2019-11-15T11:28:28-06:00 2018-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2018-01-01 205126945 BMH INC BMHI 2087854100 98 POPLAR STREET BLACKFOOT ID 832211799 JACOB ERICKSON CEO 2087854100 2019-11-13 true THOMAS DINGUS P00951009 5092420874 2019-11-15 63.131.236.90 2019-11-15 11:28:28 CS P AB0260C9A42DF407710DF0D66D93E7824888E325 2474EFBFE268E1323248D70D812BABF32F861C74 2018 2020-03-31 21:24:44Z JACOB ERICKSON 98 POPLAR STREET BLACKFOOT ID 83221 161212853 false X WWW.BINGHAMMEMORIAL.ORG X 2006 ID ENDEAVORING TO PROVIDE QUALITY HEALTHCARE SERVICES FOR RESIDENTS AND VISITORS TO BINGHAM COUNTY. 8 6 1040 65 355899 22415 1899926 1814123 112929953 140719859 536611 917454 4112590 4535122 119479080 147986558 151465 211039 0 58822132 76373581 0 4160 59375789 70009380 118349386 146594000 1129694 1392558 86500530 99557088 41770711 55045277 44729819 44511811 X BINGHAM MEMORIAL HOSPITAL IS COMMITTED TO THE PURSUIT OF EXCELLENCE IN ITS ENDEAVOR TO PROVIDE A CONTINUUM OF QUALITY, COMPASSIONATE HEALTHCARE SERVICES FOR OUR RESIDENTS AND FOR VISITORS TO BINGHAM COUNTY, IN THE MOST EFFECTIVE AND COST EFFECTIVE MANNER POSSIBLE. false false 63844673 211039 100409837 BMH OPERATES A 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL (CAH) FACILITY WHICH PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, AND SURGICAL SERVICES FOR RESIDENTS OF BINGHAM COUNTY AND SURROUNDING COUNTIES. THE HOSPITAL PROVIDED SERVICES TO 2,313 INPATIENTS, 312 NEWBORN INFANTS, AND 9,679 EMERGENCY ROOM PATIENTS AS WELL AS PERFORMING 8,246 SURGERIES (INPATIENT AND OUTPATIENT) DURING THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 946,185 FOR CHARITY CARE, 71,675,022 FOR MEDICARE, 23,338,829 FOR MEDICAID, AND 72,999,101 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2018. 52909106 38080455 BMH OPERATES SEVERAL CLINICS EMPLOYING AND CONTRACTING WITH PHYSICIANS TO PROVIDE MEDICAL CARE TO INDIVIDUALS IN THE COMMUNITY AND SERVICE AREA. DURING THE YEAR, THESE PHYSICIANS PROVIDED 172,774 SEPARATE SERVICE ENCOUNTERS FOR INDIVIDUAL PATIENTS. 4023007 2292798 BMH OPERATES A NURSING HOME WHICH AVERAGED 40 RESIDENTS PER DAY RECEIVING INPATIENT SERVICES (EITHER SHORT-TERM OR LONG-TERM SKILLED CARE) DURING THE YEAR. 120776786 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 116 0 true 1040 true true true false false false false false false false false false false false X 8 6 false false false false true true true true true false false true true true true true true true true true true X JACOB ERICKSON 2087854100 98 POPLAR STREET BLACKFOOT ID 83221 ADAM WRAY DIRECTOR/PHY 70.00 X 1205100 0 21427 DAVID PETERSON DIRECTOR/PHY 70.00 X 871470 0 12477 WAYNE BROWER CHAIR 10.00 X X 0 0 0 GARY BAUMGARTNER VICE CHAIR 10.00 X X 0 0 0 T LAYNE VAN ORDEN TREASURER 10.00 X X 0 0 0 DEAN JONES DIRECTOR 6.00 X 0 0 0 LINDA VALENTINE DIRECTOR 6.00 X 0 0 0 BRYCE JOLLEY DIRECTOR 6.00 X 0 0 0 JACOB ERICKSON CEO 70.00 X 343079 0 19627 JOHN FULLMER CFO 70.00 X 220021 0 17545 DAVID LOWRY COO 70.00 X 247455 0 14121 CAROLYN HANSEN CNO 70.00 X 243441 0 870 SCOTT HUNEYCUTT PHYSICIAN 40.00 X 1109105 0 17617 ROBERT JOHNSON PHYSICIAN 40.00 X 767241 0 17617 NATHAN RICHARDSON PHYSICIAN 40.00 X 715490 0 17617 BALDWIN STUTTS PHYSICIAN 40.00 X 700734 0 13686 PRASHANTH MANJUNATH PHYSICIAN 40.00 X 689013 0 17617 LOUIS KRAML FORMER CEO X 666667 0 7568 JEFFREY DANIELS FORMER CEO X 314480 0 13741 DAN COCHRAN FORMER COO X 258926 0 0 8352222 191530 14 true true false TD THERAPY SERVICES LLC 