2024-02-15T14:37:28-06:00 2023-03-31 810497523 JORDAHL & SLITER PLLC PO BOX 8600 KALISPELL MT 599041600 990 2022-04-01 237293874 KALISPELL REGIONAL MEDICAL CENTER KALI 4067515759 310 SUNNYVIEW LANE KALISPELL MT 59901 COLE TURNER SYSTEM CFO 4067521724 2024-02-15 1 COLE TURNER 000005128 1 JUSTIN P SLITER P00188996 4067521040 2024-02-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LOGAN HEALTH MEDICAL CENTER COLE TURNER 310 SUNNYVIEW LANE KALISPELL MT 59901 657525711 0 X LOGAN.ORG X 1973 MT LOGAN HEALTH MEDICAL CENTER IS A 150-BED ACUTE CARE REGIONAL REFERRAL CENTER, PROVIDING A FULL SPECTRUM OF HEALTH CARE SERVICES, INCLUDING CARDIOVASCULAR CARE, ONCOLOGY, NEUROSCIENCE AND SPINE CARE, ORTHOPEDICS, WOMEN'S HEALTH, SURGICAL CARE, PEDIATRICS AND BEHAVIORAL HEALTH. 11 6 3341 33 221638 163076 15939453 14408657 610434104 610805435 4344421 1342342 3539393 3191032 634257371 629747466 0 0 0 0 311056116 281268429 0 0 0 303074523 333815026 614130639 615083455 20126732 14664011 591661793 556986660 370222053 326271363 221439740 230715297 X LOGAN HEALTH MEDICAL CENTER IS A 150-BED ACUTE CARE REGIONAL REFERRAL CENTER, PROVIDING A FULL SPECTRUM OF HEALTH CARE SERVICES, INCLUDING CARDIOVASCULAR CARE, ONCOLOGY, NEUROSCIENCE AND SPINE CARE, ORTHOPEDICS, WOMEN'S HEALTH, SURGICAL CARE, PEDIATRICS AND BEHAVIORAL HEALTH. 0 0 532415264 610583797 LOGAN HEALTH MEDICAL CENTER IS A 150-BED ACUTE CARE REGIONAL REFERRAL CENTER, PROVIDING A FULL SPECTRUM OF HEALTH CARE SERVICES, INCLUDING CARDIOVASCULAR CARE, ONCOLOGY, NEUROSCIENCE AND SPINE CARE, ORTHOPEDICS, WOMEN'S HEALTH, SURGICAL CARE, PEDIATRICS AND BEHAVIORAL HEALTH. 532415264 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 0 0 1 331 0 3341 1 1 1 0 0 0 0 0 0 0 1 0 X 11 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 4067515759 310 SUNNYVIEW LANE KALISPELL MT 59901 X CRAIG LAMBRECHT MD SYSTEM CEO 12.50 37.50 X X 0 1250055 37864 KAREN PERSER MD TRUSTEE 50.00 X 962400 0 21076 VASSILIS SIOMOS MD TRUSTEE 1.00 X 432303 0 25326 COURTNEY STOUT PATERSON MD TRUSTEE 50.00 X 351038 0 27694 DON BENNETT TRUSTEE 1.00 X 0 0 0 JAY T JOHNSON TRUSTEE 1.00 X 0 0 0 BONNIE MATOSICH TRUSTEE 2.00 X 0 0 0 ROBERT NYSTUEN TRUSTEE 2.00 X 0 0 0 TOM RAY TRUSTEE 2.00 X 0 0 0 HENRY RICKLEFS TRUSTEE 1.00 X 0 0 0 ELIZABETH SCHILLING TRUSTEE 2.00 X 0 0 0 CRAIG BOYER SYSTEM CFO PART YEAR 30.00 20.00 X 0 672222 24842 COLE TURNER SYSTEM CFO 30.00 20.00 X 0 453733 5739 KEVIN ABEL PRESIDENT 25.00 25.00 X 382654 0 34571 APRIL MCGAULEY PRESIDNT PART YEAR 25.00 25.00 X 356071 0 35951 BENJAMIN WARD MD PHYSICIAN 50.00 X 1635732 0 26192 JOSEPH BERGMAN MD PHYSICIAN 50.00 X 1152261 0 24900 TIMOTHY JOYCE MD PHYSICIAN 50.00 X 982842 0 25715 MARK MAGILL MD PHYSICIAN 50.00 X 968690 0 27286 KIM STIMPSON MD PHYSICIAN 50.00 X 929454 0 23424 8153445 2376010 340580 478 0 1 0 