2026-08-31T16:44:20-05:00 2025-12-31 393647910 WIPFLI ADVISORY LLC 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2025-01-01 820380784 KOOTENAI HEALTH INC KOOT 2086254438 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 MICHELE BOUIT CFO 2086254438 2026-08-31 1 SAM BRUNSON CPA P01696998 4067281800 2026-08-31 2025 MICHELE BOUIT 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 1181508513 0 X WWW.KH.ORG X 1983 ID KOOTENAI HEALTH PROMOTES COMMUNITY HEALTH THROUGH AN OPEN MEDICAL STAFF, A COMMUNITY-BASED BOARD, AND REINVESTMENT OF SURPLUS FUNDS INTO HEALTH PROGRAMS, FACILITY IMPROVEMENTS, AND TARGETED SUPPORT FOR RURAL AND UNDERSERVED AREAS. THE HOSPITAL IMPLEMENTS INITIATIVES IN PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND HEALTH EDUCATION FOR UNDERSERVED POPULATIONS. 11 11 4963 150 0 0 2109603 2256685 969836832 1136773512 9282491 10390462 20446365 25826209 1001675291 1175246868 77711 157834 0 0 510487715 571425423 0 0 0 463331976 540157545 973897402 1111740802 27777889 63506066 890541814 960781692 319599918 305077627 570941896 655704065 X WE IMPROVE HEALTH ONE PATIENT AT A TIME IN A FRIENDLY AND PROFESSIONAL CULTURE COMMITTED TO SUPERIOR QUALITY AND SAFETY. 0 0 933968040 157834 1160758150 KOOTENAI HEALTH PROVIDED COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. KOOTENAI HEALTH'S MAIN HOSPITAL FEATURES A CAPACITY OF 381 BEDS. THE HOSPITAL ALSO RECORDED APPROXIMATELY 83,653 INPATIENT DAYS AND 1,034,444 OUTPATIENT VISITS. SERVICES PROVIDED INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY CARE, HEART SERVICES, CANCER SERVICES, FAMILY BIRTH CENTER, ORTHOPEDIC SERVICES, AND SURGICAL SERVICES.KOOTENAI HEALTH, INC. PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED SERVICES VALUED AT APPROXIMATELY $18,263,541, ENSURING ACCESS TO NECESSARY CARE FOR UNINSURED AND UNDERINSURED PATIENTS IN THE COMMUNITY. KOOTENAI HEALTH, INC. ALSO HOSTS DOZENS OF COMMUNITY OUTREACH EVENTS WHICH COVER A VARIETY OF TOPICS INCLUDING HEART DISEASE, CANCER, AND INJURY PREVENTION.THE HOSPITAL SUPPORTED GRADUATE MEDICAL EDUCATION, NURSING EDUCATION, AND HEALTH TRAINING PROGRAMS, SERVING AS A CLINICAL SITE FOR STUDENTS AND RESIDENTS. THESE PROGRAMS HELP ENSURE A FUTURE HEALTHCARE WORKFORCE AND IMPROVE THE QUALITY OF CARE IN THE COMMUNITY.THE HOSPITAL IS ALSO DEDICATED TO PIONEERING CLINICAL RESEARCH TO IMPROVE HEALTH OUTCOMES IN OUR COMMUNITY AND BEYOND, ONE PATIENT AT A TIME. KOOTENAI HEALTH RESEARCH SERVICES CURRENTLY SUPPORTS CLINICAL TRIALS AND INVESTIGATOR-LED RESEARCH IN: CARDIOLOGY, IMAGING SERVICES, INFECTIOUS DISEASE, NEONATOLOGY, NEUROLOGY, ONCOLOGY, PRIMARY CARE/BEHAVIORAL HEALTH INTEGRATION, AND PULMONARY/CRITICAL CARE. 933968040 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 458 0 4963 1 0 0 0 0 0 0 0 0 0 0 1 0 X 11 11 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 0 X MICHELE BOUIT 2086254004 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 DR ROBERT MCFARLAND MD CHAIR 1.00 X X 0 0 0 DAVID BOBBITT VICE CHAIR 1.00 X X 0 0 0 TERI FARR SECRETARY/TREASURER 1.00 X X 0 0 0 DR THOMAS DETAR MD DIRECTOR 1.00 X 0 0 0 ELIZABETH GODBEHERE RN DIRECTOR 1.00 X 0 0 0 CYNTHIA CLARK RN DIRECTOR 1.00 X 0 0 0 KATHLEEN BRODIE DIRECTOR 1.00 X 0 0 0 ROBERT COLVIN DIRECTOR 1.00 X 0 0 0 DARIN HAYES DIRECTOR 1.00 X 0 0 0 SHAWN ALGER-KEOUGH DIRECTOR 1.00 X 0 0 0 ROBERT YUDITSKY DIRECTOR 1.00 X 0 0 0 JAMESON SMITH CEO 40.00 X 1240840 0 40238 MICHELE BOUIT CFO 40.00 X 760206 0 32125 ROBERT BURNETT MD CARDIOVASCULAR SURGERY MED 40.00 X 1449574 0 22301 ERICK MONTERO MD CARDIOTHORACIC SURGEON 40.00 X 1425357 0 13644 JOHN MCGOWAN MD NEUROSURGEON 40.00 X 1234218 0 12631 TORI LENNOX MD CARDIOTHORACIC SURGEON 40.00 X 1377690 0 3330 CHARLES CUI MD CARDIOLOGIST 40.00 X 1273139 0 15897 8761024 0 140166 1563 0 1 0 ASPIRION HEALTH RESOURCES LLC 1506 6TH AVE STE 