1757 LANCE DR POCATELLO ID 83204 THERAPY SERVICE 2525723 IDAHO PATHOLOGY LABORATORY 98 POPLAR BLACKFOOT ID 83221 PATHOLOGY LAB 2246344 HEALTHCARE ADMINISTRATIVE PARTNERS PO BOX 90 SALT LAKE CITY UT 84110 CODING SERVICES 738437 GEBBS HEALTHCARE SOLUTIONS INC 600 CORPORATE POINTE SUITE 1250 CULVER CITY CA 90230 CODING SERVICES 298508 IDAHO KIDNEY INSTITUTE 444 HOSPITAL WAY BLDG 2 POCATELLO ID 83201 IPC PRO FEES 235481 17 1655386 158737 1814123 NET PATIENT SERVICE REVENUE 621110 138465661 138465661 PROGRAM RELATED INVESTMENTS 621110 2254198 2254198 140719859 594619 594619 118311 103229 31489 86822 103229 190051 41292 148759 12897941 18000 12510678 82428 387263 -64428 322835 322835 2822216 601700 2220516 2220516 OTHER 561000 846755 846755 CAFETERIA 722210 500862 500862 HOSPITAL MANAGEMENT SERVICES 541610 462331 462331 314607 314607 2124555 147986558 140719859 355899 5096677 X 201164 201164 9875 9875 3217575 2354785 862790 60504053 53987880 6516173 222000 196448 25552 8969490 5813175 3156315 3460463 2967280 493183 201244 201244 220055 220055 60475 60475 15275937 10836833 4439104 1687877 540966 1144120 2791 4966870 3327268 1638233 1369 1831009 1831009 3789700 1818277 1971423 890635 471949 418686 328263 261897 66366 1246622 1246622 3951982 3560265 391717 810238 797048 13190 MEDICAL SUPPLIES & DRUGS 26643062 26643062 BAD DEBT EXPENSE 5892057 5892057 REPAIR AND MAINTENANCE 1055559 641271 414288 STATE ASSESSMENT 222687 222687 935108 232599 702509 146594000 120776786 25813054 4160 254772 8309928 2253177 36209 17876375 23712752 4020951 4384085 2036184 1905196 84412936 52462138 32265160 31950798 20713672 16945737 3161651 4144807 131000 5809557 3787588 2358019 86500530 99557088 17157021 21702650 46937 3650000 20586493 16848438 7049400 4115252 5659797 41770711 55045277 X 44729819 44511811 44729819 44511811 86500530 99557088 X 1392558 -1610566 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5344 5344 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS ALLOCATE A PORTION OF SUCH DUES TO LOBBYING ACTIVITIES BASED ON STUDIES CONDUCTED BY THE RESPECTIVE ASSOCIATION. 3131594 3131594 39733247 23209978 16523269 3576473 1817864 1758609 36912143 27434296 9477847 1059479 1059479 31950798 LINE OF CREDIT 2981114 CAPITAL LEASE OBLIGATIONS 2418683 MALPRACTICE INSURANCE LIABILITY 260000 5659797 X SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NON-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNSER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTION 511 THROUGH 515. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 OR 2017. true true X true X true X true true false false 489115 489115 0.00350 16958675 14637551 2321124 0.01650 173670 173670 0.00120 17621460 14637551 2983909 0.02120 35253 1119954 42500 1077454 0.00770 2168874 1709386 459488 0.00330 53087 53087 327764 327764 0.00230 35253 3669679 1804973 1864706 0.01330 35253 21291139 16442524 4848615 0.03450 true 5955306 1488827 29821214 32416012 -2594798 X true true BMH PHYSICIANS CLINI RENTAL REAL ESTATE 0.59000 0.41000 IDAHO PATHOLOGY LAB PATHOLOGY SERVICES 0.55000 0.45000 DOCTORS & HOSPITAL SURGICAL SERVICES 1.00000 CMRGO LLC RENTAL REAL ESTATE 1.00000 BBH INVESTMENTS SURGICAL SERVICES 0.22000 0.78000 CRESTWOOD ENTERPRISE RENTAL REAL ESTATE 0.21000 0.25000 SKYLINE SURGERY CENT SURGICAL SERVICES 0.21000 0.46000 ORANGE LLC MEDICAL SERVICES 1.00000 2 1 BINGHAM MEMORIAL HOSPITAL 98 POPLAR STREET BLACKFOOT ID 832211799 WWW.BINGHAMMEMORIAL.ORG 36 X X X X X X 2 IDAHO DOCTORS