TRAVEL NURSE ACROSS AMERICA LLC 1834 SALLY HILL FARMS BLVD FLORENCE SC 29501 NURSING SERVICES 26529559 NORTHWEST IMAGING 44 SECOND AVE W KALISPELL MT 59901 IMAGING SERVICES 10805204 SILVER TIP EMERGENCY PHYSICIANS 202 CONWAY DR KALISPELL MT 59901 EMERGENCY ROOM PHYSICIANS 5708937 NUWEST GROUP HOLDINGS LLC PO BOX 940 ROSEVILLE CA 95661 NURSING SERVICES 5501555 NORTHERN ROCKIES ANESTHESIA PO BOX 24823 SEATTLE WA 98124 ANESTHESIA SERVICES 3637720 29 3401799 11006858 14408657 MEDICAL SERVICE REVENUE 621990 592192771 592192771 COMPREHENSIVE PRIMARY CARE REVENU 621400 16338397 16338397 OUTREACH PROGRAMS 621990 1104902 1104902 1169365 947727 221638 610805435 2026633 2026633 65068 0 65068 65068 65068 26700667 393287 27640037 138208 -939370 255079 -684291 -684291 CHILD CARE 624410 1950246 1950246 CAFETERIA 722514 1175718 1175718 3125964 629747466 610583797 221638 4533374 1826176 1826176 228022071 219956867 8065204 10087102 9695918 391184 31409365 29795659 1613706 9923715 9312164 611551 33042858 32953177 89681 405377 391801 13576 2738158 1774076 964082 23346641 23035433 311208 2014665 1978716 35949 7339079 7339079 23957101 20555955 3401146 2743888 950744 1793144 SUPPLIES 123932021 123669468 262553 ALLOCATED EXPENSES 60238272 60238272 CONTRACT LABOR 23366429 23194935 171494 BAD DEBTS 15187300 15187300 15503237 12623972 2879265 615083455 532415264 82668191 0 107624200 55507338 88690140 83247419 594116 1215515 78642624 78710113 50620587 37153882 16644104 16593161 6757078 4836334 481781977 300816305 195236437 180965672 966247 966247 45886260 97790979 591661793 556986660 91123767 84771452 213764560 168579322 1302099 965435 64031627 71955154 370222053 326271363 X 204296165 209231766 17143575 21483531 221439740 230715297 591661793 556986660 X 14664011 -4214078 -1174376 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1 1 13757 13757 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION IS ATTIBUTABLE TO LOBBYING EFFORTS BY THAT ASSOCIATION. 17143575 6345597 -111155 1894487 21483530 14668013 2701786 195718 421942 17143575 12004379 1439008 1224626 14668013 8774184 6873648 -679118 2964335 12004379 11701919 -125311 2802424 8774184 0.20230 0.79770 0 1 1 379665 379665 285822217 152959064 132863153 190470037 147857241 42612796 5110058 5110058 180965672 FUNDS HELD BY TRUSTEE 5836669 ASSIST ASSETS 348895 ESTIMATED INSURANCE RECOVERIES 2345000 OTHER ASSETS 19594827 RIGHT OF USE ASSETS 27137719 DUE FROM AFFILIATE 42527869 97790979 PAYABLE TO CONTRACTUAL AGENCIES 39723177 DUE TO AFFILIATES 32231977 71955154 X 622790406 -4214078 13652357 9438279 613352127 16395339 16395339 629747466 617312520 17416365 17416365 599896155 15187300 15187300 615083455 PART X, LINE 2: THE CORPORATION ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES. ASC TOPIC 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 2D - OTHER ADJUSTMENTS: ACTIVITY OF KRMC VOLUNTEERS (EIN 27-3866474) 12,235. INCOME RECORDED ON CONSOLIDATED BASIS 1,555,514. RECLASSIFICATION OF HOME OFFICE EXPENSES 10,522,956. RECLASSIFICATION OF OTHER EXPENSES 1,561,652. PART XI, LINE 4B - OTHER ADJUSTMENTS: SUPPORT FROM AFFILIATED FOUNDATION 1,208,039. BAD DEBT EXPENSE INCLUDED IN NET REVENUES 15,187,300. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECORDED ON CONSOLIDATED BASIS 5,331,757. RECLASSIFICATION OF HOME OFFICE EXPENSES 10,522,956. RECLASSIFICATION OF OTHER EXPENSES 1,561,652. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE INCLUDED IN NET REVENUES 15,187,300. 1 1 X 1 X 1 X 1 1 1 0 0 5718935 5718935 0.00950 115127013 91999460 23127553 0.03860 120845948 91999460 28846488 0.04810 1284138 667233 616905 0.00100 67021749 48889436 18132313 0.03020 1085666 661013 424653 0.00070 69391553 50217682 19173871 0.03190 190237501 142217142 48020359 0.08000 18800 18800 0.00000 1827014 1600 1825414 0.00300 1750 1750 0.00000 4646 4646 0.00000 25752 25752 0.00000 1877962 1600 1876362 0.00300 1 15187300 122119801 191324905 -69205104 X 1 0 1 1 KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 HTTPS://WWW.LOGAN.ORG/LOGAN-HEALTH-MED X X X KALISPELL REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X LOGAN.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 21 1 LOGAN.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.LOGAN.ORG/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.LOGAN.ORG/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.LOGAN.ORG/PAY-BILL/FINANCIAL-ASSISTANCE-PROGRAM X X X X 1 0 X X X 1 X 0 1 KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: LOGAN HEALTH, LOGAN HEALTH - WHITEFISH, 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 RANDOM SAMPLE OF LANDLINE AND CELL PHONE INTERVIEWS WITH FLATHEAD COUNTY RESIDENTS. THE SAMPLE SIZE WAS 400 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 PROVIDE 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, 18 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGHOUT THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: LOGAN HEALTH - WHITEFISH KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FLATHEAD CITY-COUNTY HEALTH DEPARTMENT AND FLATHEAD COMMUNITY HEALTH CENTER KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: AS A RESULT OF THE RESEARCH AND RECOMMENDATIONS THAT APPEAR IN THE FLATHEAD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2021 AND FURTHER EXPLORATION WITH KALISPELL REGIONAL MEDICAL CENTER (KRMC) ADMINISTRATORS, MEDICAL STAFF AND BOARD OF TRUSTEES, THE FOLLOWING STRATEGIES, ADOPTED BY THE LOGAN HEALTH - WHITEFISH BOARD OF DIRECTORS ON DECEMBER 12, 2021 AND BY THE LOGAN HEALTH BOARD OF TRUSTEES ON FEBRUARY 10, 2022, WILL GUIDE KRMC'S LEADERSHIP IN ADDRESSING THE