRAVEL - KRMC DOES NOT PROVIDE FIRST CLASS TRAVEL. CHARTER TRAVEL IS UTILIZED FOR THESE INDIVIDUALS WHEN A GROUP IS FLYING TOGETHER TO A CONFERENCE OR MEETING AND IT IS LESS EXPENSIVE THAN FLYING COMMERCIAL OR NO COMMERCIAL FLIGHT IS AVAILABLE. THIS WAS NOT INCLUDED AS TAXABLE COMPENSATION AS IT WAS BUSINESS RELATED. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - THE MEMBERS OF THE ADMINISTRATIVE TEAM RECEIVE A 457 PLAN CONTRIBUTION OF $16,500 FOR 2010. THIS AMOUNT IS GROSSED-UP TO TAKE CARE OF THE APPLICABLE TAXES. THE MEMBERS INCLUDE: PRESIDENT, CFO, CEO, COO, CMO, VICE PRESIDENT OF HUMAN RESOURCES, SUMMIT ADMINISTRATOR, VICE PRESIDENT OF COMMUNITY RELATIONS, TREASURER, ADMINISTRATOR REGIONAL OUTREACH, AND THE FOUNDATION EXECUTIVE VICE PRESIDENT. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - ALL ADMINISTRATIVE TEAM MEMBERS RECEIVE A FREE MEMBERSHIP TO THE SUMMIT. |
| PART I, LINE 4B | MEMBERS OF THE ADMINISTRATIVE TEAM RECEIVE A 457 PLAN CONTRIBUTION OF $16,500 FOR 2010. THE MEMBERS INCLUDE: PRESIDENT, CFO, CEO, COO, CMO, VICE PRESIDENT OF HUMAN RESOURCES, SUMMIT ADMINISTRATOR, VICE PREDIENT OF COMMUNITY RELATIONS, AND THE FOUNDATION EXECUTIVE VICE PRESIDENT. |
| PART I, LINE 7 | BONUS PLANS ADMIN AND MGMT-BASED ON A NUMBER OF FACTORS INCLUDING BUT NOT LIMITED TO: QUALITY AND FINANCIAL INDICATORS INCLUDING DEPARTMENT SPECIFIC GOALS AND INITIATIVES, PATIENT SATISFACTION, PRODUCTIVITY, EMPLOYEE SATISFACTION, AND EMPLOYEE EVALUATION TIMELINESS. SUCCESSFUL IMPLEMENTATION OF COMPANY FISCAL YEAR ACTION PLANS AND THE OVERALL FINANCIAL HEALTH AND STABILITY OF THE ORGANIZATION. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA FACILITY FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CUSIP Number | 612043XXX | CUSIPNumber |
| Date Issued | 2010-11-01 | DateIssued |
| Issue Price | 57115000 | IssuePrice |
| Description Of Purpose | REFUND 1998 AND 2001 SERIES BONDS AND FUND NEW SURGERY BUILDING PROJECT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 10771260 | AmountRetired |
| Total Proceeds | 57308306 | TotalProceeds |
| Capitalized Interest | 807398 | CapitalizedInterest |
| Issuance Costs From Proceeds | 891005 | IssuanceCostsFromProceeds |
| Capital Expenditures | 3506992 | CapitalExpenditures |
| Amount Unspent | 41331651 | AmountUnspent |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GWEN PALCHAK | |||
| WIFE OF CURRENT TRUSTEE | 70773 | SALARY | 0 |
| GLACIER REGIONAL PATHOLOGY | |||
| DR. WALKER, A CURRENT TRUSTEE, IS THE PRESIDENT AND 1/3 OWNER OF GRP. | 786308 | PATHOLOGY & LAB SERVICES | 0 |
| ROCKY MOUNTAIN SUB-SPECIALTY ASSOC | |||
| DR. JOHNSON, A CURRENT TRUSTEE, IS A GREATER THAN 5% PARTNER. | 530832 | RENT AND JANITORIAL SERVICES | 0 |
| NORTHWEST IMAGING INC | |||
| DR. BENEDETTO, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER. | 564809 | RADIOLOGY SERVICES | 0 |
| NORTHERN ROCKIES ANESTHESIA CONSULTANTS | |||
| DR. TINLIN, A CURRENT TRUSTEE, IS A GREATER THAN 5% OWNER. | 556665 | ANESTHESIA SERVICES | 0 |
| MICHAEL LAUKAITIS | |||
| SPOUSE OF PAST OFFICER | 12695 | SALARY | 0 |
| PETER LARSON | |||
