2022-02-14T12:35:46-06:00 2021-03-31 810497523 JORDAHL & SLITER PLLC PO BOX 8600 KALISPELL MT 599041600 990 2020-04-01 810247969 NORTH VALLEY HOSPITAL INC NORT 4068633500 1600 HOSPITAL WAY WHITEFISH MT 59937 DAVID RICHHART CFO 4068639826 2022-02-11 1 DAVID RICHHART 999009999 JUSTIN P SLITER P00188996 4067521040 2022-02-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID RICHHART 1600 HOSPITAL WAY WHITEFISH MT 59937 107866880 0 X LOGAN.ORG/HEALTH/LOCATIONS/LOGAN-HEALTH-WHITEFISH 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. 10 8 558 61 2157080 0 595431 2194468 84917637 82299139 1044469 975499 1768419 3789750 88325956 89258856 0 0 0 0 35067384 37382574 0 0 203675 37322118 36868120 72389502 74250694 15936454 15008162 101684595 122879839 38334480 42404203 63350115 80475636 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. 0 0 55836175 80142059 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 8,104 ER VISITS, 3,789 DAYS OF PATIENT SERVICES, 75,219 OUTPATIENT VISITS WHICH INCLUDES 38,924 CLINIC VISITS, AND 531 BIRTHS FOR THE PERIOD APRIL 1, 2020 THROUGH MARCH 31, 2021.THE HOSPITAL 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 $595,585 FOR CHARITY CARE, $10,160,075 FOR MEDICAID, $20,760,860 FOR MEDICARE, AND $8,675,155 FOR OTHER THIRD PARTY PAYORS FOR THE PERIOD APRIL 1, 2020 THROUGH MARCH 31, 2021. 55836175 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 79 0 558 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID RICHHART 4068639826 1600 HOSPITAL WAY WHITEFISH MT 59937 RYAN GUNLIKSON MD PHYSICIAN 40.00 X 435111 0 26205 KEVIN ABEL CHIEF EXECUTIVE OFFICER 40.00 X 369264 0 67471 JOHN MUIR MD PHYSICIAN 40.00 X 334565 0 24454 DAVID RICHHART CHIEF FINANCIAL OFFICER 40.00 X 260142 0 24005 KATIERA RIVERA DO PHYSICIAN 40.00 X 251418 0 25730 EDWARD STEIN MD PHYSICIAN 40.00 X 251346 0 25526 CAMERON GARDNER MD PHYSICIAN 40.00 X 235671 0 25495 TODD BERGLAND MD MEMBER 1.00 X 8400 0 0 JON AMICK DO MEMBER 40.00 X 700 0 0 MIRNA BOWDEN MD CHAIR 1.00 X X 0 0 0 DAVID DITTMAN VICE CHAIR 1.00 X X 0 0 0 LIN AKEY FINANCE CHAIR 1.00 X X 0 0 0 AMY MAY SECRETARY 1.00 X X 0 0 0 MATT BAILEY MD MEMBER 1.00 X 0 0 0 BARBRA BENNETT MEMBER 1.00 X 0 0 0 JANE KARAS MEMBER 1.00 X 0 0 0 TORI REICH MEMBER 1.00 X 0 0 0 CARL TINLIN DO MEMBER 1.00 X 0 0 0 2146617 0 218886 48 0 1 0 NORTHERN ROCKIES ANESTHESIA 1075 MARTIN CREEK LN WHITEFISH MT 59937 ANESTHESIA SERVICES 2410591 HAMMERQUIST CASALEGNO LLC 1417 1ST AVE EAST KALISPELL MT 59901 CONSTRUCTION SERVICES 798699 RELAY HEALTHCHANGE HEALTHCARE PO BOX 98347 CHICAGO IL 606938347 CLAIM PROCESSING SERVICES 304562 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN FEES 254729 EPIC PO BOX 86348 OKLAHOMA CITY OK 73143 PHYSICIAN FEES 246377 9 410207 1779261 5000 2194468 MEDICAL SERVICE REVENUE 621990 82299139 80142059 2157080 82299139 845221 845221 152981 0 152981 152981 152981 18461301 277001 18400620 207404 60681 69597 130278 130278 OTHER REVENUE 900099 3384750 3384750 CAFETERIA 722210 252019 252019 3636769 89258856 80142059 2157080 4765249 X 833588 204182 629406 28921835 21898984 6882532 140319 1444017 1072656 364551 6810 4074340 3026534 1028592 19214 2108794 1566471 532378 9945 99663 99663 6225 6225 32700 32700 10891627 7601098 3284054 6475 44030 40155 3611 264 2898976 975819 1913266 9891 1557958 1254453 300688 2817 741547 597086 143120 1341 34432 12433 21910 89 112618 56483 55062 1073 14509 11683 2800 26 2531931 2038686 488666 4579 125736 125639 97 MEDICAL SUPPLIES AND DR 12081190 12066513 14677 BAD DEBTS 2180955 2180955 OTHER EXPENSES 1990508 1106345 883331 832 HOME OFFICE ALLOCATION 1523515 1523515 74250694 55836175 18210844 203675 52045114 71738902 6947544 7136410 5199929 5099787 1871054 2137868 1034898 1442985 73589553 39998653 32817381 33590900 1242751 1359353 371916 334724 154008 38910 101684595 122879839 20228900 26865953 16256483 14999891 1849097 538359 38334480 42404203 X 62580323 79816895 769792 658741 63350115 80475636 101684595 122879839 15008162 2117359 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3971 3971 0 PART II-B, LINE 1: LINE I. THE HOSPITAL DOES NOT DIRECTLY PERFORM LOBBYING ACTIVITIES BUT PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, WHICH USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 769792 479846 -2527 588370 658741 638750 497586 -266 366278 769792 950632 598434 910316 638750 666272 383155 98795 950632 1282207 461641 -439 1077137 666272 1.00000 0 1 1 6798344 6798344 32079613 22849333 9230280 33138795 16963432 16175363 1572801 185888 1386913 33590900 LEASES PAYABLE 538359 538359 X 87758701 2117359 2117359 85641342 3617514 3617514 89258856 70633180 0 70633180 3617514 3617514 74250694 PART X, LINE 2: THE CORPORATION ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS 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 CORPORATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED. PART XI, LINE 4B - OTHER ADJUSTMENTS: BED TAX EXPENSE 1,068,187. GIFTS AND GRANTS REVENUE 368,372. BAD DEBT EXPENSE 2,180,955. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,180,955. BED TAX EXPENSE 1,068,187. GIFTS AND GRANTS REVENUE 368,372. 1 1 1 X 1 X 1 1 0 1 1 350061 350061 0.00470 13579300 17872795 0 0.00000 13929361 17872795 350061 0.00470 52261 52261 0.00070 180295 180295 0.00240 1570 1570 0.00000 155797 155797 0.00210 389923 389923 0.00520 14319284 17872795 739984 0.00990 422 422 0.00000 148209 148209 0.00200 1735 1735 0.00000 150366 150366 0.00200 1 1281879 26482062 27767519 -1285457 X 1 1 1 1 NORTH VALLEY HOSPITAL 1600 HOSPITAL WAY WHITEFISH MT 59937 X X X X NORTH VALLEY HOSPITAL 1 0 0 1 X X X X X X X X 18 1 1 1 1 X LOGAN.ORG/HEALTH/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 18 1 LOGAN.ORG/HEALTH/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 100.000000000000 400.000000000000 X 1 1 X 1 X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X X X 1 0 X X 1 X 0 0 NORTH VALLEY HOSPITAL PART V, SECTION B, LINE 5: NORTH VALLEY HOSPITAL, KALISPELL REGIONAL HEALTHCARE SERVICES, FLATHEAD COMMUNITY HEALTH CENTER AND FLATHEAD CITY-COUNTY HEALTH DEPARTMENT HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. PRC CONDUCTED A RAMDOM SAMPLE OF LANDLINE AND CELL PHONE INTERVIEWS WITH FLATHEAD COUNTY RESIDENTS. THE SAMPLE SIZE WAS 300 INDIVIDUALS AGE 18 AND OLDER IN FLATHEAD COUNTY. PRC ALSO CONDUCTED AN ONLINE KEY INFORMANT SURVEY WHERE THEY SOLICITED INPUT FROM KEY INFORMANTS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. KEY INFORMANTS CONSISTED OF COMMUNITY LEADERS WHO PROVIDED HEALTH, SOCIAL, OR CHILD EDUCATION SERVICES TO FLATHEAD COUNTY RESIDENTS. KEY INFORMANTS WERE CONTACTED BY EMAIL INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 39 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. BETWEEN JUNE AND AUGUST 2018, FEEDBACK ON HEALTH NEEDS WAS GATHERED DURING FOCUS GROUPS FROM 182 LOW INCOME AND SERVICE USERS OF THE FLATHEAD COMMUNITY HEALTH CENTER. FOLLOWING DATA COLLECTION, THE SPONSORS OF THIS STUDY CONVENED A GROUP OF 20 COMMUNITY STATEHOLDERS TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES BASED ON THE MAGNITUDE OF THE HEALTH ISSUE AND THE POTENCIAL HEALTH IMPACT OF EACH ISSUE. NORTH VALLEY HOSPITAL PART V, SECTION B, LINE 6A: KALISPELL REGIONAL MEDICAL CENTER, KALISPELL, MT NORTH VALLEY HOSPITAL PART V, SECTION B, LINE 6B: THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT AND FLATHEAD COMMUNITY HEALTHCENTER NORTH VALLEY HOSPITAL PART V, SECTION B, LINE 11: AS A RESULT OF THE RESEARCH AND RECOMMENDATIONS THAT APPEAR IN THE 2019 FLATHEAD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND FURTHER EXPLORATION WITH NORTH VALLEY HOSPITAL (NVH) ADMINISTRATORS AND BOARD OF DIRECTORS, THE FOLLOWING STRATGIES WERE ADOPTED BY THE NORTH VALLEY HOSPITAL BOARD OF DIRECTORS ON JUNE 25, 2019. THESE STRATEGIES WILL GUIDE NVH'S LEADERSHIP IN ADDRESSING THE COMMUNITY'S IDENTIFIED HEALTH NEEDS OVER THE NEXT THREE YEARS.1. MENTAL HEALTH AND SUBSTANCE ABUSE. NVH IS COMMITTED TO CONTINUING THE PROVISION OF MENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES. TO AUGMENT THESE SERVICES, NVH WILL: A. ALCOHOL AND TOBACCO USE. DEVELOP A CARE PATHWAY FOR EDUCATION AND SUPPORT OF PATIENTS WHO USE ALCOHOL OR TOBACCO; PROVIDE TRAINING TO NURSING STAFF ON ALCOHOL ADDICTION; DEVELOP REGISTRIES FOR CARE COORDINATORS TO DO OUTREACH AND FOLLOW-UP ON