HOSPITAL 98 POPLAR STREET BLACKFOOT ID 832211799 IDAHO DOCTORS HOSPITAL 66 X X X BINGHAM MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 16 true false true true X WWW.BINGHAMMEMORIAL.ORG X true 16 true WWW.BINGHAMMEMORIAL.ORG/ABOUT-BMH/COMM false false true X 150.000000000000 200.000000000000 X X X X X true true X X X true X SEE PART V, PAGE 8 X true X false X X X true X false false IDAHO DOCTORS HOSPITAL 2 false true false false true X 150.000000000000 200.000000000000 X X X X X true true X X X X true X SEE PART V, PAGE 8 X true X false X X X true X false false FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED IN PART TWO - PAGES 17-49, OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 5 BINGHAM MEMORIAL HOSPITAL (BINGHAM), LOCATED IN BLACKFOOT ID, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) BETWEEN MAY 2016 AND OCTOBER 2016. BINGHAM CONTRACTED WITH LAMPROPHONY ENTERPRISES, LLC (LE) TO FACILITATE AND CONDUCT THIS CHNA. LE PROVIDES SUPPORT TO NON-PROFIT HOSPITALS AND OTHER COMMUNITY GROUPS TO CONDUCT NEEDS ASSESSMENTS AND PLANNING ACTIVITIES TO IMPROVE HEALTH AND INCREASE HEALTH EQUITY. THE CHNA INCLUDED COMPILATION AND ANALYSIS OF EXISTING SECONDARY DATA FROM A VARIETY OF SOURCES INCLUDING STATE AND FEDERAL AGENCIES, SUCH AS THE PUBLIC HEALTH DEPARTMENT, AS WELL AS NATIONAL FOUNDATIONS IN ORDER TO CREATE A COMMUNITY HEALTH PROFILE FOR BINGHAM'S SERVICE AREA. THE PROCESS ALSO INCLUDED COMMUNITY INPUT VIA KEY STAKEHOLDER INTERVIEWS, AN ONLINE SURVEY, AND REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. PRIORITY HEALTH ISSUES WERE IDENTIFIED BY BINGHAM STAFF IN PARTNERSHIP WITH LE BY LOOKING AT FINDINGS FROM ACROSS ALL DATA AND PERSPECTIVES. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 6B THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH LAMPROPHONY ENTERPRISES, LLC. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 11 ANALYSIS AND COMPARISONS OF THE PRIMARY (INTERVIEWS AND SURVEYS) AND SECONDARY (PUBLIC DATABASES) SOURCES OF DATA FACILITATED THE IDENTIFICATION OF HEALTH NEEDS IN BINGHAM'S SERVICE AREA. THE TOP EIGHT CAUSES OF DEATH, WHICH ARE THE SAME IN BOTH BINGHAM AND BANNOCK COUNTIES, WERE INCLUDED AS IDENTIFIED NEEDS. HEALTH RISK FACTORS WITH HIGHER RATES AND CLINICAL CARE FACTORS THAT LEAD TO WORSE HEALTH OUTCOMES IN BINGHAM COUNTY WHEN COMPARED WITH THE STATE OF IDAHO WERE ALSO INCLUDED AS IDENTIFIED NEEDS. THE FOLLOWING WERE IDENTIFIED AS THE 10 MOST HIGHLY PRIORITIZED HEALTH NEEDS, AND ADDRESSED IN THE FOLLOWING MANNER: 1 - HIGH COST OF CARE. BMH RURAL CLINICS, A LOW INCOME SLIDING FEE SCHEDULE IS ALSO OFFERED. 2 - UNINSURED/UNDERINSURED. AN INSURANCE BENEFITS COMMUNITY CLASS HAS BEEN PROPOSED FOR UNINSURED OR UNDERINSURED PATIENTS. 3 - DIABETES. BMH OPERATES A DIABETES AND OSTEOPOROSIS CENTER IN POCATELLO THAT OFFERS HYPERBARIC, AND WOULD OSTOMY TREATMENT. A CERTIFIED DIABETES EDUCATION PROGRAM IS IN DEVELOPMENT OVER THE NEXT THREE YEARS WHICH WILL RESULT IN A DIABETES SELF-MANAGEMENT PROGRAM. THE CURRENT DIABETES PREVENTION PROGRAM IS TRANSITIONING TO A PATIENT. 4 - HEALTHY LIFESTYLE CHOICES. A TOBACCO CESSATION CLASS IS OFFERED TO HELP INDIVIDUALS STOP SMOKING. 5 - OBESITY. A DIABETES PREVENTION PROGRAM IS OFFERED AS WELL AS WEIGHT LOSS SEMINARS TO PREVENT OBESITY. A COOKING MATTERS CLASS IS PROPOSED TO BE OFFERED AS A WAY TO TEACH INDIVIDUALS TO EAT HEALTHIER DIETS. 