2021-02-16T10:03:55-06:00 2020-03-31 810497523 JORDAHL & SLITER PLLC PO BOX 8600 KALISPELL MT 599041600 990 2019-04-01 203752312 THE SUMMIT MEDICAL FITNESS CENTER SUMM 4067515368 310 SUNNYVIEW LANE KALISPELL MT 59901 CRAIG BOYER CFO 4067515368 2021-02-13 1 JUSTIN P SLITER P00188996 4067521040 2021-02-13 2019 2022-09-23 18:48:47Z CRAIG BOYER 310 SUNNYVIEW LANE KALISPELL MT 59901 5716872 0 X WWW.KRH.ORG/SUMMIT X 2005 MT COMMUNITY HEALTH AND WELLNESS EDUCATION AND PRIMARY AND SECONDARY PREVENTION OF CHRONIC DISEASE 2 2 207 0 -25853 -48674 67566 181242 5541922 5273616 0 0 158973 125644 5768461 5580502 0 0 0 0 4148102 4095947 0 0 0 1759860 1630720 5907962 5726667 -139501 -146165 5086965 4725222 521870 826432 4565095 3898790 PROMOTED COMMUNITY HEALTH AND SAFETY THROUGH COMMUNITY ACTIVITIES AND SCHOOL BASED PROGRAMS, INCLUDING EDUCATIONAL SEMINARS, HEALTH SCREENINGS, SAFETY ACTIVITIES, THERAPEUTIC LIFE-STYLE PROGRAMS, AND ATHLETIC PHYSICALS AND TRAINING ACTIVITIES. 0 0 5073982 5273616 PROMOTED COMMUNITY HEALTH AND SAFETY THROUGH COMMUNITY ACTIVITIES AND SCHOOL BASED PROGRAMS, INCLUDING EDUCATIONAL SEMINARS, HEALTH SCREENINGS, SAFETY ACTIVITIES, THERAPEUTIC LIFE-STYLE PROGRAMS, AND ATHLETIC PHYSICALS AND TRAINING ACTIVITIES. 5073982 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 207 1 1 1 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CRAIG BOYER 4067521724 310 SUNNYVIEW LANE KALISPELL MT 59901 CRAIG LAMBRECHT MD PRESIDENT & CEO 1.25 48.75 X 0 1060464 20040 PAMELA ROBERTSON FORMER PRESIDENT 0.00 50.00 X 0 712251 0 TERESA FISHER CHIEF NURSING OFFICER 0.00 50.00 X 0 674876 18791 WILLIAM GIBSON GENERAL COUNSEL 1.25 48.75 X 0 579530 64367 DOUG NELSON MD CHIEF MEDICAL OFFICER 0.00 50.00 X 0 512582 32333 DEBORAH WILSON CHIEF OPERATING OFFICER 0.00 50.00 X 0 470630 38941 JASON SPRING CHIEF STRATEGY OFFICER 0.00 50.00 X 0 400589 64134 PATRICK RANKIN MD FORMER CHIEF MEDICAL OFFIC 0.00 50.00 X 0 311538 0 CRAIG BOYER CHIEF FINANCIAL OFFICER 1.25 48.75 X 0 292180 9157 KAREN PAUL CHIEF HUMAN RESOURCES OFFICER 1.25 48.75 X 0 260162 7412 BRAD ROY EXEC DIRECTOR THE SUMMIT 32.50 17.50 X 0 200276 36092 CINDY MORRISON CHIEF TRANSFORMATION OFFICER 1.25 48.75 X 0 223629 88 JASON PITTS CHIEF NURSING OFFICER 0.00 50.00 X 0 150127 23688 RON MARTIN CHIEF MEDICAL OFFICER 0.00 50.00 X 0 64520 0 BARBRA BENNETT TRUSTEE 1.00 0.00 X 0 0 0 STEVE PATYK TRUSTEE 1.00 0.00 X 0 0 0 0 5913354 315043 0 1 1 0 0 181242 181242 MEMBERSHIP DUES 713940 3570777 3570777 PROGRAM ACTIVITIES 900099 1702839 1702839 5273616 5760 8210 0 0 5760 8210 13970 800 13170 149219 136370 12849 -26653 39502 CHILD CARE 624410 69243 69243 CAFETERIA/VENDING 722513 29582 29582 98825 5580502 5273616 -25853 151497 66441 66441 2890821 2510209 380612 135285 16138 119147 794793 775595 19198 208607 177193 31414 11707 11707 6364 6364 215220 193695 21525 202189 202189 10564 7923 2641 419658 419658 15564 15564 REPAIRS & MAINTENANCE 354902 354902 OTHER EXPENSE 225124 225124 PURCHASED SERVICES 161109 161109 BAD DEBTS 8319 8319 5726667 5073982 652685 0 656180 709391 345339 178915 54475 5764 14259386 10639014 4030971 3620372 0 210780 5086965 4725222 364400 452708 157470 184130 0 189594 521870 826432 X 4565095 3898790 4565095 3898790 5086965 4725222 X -146165 -520140 X 0 1 X 1 0 X 9450 67566 181242 258258 5182412 5508362 5851092 5541922 5273616 27357404 47249 62502 63902 85650 98825 358128 5239111 5570864 5914994 