PRESCRIBED PROGRAMS. B. OPIOID USE AND MEDICATION ASSISTED THERAPY. IMPLEMENT SYSTEM-WIDE OPIOID POLICY, WHICH INCLUDES PATIENT CONTRACTS TO ASSURE PATIENT SAFETY, EDUCATION, MONITORING, COMPLIANCE AND MONITORING OF OPIOID UTILIZATION; CREATION OF AN OPIOID TASK FORCE BY NVH PHYSICAL AND OCCUPATIONAL THERAPISTS TO FOCUS ON COLLABOATION WITH PRIMARY CARE AND BEHAVIORAL HEALTH CLINICIANS TO DEVELOP THERAPY ALTERNATIVES TO OPIOIDS WHEN APPROPRIATE; IMPLEMENT ELECTRONIC PRESCRIBING OF CONTROLLED SUBSTANCES; DEVELOP COMMUNITY COMMUNICATIONS ON THE SCOPE AND IMPACT OF THE OPIOID EPIDEMIC. C. SUICIDE PREVENTION. IMPLEMENT PHQ9 DEPRESSION SCREENING FOR INPATIENTS AND AMBULATORY OUTPATIENTS; DEVELOP SYSTEMATIC PATHWAY TO CONNECT PATIENTS WITH SUPPORT AND SERVICES THEY NEED; ADOPT NEW TRANSCRANIAL MAGNETIC STIMULATION (TMS) EQUIPMENT IN NORTH VALLEY BEHAVIORAL HEALTH; INCREASE COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT PATIENT NEEDS; PROVIDE TRAINING TO ALL NURSES REAGRDING TEEN SUICIDE. 2. CHRONIC DISEASE MANAGEMENT AND PREVENTION. NVH HAS INVESTED AND WILL CONTINUE TO INVEST IN MANY PROGRAMS AND SERVICES TO TREAT SOME OF THE MOST PREVALENT CAUSES OF DEATH IN OUR COUNTY. TO AUGMENT THESE SERVICES, NVH WILL: A. RESPIRATORY DISEASE. EXPAND ASTHMA EDUCATION PROGRAM TO OUTPATIENT CLINICS; DEVELOP CARE REGISTRIES OF OUTREACH SERVICES. B. CANCER. CREATE A CANCER CARE PATHWAY FOR PATIENTS WITH NEWLY DISGNOSED CANCER. C. HEART DISEASE. FACILIATE A GRANT TO ENHANCE THE CARDIAC REHAB PROGRAM; DEVELOP CARE REGISTRIES FOR OUTREACH SUPPORT AND TREATMENT; ADD PHYSICAL AND OCCUPATIONAL THERAPY EXERCISE PROGRAMS FOR POST-REHAB HEART DISEASE PATIENTS AT NORTH VALLEY HOSPITAL OUTPATIENT PHYSICAL THERAPY AND OCCUPATIONAL THERAPY. D. DIABETES. CREATE A PRIMARY CARE DIABETES PATHWAY TO CONNECT PATIENTS WITH DIABETES TO SUPPORT AND RESORCES THEY NEED; DEVELOP A PROGRAM IN THE NORTH VALLEY PHYSICAL THERAPY CLINIC WHICH OFFERS PHYSICAL THERAPY TO THOSE WHO WOULD LIKE TO ADDRESS THEIR DIABETES WITH EXERCISE. 3. ACCESS TO CARE. NVH HAS INVESTED AND WILL CONTINUE TO INVEST IN MANY PROGRAMS AND SERVICES TO IMPROVE ACCESS TO CARE AND WILL AUGMENT THESE SERVICES, WITH: A. EXPAND NUMBER OF PRIMARY AND SPECIALTY CARE PROVIDERS. IDENTIFY STANDARD FOR APPROPRIATE PANEL SIZE FOR PRIMARY CARE PROVIDERS; EXPAND RELATIONSHIP WITH WESTERN MONTANA FAMILY MEDICINE RESIDENCY PROGRAM. B. HEALTH INSURANCE AND AFFORDABLE CARE. SUPPORT CONTINUED FOR MEDICAID EXPANSION COVERAGE AND APPROPRIATE FUNDING LEVELS; WORK WITH EMPLOYERS AND PAYERS TO ESTABLISH INNOVATIVE, RURAL VALUE-BASED PAYMENT MODELS. C. ORAL HEALTH CARE. REFER ORAL HEALTH NEEDS FOR UNDERSERVED COMMUNITY MEMBERS TO ORGANIZATIONS OFFERING FREE OR DISCOUNTED ORAL HEALTH SERVICES.D. APPROPRIATE USE OF THE EMERGENCY ROOM. DEVELOP EDUCATIONAL MATERIALS FOR PROVIDERS, STAFF, PATIENTS, AND THEIR FAMILIES REGARDING APPROPRIATE ACCESS TO POINTS OF CARE; ADD AN EMERGENCY NURSE TO THE CARE TRANSITIONS COMMITTEE; SUPPORT MEDICAID EXPANSION EFFORTS. E. LOCATIONS AND HOURS OF SERVICE. EVALUATE APPROPRIATE LOCATION OF SERVICES BASED ON PATIENT EXPERIENCE AND ACCESS NEEDS. 4. SOCIAL DETERMINANTS OF HEALTH(SDOH). NVH RECOGNIZES THE IMPORTANCE OF SOCIAL DETERMINANTS ON THE HEALTH AND WELLBEING FOR COMMUNITY MEMBERS AND WILL AUGMENT OUT CURRENT SERVICES WITH: A. POVERTY. IMPLEMENT SCREENING TOOL FOR SODH IN THE CLINIC SETTING, IMPLEMENT FREE RX PROGRAM FOR QUALIFYING PATIENTS TO RECEIVE A FREE SHORT TERM SUPPLY OF DISCHARGE MEDICATION PRESCRIPTIONS. B. HOUSING. IMPLEMENT SCREENING TOOL FOR SDOH IN THE CLINIC SETTING. C. TRANSPORTATION. IMPLEMENT SCREENING TOOL FOR SDOH IN THE AMBULATORY SETTING, SUPPORT AND PARTICIPATE IN DEVELOPING TRANSAPORTATION STRATEGIES TO IMPROVE ACCESS TO HEALTHCARE SERVICES. D. FOOD INSECURITY. DEVELOP A FOOD RX PROGRAM AT NORTH VALLEY PROFESSIONAL CENTER IN COLUMBIA FALLS, PROVIDE SUPPORT TO FAR HANDS - NOURISH THE FLATHEAD FOR COLUMBIA FALLS BACKPACK ASSISTANCE PROGRAM, IMPLEMENT SCREENING TOOL FOR SDOH IN THE CLINIC SETTING, PARTICIPATE IN FOOD ACCESS TASK FORCE. E. BUILT ENVIRONMENT. SUPPORT PRIVATE AND PUBLIC DEVELOPMENT INITIATIVES CREATING ACTIVE TRANSPORTATION AVAILABLE IN ALL FLATHEAD COUNTY COMMUNITIES. 