6 - MENTAL HEALTH. SERVICES ANGER MANAGEMENT, LOVE AND LOGIC CLASSES, AND COUNSELING SERVICES ARE CURRENTLY OFFERED. LOCAL MENTAL HEALTH SPECIALISTS ARE PROPOSED TO BE PROVIDED TO ADDRESS MENTAL HEALTH ISSUES. 7 - HEART DISEASE. CARDIOLOGY SERVICES ARE OFFERED TO HELP PREVENT HEART DISEASE. 8 - LIMITED HEALTH KNOWLEDGE. HEART HEALTH SCREENINGS AND A DIABETES PREVENTION PROGRAM ARE OFFERED TO INCREASE HEALTH KNOWLEDGE. A DIABETES SELF-MANAGEMENT PROGRAM IS PROPOSED TO BE OFFERED. SPANISH INTERPRETERS, HEALTH FAIRS, AND WEIGHT LOSS SEMINARS ARE ALSO PROVIDED AND DESIGNED TO HELP EDUCATE PATIENTS. 9 - DRUG/ALCOHOL ABUSE. A PATIENT CENTERED MEDICAL HOME MODEL IS PROPOSED TO BE OFFERED TO WORK WITH PATIENTS' PRIMARY PHYSICIANS TO ENSURE THAT THEY RECEIVE PROPER CARE. 10 - HEALTH SCREENING. FREE WELLNESS SCREENINGS, BUMPS AND BRUISES CLINICS, HEALTH FAIRS, AND WEIGHT LOSS SEMINARS ARE ALL OFFERED AS A WAY TO HELP PATIENTS MONITOR THEIR HEALTH. BMH'S DESIRE TO EXCEED EXPECTATIONS MEANS THAT IT IS CONTINUALLY IMPROVING ON THESE AREAS OF NEEDS THROUGH NEW PROGRAMS AND AFFILIATIONS. WHILE ALL SIGNIFICANT NEEDS OF THE COMMUNITY ARE BEING MET, SOME OF THE INITIAL PLANS TO MEET THOSE NEEDS HAVE CHANGED DUE TO NEW HEALTHCARE PROVIDERS, GRANTS, AND PROGRAMS. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 13B CONSIDERATIONS ARE GIVEN TO INCOME LEVEL IN COMBINATION WITH OTHER LISTED FACTORS. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 13H CONSIDERATIONS ARE GIVEN TO MEDICAID/MEDICARE AND HOMELESS. FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 16J ABRIDGED BROCHURE WITH POLICY HIGHLIGHTS WAS MADE AVAILABLE IN THE ER, ADMISSIONS, AND PATIENT FINANCIAL SERVICES. THE FAP APPLICATION FORM CAN BE FOUND ON THE WEBSITE AT THE FOLLOWING URL: BINGHAMMEMORIAL.ORG/UPLOADS/FINANCIAL%20STATEMENT%20APPLICATION%20FORM.PDF FACILITY 2, IDAHO DOCTORS HOSPITAL - PART V, LINE 2 SIXTY PERCENT OF IDAHO DOCTOR'S HOSPITAL WAS ACQUIRED IN 2016 AND THE REMAINING SHARES WERE ACQUIRED IN 2018. FACILITY 2, IDAHO DOCTORS HOSPITAL - PART V, LINE 13B CONSIDERATIONS ARE GIVEN TO INCOME LEVEL IN COMBINATION WITH OTHER LISTED FACTORS. FACILITY 2, IDAHO DOCTORS HOSPITAL - PART V, LINE 13H CONSIDERATIONS ARE GIVEN TO MEDICAID/MEDICARE AND HOMELESS. FACILITY 2, IDAHO DOCTORS HOSPITAL - PART V, LINE 15E CONSIDERATIONS ARE GIVEN TO INCOME LEVEL, MEDICAL INDIGENCE, INSURANCE STATUS, UNINSURED DISCOUNT, MEDICAID/MEDICARE, ASSET LEVEL, AND HOMELESSNESS. FACILITY 2, IDAHO DOCTORS HOSPITAL - PART V, LINE 16J ABRIDGED BROCHURE WITH POLICY HIGHLIGHTS WAS MADE AVAILABLE IN THE ER, ADMISSIONS, AND PATIENT FINANCIAL SERVICES. THE FAP APPLICATION FORM CAN BE FOUND ON THE WEBSITE AT THE FOLLOWING URL: BINGHAMMEMORIAL.ORG/UPLOADS/FINANCIAL%20STATEMENT%20APPLICATION%20FORM.PDF 21 BINGHAM MEMORIAL SKILLED NURSING & 98 POPLAR STREET BLACKFOOT ID 83221 SKILLED NURSING FACILITY BINGHAM MEMORIAL HOSPITAL SLEEP LAB 53 POPLAR STREET BLACKFOOT ID 83274 HOSPITAL OFFICES BINGHAM MEMORIAL FAMILY MEDICINE 1 353 N 4TH AVE SUITE 102 POCATELLO ID 83201 PHYSICIAN OFFICES BINGHAM MEMORIAL FAMILY MEDICINE 2 1595 BANNOCK HWY POCATELLO ID 83204 PHYSICIAN OFFICES BINGHAM MEMORIAL FAMILY MEDICINE 3 315 W IDAHO STREET BLACKFOOT ID 83221 PHYSICIAN OFFICES BINGHAM MEMORIAL FAMILY MEDICINE 4 1740 E 17TH STREET IDAHO FALLS ID 83404 PHYSICIAN OFFICES BMH PHYSICIANS 98 POPLAR STREET BLACKFOOT ID 83221 PHYSICIAN OFFICES BINGHAM MEMORIAL SPECIALTY PLAZA 326 POPLAR STREET BLACKFOOT ID 83221 PHYSICIAN OFFICES DIABETES INTERNAL MEDICINE ARTHRI 2302 E TERRY STREET POCATELLO ID 