3 COLUMBUS GA 31901 REVENUE CYCLE CONSULTING 5410557 CONCORD PHYSICIAN SOLUTIONS LLC 5900 BALCONES DRIVE AUSTIN TX 78731 NON-EMPLOYED PHYSICIANS 3961397 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 CONTRACT NURSING 3959323 INCYTE DIAGNOSTICS 13103 E MANSFIELD AVE SPOKANE VALLEY WA 99216 LABORATORY SERVICES 3598580 FOCUSONE SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 CONTRACT NURSING 2614430 81 668279 1588406 2256685 PATIENT SERVICE REVENUE 621110 913343938 913343938 PHARMACY REVENUE 456110 221929574 221929574 FEE FOR SERVICE 900099 1500000 1500000 1136773512 15737108 15737108 1841571 0 1841571 1841571 1841571 914999 6238891 22754 -5323892 -22754 -5346646 -5346646 OTHER REVENUE 900099 18932663 18932663 MEDICARE SHARED SAVINGS 900099 3707565 3707565 EQUITY EARNINGS IN JOINT VENTURES 900099 1344410 1344410 23984638 1175246868 1160758150 0 12232033 157834 157834 2073410 2073410 457127322 372592337 84534985 13997180 11375827 2621353 65398802 53114408 12284394 32828709 26641188 6187521 982418 982418 274982 274982 402153 402153 58329402 43597765 14731637 2151841 16583 2135258 9177248 3883140 5294108 15534664 832063 14702601 7120335 6804688 315647 502574 382103 120471 7130270 6188683 941587 35272130 30614273 4657857 4273602 3709252 564350 PHARMACEUTICALS 215930170 215811132 119038 MEDICAL SUPPLIES 108362162 108236155 126007 BAD DEBT EXPENSE 38161280 33977191 4184089 REPAIRS & MAINTENANCE 19831436 2651787 17179649 16720878 13381631 3339247 1111740802 933968040 177772762 0 18407 19216 104256950 178078886 132320690 123397254 23073070 30723414 20998838 25706479 623211383 377578241 262806142 245633142 230840700 246737392 6289093 6015999 109937924 104469910 890541814 960781692 109122459 116909218 4650 14967 99477134 96622134 50719061 41216778 60276614 50314530 319599918 305077627 X 554679927 636797169 16261969 18906896 570941896 655704065 890541814 960781692 X 63506066 6922153 14333950 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 116764 116764 0 PART II-B, LINE 1: RISCH PISCA, PLLC FOR LEGISLATIVE REPRESENTATION - $74,892 LOBBYING PORTION OF ASSOCIATION DUES - $40,640 LOBBYING RELATED TO 340B PROGRAM - $1,232 1948139 1000 155909 2105048 1739638 55378 153123 1948139 1694434 45204 1739638 1931932 674 -238172 1694434 1824185 1100 106647 1931932 0.00000 0.79332 0.20668 1 0 7232232 7232232 274282872 120217467 154065405 14851217 10446288 4404929 321045193 246914486 74130707 5799869 5799869 245633142 ESTIMATED THIRD-PARTY SETTLEMENTS 900830 DEFERRED COMPENSATION 5471341 INVESTMENT IN JOINT VENTURES 14612339 DUE FROM RELATED PARTY 7198547 INTEREST IN THE NET ASSETS OF THE FOUNDATION 18906896 OTHER RECEIVABLES 20047252 RIGHT OF USE ASSETS 37332705 104469910 OPERATING LEASE OBLIGATIONS 7892 ESTIMATED THIRD-PARTY SETTLEMENT LIABILITY 281986 DEFERRED COMPENSATION 2907827 DUE TO RELATED PARTIES 4934302 FINANCE LEASE OBLIGATIONS 42182523 50314530 PART V, LINE 4: THE ENDOWMENT IS HELD BY AN UNRELATED ORGANIZATION, KOOTENAI HEALTH FOUNDATION. THE FOUNDATION'S ARTICLES OF INCORPORATION PROVIDE THAT ALL FUNDS RAISED SHALL BE DISTRIBUTED TO OR HELD PRIMARILY FOR THE BENEFIT OF THE KOOTENAI HEALTH, INC. OR ITS MISSION IN THE COMMUNITY. 1 1 1 X 250.000000000000 0 1 1 1 0 1 1 6199208 6199208 0.00580 108271171 109157298 0 0.00000 114470379 109157298 6199208 0.00580 13409033 262317 13146716 0.01220 13914454 6691485 7222969 0.00670 175079644 126792219 48287425 0.04500 202403131 133746021 68657110 0.06390 316873510 242903319 74856318 0.06970 0 38150078 0 185120327 228551686 -43431359 X 1 1 1 1 KOOTENAI HEALTH 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 KH.ORG 42 X X X X KOOTENAI HEALTH 1 0 1 1 X X X X X X X X 25 1 0 0 1 X SEE PART V, PAGE 8 X 1 25 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 0 KOOTENAI HEALTH PART V, SECTION B, LINE 2: THE HOSPITAL FACILITY