5. COMMUNITY RESILIENCE: NVH IS COMMITTED TO PROVIDING CARE THAT FOCUSES ON INDIVIDUALS' OVERALL WELLBEING AND WILL AUGMENT CURRENT SERVICES WITH: A. TRAUMA INFORMED CARE. EXPLORE ADDITIONAL OPTIONS TO ENHANCE SERVICE QUALITY AND THE PATIENT EXPERIENCE IN ALIGNMENT WITH PLANETREE PATIENT CENTERED CARE, IMPLEMENT THE SAFE SLEEP PROGRAM FOCUSING ON SLEEP RELATED INFANT DEATHS TO PROMOTE HEALTH AND SAFETY OF INFANTS UP TO 1 YEAR OF AGE. B. ACCESS TO NON-CLINICAL SERVICES. EXPAND CHRONIC CARE MANAGEMENT PROGRAMS TO IDENTIFY BARRIERS TO HEALTH CARE FOR HOSPITAL AND CLINIC PATIENTS AND ASSIST THEM WITH NAVIGATION TO NEEDED NON-CLINICAL SERVICES. NORTH VALLEY HOSPITAL PART V, SECTION B, LINE 13H: 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. 8 1 - EUREKA HEALTHCARE PRIMARY CARE 304 OSLOSKI ROAD EUREKA MT 59917 OUTPATIENT CLINIC 2 - THE BASE LODGE CLINIC 3840 BIG MOUNTAIN ROAD WHITEFISH MT 59937 OUTPATIENT CLINIC 3 - NORTH VALLEY FAMILY MEDICINE 1675 TALBOT ROAD COLUMBIA FALLS MT 59912 OUTPATIENT CLINIC 4 - WEST GLACIER CLINIC 100 REA ROAD WEST GLACIER MT 59936 OUTPATIENT CLINIC 5 - NORTH VALLEY PHYSICAL THERAPY 235 NUCLEUS AVENUE COLUMBIA FALLS MT 59912 OUTPATIENT CLINIC 6 - NORTH VALLEY BEHAVIORAL HEALTH 2004 HOSPITAL WAY WHITEFISH MT 59937 OUTPATIENT CLINIC 7 - EUREKA HEALTHCARE THERAPY CENTER 1343 HIGHWAY 93 NORTH EUREKA MT 59917 OUTPATIENT CLINIC 8 - NORTH VALLEY SURGICAL SERVICES 2000 HOSPITAL WAY WHITEFISH MT 59937 OUTPATIENT CLINIC PART I, LINE 7: THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). PART I, LINE 7G: THE HOSPITAL HAS NOT INCLUDED ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. PART I, LN 7 COL(F): TOTAL BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS $1,281,879. PART II, COMMUNITY BUILDING ACTIVITIES: LEADERSHIP AT THE HOSPITAL ARE ACTIVE MEMBERS OF AREA CHAMBERS OF COMMERCE, UNITED WAY, EMERGENCY MEDICAL SERVICES BOARD, WHITEFISH AFFORDABLE HOUSING TASK FORCE, WHITEFISH HEALTHY COMMUNITIES COMMITTEE, MOUNTAIN PACIFIC SPECIAL IMPROVEMENT PROJECT ON CARE TRANSITIONS, AND MORE. IN ADDITION, THE HOSPITAL SPONSORS A STAFF MEMBER EACH YEAR TO ATTEND LEADERSHIP FLATHEAD: A TWO-YEAR LEADERSHIP TRAINING AND COMMUNITY COLLABORATION PROGRAM IN THE FLATHEAD VALLEY INCORPORATING LEADERSHIP IN A PROJECT THAT FULFILLS A NEED IN THE COMMUNITY. THE HOSPITAL MANAGEMENT AND STAFF HAVE DEVELOPED RELATIONSHIPS WITH AREA HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED FIELDS AND HOSTING INTERNS AND JOB SHADOWS. THE HOSPITAL HUMAN RESOURCES STAFF CONTRIBUTE TIME TO CAREER COUNSELING AND ARE ACTIVE PARTICIPANTS IN THE LOCAL CHAPTERS OF HOSA (HEALTHCARE OCCUPATION STUDENTS OF AMERICA) AND GRADUATION MATTERS. HOSPITAL STAFF PROVIDE A FORUM FOR THE PERFORMANCE IMPROVEMENT NETWORK, WHICH PROVIDES QUALITY ASSURANCE FOR FUTURE HEALTH CARE. WE PARTICIPATED IN HOSPITAL ACQUIRED INFECTION LEARNING AREA NETWORK THROUGH THE MOUNTAIN PACIFIC QUALITY IMPROVEMENT ORGANIZATION,AHA HOSPITAL ENGAGEMENT NETWORK, AND THE NATIONAL RURAL ACCOUNTABLE CARE ORGANIZATION PROMOTING CARE COORDINATION, PREVENTION AND WELLENSESS.AN INCIDENT MANAGEMENT SYSTEM WITH HOSPITAL COMMAND CENTER IS ESTABLISHED AT THE HOSPITAL FOR EMERGENCY PREPAREDNESS. INTERNALLY, THE MEMBERS REGULARLY EXECUTE DRILLS AND REVIEW EMERGENCY MEASURES FOR IMPROVEMENT AS WELL AS ASSESS RESOURCE NEEDS. HOSPITAL REPRESENTATIVES PARTICIPATE IN A COALITION INCLUDING OTHER EMERGENCY, MEDICAL AND CITY/COUNTY SERVICES WHO MEET REGULARLY TO PREPARE FOR FLATHEAD VALLEY'S LARGER POTENTIAL DISASTERS. MANAGEMENT STAFF HAS OBTAINED ADVANCED TRAINING IN EMERGENCY COMMUNICATIONS EFFECTIVENESS, RESPONSE AND COORDINATION.QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION:COMMUNITY SUPPORT DONATIONS (ACCOUNTED FOR IN CBISA UNDER CASH DONATIONS) - TO INTERMOUNTAIN INTEGRATED MENTAL HEALTH SERVICES, DRUG-FREE GRADUATION PARTY SPONSORSHIPS, SHEPHERD'S HAND FREE CLINIC,SCHOOL SPORTS AND BOOSTER CLUB ASSOCIATIONS, FINANICAL SUPPORT FOR WINGS AND ALERT MEDICAL TRANSPORT HELICOPTER, UNITED WAY, SAVE A SISTER MAMMOGRAM INITIATIVE, RELAY FOR LIFE, SPECIAL OLYMPICS, PROSTATE CANCER AWARENESS