COMMUNITY'S IDENTIFIED HEALTH NEEDS OVER THE NEXT THREE YEARS.1. MENTAL HEALTH AND SUBSTANCE ABUSE. KRMC IS COMMITTED TO CONTINUING THE PROVISION OF MENTAL HEALTH CARE THROUGH MANY EXISTING SERVICES. TO AUGMENT THESE SERVICES, KRMC WILL: A. ALCOHOL AND TOBACCO USE. IMPLEMENT TOBACCO SCREENING FOR VERY INPATIENT AND OUTPATIENT, DEVELOP A CARE PATHWAY FOR EDUCATION AND SUPPORT OF PATIENTS WHO USE ALCOHOL OR TOBACCO, EDUCATE PROVIDERS AND IMPLEMENT SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT FOR EVERY PATIENT, DEVELOP REGISTRIES FOR CARE COORDINATORS TO DO OUTREACH AND FOLLOW-UP ON PRESCRIBED PROGRAMS, AND PROVIDE EDUCATION AND COMMUNICATION AROUND TOBACCO-FREE CAMPUS. B. OPIOID USE AND MEDICATION ASSISTED THERAPY. WORK TO IMPLEMENT SYSTEM-WIDE OPIOID POLICY, WHICH INCLUDES PATIENT CONTRACTS TO ASSURE PATIENT SAFETY, EDUCATION, MONITORING, COMPLIANCE AND MONITORING OF OPIOID UTILIZATION, CONDUCT PROVIDER EDUCATION AROUND PRESCRIBING PRACTICES, INCLUDE PHYSICAL AND OCCUPATIONAL THERAPY IN TREATMENT PLAN, IMPROVE ACCESS TO MEDICATION ASSISTED TREATMENT & ASSOCIATED OPIOID TREATMENT MODALITIES, 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, AND INCREASE COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT PATIENT NEEDS. 2. CHRONIC DISEASE MANAGEMENT AND PREVENTION. KRMC 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, KRMC WILL: A. RESPIRATORY DISEASE. EDUCATE PRIMARY CARE PROVIDERS WITHIN LOGAN HEALTH NETWORK ON USE OF LOW DOSE CT SCAN FOR LUNG CANCER SCREENING, INCREASE SLEEP APNEA SCREENING, EXPAND ASTHMA EDUCATION PROGRAM TO OUTPATIENT CLINICS, DEVELOP CARE REGISTRIES OF OUTREACH SERVICES. B. CANCER. PROVIDE CLASSES SUCH AS COOKING FOR WELLNESS AND ADVANCE CARE TO YOUTH AND ADULTS AFFECTED BY CANCER. C. HEART DISEASE. STANDARDIZE HYPERTENSION SCREENING WITHIN NETWORK CLINCIAL SETTINGS, IN CONJUNCTION WITH THE HEALTH MEASURES PROGRAM IMPLEMENT A PROGRAM FOR FOLLOW UP OF ABNORMAL FINDINGS, AND OFFER COMMUNITY EVENTS TO INCREASE ENGAGEMENT. D. DIABETES. DEVELOP CROSS CONTINUUM DIABETES SCREENING STRATEGIES PER AMERICAN DIABETES ASSOCIATION CRITERIA IN AMBULATORY, INPATIENT AND COMMUNITY SETTINGS, BUILD STRONGER/MORE ENGAGED COMMUNITY DIABETES ADVISORY COMMITTEE, CREATE A PRIMARY CARE DIABETES PATHWAY TO CONNECT PATIENTS WITH DIABETES TO SUPPORT AND RESORCES THEY NEED. 3. ACCESS TO CARE. ASSISTING PATIENTS IN NAVIGATING LOGAN HEALTH IS A PRIORITY FOR THE ORGANIZATION. TO AUGMENT THESE SERVICES, KRMC WILL: A. EXPAND NUMBER OF PRIMARY AND SPECIALTY CARE PROVIDERS. DEVELOP A HEALTHCARE ACCESS COMMITTEE, IDENTIFY STANDARD FOR APPROPRIATE PANEL SIZE FOR PRIMARY CARE PROVIDERS AND 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 AROUND APPROPRIATE ACCESS TO POINTS OF CARE, AND 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. KRMC RECOGNIZES