83201 PHYSICIAN OFFICES FIRST CHOICE URGENT CARE 1350 PARKWAY DRIVE BLACKFOOT ID 83221 PHYSICIAN OFFICES PHYSICIANS & SURGEONS CLINIC OF IDA 2375 SUNNYSIDE ROAD IDAHO FALLS ID 83404 PHYSICIAN OFFICES PHYSICIANS & SURGEONS CLINIC OF POC 1151 HOSPITAL WAY BLDG D POCATELLO ID 83201 PHYSICIAN OFFICES PHYSICIANS & SURGEONS CLINIC OF SHE 275 W LOCUST SHELLEY ID 83274 PHYSICIAN OFFICES GRADUATE MEDICAL STUDENTS 310 W IDAHO STREET BLACKFOOT ID 83221 HOSPITAL OFFICES BINGHAM MEMORIAL FAMILY MEDICINE 353 N 4TH AVE SUITE 110 POCATELLO ID 83201 PHYSICIAN OFFICES BINGHAM SPECIALTY CLINIC 235 POPLAR STREET BLACKFOOT ID 83221 PHYSICIAN OFFICES BINGHAM SPECIALTY CLINIC 285 VISTA DR SUITE E POCATELLO ID 83201 PHYSICIAN OFFICES BINGHAM SPECIALTY CLINIC 3760 WASHINGTON PARKWAY IDAHO FALLS ID 83404 PHYSICIAN OFFICES HEALTH & WELLNESS SLEEP INSTITUTE 1553 E CENTER STREET POCATELLO ID 83201 PHYSICIAN OFFICES IDAHO ORTHOPEDIC & SPORTS CLINIC 560 MEMORIAL DR POCATELLO ID 83201 PHYSICIAN OFFICES BINGHAM SPECIALTY CLINIC 1975 MARTHA AVENUE IDAHO FALLS ID 83404 PHYSICIAN OFFICES PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 5,892,057. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE COSTING METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE IS THE COST TO CHARGE RATIO. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM VIA APPOINTMENTS WITH PATIENT FINANCIAL COUNSELORS, CALLS WITH PATIENT FINANCIAL ADVOCATES AND BROCHURES AVAILABLE IN THE ADMISSION AND BUSINESS OFFICE AREAS OF THE HOSPITAL. EVEN THOUGH THERE ARE MULTIPLE AVENUES USED TO EDUCATE AND ASSIST PATIENTS IN APPLYING FOR THE FINANCIAL ASSISTANCE PROGRAM, SOME PATIENTS ARE RELUCTANT TO SPEND THE TIME GOING THROUGH THE QUALIFICATION PROCESS. THERE ARE ALSO THOSE PATIENTS THAT APPLY FOR THE PROGRAM BUT FAIL TO PROVIDE THE NECESSARY PAPERWORK TO SUPPORT THE APPLICATION. THIS PREVENTS ACCURATELY IDENTIFYING THEIR FINANCIAL NEEDS. MANY PATIENTS IN THE AREA HAVE A STEADY INCOME PROVIDED TO THEM BY THE GOVERNMENT AND HAVE NO NEED FOR A HEALTHY CREDIT SCORE. THERE ARE ALSO PATIENTS THAT ARE WELL ABOVE THE FINANCIAL GUIDELINES FOR FINANCIAL ASSISTANCE THAT ALLOW THEIR ACCOUNTS TO GO TO A BAD DEBT AGENCY. IN ADDITION, THERE ARE THOSE PATIENTS THAT DO NOT PLACE A HIGH IMPORTANCE ON PAYING MEDICAL BILLS AND BELIEVE THAT CREDITORS DO NOT FAULT THEM FOR HAVING MEDICAL BAD DEBT FOR THE ABOVE REASONS. IT IS ESTIMATED THAT THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT WOULD QUALIFY AS CHARITY UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 25%. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 2 ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 2 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION THE SHORTFALL IN MEDICARE UNREIMBURSED COST SHOULD BE INCLUDED AS COMMUNITY BENEFIT AS SERVICES ARE RENDERED TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY AND/OR THE REIMBURSEMENT EXPECTED TO BE RECEIVED FROM MEDICARE, MEDICAID OR OTHER PAYERS. THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE COSTS IS THE COST OF CHARGE RATIO. BINGHAM MEMORIAL IS DESIGNATED A CRITICAL ACCESS HOSPITAL AS SUCH, A PORTION OF ITS MEDICARE CHARGES IS PAID UNDER A COST BASED REIMBURSEMENT SYSTEM. ONLY THAT PORTION OF THE TOTAL MEDICARE REVENUE EARNED AND THE ASSOCIATED ALLOWABLE COSTS INCURRED BY THE ORGANIZATION IS REPORTED ON ITS MEDICARE COST REPORT. PER THE SCHEDULE H INSTRUCTIONS THE AMOUNTS REPORTED IN PART III LINES 5-7 ARE FROM OUR MEDICARE COST REPORT. THE