PREVIOUSLY OPERATED AS A TAX-EXEMPT GOVERNMENTAL DISTRICT HOSPITAL. IN 2024, IT TRANSITIONED TO A 501(C)(3) NONPROFIT CORPORATION. THE FACILITY HAS BEEN CONTINUOUSLY LICENSED BY THE STATE AS A HOSPITAL. KOOTENAI HEALTH PART V, SECTION B, LINE 5: A MIXED-METHODS APPROACH CONSISTING OF A COMBINATION OF PRIMARY AND SECONDARY QUANTITATIVE AND QUALITATIVE RESEARCH METHODS DESIGNED TO EVALUATE THE PERSPECTIVES AND OPINIONS OF COMMUNITY STAKEHOLDERS, ESPECIALLY THOSE FROM UNDERSERVED AND VULNERABLE POPULATIONS, WAS IMPLEMENTED BETWEEN SEPTEMBER 23 AND NOVEMBER 14, 2025.INPUT WAS SOLICITED AND PROVIDED BY AT LEAST ONE STATE, LOCAL, TRIBAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY), OR A STATE OFFICE OF RURAL HEALTH DESCRIBED IN SECTION 338J OF THE PUBLIC HEALTH SERVICES ACT, WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. KOOTENAI HEALTH PART V, SECTION B, LINE 11: KOOTENAI HEALTH'S DECEMBER 2025 CHNA USED SECONDARY DATA, QUALITATIVE RESEARCH, AND A COMMUNITY SURVEY TO IDENTIFY AND PRIORITIZE NEEDS THAT MOST AFFECT ACCESS TO CARE, BEHAVIORAL HEALTH (INCLUDING SUD), MATERNAL CHILD HEALTH, AND SPECIALTY CAPACITY ACROSS THE MULTI COUNTY SERVICE AREA. THESE FINDINGS UNDERPIN THIS IMPLEMENTATION PLAN AND ITS MEASURES. IDENTIFIED PRIORITIES INCLUDE:1. LONG WAIT TIMES FOR PRIMARY AND SPECIALTY CARE (ACCESS). RESIDENTS FACE GEOGRAPHIC BARRIERS AND PROVIDER AVAILABILITY CONSTRAINTS THAT DELAY PREVENTIVE, PRIMARY, AND SPECIALTY CARE.2. LACK OF SUBSTANCE USE AND TREATMENT SERVICES. BEHAVIORAL HEALTH AND SUD NEEDS ARE ELEVATED; DISTANCE AND CAPACITY GAPS LIMIT TIMELY DETOX, TREATMENT, AND RECOVERY SUPPORT.3. LACK OF BEHAVIORAL HEALTH SERVICES FOR YOUTH AND YOUNG ADULTS. YOUTH BH NEEDS ARE RISING; LIMITED SPECIALTY ACCESS AND TRANSPORTATION BARRIERS CONTRIBUTE TO DELAYS IN EVALUATION AND TREATMENT.4. PROVIDER SHORTAGES (ESPECIALLY SOME SPECIALISTS). SHORTAGES IMPEDE DIAGNOSIS AND CHRONIC DISEASE MANAGEMENT AND ARE MORE PRONOUNCED IN RURAL COUNTIES.5. PROVIDER WORKFORCE. RECRUITMENT/RETENTION CHALLENGES AND GROWTH IN DEMAND, ESPECIALLY IN OB/GYN, AFFECT AVAILABILITY AND CONTINUITY OF CARE.6. PRENATAL EDUCATION. VARIABILITY IN MATERNAL/INFANT OUTCOMES SIGNALS UNMET NEEDS FOR EARLY EDUCATION AND SUPPORTS, PARTICULARLY IN RURAL AREAS. KOOTENAI HEALTH PART V, SECTION B, LINE 13B: KOOTENAI HEALTH USES THE FEDERAL POVERTY GUIDELINE (FPG) TO DETERMINE ELIGIBILITY. PATIENTS OR HOUSEHOLDS WITH INCOME AT OR BELOW 250% OF THE FPG QUALIFY FOR A 100% WRITE-OFF. THERE IS NO TIERED OR PARTIAL DISCOUNT. KOOTENAI HEALTH PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY CRITERIA, SPECIAL CIRCUMSTANCES (HOMELESS, DECEASED WITH NO ESTATE, SEVERE MENTAL ILLNESS, FAMILY/SOCIAL ABANDONMENT, OUT-OF-STATE MEDICAID). KOOTENAI HEALTH PART V, SECTION B, LINE 15E: FINANCIAL ASSISTANCE MAY BE GRANTED BASED ON PRESUMPTIVE ELIGIBILITY OR SPECIAL CIRCUMSTANCES, INCLUDING HOMELESSNESS, SEVERE MENTAL ILLNESS, SOCIAL OR FAMILY ABANDONMENT, OR PARTICIPATION IN STATE PROGRAMS WHEN DOCUMENTATION IS UNAVAILABLE. KOOTENAI HEALTH PART V, SECTION B, LINE 20E: IN ADDITION TO STANDARD AND PRESUMPTIVE ELIGIBILITY DETERMINATIONS, KOOTENAI HEALTH APPLIED ITS FINANCIAL ASSISTANCE POLICY TO CONSIDER CATASTROPHIC FINANCIAL CIRCUMSTANCES, OUT-OF-STATE MEDICAID PARTICIPANTS WITHOUT A PROVIDER NUMBER, AND FORWARD-LOOKING ELIGIBILITY FOR CARE EXPECTED WITHIN SIX MONTHS. PART V, SECTION B, LINE 7A: HTTPS://WWW.KH.ORG/WP-CONTENT/UPLOADS/2025/12/KOOTENAI-HEALTH-REPORT-DEC-2025-1.PDF PART V, SECTION B, LINE 10: HTTPS://WWW.KH.ORG/WP-CONTENT/UPLOADS/2026/04/CHNA_IMPLEMENTATION_2026-2028.PDF PART V, SECTION B, LINE 16A, FAP WEBSITE: HTTPS://WWW.KH.ORG/WP-CONTENT/UPLOADS/2025/05/FINANCIAL-ASSISTANCE-CHARITY-CARE-UNCOMPENSATED-CARE.PDF PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.KH.ORG/PAY-MY-BILL/BILLING-INFORMATION/FINANCIAL-CONSIDERATIONS/ PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.KH.ORG/PAY-MY-BILL/BILLING-INFORMATION/FINANCIAL-CONSIDERATIONS/ 66 1 - SPECIALTY PHARMACY 700 W IRONWOOD DR COEUR DALENE ID 83814 SPECIALTY PHARMACY 2 - KOOTENAI HEALTH LABORATORY SERVICES PATIEN 1300 E MULLAN AVE POST FALLS ID 83854 LABORATORY SERVICES 3 - KOOTENAI HEALTH LABORATORY SERVICES PATIEN 1919 LINCOLN WAY SUITE 111 COEUR DALENE ID 83814 LABORATORY SERVICES 4 - KOOTENAI HEALTH PHARMACY 4129 EAST EARLY DAWN AVENUE STE A106 POST FALLS ID 83854 PHARMACY 5 - KOOTENAI HEALTH PHARMACY 8882 NORTH GOVERNMENT WAY SUITE L HAYDEN ID 83835 PHARMACY 6 - KOOTENAI HEART CLINICS 1919 LINCOLN WAY SUITE 111 COEUR DALENE ID 83814 HEART CLINIC 7 - KOOTENAI HEART CLINICS 700 W IRONWOOD DR COEUR DALENE ID 83814 HEART CLINIC 8 - KOOTENAI HEART CLINICS - ELECTROPHYSIOLOGY 700 W IRONWOOD DR COEUR DALENE ID 83814 HEART CLINIC 9 - KOOTENAI CLINIC ENDOSCOPY 1919 LINCOLN WAY COEUR DALENE ID 83814 ENDOSCOPY CLINIC 10 - KOOTENAI CLINIC OBSTETRICS & GYNECOLOGY 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 OBSTETRICS & GYNECOLOGY CLINIC 11 - KOOTENAI CLINIC OBSTETRICS & GYNECOLOGY 1300 E MULLAN AVE POST FALLS ID 83854 OBSTETRICS & GYNECOLOGY CLINIC 12 - KOOTENAI CLINIC OBSTETRICS & GYNECOLOGY 980 W IRONWOOD DR SUITE 306 COEUR DALENE ID 83814 OBSTETRICS & GYNECOLOGY CLINIC 13 - KOOTENAI CLINIC NEUROLOGY 700 W IRONWOOD DR SUITE 158 COEUR DALENE ID 83814 NEUROLOGY CLINIC 14 - KOOTENAI CLINIC GASTROENTEROLOGY 1300 E MULLAN AVE SUITE 1800 POST FALLS ID 83854 GASTROENTEROLOGY CLINIC 15 - KOOTENAI CLINIC GASTROENTEROLOGY 1919 LINCOLN WAY SUITE 415 COEUR DALENE ID 83814 GASTROENTEROLOGY CLINIC 16 - KOOTENAI CLINIC FAMILY MEDICINE IRONWOOD 1919 LINCOLN WAY 315 COEUR DALENE ID 83814 FAMILY MEDICINE CLINIC 17 - KOOTENAI CLINIC CANCER SERVICES 700 W IRONWOOD DR SUITE 130 COEUR DALENE ID 83814 CANCER SERVICES CLINIC 18 - COEUR DALENE INFUSION CENTER 700 W IRONWOOD DR SUITE 230 COEUR DALENE ID 83814 INFUSION CENTER CLINIC 19 - KOOTENAI LUNG & ASTHMA CLINIC 338 6TH STREET LEWISTON ID 83501 LUNG, ASTHMA & CRITICAL CARE CLINIC 20 - KOOTENAI LUNG & ASTHMA CLINIC 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 LUNG, ASTHMA & CRITICAL CARE CLINIC 21 - KOOTENAI LUNG & ASTHMA CLINIC 700 W IRONWOOD DR SUITE 378 COEUR DALENE ID 83814 LUNG, ASTHMA & CRITICAL CARE CLINIC 22 - KOOTENAI LUNG & ASTHMA CLINIC 858 COMMERCE DR SUITE 101 SMELTERVILLE ID 83868 LUNG, ASTHMA & CRITICAL CARE CLINIC 23 - KOOTENAI LUNG & ASTHMA CLINIC 2301 W A ST SUITE C MOSCOW ID 83843 LUNG, ASTHMA & CRITICAL CARE CLINIC 24 - KOOTENAI CLINIC ORTHOPEDICS 2177 W IRONWOOD CENTER DR COEUR DALENE ID 83814 ORTHOPEDICS CLINIC 25 - KOOTENAI CLINIC ORTHOPEDICS 1296 E POLSTON AVE POST FALLS ID 83854 ORTHOPEDICS CLINIC 26 - KOOTENAI CLINIC HAND SURGERY 2121 W IRONWOOD CENTER DR COEUR DALENE ID 83814 HAND SURGERY CLINIC 27 - KOOTENAI CLINIC CANCER SERVICES 1440 E MULLAN AVE POST FALLS ID 83854 CANCER SERVICES 28 - KOOTENAI CLINIC NEUROSURGERY & SPINE 2288 N MERRITT CREEK LOOP SUITE A COEUR DALENE ID 83814 NEUROSURGERY & SPINE CLINIC 29 - KOOTENAI HEART CLINIC 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 HEART CLINIC 30 - KOOTENAI CLINIC FAMILY MEDICINE IRONWOOD 914 W IRONWOOD DR SUITE 101 COEUR DALENE ID 83814 FAMILY MEDICINE CLINIC 31 - KOOTENAI CLINIC WOUND CARE 2120 W IRONWOOD CENTER DR COEUR DALENE ID 83814 WOUND CARE CLINIC 32 - KOOTENAI URGENT CARE 700 W IRONWOOD DR SUITE 120E COEUR DALENE ID 83814 URGENT CARE CLINIC 33 - KOOTENAI URGENT CARE 2836 N RAMSEY RD COEUR DALENE ID 83815 URGENT CARE CLINIC 34 - KOOTENAI CLINIC VASCULAR SURGERY 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 VASCULAR SURGERY CLINIC 35 - KOOTENAI CLINIC VASCULAR SURGERY & INFECTI 700 W IRONWOOD DR COEUR DALENE ID 83814 VASCULAR SURGERY & INFECTIOUS DISEASE 