THE IMPORTANCE OF HEALTH AND WELLBEING FOR COMMUNITY MEMBERS AND THE NEED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. TO AUGMENT THESE SERVICES KRMC WILL: A. POVERTY. SUPPORT SHEPHERD'S HAND FREE CLINIC (MEDICAL AND DENTAL). B. HOUSING. DEVELOP A TASK FORCE FOR APPLICATION AND MANAGEMENT OF THE MONTANA HEALTHCARE FOUNDATION'S "HOUSING AS HEALTHCARE" PLANNING GRANT. C. TRANSPORTATION. EXPLORE OPPORTUNITIES TO SUPPORT GROWTH FOR EAGLE TRANSIT, ASSESS FEASIBILITY OF UBERHEALTH ADOPTION OR SIMILAR PORGRAM THAT MAY BE SUPPORTED BY LOGAN HEALTH, SUPPORT ASSIST PROGRAM IN COORDINATING SPECIFIC CLINIC DAYS WITH LOGAN HEALTH CLINICS TO MAXIMIZE RIDE SHARES, INVESTIGATE FEASIBILITY OF PARTNERSHIP WITH MT DPHHS AND LOCAL EMS TO APPLY FOR GRANT FUNDING TO PILOT OR SUPPORT GROWTH OF EMS AS COMMUNITY HEALTH WORKER. D. FOOD INSECURITY. HOST QUARTERLY FOOD DRIVES TO RAISE FOOD FOR LOCAL FOOD BANKS, INITIATE CONVERSATIONS WITH REGIONAL GROWERS TO HOST FARMERS MARKET AT LOGAN HEALTH HOSPITALS ON A WEEKLY BASIS, AND CREATE A FOOD ACCESS TASK FORCE. E. BUILT ENVIRONMENT. SUPPORT PRIVATE AND PUBLIC DEVELOPMENT INITIATIVES CREATING ACTIVE TRANSPORTATION AVAILABLE IN ALL FLATHEAD COUNTY COMMUNITIES, CONTINUE GOAL DEVELOPMENT TO IMPROVE PEDESTRIAN MOVEMENT ON THE LOGAN HEALTH AND KALISPELL REGIONAL MEDICAL CENTER CAMPUSES.KRMC WILL SUPPORT INCREASING COMMUNITY RESILIENCE AND TO AUGMENT THESE SERVICES KRMC WILL: A. TRAUMA INFORMED CARE. CREATE CONSISTENT EDUCATION FOR PROVIDERS AND CARE GIVERS REGARDING TRAUMA, IDENTIFY MEDICAL EXAMS AND PROCEDURES THAT EXACERBATE TRAUMA AND APPROACH PATIENTS FROM A CULTURE OF SAFETY, EMPOWERMENT AND HEALING, ADN USE COMMUNITY EVENTS AS AVENUES FOR EDUCATION AND AWARENESS. B. ACCESS TO NON-CLINICAL SERVICES. COMMUNITY RESOURCE PARTNERS WILL ASSIST PEOPLE IN THEIR HOMES TO CONNECT THEM TO COMMUNITY RESOURCES TO HELP THEM REGAIN THEIR HEALTH AND INDEPENDENCE. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FPG CRITERIA BUT WHOSE SELF-PAY BALANCE EXCEEDS $75,000 ARE SEPARATELY CONSIDERED FOR FINANCIAL ASSISTANCE BASED ON INDIVIDUAL CIRCUMSTANCES. KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: - THE PATIENT'S SELF-PAY BALANCE EXCEEDS $75,000.- PROOF OF CURRENT ELIGIBILITY IN A QUALIFYING STATE OR FEDERAL NEED-BASED ASSISTANCE PROGRAM SUCH AS SNAP OR WIC- ELIGIBILITY DETERMINATIONS FROM APPROVED CHARITABLE ENTITIES AND FOUNDATIONS, SUCH AS SHEPHERD'S HAND FREE CLINIC- VALIDATED PATIENT HOMELESSNESS KALISPELL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 24: KALISPELL REGIONAL MEDICAL CENTER CHARGES THE SAME FOR SERVICES REGARDLESS OF AN INDIVIDUAL'S INSURANCE OR NON-INSURED STATUS. AN ADJUSTMENT IS THEN MADE TO THE CHARGE FOR PATIENTS WHO ARE ELIGIBLE INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C: - THE PATIENT'S SELF-PAY BALANCE EXCEEDS $75,000.