| CURRENT TRUSTEE AND ALSO ON THE BOARD OF DIRECTORS OF GLACIER BANK. | 163560 | KALISPELL REGIONAL MEDICAL CENTER PAID INTEREST EXPENSE ON LOANS FROM GLACIER BANK. | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | EQUIPMENT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 47261 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PETER LARSON AND DAVE MEREDITH HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 6 | KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, NORTHWEST HEALTHCARE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, NORTHWEST HEALTHCARE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | KALISPELL REGIONAL MEDICAL CENTER HAS THE SAME BOARD OF DIRECTORS AS ITS SOLE MEMBER, NORTHWEST HEALTHCARE CORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS MAILED TO ALL BOARD MEMBERS WITH THE FEBRUARY BOARD PACKET. THE BOARD MEMBERS HAVE A CHANCE TO REVIEW THE FORM BEFORE THE FINANCE COMMITTEE MEETING WHERE A PRESENATION ON THE FORM 990 IS DONE. QUESTION AND ANSWER SESSIONS ARE HELD AT BOTH THE FINANCE COMMITTEE MEETING AND THE BOARD MEETING CONCERNING THE FORM 990. | |
| THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICE REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| NORTHWEST HEALTHCARE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY THE NORTHWEST HEALTHCARE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE AND REPORTED TO THE NORTHWEST HEALTHCARE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO NORTHWEST HEALTHCARE. THESE REPORTS ARE CONSIDERED BY THE COMMITTEE, AND A DETERMINATION IS MADE AS TO THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD AND EXECUTIVE COMPENSATION COMMITTEE EMBRACE THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL WHICH WILL FAVOR RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE PERIODIC RETENTION OF A COMPENSATION CONSULTANT AND MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN AN ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD COMMITTEE ALSO INCLUDES A REVIEW OF PERFORMANCE TARGETS WHICH ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION. THESE MEASURES INCLUDE ORGANIZATIONAL AND INDIVIDUAL GOALS, EFFORTS TO FURTHER THE MISSION AND VISION OF NORTHWEST HEALTHCARE, QUALITY INDICATORS, CUSTOMER/PATIENT SATISFACTION, AND FINANCIAL PERFORMANCE OBJECTIVES. THE BOARD COMMITTEE REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. THE BOARD EXECUTIVE COMPENSATION COMMITTEE MAKES ITS REPORT TO THE NORTHWEST HEALTHCARE BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| ONLY FORM 990 IS AVAILABLE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 3,575,322. FUND BALANCE TRANSFERRED TO AFFILIATE -6,333,153. NET INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 85,651. NET INCREASE IN PERMANENTLY RESTRICTED ASSETS 351,440. ADJUSTMENT FOR ACTIVITY OF AFFILIATED FOUNDATION -151,826. TOTAL TO FORM 990, PART XI, LINE 5: -2,472,566. | FORM 990, PART XI, LINE 5: |
| AVERAGE HOURS PER WEEK | THE OFFICERS OF KALISPELL REGIONAL MEDICAL CENTER DIVIDE THEIR TIME AMONG THE OTHER RELATED ENTITIES FOR WHICH THEY ARE ALSO OFFICERS. THEIR TOTAL AVERAGE WEEKLY HOURS DEVOTED TO ALL OF THE ENTITIES IS IN EXCESS OF 50 HOURS. SEVERAL OF THE TRUSTEES WHO ARE PHYSICIANS RECEIVE COMPENSATION FOR MEDICAL SERVICES RENDERED TO THE HOSPITAL. THEIR AVERAGE WEEKLY HOURS DEVOTED TO THE HOSPITAL VARIES. TATE KREITINGER DEVOTES APPROXIMATELY 50% OF HIS TIME TO KALISPELL REGIONAL MEDICAL CENTER AND 50% OF HIS TIME TO HEALTHCENTER NORTHWEST, A RELATED ENTITY. | FORM 990, PART VII, SECTION A, COLUMN (B) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST HEALTHCARE CORPORATION | |||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810406485 | SUPPORT SUBSIDIARY TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | 11, TYPE II | N/A | 0 | |