36 - KOOTENAI CLINIC VASCULAR SURGERY & INFECTI 2301 W A ST SUITE C MOSCOW ID 83843 VASCULAR SURGERY & INFECTIOUS DISEASE 37 - KOOTENAI CLINIC VASCULAR SURGERY & INFECTI 858 COMMERCE DR SUITE 101 SMELTERVILLE ID 83868 VASCULAR SURGERY & INFECTIOUS DISEASE 38 - KOOTENAI CLINIC DIABETES & ENDOCRINOLOGY 1919 LINCOLN WAY SUITE 211 COEUR DALENE ID 83814 DIABETES & ENDOCRINOLOGY CLINIC 39 - KOOTENAI CLINIC NEPHROLOGY 2301 W A ST SUITE C LOWER LEVEL MOSCOW ID 83843 NEPHROLOGY CLINIC 40 - KOOTENAI CLINIC NEPHROLOGY 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 NEPHROLOGY CLINIC 41 - KOOTENAI CLINIC NEPHROLOGY 700 W IRONWOOD DR SUITE 375 COEUR DALENE ID 83814 NEPHROLOGY CLINIC 42 - KOOTENAI CLINIC NEPHROLOGY 858 COMMERCE DR SUITE 101 SMELTERVILLE ID 83868 NEPHROLOGY CLINIC 43 - KOOTENAI CLINIC INTERNAL MEDICINE 1300 E MULLAN AVE SUITE 1600 POST FALLS ID 83854 INTERNAL MEDICINE CLINIC 44 - KOOTENAI CLINIC GENERAL SURGERY 700 W IRONWOOD DR SUITE 341 COEUR DALENE ID 83814 GENERAL SURGERY CLINIC 45 - KOOTENAI HEART CLINIC 1300 E MULLAN AVE SUITE 900 POST FALLS ID 83854 HEART CLINIC 46 - KOOTENAI CLINIC FAMILY MEDICINE 1701 LINCOLN WAY COEUR DALENE ID 83814 FAMILY MEDICINE CLINIC 47 - KOOTENAI CLINIC CANCER SERVICES 520 N 3RD AVE SANDPOINT ID 83864 CANCER SERVICES CLINIC 48 - KOOTENAI URGENT CARE 1300 E MULLAN AVE SUITE 600 POST FALLS ID 83854 URGENT CARE CLINIC 49 - KOOTENAI CLINIC INTERNAL MEDICINE 1919 LINCOLN WAY SUITE 110 COEUR DALENE ID 83814 INTERNAL MEDICINE CLINIC 50 - KOOTENAI CLINIC FAMILY MEDICINE 1300 E MULLAN AVE POST FALLS ID 83854 FAMILY MEDICINE CLINIC 51 - KOOTENAI CLINIC EAR NOSE & THROAT 423 N 3RD AVE SUITE 355 SANDPOINT ID 83864 EAR, NOSE & THROAT CLINIC 52 - KOOTENAI CLINIC EAR NOSE & THROAT 700 W IRONWOOD DR SUITE 278 COEUR DALENE ID 83814 EAR, NOSE & THROAT CLINIC 53 - KOOTENAI CLINIC DERMATOLOGY 980 W IRONWOOD DR SUITE 1 COEUR DALENE ID 83814 DERMATOLOGY CLINIC 54 - KOOTENAI CLINIC PLASTIC & RECONSTRUCTIVE 980 W IRONWOOD DR SUITE 1 COEUR DALENE ID 83814 PLASTIC & RECONSTRUCTIVE SURGERY CLINIC 55 - KOOTENAI HEALTH REHABILITATION SERVICES 2180 W IRONWOOD CENTER DR COEUR DALENE ID 83814 REHABILITATION SERVICES 56 - KOOTENAI HEALTH REHABILITATION SERVICES 2236 N MERRITT CREEK LOOP SUITE B COEUR DALENE ID 83814 REHABILITATION SERVICES 57 - KOOTENAI CLINIC FAMILY MEDICINE 566 W PRAIRIE AVE COEUR DALENE ID 83815 FAMILY MEDICINE CLINIC 58 - KOOTENAI CLINIC INTERNAL MEDICINE 1300 E MULLAN AVE SUITE 1800 POST FALLS ID 83854 INTERNAL MEDICINE CLINIC 59 - KOOTENAI HEALTH REHABILITATION SERVICES 1300 E MULLAN AVE SUITE A POST FALLS ID 83854 REHABILITATION SERVICES 60 - ANTICOAGULATION SERVICES 700 W IRONWOOD DR SUITE 246 COEUR DALENE ID 83814 ANTICOAGULATION SERVICES 61 - KOOTENAI HEALTH PHARMACY 700 W IRONWOOD DR SUITE 159 COEUR DALENE ID 83814 PHARMACY 62 - KOOTENAI CLINIC SLEEP MEDICINE 700 W IRONWOOD DR SUITE 258 COEUR DALENE ID 83814 SLEEP MEDICINE CLINIC 63 - KOOTENAI HEART CLINICS 338 6TH STREET LEWISTON ID 83501 HEART CLINIC 64 - KOOTENAI CLINIC RHEUMATOLOGY 700 W IRONWOOD DR SUITE 275 COEUR DALENE ID 83814 RHEUMATOLOGY CLINIC 65 - KOOTENAI OCCUPATIONAL MEDICINE 2236 N MERRITT CREEK LOOP SUITE A COEUR DALENE ID 83814 OCCUPATIONAL MEDICINE CLINIC 66 - KOOTENAI URGENT CARE 151 W PRAIRIE AVE COEUR DALENE ID 83815 URGENT CARE CLINIC PART I, LINE 3C: PRESUMPTIVE ELIGIBILITY: FACTORS THAT CAN ESTABLISH A PATIENT'S NEED FOR FINANCIAL ASSISTANCE EVEN WITHOUT TRADITIONAL DOCUMENTATION INCLUDE HOMELESSNESS OR TRANSIENT STATUS, DECEASED WITH NO ESTATE, SEVERE MENTAL ILLNESS, SOCIAL OR FAMILY ABANDONMENT, OR ACTIVE ELIGIBILITY AND PARTICIPATION IN A STATE FOOD STAMP PROGRAM.CATASTROPHIC CARE: PATIENTS FACING EXTRAORDINARY MEDICAL EXPENSES MAY QUALIFY, REGARDLESS OF FPL.ASSETS: EVALUATION OF FINANCIAL STATUS INCLUDES ASSETS SUCH AS CHECKING AND SAVINGS