RESULTANT SHORTFALL ON LINE 7 IS 2,594,798. THERE IS SIGNIFICANT DIFFERENCE, HOWEVER, BETWEEN OUR TOTAL MEDICARE PROGRAM SERVICES AND THE SUBSET OF THE TOTAL WHICH IS ACCOUNTED FOR ON THE COST REPORT. IN ORDER TO CLEARLY AND FULLY DESCRIBE THESE SERVICES, MANAGEMENT HAS MADE INTERNAL CALCULATIONS, WHICH TAKE INTO CONSIDERATION OUR MEDICARE SERVICES IN ITS ENTIRETY. BINGHAM MEMORIAL OPERATES 20 CLINICS (BOTH PRIMARY CARE AND SPECIALTY). BINGHAM HAS RECRUITED AND EMPLOYS 43 PHYSICIANS AND 13 MID-LEVEL PROFESSIONALS, PROVIDING VITAL CARE FOR OUR COMMUNITY'S CITIZENS. MUCH OF THESE ARE REIMBURSED USING FEE SCHEDULE RATES THAT ARE (IN THE AGGREGATE) BELOW THE COST OF PROVIDING THAT CARE. IN ORDER TO SUPPORT THE DELIVERY OF THESE HEALTH SERVICES, THE HOSPITAL INCURS OTHER ASSOCIATED COSTS, LIKE DIRECT SUPPORT STAFF, INFRASTRUCTURE, SUPPORTING DEPARTMENTS (ACCOUNTING, PATIENT FINANCIAL SERVICES, INFORMATION TECHNOLOGY, HUMAN RESOURCES, ETC) AND EXECUTIVE LEADERSHIP. IF NOT FOR TAX EXEMPT AND CRITICAL ACCESS HOSPITALS, SUCH AS BINGHAM MEMORIAL, ABSORBING THE DEFICIT ATTACHED TO PROVIDING THESE VITAL SERVICES TO MEDICARE RECIPIENTS, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES WOULD BEAR THE FINANCIAL BURDEN OF THESE CITIZENS' CARE. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE A PATIENT APPLIES FOR FINANCIAL ASSISTANCE, WE HOLD ALL COLLECTIONS EFFORTS UNTIL A DETERMINATION IS MADE. WE SEND THE PATIENT A LETTER NOTIFYING THEM OF APPROVAL OR DENIAL OF FINANCIAL ASSISTANCE. APPROVED FINANCIAL ASSISTANCE IS GOOD FOR 3 MONTHS UNLESS FINANCIAL SITUATION HAS CHANGED, AND THEN A PATIENT MUST REAPPLY FOR ASSISTANCE. ANY NON-EMERGENCY SERVICES REQUIRE A NEW APPLICATION. PART VI, LINE 2 - NEEDS ASSESSMENT BINGHAM MEMORIAL HOSPITAL'S DEPARTMENT OF PUBLIC RELATIONS UTILIZES A COMMUNITY SURVEY TO IDENTIFY THE HEALTHCARE NEEDS OF OUR COMMUNITY. SURVEYS ARE MAILED TO APPROXIMATELY 25% OF OUR COUNTY POPULATION. ON-SITE SURVEYS ARE ALSO DISTRIBUTED AT HOSPITAL EVENTS. SURVEYS ASK WHICH SERVICES AND EDUCATION PROGRAMS COMMUNITY MEMBERS ARE INTERESTED IN. THE RESULTS ARE SHARED WITH ADMINISTRATION, AFTER WHICH, COMMUNITY EVENTS AND OUTREACH EFFORTS ARE PLANNED ACCORDINGLY. THE HOSPITAL ALSO RECEIVES A VARIETY OF DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND MEMBERS TO PROVIDE SERVICES AND EDUCATION. EXAMPLES INCLUDE DISCOUNTED FLU CLINICS, DISCOUNTED LAB TESTING, FREE HEALTH EDUCATION CLASSES AND SEMINARS RELATED TO JOINT PAIN, ARTHRITIS PAIN, WEIGHT LOSS, AND BACK PAIN. WE PERFORM FREE PHYSICAL EXAMS FOR STUDENT ATHLETES, PLACE AN ATHLETIC TRAINER FREE OF CHARGE AT HIGH SCHOOL SPORTING EVENTS, AND PROVIDE FREE EXAMS FOR STUDENT ATHLETES INJURED AT A SPORTING EVENT. BY PROVIDING THESE SERVICES WITHIN OUR COMMUNITY WE ARE REDUCING TRAVEL COSTS FOR COMMUNITY MEMBERS. MANAGEMENT, HOSPITAL DEPARTMENT STAFF AND MANAGERS, AND THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS WITHIN THE COMMUNITY. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.BINGHAMMEMORIAL.ORG/ABOUT-BMH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE NOTIFY PATIENTS VERBALLY PRIOR TO ADMISSIONS VIA THE FRONT OFFICE, PATIENT FINANCIAL COUNSELOR OR ADMISSION CLERK. WHEN THEY PRESENT FOR SERVICES, WE SCREEN FOR INSURANCE COVERAGE AND, IF APPROPRIATE, WE GET THEM AN APPOINTMENT WITH A FINANCIAL COUNSELOR. AFTER THE SERVICES, WHEN WE CALL THEM FOR PAYMENTS, WE EXPLAIN THE PROCESS AGAIN TO ANY APPLICABLE PATIENTS. IF THEY ARE HAVING