- PROOF OF CURRENT ELIGIBILITY IN A QUALIFYING STATE OR FEDERAL NEED-BASED ASSISTANCE PROGRAM SUCH AS SNAP OR WIC- ELIGIBILITY DETERMINATIONS FROM APPROVED CHARITABLE ENTITIES AND FOUNDATIONS, SUCH AS SHEPHERD'S HAND FREE CLINIC- VALIDATED PATIENT HOMELESSNESS PART I, LINE 7: INTERNAL FINANCIAL REPORTS WERE UTILIZED FOR THE ENTIRE TABLE. THE FINANCIAL REPORTS COVER ALL PATIENT SEGMENTS. 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 $15,187,300. PART II, COMMUNITY BUILDING ACTIVITIES: KALISPELL REGIONAL MEDICAL CENTER PROVIDES FUNDING TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, KALISPELL REGIONAL MEDICAL CENTER 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 2: TO DETERMINE THE AMOUNT REPORTED ON LINE 2, PART III, THE AMOUNTS WRITTEN OFF TO BAD DEBT ARE WHAT IS LEFT OVER AFTER ANY APPLICABLE DISCOUNTS, INSURANCE, AND PAYMENTS HAVE BEEN APPLIED. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT RECEIVABLES ARE WRITTEN OFF WHEN ALL OTHER RESOURCES HAVE BEEN EXHAUSTED AND REMAINING BALANCE IS DEEMED UNCOLLECTIBLE, PER HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART III, LINE 4: BAD DEBT EXPENSE IS BASED ON ACTUAL WRITE-OFFS OF PATIENT CHARGES AS WELL AS AN ESTIMATE FOR OUTSTANDING A/R BASED ON HISTORICAL COLLECTION TRENDS FOR SIMILAR INSURED AND UNINSURED ACCOUNTS. 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.THE FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED ON PAGES 11 THROUGH 17 OF THE ORGANIZATIONS'S FINANCIAL STATEMENTS. PART III, LINE 8: COST TO CHARGE RATIO WAS UTILIZED TO PREPARE THE FORM 990. MEDICARE TOTALS PROVIDED EXCLUDE AMOUNTS REPORTED UNDER COMMUNITY BENEFIT PROGRAMS. 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. THE MEDICARE SHORTFALL, IF ANY, REPRESENTS A COST ABSORBED BY THE HOSPITAL AS A RESULT OF PROVIDING CARE TO MEDICARE PATIENTS. THE COST OF PROVIDING THIS BENEFIT TO THE COMMUNITY SHOULD BE REPORTED AS SUCH. PART VI, LINE 2: KALISPELL REGIONAL MEDICAL CENTER IDENTIFIES NEEDS THROUGHOUT THE COMMUNITY BY UTILIZING COMMUNITY REPRESENTATIVES ON KALISPELL REGIONAL MEDICAL CENTER 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. KALISPELL REGIONAL MEDICAL CENTER MAINTAINS A CLOSE RELATIONSHIP TO THE COMMUNITY BY PROVIDING INFORMATION AND EDUCATION ABOUT UPCOMING HEALTH CARE ISSUES OR CHANGES AT KALISPELL REGIONAL MEDICAL CENTER AND SOLICITS FEEDBACK FROM THE COMMUNITY. ONCE NEEDS ARE IDENTIFIED, THE KALISPELL REGIONAL MEDICAL CENTER BOARD AND ADMINISTRATION WORK TO PRIORITIZE NEEDS BASED UPON THE MISSION AND VALUES OF KALISPELL REGIONAL MEDICAL CENTER. PART VI, LINE 3: KALISPELL REGIONAL MEDICAL CENTER DISPLAYS ITS FINANCIAL ASSISTANCE POLICY (FAP) ON ITS WEBSITE. FAP IS DISCUSSED AND INCLUDED IN THE PATIENT SERVICE AGREEMENT SIGNED BY THE