ACCOUNTS, SECURITIES, REAL ESTATE, VEHICLES, LIFE INSURANCE, IRAS, TRUST ACCOUNTS, AND OTHER PROPERTY.OUT-OF-STATE MEDICAID: PATIENTS WITH OUT-OF-STATE MEDICAID (FOR WHICH NO PROVIDER NUMBER EXISTS) OR THOSE UNABLE TO PROVIDE DOCUMENTATION MAY STILL QUALIFY FOR FREE CARE UNDER SPECIAL CIRCUMSTANCES. PART I, LINE 7: UTILIZED WKST 2 COST-TO-CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 38,161,280. PART I, LINE 3B: KOOTENAI HEALTH USES THE FEDERAL POVERTY GUIDELINE (FPG) TO DETERMINE ELIGIBILITY. PATIENTS OR HOUSEHOLDS WITH INCOME AT OR BELOW 250% OF THE FPG QUALIFY FOR A 100% WRITE-OFF. THERE IS NO TIERED OR PARTIAL DISCOUNT. PART III, LINE 2: BAD DEBT WRITE-OFFS LESS RECOVERIES PLUS CHANGE IN BAD DEBT ALLOWANCE. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. THESE AMOUNTS ARE REVIEWED AND ADJUSTED MONTHLY. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES, PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE HOSPITAL PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATIONS. DUE TO NO RESPONSES FROM SOME PATIENTS, A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED AS CHARITY CARE. PART III, LINE 4: PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS CONTAINS THE FOOTNOTE DESCRIBING BAD DEBT. PART III, LINE 8: WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PATIENTS ARE PREDOMINANTLY ELDERLY AND/OR DISABLED POPULATION THAT FACES GREATER HEALTHCARE ACCESS CHALLENGES. THE MEDICARE SHORTFALL REPRESENTS THE GAP BETWEEN THE COST OF CARE AND MEDICARE REIMBURSEMENT, WHICH KOOTENAI HEALTH ABSORBS TO ENSURE THESE VULNERABLE COMMUNITY MEMBERS RECEIVE NECESSARY MEDICAL SERVICES. THIS UNREIMBURSED CARE SUPPORTS THE ORGANIZATION'S MISSION AND CONSTITUTES A COMMUNITY BENEFIT BY MAINTAINING ACCESS TO ESSENTIAL HEALTHCARE FOR UNDERSERVED POPULATIONS.KOOTENAI HEALTH'S MEDICARE SURPLUS (SHORTFALL) CALCULATION IS BASED ON ITS FILED MEDICARE COST REPORT, USING MEDICARE ALLOWABLE COSTS FROM WORKSHEET D 1, PART II, LINE 49, AND MEDICARE REVENUE AND ADJUSTMENTS FROM WORKSHEET D, PART V, LINE 202, AND WORKSHEET E, PART A, LINES 59 AND 71.01, AS WELL AS PART B ADJUSTMENTS FROM WORKSHEET E, PART B, LINES 24 AND 40.01. THIS METHODOLOGY FOLLOWS MEDICARE'S COST REPORTING RULES, EXCLUDES NON ALLOWABLE EXPENSES, AND REFLECTS THE NET DIFFERENCE BETWEEN ALLOWABLE COSTS AND REVENUES FOR MEDICARE SERVICES. PART III, LINE 9B: OUR WRITTEN DEBT COLLECTION POLICY REQUIRES THAT REASONABLE EFFORTS BE MADE TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY BEFORE PURSUING COLLECTION ACTIVITY. PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE, AND EXTRAORDINARY COLLECTION ACTIONS ARE NOT TAKEN UNTIL AT LEAST 120 DAYS AFTER THE FIRST BILL AND ONLY AFTER CONFIRMING FINANCIAL ASSISTANCE HAS BEEN ADDRESSED. IF A PATIENT IS LATER FOUND ELIGIBLE, ANY COLLECTION ACTIONS ARE REVERSED. PART VI, LINE 2: KOOTENAI HEALTH ASSESSES COMMUNITY HEALTH NEEDS THROUGH PATIENT DATA, SERVICE UTILIZATION, COMMUNITY SURVEYS, AND INPUT FROM PUBLIC HEALTH AGENCIES. THESE ASSESSMENTS HELP IDENTIFY GAPS IN CARE AND GUIDE PROGRAMS AND OUTREACH TO ADDRESS THE MOST PRESSING HEALTH NEEDS OF THE POPULATION SERVED. PART VI, LINE 3: KOOTENAI HEALTH EDUCATES PATIENTS ABOUT ELIGIBILITY FOR GOVERNMENT PROGRAMS AND ITS FINANCIAL ASSISTANCE POLICY THROUGH IN-PERSON AND PHONE GUIDANCE FROM FINANCIAL COUNSELORS AND SOCIAL WORKERS. WRITTEN MATERIALS, INCLUDING THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARIES, ARE AVAILABLE ON THE HOSPITAL WEBSITE, IN PUBLIC AREAS, AND UPON REQUEST. STAFF ASSIST PATIENTS IN SCREENING, DOCUMENTING, AND APPLYING FOR ALL AVAILABLE ASSISTANCE TO ENSURE ACCESS TO MEDICALLY NECESSARY CARE. PART VI, LINE 4: KOOTENAI HEALTH SERVES AS THE REGIONAL TERTIARY REFERRAL CENTER FOR A 10-COUNTY AREA IN NORTHERN IDAHO, ENCOMPASSING URBAN, SUBURBAN, AND RURAL POPULATIONS. THE COMMUNITY