FOUNDATION, FLATHEAD CANCER AID, FLATHEAD BREASTFEEDING COALITION, THE ALZHEIMERS ASSOCIATION, AND MARCH OF DIMES.ECONOMIC DEVELOPMENT - MONTANA WEST ECONOMIC DEVELOPMENT, CHAMBER OF COMMERCE BOARDS AND COMMITTEES, WHITEFISH AFFORDABLE HOUSING TASK FORCE, LEADERSHIP FLATHEAD, WHITEFISH CONVENTION AND VISITOR BUREAU.WORKFORCE DEVELOPMENT - MENTORING AND JOB SHADOWING, CAREER COUNSELING, HEALTH OCCUPATIONS STUDENT ORGANIZATION, FLATHEAD VALLEY COMMUNITY COLLEGE NURSING PROGRAM, MONTANA STATE UNIVERSITY NURSING PROGRAM.COALITION BUILDING - PERFORMANCE IMPROVEMENT NETWORK, HEALTH OCCUPATIONS STUDENT ASSOCIATION, SUICIDE PREVENTION/INTERVENTION/POSTVENTION, COLLEGES FOR NURSING PROGRAMS, HEALTH PROVIDER PRECEPTORS AND MEETINGS, STUDENT RECRUITMENT, CRITICAL ACCESS NETWORK, CARE TRANSITIONS COALITION, HEALTHY COMMUNITIES COALITION, BEST BEGINNINGS EARLY CHILD DEVELOPMENT COALITION,AND DISASTER PREPAREDNESS.THE HOSPITAL CONTINUES ITS SENIOR MENTAL HEALTH PROGRAM (NORTH VALLEY EMBRACE HEALTH) TARGETED AT ADULTS 55 YEARS OLD AND OLDER TO ADDRESS ISSUES OF DEPRESSION, LOSS, WITHDRAWAL, ETC. IT IS THE FIRST STRUCTURED OUTPATIENT PROGRAM OF ITS KIND IN NORTHWEST MONTANA. IT ALSO LAUNCHED NORTH VALLEY BEHAVIORAL HEALTH, PROVIDING PSYCHIATRY FOR CHILDREN, ADOLESCENTS AND ADULTS. ADDICTION AND SUBSTANCE ABUSE COUNSELING, PLAY THERAPY FOR CHILDREN, AND SENIOR FOCUSED TREAMTENTS WERE ADDED TO INCREASE REACH AND BREADTH OF SERVICES.NORTH VALLEY GERIATRIC SPECIALTY SERVICES WAS ESTABLISHED IN 2013 TO PROVIDE GERIATRIC MEDICINE AND ASSESSMENT. THE MEDICAL STAFF PROVIDE CARE TO SENIORS IN LOCAL SENIOR LIVING FACILITIES AND COORDINATES CARE.NORTH VALLEY SCHOOL BASED CLINIC IN COLUMBIA FALLS LAUNCHED IN SEPTEMBER 2016 TO IMPROVE ACCESS TO AFFORDABLE HEALTHCARE FOR HIGH SCHOOL STUDENTS AND STAFF. BOTH PHYSICAL AND MENTAL HEALTH SERVICES ARE PROVIDED ON SITE AT THE HIGH SCHOOL IN CONJUNCTION WITH THE SCHOOL NURSE. PART III, LINE 2: 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. PART III, LINE 3: BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE 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. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE FOR A PERIOD OF 240 DAYS DURING WHICH TIME EXTRAORDINARY COLLECTION ACTIVITY WILL CEASE. IF THE PATIENT ACCOUNT IS DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE THE BAD DEBT ACCOUNT IS RETURNED TO THE HOSPITAL AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO THE HOSPITAL FINANCIAL ASSISTANCE POLICY. HOSPITAL FINANCIAL COUNSELORS AND OR THE EXTENDED BUSINESS OFFICE WILL ATTEMPT OTHER COLLECTION ACTIONS, SUCH AS SUBSEQUENT BILLINGS/MONTHLY STATEMENTS, AND TELEPHONE CALLS. A SUMMARY BILL IS SENT TO THE PATIENT 3DAYS AFTER DISCHARGE OR WHEN ALL APPLICABLE CRITERIA IS MET. STATEMENTS WITH FINANCIAL ASSISTANCE MESSAGES ARE SENT 30, 60, 90, AND 120 DAYS. AN ACCOUNT IS CONSIDERED FOR BAD DEBT DETERMINATION ONCE THE DEBT REMAINS UNPAID MORE THAN 120 DAYS AND IF A PAYMENT PLAN IS ESTABLISHED WITH THEPATIENT AND THE PATIENT MISSES TWO PAYMENTS, THE REMAINING BALANCE WILL BE PLACED TO BAD DEBT. 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 WRITE-OFF EXCEEDING $3,000IS 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 HOSPITAL'S CHARITY CARE POLICY. THE HOSPITAL IDENTIFIES ALL THOSE ELIGIBLE FOR CHARITY CARE UPFRONT OR THROUGH THE EXTENDED BUSINESS OFFICE BEFORE ANY AMOUNTS ARE WRITTEN OFF TO BAD DEBT. PART III, LINE 4: THE FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED ON PAGES 17 THROUGH 19 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS. 