PATIENT AT THE TIME OF THEIR SERVICE. THROUGH VARIOUS COMMUNICATION CHANNELS, KRMC NOTIFIED THE COMMUNITY OF OUR FAP AND THE ELIGIBILITY REQUIREMENTS. PART VI, LINE 4: KALISPELL REGIONAL MEDICAL CENTER IS A SOLE COMMUNITY MEDICARE HOSPITAL IN NORTHWEST MONTANA. KALISPELL REGIONAL MEDICAL CENTER SERVES PATIENTS IN A LARGE GEOGRAPHIC AREA, THAT COVERS ALL OF NORTHWESTERN MONTANA, PARTS OF NORTHEASTERN IDAHO AND AREAS OF CENTRAL MONTANA. KALISPELL REGIONAL MEDICAL CENTER SERVES ALL PATIENTS REGARDLESS OF THEIR INCOME AND REGARDLESS OF THEIR PAYER. IN FLATHEAD COUNTY, 9.5% OF THE RESIDENTS LIVE AT OR BELOW 100% OF FEDERAL POVERTY LEVELS. PART VI, LINE 5: THIS WAS ANSWERED BY QUESTION 2 INFORMATION. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 BENJAMIN WARD MD PHYSICIAN 1532507 0 0 0 103225 0 10838 0 15354 0 1661924 0 0 0 CRAIG LAMBRECHT MD SYSTEM CEO 0 963668 0 286387 0 0 0 20678 0 17186 0 1287919 0 0 JOSEPH BERGMAN MD PHYSICIAN 1039811 0 4400 0 108050 0 9546 0 15354 0 1177161 0 0 0 TIMOTHY JOYCE MD PHYSICIAN 893242 0 0 0 89600 0 9231 0 16484 0 1008557 0 0 0 MARK MAGILL MD PHYSICIAN 875190 0 0 0 93500 0 11539 0 15747 0 995976 0 0 0 KAREN PERSER MD TRUSTEE 838131 0 0 0 124269 0 10142 0 10934 0 983476 0 0 0 KIM STIMPSON MD PHYSICIAN 919304 0 0 0 10150 0 10393 0 13031 0 952878 0 0 0 CRAIG BOYER SYSTEM CFO PART YEAR 0 571088 0 101134 0 0 0 16474 0 8368 0 697064 0 0 COLE TURNER SYSTEM CFO 0 133733 0 320000 0 0 0 1442 0 4297 0 459472 0 0 VASSILIS SIOMOS MD TRUSTEE 432303 0 0 0 0 0 12862 0 12464 0 457629 0 0 0 KEVIN ABEL PRESIDENT 317945 0 64709 0 0 0 17657 0 16914 0 417225 0 0 0 APRIL MCGAULEY PRESIDNT PART YEAR 330766 0 25305 0 0 0 19014 0 16937 0 392022 0 0 0 COURTNEY STOUT PATERSON MD TRUSTEE 304288 0 46750 0 0 0 12319 0 15375 0 378732 0 0 0 PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL. KRMC ONLY PROVIDES FIRST CLASS TRAVEL PAID WITH POINTS. 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. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. THE MEMBERS OF KRMC'S ADMINISTRATIVE TEAM RECEIVE A FREE MEMBERSHIP TO THE SUMMIT MEDICAL FITNESS CENTER, AN AFFILIATED ORGANIZATION. PART I, LINE 4B CRAIG LAMBRECHT, KEVIN ABEL, AND APRIL MCGAULEY PARTICIPATED IN A SECTION 457(F) DEFERRED COMPENSATION PLAN BUT RECEIVED NO PAYMENTS. A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES SELECTS THE PLAN'S PARTICIPANTS FROM A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. THE EMPLOYER WILL CONTRIBUTE TO THE PLAN BASED ON THE TERMS OF THE PARTICIPANT'S INCENTIVE COMPENSATION PLAN. THE FUNDS IN THE PARTICIPANT'S NON-RETIREMENT ACCOUNT ARE DISTRIBUTABLE IN THE THIRD YEAR AFTER THE PARTICIPANT PERFORMS THE SERVICES ATTRIBUTABLE TO THE DEFERRED COMPENSATION. THE PARTICIPANT CAN DEFER DISTRIBUTION. THE FUNDS IN THE PARTICIPANT'S RETIREMENT ACCOUNT ARE