INCLUDES YOUNG FAMILIES, WORKING ADULTS, SENIORS, AND TRIBAL HEALTH PATIENTS, WITH A RANGE OF SOCIOECONOMIC LEVELS, INCLUDING RESIDENTS AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL. KOOTENAI HEALTH PROVIDES COMPREHENSIVE MEDICALLY NECESSARY SERVICES, ADDRESSING PRIMARY, SPECIALTY, TERTIARY, AND EMERGENCY CARE NEEDS WHILE PROMOTING ACCESS AND QUALITY, AND RESOURCE SUPPORT FOR SURROUNDING RURAL COMMUNITIES AND A DIVERSE POPULATION. PART VI, LINE 5: KOOTENAI HEALTH PROMOTES COMMUNITY HEALTH THROUGH AN OPEN MEDICAL STAFF, A COMMUNITY-BASED BOARD, AND REINVESTMENT OF SURPLUS FUNDS INTO HEALTH PROGRAMS, FACILITY IMPROVEMENTS, AND TARGETED SUPPORT FOR RURAL AND UNDERSERVED AREAS. THE HOSPITAL IMPLEMENTS INITIATIVES IN PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND HEALTH EDUCATION FOR UNDERSERVED POPULATIONS. PART VI, LINE 6: KOOTENAI HEALTH, AS THE CORNERSTONE OF A REGIONAL HEALTH SYSTEM AND THE PRIMARY ACUTE AND TERTIARY CARE FACILITY FOR A 10-COUNTY AREA IN NORTHERN IDAHO, COLLABORATES WITH AFFILIATES THAT PROVIDE OUTPATIENT, PRIMARY, AND SPECIALTY CARE SERVICES. TOGETHER, THE SYSTEM COORDINATES RESOURCES, PROGRAMS, AND OUTREACH TO IMPROVE ACCESS, QUALITY, PREVENTIVE CARE, AND SUPPORT FOR RURAL, TRIBAL, AND UNDERSERVED COMMUNITIES IN OUR REGION. PART VI, LINE 7, REPORTS FILED WITH STATES ID 0 BENEWAH COUNTY HOSPITAL 229 S 7TH STREET ST MARIES ID 83861 826004163 BENEWAH COUNTY, ID 19879 0 REGIONAL HEALTHCARE COALITION SAFE PASSAGE CHILDREN'S ADVOCACY CENTER 850 N 4TH STREET COEUR DALENE ID 83814 820341451 501(C)(3) 56242 0 COMMUNITY PARTNER FOR OVW GRANT SYRINGA HOSPITAL DISTRICT 607 W MAIN STREET GRANGEVILLE ID 83530 820316476 IDAHO COUNTY, ID 12835 0 REGIONAL HEALTHCARE COALITION KOOTENAI HEALTH FOUNDATION 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 921896475 501(C)(3) 12000 0 FM RESIDENCY KOOTENAI COUNTY EMS 4381 W SELTICE WAY COEUR DALENE ID 83814 820508551 KOOTENAI COUNTY, ID 16103 0 REGIONAL HEALTHCARE COALITION UNIVERSITY OF IDAHO FOUNDATION 875 PERIMETER DRIVE MOSCOW ID 83844 237098404 501(C)(3) 30000 0 MEDICAL STUDENT SCHOLARSHIPS JOBS PLUS INC DBA COEUR D'ALENE AREA ECONOMIC DEVELOPMENT CORPORATION PO BOX 1088 COEUR DALENE ID 83816 820413341 501(C)(6) 10000 0 GENERAL SUPPORT 6 PART I, LINE 2: THE HOSPITAL IS A SUBGRANTEE OF A BIOTERRORISM GRANT FROM THE STATE OF IDAHO. RECIPIENT HOSPITALS ARE PART OF A REGIONAL HEALTHCARE COALITION AND THESE GRANTS ARE EXPENSE REIMBURSEMENTS TO THOSE HOSPITALS AS PART OF THE GRANT INITIATIVE. X 1 0 X X X X 0 1 0 0 0 0 0 0 0 ROBERT BURNETT MD CARDIOVASCULAR SURGERY MED 1329053 0 120082 0 439 0 0 0 22301 0 1471875 0 0 0 ERICK MONTERO MD CARDIOTHORACIC SURGEON 1305068 0 120082 0 207 0 0 0 13644 0 1439001 0 0 0 TORI LENNOX MD CARDIOTHORACIC SURGEON 1277373 0 100227 0 90 0 0 0 3330 0 1381020 0 0 0 CHARLES CUI MD CARDIOLOGIST 1213033 0 60000 0 106 0 0 0 15897 0 1289036 0 0 0 JAMESON SMITH CEO 968145 0 267991 0 4704 0 10350 0 29888 0 1281078 0 0 0 JOHN MCGOWAN MD NEUROSURGEON 1184083 0 50000 0 135 0 0 0 12631 0 1246849 0 0 0 MICHELE BOUIT CFO 545483 0 191025 0 23698 0 10377 0 21748 0 792331 0 0 0 PART I, LINE 1A HOUSING STIPEND PAID TO JAMESON SMITH, TODD HOLLING AND DUKE WALKER, INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457F: - JAMESON SMITH - $168,502 WAS CREDITED TO HIS ACCOUNT - NO PAYOUTS DURING 2025 - MICHELE BOUIT - $98,873 WAS CREDITED TO HER ACCOUNT - NO PAYOUTS DURING 2025 PART I, LINE 2: KOOTENAI HEALTH DOES NOT REQUIRE SUBMISSION OF EXPENSES WITH RESPECT TO HOUSING ALLOWANCES. OUR TALENT ACQUISITION TEAM KEEPS ABREAST OF RENTAL CONDITIONS IN THE LOCAL MARKET. BASED UPON THE MARKET INFORMATION, EXECUTIVES ARE OFFERED A MONTHLY STIPEND TO ASSIST THEM WITH THEIR CAREER TRANSITION TO KOOTENAI HEALTH. THE STIPEND IS ADDED TO W-2 EARNINGS FOR THE RECIPIENT AND IS GENERALLY GRANTED