5695138 5553683 27973790 0 0 0 27973790 72185 27430 14621 14393 13970 142599 111935 18235 39397 35756 0 205323 184120 45665 54018 50149 13970 347922 5423231 5616529 5969012 5745287 5567653 28321712 0.98770 0.98240 0.01230 0.01760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 541728 541728 6327526 4430599 1896927 4851170 4184957 666213 1610921 1357807 253114 928041 665651 262390 3620372 LEASE LIABILITIES 189594 189594 X 5572183 0 5572183 8319 8319 5580502 5718348 0 5718348 8319 8319 5726667 PART X, LINE 2: THE CORPORATION ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION (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 CORPORATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECORDED AS AN ADJUSTEMENT TO REVENUE 8,319. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECORDED AS AN ADJUSTEMENT TO REVENUE 8,319. X X X 1 1 X 0 1 0 0 0 0 0 1 0 CRAIG LAMBRECHT MD PRESIDENT & CEO 0 760464 0 300000 0 0 0 0 0 20040 0 1080504 0 0 PAMELA ROBERTSON FORMER PRESIDENT 0 12233 0 100000 0 600018 0 0 0 0 0 712251 0 0 TERESA FISHER CHIEF NURSING OFFICER 0 209950 0 72109 0 392817 0 0 0 18791 0 693667 0 0 WILLIAM GIBSON GENERAL COUNSEL 0 375003 0 158157 0 46370 0 35800 0 28567 0 643897 0 0 DOUG NELSON MD CHIEF MEDICAL OFFICER 0 417421 0 95161 0 0 0 5000 0 27333 0 544915 0 0 DEBORAH WILSON CHIEF OPERATING OFFICER 0 332883 0 88580 0 49167 0 13919 0 25022 0 509571 0 0 JASON SPRING CHIEF STRATEGY OFFICER 0 286728 0 63832 0 50029 0 35800 0 28334 0 464723 0 0 PATRICK RANKIN MD FORMER CHIEF MEDICAL OFFIC 0 0 0 0 0 311538 0 0 0 0 0 311538 0 0 CRAIG BOYER CHIEF FINANCIAL OFFICER 0 192180 0 100000 0 0 0 0 0 9157 0 301337 0 0 KAREN PAUL CHIEF HUMAN RESOURCES OFFICER 0 183338 0 75000 0 1824 0 0 0 7412 0 267574 0 0 BRAD ROY EXEC DIRECTOR THE SUMMIT 0 149469 0 26531 0 24276 0 12374 0 23718 0 236368 0 0 CINDY MORRISON CHIEF TRANSFORMATION OFFICER 0 102954 0 120002 0 673 0 0 0 88 0 223717 0 0 JASON PITTS CHIEF NURSING OFFICER 0 147020 0 3107 0 0 0 8792 0 14896 0 173815 0 0 PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL - SMFC 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 - SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $25,000 AND MEMBERS OF THE ADMINISTRATIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $19,000 FOR 2019. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, AND CAO. THE ADMINISTRATIVE TEAM INCLUDES THE EXEC. DIRECTOR THE SUMMIT. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - ALL EXECUTIVE AND ADMINISTRATIVE TEAM MEMBERS RECEIVE A FREE MEMBERSHIP TO THE SUMMIT. PART I, LINE 4B SOME MEMBERS OF THE EXECUTIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $25,000 AND MEMBERS OF THE ADMINISTRATIVE TEAM RECEIVED A 457 PLAN CONTRIBUTION OF $19,000 FOR 2019. THE EXECUTIVE TEAM INCLUDES: PRESIDENT, CFIO, CNO, CMO, COO, AND CAO. THE ADMINISTRATIVE TEAM INCLUDES THE EXEC. DIRECTOR THE SUMMIT. 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. FORM 990, PART VI, SECTION A, LINE 6 THE SUMMIT MEDICAL FITNESS CENTER HAS ONE MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, KALISPELL REGIONAL HEALTHCARE SYSTEM. SIGNIFICANT DECISIONS INCLUDE CHANGES TO THE BOARD OF DIRECTORS, CONFIRMATION OF THE ANNUAL BUDGETS, ENTERING INTO LARGE CONTRACTS, AND REORGANIZATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION EMAILED TO EACH MEMBER OF ITS GOVERNING BODY A COPY OF THE ENTIRE FORM 990 FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C 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 15 KALISPELL REGIONAL HEALTHCARE SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL ITS EMPLOYEES, INCLUDING THE SENIOR EXECUTIVES. SALARY AND BENEFITS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE DETERMINED BY THE KALISPELL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS. THE BOARD REVIEWS BASE SALARY AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THESE REPORTS ARE CONSIDERED AND A DETERMINATION IS MADE AS TO THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD EMBRACES THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL WHICH FAVORS 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 ALSO REVIEWS PERFORMANCE TARGETS, WHICH ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION. THESE MEASURES INCLUDE ORGANIZATIONAL AND INDIVIDUAL GOALS, EFFORTS TO FURTHER THE MISSION AND VISION OF KALISPELL REGIONAL HEALTHCARE SYSTEM, QUALITY INDICATORS, CUSTOMER/PATIENT SATISFACTION, AND FINANCIAL PERFORMANCE OBJECTIVES. THE BOARD REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. FORM 990, PART VI, SECTION C, LINE 19 ONLY FORM 990 IS AVAILABLE. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATE -520,140. FORM 990, PART VII, SECTION A, COLUMN (B) - AVERAGE HOURS PER WEEK THE OFFICERS OF THE SUMMIT MEDICAL FITNESS 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. ASSIST-FLATHEAD VALLEY 310 SUNNYVIEW LANE KALISPELL MT 59901 462669324 WELLNESS RESOURCE PROVIDER MT 501(C)(3) LINE 7 KALISPELL REGIONAL HEALTHCARE SYSTEM 1 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 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 MEDICAL CENTER VOLUNTEERS INC 310 SUNNYVIEW LANE KALISPELL MT 59901 273866474 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 11 KALISPELL REGIONAL MEDICAL CENTER 1 KALISPELL REGIONAL MEDICAL CENTER INC 310 SUNNYVIEW LANE KALISPELL MT 59901 237293874 OPERATE ACCUTE CARE HOSPITAL MT 501(C)(3) LINE 11 KALISPELL REGIONAL HEALTHCARE SYSTEM 1 NORTH VALLEY HOSPITAL FOUNDATION 1600 HOSPITAL WAY WHITEFISH MT 59937 810526541 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12D, III-O N/A 0 NORTH VALLEY HOSPITAL INC 1600 HOSPITAL WAY WHITEFISH MT 59937 810247969 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 KALISPELL REGIONAL HEALTHCARE SYSTEM 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 MRICT JOINT OPERATING AGREEMENT 310 SUNNYVIEW LANE KALISPELL MT 59901 205010390 DIAGNOSTIC SCREENING MT N/A N/A 0 0 HEALTHCENTER NORTHWEST LLC 310 SUNNYVIEW LANE KALISPELL MT 59901 810540517 ACUTE CARE HOSPITAL MT N/A N/A 0 0 FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC 310 SUNNYVIEW LANE KALISPELL MT 59901 810541707 COMMERCIAL BUILDING RENTAL MT N/A N/A 0 0 NORTHWEST ORTHOPEDICS & SPORTS MEDICINE LLC 310 SUNNYVIEW LANE KALISPELL MT 59901 371518772 ORTHOPEDIC MEDICINE MT N/A N/A 0 0 APPLIED HEALTH SERVICES INC 310 SUNNYVIEW LANE KALISPELL MT 59901 810413632 HEALTH RELATED MT N/A C 1 1 0 0 0 1 0 0 0 0 1 0 1 1 1 1 1 1 1 0 KALISPELL REGIONAL MEDICAL CENTER A 380422 ACTUAL PAYMENT APPLIED HEALTH SERVICES INC A 5760 ACTUAL PAYMENT KALISPELL REGIONAL MEDICAL CENTER L 866666 ACTUAL PAYMENT APPLIED HEALTH SERVICES INC L 50042 ACTUAL PAYMENT APPLIED HEALTH SERVICES INC M 76626 ACTUAL PAYMENT NORTHWEST HORIZONS INC L 51149 ACTUAL PAYMENT HEALTHCENTER NORTHWEST LLC L 51855 ACTUAL PAYMENT