| NORTHWEST HEALTHCARE FOUNDATION INC | |||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 311703013 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | 11, TYPE I | 1 | KALISPELL REGIONAL MEDICAL CENTER | |
| NORTHWEST HORIZONS INC | |||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810420653 | OPERATE LONG TERM AMBULATORY FACILITY | MT | 501(C)(3) | 9 | 1 | NORTHWEST HEALTHCARE CORPORATION | |
| THE SUMMIT MEDICAL FITNESS CENTER | |||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 203752312 | COMMUNITY HEALTH & WELLNESS CENTER | MT | 501(C)(3) | 9 | 1 | NORTHWEST HEALTHCARE CORPORATION | |
| KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS | |||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 273866474 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | APPLIED FOR | 1 | KALISPELL REGIONAL MEDICAL CENTER | |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MRICT JOINT OPERATING AGREEMENT | |||||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 205010390 | DIAGNOSTIC SCREENING | MT | KALISPELL REGIONAL MEDICAL CENTER | RELATED | 2960538 | 8417200 | 1 | 1 | |
| HEALTHCENTER NORTHWEST LLC | |||||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810540517 | ACUTE CARE | MT | N/A | 0 | 0 | N/A | |||
| FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC | |||||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810541707 | COMMERICAL BUILDING RENTAL | MT | N/A | 0 | 0 | N/A | |||
| NORTHWEST ORTHOPEDICS & SPORTS MEDICINE LLC | |||||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 371518772 | ORTHOPEDIC MEDICINE | MT | N/A | 0 | 0 | N/A | |||
| ORTHOPEDICS ONE LLC | |||||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 800346984 | ORTHOPEDIC MEDICINE | MT | N/A | 0 | 0 | N/A | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPLIED HEALTH SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SUNNYVIEW LANE | AddressLine1 |
| City | KALISPELL | City |
| State | MT | State |
| ZIP Code | 59901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810413632 | EIN |
| Primary Activity | HEALTH RELATED | PrimaryActivity |
| Legal Domicile State | MT | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC | ||
| A | 28897 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| A | 267194 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| A | 16301 | ACTUAL PAYMENT |
| NORTHWEST HEALTHCARE CORPORATION | ||
| A | 27804 | ACTUAL PAYMENT |
| NORTHWEST HORIZON INC | ||
| A | 31166 | ACTUAL PAYMENT |
| NORTHWEST HEALTHCARE CORPORATION | ||
| B | 6333153 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| J | 513590 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| J | 405125 | ACTUAL PAYMENT |
| NORTHWEST HEALTHCARE CORPORATION | ||
| J | 728546 | ACTUAL PAYMENT |
| THE SUMMIT MEDICAL FITNESS CENTER INC | ||
| J | 250092 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| K | 504619 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| K | 227993 | ACTUAL PAYMENT |
| NORTHWEST HORIZON INC | ||
| K | 210231 | ACTUAL PAYMENT |
| HEALTHCENTER NORTHWEST LLC | ||
| L | 3498692 | ACTUAL PAYMENT |
| APPLIED HEALTH SERVICES INC | ||
| L | 2162817 | ACTUAL PAYMENT |
| NORTHWEST ORTHOPEDIC & SPORTS MEDICINE LLC | ||
| L | 182500 | ACTUAL PAYMENT |
| THE SUMMIT MEDICAL FITNESS CENTER INC | ||
| L | 453724 | ACTUAL PAYMENT |
| NORTHWEST HORIZON INC | ||
| L | 152047 | ACTUAL PAYMENT |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012 AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THE RETURN. | Explanation |
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