FOR 3-6 MONTHS. A KOOTENAI HOSPITAL DISTRICT 820231746 451295WB1 2014-07-09 74715000 HOSPITAL EXPANSION, MACHINERY, EQUIPMENT, FURNITURE, OTHER PERSONAL PROPERTY 0 0 1 B IDAHO HEALTH FACILITIES AUTHORITY 826051863 451295YU7 2017-10-19 40727134 HOSPITAL EXPANSION, MACHINERY, EQUIPMENT, FURNITURE, OTHER PERSONAL PROPERTY 0 0 0 A 12960000 74715000 652000 74063000 2016 0 0 1 1 B 5860000 40727134 314687 40412448 2018 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 ST JOSEPH ENT ST. JOSEPH ENT IS OWNED BY DIRECTOR, DR. THOMAS DETAR, MD, 270139 KOOTENAI HEALTH PAID ST. JOSEPH ENT FOR ENT ON CALL AND TRAUMA SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS THREE CORPORATE MEMBERS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY SERVED. MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE BROADLY REPRESENTATIVE OF THE COMMUNITY SERVED. MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT ARE ABLE TO ACT ON BEHALF OF THE GOVERNING BOARD. MINUTES OF COMMITTEE MEETINGS AND COMMITTEE RECOMMENDATIONS ARE SUBMITTED TO THE BOARD AS A WHOLE FOR CONSIDERATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY APPLIES TO ALL STAFF, BOARD MEMBERS, OFFICERS, CONTRACTORS, AND VOLUNTEERS OF KOOTENAI HEALTH AND ITS AFFILIATES. INITIAL DETERMINATIONS ARE MADE BY THE DEPARTMENT DIRECTOR AND/OR VICE PRESIDENT OF THE EMPLOYEE. EMPLOYEES MUST SUBMIT A DISCLOSURE OF PERSONAL AND PROFESSIONAL INTERESTS FORM TO THEIR RESPECTIVE DIRECTOR AND/OR VICE PRESIDENT FOR REVIEW. AFTER THE INITIAL REVIEW, THE COMPLETED DISCLOSURE FORM IS FORWARDED TO THE COMPLIANCE OFFICER FOR CONFIRMATION OF THE DIRECTOR AND/OR VICE PRESIDENT'S DECISION. IF NEEDED, A CONSULT MAY BE REQUESTED WITH THE VICE PRESIDENT, COMPLIANCE OFFICE, VICE PRESIDENT OF HUMAN RESOURCES, OR LEGAL COUNSEL. FOLLOWING CONSULTATION, THE DEPARTMENT DIRECTOR AND VICE PRESIDENT WILL ISSUE A WRITTEN DECISION REGARDING WHETHER THE ACTIVITY IN QUESTION IS PERMISSIBLE, PERMISSIBLE WITH CERTAIN CLEARLY SPECIFIED CONDITIONS, OR NOT PERMISSIBLE. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS DETERMINED BY THE PHYSICIAN AND EXECUTIVE COMPENSATION COMMITTEE (A SUBCOMMITTEE OF KOOTENAI HEALTH'S BOARD OF DIRECTORS) WHERE SULLIVAN COTTER SHARES MARKET INFORMATION AND ADVISES ON ALL ASPECTS OF COMPENSATION BASE, INCENTIVE, BENEFITS AND RETIREMENT FOR EXECUTIVES. THE COMMITTEE MAKES THESE SPECIFIC DECISIONS WITHIN OUR MEETINGS FOR THE CEO. THESE DECISIONS ARE DOCUMENTED IN THE MEETING MINUTES. FOR THE REST OF THE EXECUTIVES, THE COMMITTEE DELEGATES SPECIFIC DECISION AUTHORITY REGARDING ANNUAL BASE SALARY INCREASES TO THE CEO. THE COMMITTEE OVERSEES THE TOTAL SPEND AND LOOKS TO SULLIVAN COTTER'S REASONABLENESS OPINION REGARDING EACH SPECIFIC EXECUTIVE'S TOTAL COMPENSATION INCLUSIVE OF BASE, INCENTIVE, BENEFITS AND RETIREMENT. WITH RESPECT TO INCENTIVE, BENEFITS AND RETIREMENT, THE COMMITTEE MAKES THESE DECISIONS FOR ALL THE EXECUTIVES INCLUDING THE CEO. THESE DECISIONS ARE WELL DOCUMENTED IN THE COMMITTEE'S MINUTES. THE COMMITTEE GENERALLY MEETS THREE TIMES A YEAR. IN Q1 TO SET INCENTIVE GOALS FOR THE EXECUTIVES, IN Q2 TO REVIEW INCENTIVE PAYOUT AND BASE SALARY DECISIONS AND Q3 TO REVIEW MARKET MOVEMENT AND TRENDS. EACH OF THE MEETING'S MINUTES ARE DETAILED AND SPECIFIC AS TO DECISIONS, AFFIRMATION OF MARKET POSITIONING, AFFIRMATION OF COMPENSATION PHILOSOPHY AND AFFIRMATION OF SULLIVAN COTTER'S REASONABLENESS OPINION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS 11,689,216. CHANGE IN INTEREST IN THE NET ASSETS OF THE FOUNDATION 2,644,927. CAPITAL CONTRIBUTIONS -193. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 990, PART VI, LINE 16B: KOOTENAI HEALTH DOES NOT CURRENTLY HAVE A POLICY ADDRESSING PARTICIPATION IN JOINT VENTURES BUT IS WORKING TO IMPLEMENT A POLICY. 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