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. PART III, LINE 9B: SEE SCHEDULE H, PART III, LINE 3. PART VI, LINE 2: BOTH ON-GOING QUALITATIVE AND QUANTITATIVE FEEDBACK IS TAKEN INTO ACCOUNTTO ASSESS COMMUNITY HEALTH CARE NEEDS. A QUANTITATIVE AND QUALITATIVE NEEDS ASSESSMENT WAS CONDUCTED IN 2017, WITH ANALYSIS AND PUBLICATION COMPLETED IN 2018, TO GAIN INSIGHTS FROM AREA RESIDENTS AND COMMUNITY LEADERS AS TO THEIR HEALTHCARE ISSUES AND THEIR PERCEPTIONS REGARDING NEEDS IN THE COMMUNITY. HARD COPIES OF THE REPORT ARE AVAILABLE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL:LOGAN.ORG/HEALTH/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAMQUALITATIVE INFORMATION IS GAINED REGULARLY THROUGH PARTNERSHIPS WITH THECITY GOVERNMENT, AREA SCHOOL DISTRICTS, FEDERAL AND LOCAL LEGISLATORS ANDFLATHEAD CITY/COUNTY HEALTH DEPARTMENT. ADDITIONALLY, THE HOSPITAL'SPHYSICIANS AND EMPLOYEES PROVIDE FEEDBACK FROM THEIR EXPERIENCE ON THE JOB AND WITHIN THE COMMUNITY. WRITTEN FEEDBACK FROM THE COMMUNITY IS REQUESTED TO BE SENT TO THE COMMUNITY RELATIONS DEPARTMENT. THE 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.THE HOSPITAL PARTICIPATED IN AVATAR INTERNATIONAL AND PRESS GANEYINTERNATIONAL, THIRD-PARTY PATIENT FEEDBACK SYSTEMS. THE COMMENTS MADEWITHIN THIS PROCESS ARE REVIEWED AND CONSIDERED FOR NEW PROGRAMS BOTH INTHE COMMUNITY AND AT THE HOSPITAL. LIKEWISE, INFORMATION GAINED FROM THEHOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS)IS REVIEWED FOR OPPORTUNITIES TO ADDRESS COMMUNITY HEALTHCARE NEEDS. PART VI, LINE 3: COMMUNICATIONS TO THE PUBLIC ON FINANCIAL ASSISTANCE INCLUDES THE NORTHVALLEY HOSPTIAL WEBSITE, FACILITY SIGNAGE, FINANCIAL COUNSELORS ANDCERTIFIED APPLICATION COUNSELORS, PATIENT HANDBOOK, GUIDE TO YOUR BILLBROCHURE, AND PATIENT/VISITOR GUIDE. PATIENTS ARE OFTEN REFERRED TOAPPLICABLE NON-PROFITS 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, SHEPHERD'S HAND FREE CLINC AND FLATHEAD CITY-COUNTY HEATLH DEPARTMENT. NOTICES OF FINANCIAL AID AVAILABILITY ARE AVAILABLE AT THE FLATHEAD UNITED WAY COMMUNITY CENTER. PART VI, LINE 4: THE HOSPITAL SERVES A WIDE VARIETY OF PATIENTS, MANY OF WHOM ARE SELF-EMPLOYED, YOUNG FAMILIES, UNEMPLOYED, SEASONAL WORKERS OR HAVE MINIMUM-WAGE JOBS AND CAN'T AFFORD INSURANCE. MEDICARE AND MEDICAID MADE UP THE MAJORITY OF THE HOSPITAL'S PAYERS AT APPROXIMATELY 60 PERCENT.THE HOSPITAL PROVIDES SERVICES TO RESIDENTS FROM EUREKA IN THE NORTH, TO WEST GLACIER IN THE EAST, AND LAKESIDE/SOMERS TO THE SOUTH. THE DEMOGRAPHICS OF THE HOSPITAL'S PRIMARY SERVICE AREAS OF WHITEFISH, COLUMBIA FALLS AND KALISPELL ARE AS FOLLOWS: (SOURCES: US CENSUS 2010 AND 2015 PROJECTIONS).WHITEFISH: 6.43 SQUARE MILES. POPULATION 7,073, MEDIAN AGE 40, AVERAGE HOUSEHOLD 2.16 PEOPLE, PER CAPITA INCOME $31,410 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME $51,122, LARGELY WHITE POPULATION 95.8%, PERSONS OVER 65 YEARS OLD = 14.3%.COLUMBIA FALLS: 2.04 SQUARE MILES. POPULATION 5,093, MEDIAN AGE 35.6, AVERAGE HOUSEHOLD 2.44 PEOPLE, PER CAPITA INCOME $21,284 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME $47,352,LARGELY WHITE POPULATION 94.4%, NEXT IS AMERICAN INDIAN 1.8%, PERSONS OVER 65 YEARS OLD = 13.2%.KALISPELL: 11.64 SQURE MILES. POPULATION 22,052, MEDIAN AGE 39.9, AVERAGE HOUSEHOLD 2.27 PEOPLE, PER CAPITA INCOME $22,782 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME $41,097, LARGELY WHITE POPULATION 94.5%, NEXT IS HISPANIC 2.9%, PERSONS OVER 65 YEARS OLD = 15.4%.FLATHEAD COUNTY: TOTAL POPULATION 98,082, MEDIAN AGE 41.7, PER CAPITA INCOME $26,388 (2015 DOLLARS) WITH MEDIAN HOUSEHOLD INCOME $41,851, LARGELY WHITE POPULATION 95.5%, NEXT IS HISPANIC 2.3%, PERSONS OVER 65 YEARS OLD = 17.7%. PART VI, LINE 5: THE HOSPITAL PROVIDES RESOURCES AND FINANCIAL ASSISTANCE TO OTHER NON-PROFITS AND HEALTH-RELATED ENTITIES TO IMPROVE THE WELL-BEING OF THE COMMUNITY.THE HOSPITAL HAS BEEN INSTRUMENTAL IN PROVIDING RURAL AREAS WITH PRIMARY,WELLNESS AND WALK-IN CARE THROUGH CLINICS IN EUREKA AND COLUMBIA FALLS YEAR-ROUND AND SEASONALLY WHEN TOURISM DEFINES THE EXTRA NEED AT WHITEFISH MOUNTAIN RESORT AND WEST GLACIER.EUREKA CLINIC PROVIDES DIGITAL X-RAYS, CLIA-CERTIFIED LAB SERVICES AND ULTRASOUND; COLUMBIA FALLS OFFERS X-RAY AND LAB SERVICES. THE EUREKA AND COLUMBIA FALLS CLINICS ARE DESIGNATED RURAL HEALTH CLINICS PROVIDING A SLIDING FEE SCALE FOR THOSE FINANCIALLY QUALIFIED. SCHOOL BASED HEALTHCLINIC IN COLUMBIA FALLS HIGHSCHOOL PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES FOR STUDENTS AND STAFF. 