DISTRIBUTABLE WHEN THE PARTICIPANT SEPARATES FROM SERVICE. A PARTICIPANT'S NON-RETIREMENT ACCOUNT VESTS AT THE EARLIER OF THE PARTICIPANT'S DEATH, DISABILITY, OR ELECTED DISTRIBUTION DATE. A PARTICIPANT'S RETIREMENT ACCOUNT VESTS UPON THE COMPLETION OF FIVE YEARS OF SERVICE AS A SENIOR EXECUTIVE OR, IF EARLIER, THE PARTICIPANT'S DEATH OR DISABILITY. ANY AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT IS TAXABLE ON THE VESTING DATE, REGARDLESS OF WHETHER THE AMOUNT DISTRIBUTABLE AT THAT TIME. 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. A MONTANA FACILITY FINANCE AUTHORITY 364615156 2018-09-28 92138400 CAPITAL EXPENDITURES AND REFUND PRIVATE ISSUE BONDS 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 364615156 2021-06-01 71240000 REFINANCE EXISTING LOANS 0 0 0 A 93022000 5758214 1327293 70285943 15650550 2019 1 0 1 1 B 71240000 70631064 608966 2021 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 0 B 0 PART II, LINE 11 OF THE TOTAL PROCEEDS, $10,771,260 WAS USED TO REDEEM BONDS ISSUED IN 1998 AND 2001. SYDNEY LILLARD FAMILY MEMBER OF KAREN PERSER, CURRENT OFFICER 381259 EMPLOYMENT 0 TABATHA LAMBRECHT FAMILY MEMBER OF CRAIG LAMBRECHT, CURRENT OFFICER 32383 EMPLOYMENT 0 DAVID HABEL FAMILY MEMBER OF ELIZABETH SCHILLING, CURRENT TRUSTEE 266429 EMPLOYMENT 0 X EQUIPMENT 11 1241256 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 KALISPELL REGIONAL MEDICAL CENTER HAS ONE MEMBER, LOGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. 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 A, LINE 7B TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. 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 PRIOR TO FILING FORM 990, THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR FINANCE TEAM DELEGATE MADE A COPY OF THE RETURN AVAILABLE FOR REVIEW BY EMAIL, PORTAL OR IN PERSON. 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 KALISPELL REGIONAL HEALTHCARE SYSTEM'S BOARD OF DIRECTORS. THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS SIMILAR IN SIZE AND COMPLEXITY TO KALISPELL REGIONAL HEALTHCARE SYSTEM. THE BOARD CONSIDERS THESE REPORTS AND DETERMINES THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD EMBRACES THE PHILOSOPHY OF MAINTAINING A COMPENSATION LEVEL FAVORING RETENTION OF KEY LEADERSHIP IN ORDER TO MAINTAIN STABILITY IN KEY INITIATIVES. ADDITIONALLY, THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN A RIGOROUS 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 VII, SECTION A, COLUMN (B) - 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. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -3,185,176. ADJUSTMENT FOR FOUNDATION ACTIVITY -2,341,389. ADJUSTMENT FOR KRMC VOLUNTEERS ACTIVITY 12,235. NET CHANGE IN RESTRICTED ASSETS 4,339,954. 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