TROUBLE MEETING THEIR OBLIGATIONS, OR IF THEY EXPRESS NEED, WE SEND THEM OUT A LETTER EXPLAINING THE PROCESS AGAIN AND PROVIDE AN APPLICATION FOR THEIR COMPLETION. THE FAP APPLICATION CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: BINGHAMMEMORIAL.ORG/UPLOADS/FINANCIAL%20STATEMENT%20APPLICATION%20FORM.PDF PART VI, LINE 4 - COMMUNITY INFORMATION BMH, INC. SERVES THE 45,000 RESIDENTS OF BINGHAM COUNTY WITH MEDICAL SERVICES. LOCATED BETWEEN THE FOURTH AND FIFTH LARGEST CITIES IN IDAHO, BINGHAM COUNTY INCORPORATES JUST OVER 2,000 SQUARE MILES. THE COUNTY POPULATION CONSISTS MOSTLY OF YOUNGER FAMILIES WITH CHILDREN WITH A MEDIAN AGE OF 30. THE COUNTY'S POPULATION AGE BREAKDOWN IS AS FOLLOWS: 32% AGE 0-18, 10% AGE 18-25, 12% AGE 25-35, 12% AGE 35-45, 11% AGE 45-55, 8% AGE 55-65, AND 15% OVER AGE 65. BINGHAM COUNTY'S RURAL COMMUNITIES HAVE OVER 1,300 UNINSURED INDIVIDUALS (2.9% OF POPULATION) AND IT IS ESTIMATED TO HAVE AN EVEN GREATER PERCENTAGE OF UNDERINSURED INDIVIDUALS. IN BINGHAM COUNTY'S AGRICULTURAL BASED ECONOMY, THE MEDIAN HOUSEHOLD INCOME, 50,155 (US CENSUS BUREAU 2015), IS 12% LOWER THAN THE NATIONAL AVERAGE OF 57,230 (US CENSUS BUREAU 2015). ADDITIONALLY, BMH SERVES THE FORT HALL INDIAN RESERVATION AND ITS 3,000 INHABITANTS, AS WELL AS A NUMBER OF BANNOCK AND BONNEVILLE RESIDENTS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE COMMUNITY BOARD STEERS THE ORGANIZATIONAL GOALS AND MISSION TOWARDS PROVIDING THE BEST HEALTHCARE FOR THE COMMUNITY. BMH SUPPORTS A MULTITUDE OF PHYSICIAN SPECIALISTS IN THEIR EFFORTS TO PROVIDE CARE TO THE COMMUNITY ON A REGULAR SCHEDULE. WITH THIS ASSISTANCE, AND AN OPEN MEDICAL STAFF, NUMEROUS PHYSICIANS ARE ABLE TO PROVIDE OUR COMMUNITY WITH SPECIALIZED MEDICAL CARE, FROM NEUROLOGY TO PODIATRY. OUR FINANCIAL ASSISTANCE POLICIES AND PROTOCOLS ALLOW THOSE COMMUNITY MEMBERS WHO MAY HAVE LESS ABILITY TO PAY RECEIVE THE MEDICAL ATTENTION THEY NEED TO LIVE A HEALTHY LIFE. THE VARIOUS SEMINARS, CLASSES AND EVENTS WE PROVIDE TO THE COMMUNITY FREE OF CHARGE GIVES THE COMMUNITY OPPORTUNITIES TO EDUCATE THEMSELVES ABOUT SOME OF THE MAJOR HEALTH CONCERNS PEOPLE HAVE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM N/A true ISU FOUNDATION 921 S 8TH AVENUE POCATELLO ID 83209 826013543 501C3 25000 BUSINESS SCHOLARSHIP IDAHO STATE UNIVERSITY 921 S 8TH AVENUE POCATELLO ID 83209 826000924 GOV 25000 BUSINESS SCHOLARSHIP EASTERN IDAHO STATE FAIR PO BOX 250 BLACKFOOT ID 83221 826001069 GOV 20000 COMMUNITY EVENT POST REGISTER 333 NORTHGATE MILE IDAHO FALLS ID 83401 300873123 7500 COMMUNITY EVENT BENGAL SPORTS PROPERTIES 505 HOBBS ROAD JEFFERSON CITY MO 65109 470911648 7500 SPORTS DONATION HIGHLAND HIGH SCHOOL 1800 BENCH ROAD POCATELLO ID 83202 826000591 GOV 5414 SPORTS DONATION 4 2 SCHOLARSHIPS 16 9875 SCHEDULE I, PAGE 1, PART I, LINE 2 THE RECIPIENTS OF GRANTS ARE REQUIRED TO MAKE SOME KIND OF PUBLIC RECOGNITION OF THE FUNDS GIVEN. X true true X X X X true false false false false false false true false ADAM WRAY DIRECTOR/PHYSICIAN 339129 822524 43447 21427 1226527 DAVID PETERSON DIRECTOR/PHYSICIAN 488947 381794 729 12477 883947 JACOB ERICKSON CEO 269087 65000 8992 19627 362706 JOHN FULLMER CFO 190369 10251 19401 17545 237566 DAVID LOWRY COO 204349 37154 5952 14121 261576 CAROLYN HANSEN CNO 195240 39000 9201 870 244311 SCOTT HUNEYCUTT PHYSICIAN 1108376 729 17617 1126722 ROBERT JOHNSON PHYSICIAN 743171 24070 17617 784858 NATHAN RICHARDSON PHYSICIAN 707838 7652 17617 733107 BALDWIN STUTTS