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 X-RAYS AND CLIA-CERTIFIED LABS. IN HOSPITAL CLINICS, AS WELL AS THE HOSPITAL, THE PICTURE ARCHIVING COMPUTER SYSTEM (PACS) IS USED TO QUICKLY SHARE DATA WITH OTHER MEDICAL FACILITIES. ELECTRONIC MEDICAL RECORDS SYSTEM WAS LAUNCHED ON DECEMBER 9, 2013 WITH PATIENT PORTAL ACCESSIBLE VIA THE HOSPITAL WEBSITE IN MARCH 2014. INPATIENTS AND OUTPATIENTS RECEIVE A BROCHURE AND INSTRUCTIONS REGARDING THE PATIENT PORTAL WITH EACH ADMISSION. THE BROCHURE IS ALSO AVAILABLE ON THE WEBSITE.THE HOSPITAL HELPS SUPPORT THE SHEPHERD'S HAND FREE CLINIC IN WHITEFISH WITH FREE TESTING AND SERVICES THAT THE CLINIC IS UNABLE TO PROVIDE ON ITS OWN. MANY OF THE HOSPITAL PHYSICIANS AND NURSING STAFF VOLUNTEER THEIR OWN TIME CONTRIBUTING TO THIS CLINIC. THE HOSPITAL ALSO PROVIDED FINANCIAL AND PERSONNEL RESOURCES TO WINGS CANCER SUPPORT FOR RESIDENTS WHO NEED TO TRAVEL OUTSIDE OF THE AREA FOR MEDICAL SERVICES. THE HOSPITAL ALSO ASSISTS WITH SUPPORTING THE ALERT MEDICAL HELICOPTER. THE HOSPITAL DONATES TO PROGRAMS THAT ENCOURAGE CHILDREN TO LEAD POSITIVE LIVES, STAY IN SCHOOL, AND PARTICIPATE IN CONSTRUCTIVE ACTIVITIES THAT AREDRUG AND ALCOHOL FREE. THESE INCLUDE CHILDREN'S SPORTS ASSOCIATIONS, SCHOOL BOOSTER CLUBS, HEALTH OCCUPATION STUDENT ASSOCIATIONS AND CIVIC ORGANIZATIONS THAT PROMOTE THESE SAME IDEALS SUCH AS ROTARY.STAFF WAS ACTIVE ON MANY BOARDS SUCH AS UNITED WAY, CANCER SERVICES INCLUDING RELAY FOR LIFE,TO RAISE AWARENESS AND MONEY FOR RESEARCH; EMS TO STREAMLINE SERVICES; MARCH OF DIMES TO PROVIDE PRE AND POST-NATAL EDUCATION AND SUPPORT, AND MORE. OTHER ACTIVE MEMBERSHIPS INCLUDE ROTARY, WHITEFISH AND COLUMBIA CHAMBER OF COMMERCE BOARDS.THE HOSPITAL FOCUSES ON HEALTH EDUCATION, EARLY DETECTION AND PREVENTION. THE HOSPITAL HAS A COMMUNITY HEALTH LIBRARY HOUSING HEALTH- RELATED BOOKS AND PUBLIC ACCESS TO THE INTERNET. STAFF AND PHYSICIANS PROVIDE HEALTHRELATED COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS NUTRITION, PRE AND POSTNATAL HEALTH, DIABETES PREVENTION, BALANCE AND FALLS PRVENTION, MEN'S AND WOMEN'S HEALTH. A FREE COMMUNITY-WIDE CELEBRATION, THE PLANETREE FESTIVAL, WAS HELD TO PROVIDE HEALTH AND WELLNESS INFORMATION, PREVENTATIVE SCREENINGS, DRIVING SAFETY RESOURCES, SUICIDE PREVENTION, AND MUCH MORE. POSTPARTUM DEPRESSION WORKSHOPS FOR THE PUBLIC AND MEDICAL PROVIDERS WERE HOSTED.THE HOSPITAL COMMUNITY HEALTH NURSE TEACHES A CPR AND CPR/FIRST AID CLASS. THE HOSPITAL HAS AN EMPHASIS ON EXERCISE BY SUPPORTING ATHLETIC TRAINERS IN WHITEFISH AND COLUMBIA FALLS SCHOOLS. THE HOSPITAL 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 THOSE WHO HAVE HAD A MISCARRIAGE, STILLBIRTH OR NEONATAL LOSS. A FREE MOM/BABY 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. THE HOSPITAL ALSO PROVIDES A LOCATION FOR AARP CLASSES. IN-KIND GOODS TO AREA NONPROFITS ARE PROVIDED TO A VARIETY OF HEALTH-RELATED LOCAL ORGANIZATIONS.QUALIFIED COMMUNITY BENEFITS UNDER THIS QUESTION:BOARD POSITIONS INCLUDE: UNITED WAY, WHITEFISH AND COLUMBIA FALLS CHAMBER OF COMMERCE, EMS BOARD, SHEPHERDS HAND CLINIC BOARD, MONTANA HEALTH INFORAMATION EXCHANGE.ACTIVE MEMBERSHIPS INCLUDE:WHITEFISH ROTARY, CHAMBERS OF COMMERCE, WHITEFISH CONVENTION AND VISITOR BUREAU, BEST BEGINNINGS, CARE TRANSITIONS COALITION, HEALTHY COMMUNITIES COALITION, MOUNTAIN PACIFIC SPECIAL IMPROVEMENT PROJECT CARE TRANSITIONS, WHITEFISH AFFORDABLE HOUSING COMMITTEE.PREVENTION PROGRAMS:SAVE A SISTER MAMMOGRAMS, SCHOOL ATHLETIC TRAINERS, EDUCATION (PROVIDER HEALTH RELATED COMMUNITY EDUCATION, PRE AND POST-NATAL CLASSES, CPR/FIRST AID, SCREENINGS, NUTRITION COUNSELING, SUPPORT GROUPS, BALANCE AND FALLS PREVENTION CLASSES, DIABETES PREVENTION PROGRAMS, ASTHAMA PRVENTIONEDUCATIONIN-KIND DONATIONS TO:AARP, ROTARY EVENTS FOR THE NEEDY IN THE COMMUNITY, SHEPHERD'S HAND CLINIC. PART VI, LINE 7, REPORTS FILED WITH STATES MT X X 1 1 X X X 0 1 0 0 0 0 1 0 0 RYAN GUNLIKSON MD PHYSICIAN 417215 0 17896 0 0 0 5000 0 21205 0 461316 0 0 0 KEVIN ABEL CHIEF EXECUTIVE OFFICER 312608 0 56656 0 0 0 46485 0 20986 0 436735 0 0 0 JOHN MUIR MD PHYSICIAN 334565 0 0 0 0 0 5000 0 19454 0 359019 0 0 0 DAVID RICHHART CHIEF FINANCIAL OFFICER 240498 0 19644 0 0 0 12099 0 11906 0 284147 0 0 0 KATIERA RIVERA DO PHYSICIAN 251418 0 0 0 0 0 5000 0 20730 0 277148 0 0 0 EDWARD STEIN MD PHYSICIAN 228346 0 23000 0 0 0 5000 0 20526 0 276872 0 0 0 CAMERON GARDNER MD PHYSICIAN 235671 0 0 0 0 0 5000 0 20495 0 261166 0 0 0 PART I, LINE 1A THE CEO AUTHORIZES NORTH VALLEY HOSPITAL TO PAY FOR THE CEO'S MEMBERSHIP IN THE WHITEFISH ROTARY CLUB AND THE CFO'S HOUSING ALLOWANCE. PART I, LINE 4B THE HOSPITAL CONTRIBUTED $28,165 TO AN IRC SECTION 457(F) PLAN FOR KEVIN ABEL, CEO. PART I, LINE 6 NVH MANAGEMENT IS ELIGIBLE TO BE PAID A BONUS IF INDIVIDUAL GOALS ARE MET AND THE KALISPELL REGIONAL HEALTHCARE SYSTEM HAS FAVORABLE FINANCIAL RESULTS A MONTANA FACILITY FINANCE AUTHORITY 364615155 2016-08-01 20507000 REFUND 2012 SERIES BOND 0 0 0 A 20507240 105414 20401826 1 0 1 1 A 0 1 0 0 0.02000 0.02000 1 0 0 A 0 0 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE MAY 1, 2016, KALISPELL REGIONAL HEALTHCARE SYSTEM INC (KRHS) BECAME THE HOSPITAL'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN THE HOSPITAL AND KRHS, KRHS WILL APPOINT TWO OF KRHS TRUSTEES TO THE HOSPITAL'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REGARDING CHANGING THE HOSPITAL'S ACUTE CARE OFFERINGS, SELLING, DISPOSING, ASSIGNING OR EXCHANGING ANY PROPERTY OR ASSETS, ENTERING INTO ANY NEW DEBT, AND ENTERING INTO OTHER TRANSACTIONS ARE SUBJEC TO THE APPROVAL OF KRHS. GLACIER BANK HAS THE AUTHORITY TO VETO ANY MAJOR PURCHASE OR SERVICE AGREEMENT THAT THE HOSPITAL'S BOARD APPROVES, REGARDLESS OF WHETHER THE AGREEMENT AFFECTS THE HOSPITAL'S REAL ESTATE LOAN. FORM 990, PART VI, SECTION B, LINE 11B THE HOSPITAL'S CFO AND BOARD OF DIRECTORS REVIEW AND APPROVE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER ANNUALLY COMPLETES A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. THE BOARD REVIEWS EACH MEMBER'S STATEMENT AND, IF POTENTIAL ISSUES ARISE, THE BOARD MAY ASK THE MEMBER IN QUESTION TO LEAVE THE ROOM WHILE THE REST OF THE BOARD DISCUSSES AND VOTES ON THE MATTER. A BOARD MEMBER WITH A POTENTIAL CONFLICT OF INTEREST PRESENT FOR A VOTE WILL CAST AN ABSTAINING VOTE. EACH KEY EMPLOYEE IS REQUIRED TO REPORT TO THE SUPERVISOR OR THE COMPLIANCE OFFICER ANY POTENTIAL CONFLICTS OF INTEREST SITUATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD ANNUALLY REVIEWS AND APPROVES MANAGEMENT, OFFICERS, AND KEY EMPLOYEES' WAGES DURING THE BUDGET PROCESS, USING MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY TO DETERMINE FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 NORTH VALLEY HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 7,601,098. MANAGEMENT AND GENERAL EXPENSES 3,284,054. FUNDRAISING EXPENSES 6,475. TOTAL EXPENSES 10,891,627. NORTH VALLEY HOSPITAL FOUNDATION 1600 HOSPITAL WAY WHITEFISH MT 59937 810526541 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12D, III-O NORTH VALLEY HOSPITAL INC 0 KALISPELL REGIONAL HEALTHCARE SYSTEM 310 SUNNYVIEW LANE KALISPELL MT 59901 810406485 SUPPORT SUBSIDIARY TAX EXEMPT ORGANIZATIONS MT 501(C)(3) LINE 12C, III-FI N/A 0 KALISPELL REGIONAL HEALTHCARE FOUNDATION 310 SUNNYVIEW LANE KALISPELL MT 59901 311703013 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12B, II KALISPELL REGIONAL MEDICAL CENTER 1 NORTHWEST HORIZONS INC 310 SUNNYVIEW LANE KALISPELL MT 59901 810420653 OPERATE LONG TERM AMBULATORY FACILITY MT 501(C)(3) LINE 11 KALISPELL REGIONAL HEALTHCARE SYSTEM 1 THE SUMMIT MEDICAL FITNESS CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 237293874 COMMUNITY HEALTH & WELLNESS CENTER MT 501(C)(3) 10 KALISPELL REGIONAL HEALTHCARE SYSTEM 1 KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS 310 SUNNYVIEW LANE KALISPELL MT 59901 273866474 SUPPORTING ORGANIZATION MT 3 LINE 11 KALISPELL REGIONAL MEDICAL CENTER 1 KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 237293874 OPERATE ACUTE CARE HOSPITAL MT 501(C)(3) LINE 3 KALISPELL REGIONAL HEALTHCARE SYSTEM 0 ASSIST-FLATHEAD VALLEY 310 SUNNYVIEW LANE KALISPELL MT 59901 462669324 WELLNESS RESOURCE PROVIDER MT 501(C)(3) LINE 7 1 0 0 1 0 0 0 1 1 0 0 1 0 1 1 1 0 0 0 0 NORTH VALLEY HOSPITAL FOUNDATION C 410207 ACTUAL PAYMENT NORTH VALLEY HOSPITAL FOUNDATION O 169849 ACTUAL PAYMENT KALISPELL REGIONAL MEDICAL CENTER M 1528679 ACTUAL PAYMENT KALISPELL REGIONAL HEALTHCARE SYSTEM K 51248 ACTUAL PAYMENT KALISPELL REGIONAL MEDICAL CENTER H 85290 ACTUAL PAYMENT