PHYSICIAN 689641 11093 13686 714420 PRASHANTH MANJUNATH PHYSICIAN 526952 116546 45515 17617 706630 LOUIS KRAML FORMER CEO 666667 7568 674235 JEFFREY DANIELS FORMER CEO 276757 37723 13741 328221 DAN COCHRAN FORMER COO 258926 258926 SCHEDULE J, PAGE 1, PART I, LINE 1A IT IS ESTIMATED THAT 5 EXECUTIVES ARE ACCOMPANIED BY SPOUSES ON APPROXIMATELY 3-4 BUSINESS TRIPS PER YEAR FOR A TOTAL OF APPROXIMATELY 10 COMPANION-TRIPS PER YEAR. COSTS INCLUDE ECONOMY-CLASS AIRFARE, MEALS, AND SHARED LODGING. SUCH COSTS ARE INCLUDED IN EXECUTIVE COMPENSATION AS APPLICABLE. SCHEDULE J, PAGE 1, PART I, LINE 4 LOUIS KRAML 666,667 0 0 SCHEDULE J, PAGE 1, PART I, LINE 7 SOME PERFORMANCE-BASED BONUSES ARE PAID TO EXECUTIVES. THOSE BONUSES ARE TIED TO PERFORMED WORK DUTIES AND ARE DETERMINED ON AN AD-HOC BASIS BY THE CEO AND THE BOARD OF DIRECTORS. SCHEDULE J, PART III A 457(F) PLAN IS AVAILABLE TO HIGHLY COMPENSATED AND CERTAIN MANAGEMENT EMPLOYEES IN WHICH THEY ARE ALLOWED TO DEFER COMPENSATION. THIS PLAN IS FUNDED BUT THE ASSETS REMAIN PART OF BMH, INC. UNTIL SUCH TIME AS AN APPROPRIATE ELECTION IS MADE BY THE PARTICIPANT TO HAVE THE FUNDS PAID TO THE PARTICIPANT. BMH IS PHASING THIS PLAN OUT. FORM 990 - ORGANIZATION'S MISSION BINGHAM MEMORIAL HOSPITAL IS COMMITTED TO THE PURSUIT OF EXCELLENCE IN ITS ENDEAVOR TO PROVIDE A CONTINUUM OF QUALITY, COMPASSIONATE HEALTHCARE SERVICES FOR OUR RESIDENTS AND FOR VISITORS TO BINGHAM COUNTY, IN THE MOST EFFECTIVE AND COST EFFECTIVE MANNER POSSIBLE. FORM 990, PAGE 2, PART III, LINE 4A BMH OPERATES A 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL (CAH) FACILITY WHICH PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, AND SURGICAL SERVICES FOR RESIDENTS OF BINGHAM COUNTY AND SURROUNDING COUNTIES. THE HOSPITAL PROVIDED SERVICES TO 2,313 INPATIENTS, 312 NEWBORN INFANTS, AND 9,679 EMERGENCY ROOM PATIENTS AS WELL AS PERFORMING 8,246 SURGERIES (INPATIENT AND OUTPATIENT) DURING THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 946,185 FOR CHARITY CARE, 71,675,022 FOR MEDICARE, 23,338,829 FOR MEDICAID, AND 72,999,101 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2018. FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE HOSPITAL CONSIST OF A BROAD REPRESENTATION OF THE CITIZENS OF BINGHAM COUNTY, IDAHO, INCLUDING AT LEASE ONE RESIDENT OF EACH INCORPORATED CITY IN BINGHAM COUNTY, IDAHO AND THE UNINCORPORATED AREA OF BINGHAM COUNTY. FORM 990, PAGE 6, PART VI, LINE 7A DIRECTORS ARE ELECTED BY A MAJORITY OF THE VOTES CAST BY THE MEMBERS ENTITLED TO VOTE IN THE ELECTION AT THE MEETING AT WHICH A QUORUM OF MEMBERS IS PRESENT. FORM 990, PAGE 6, PART VI, LINE 7B EACH MEMBER OF RECORD OF THE HOSPITAL IS ENTITLED TO VOTE AT THE MEETINGS. AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS AT A MEETING IN WHICH A QUORUM WAS PRESENT IS AN ACT OF THE MEMBERS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO AND CEO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. A FINAL DRAFT IS REVIEWED BY THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C HOSPITAL BOARD MEMBERS ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY, AND AGREES TO COMPLY. PER THE CONFLICT OF INTEREST POLICY, A BOARD MEMBER MUST DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT AFTER DISCLOSURE, THE INTERESTED PERSON SHALL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT ON INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF NONE EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE BUT MUST LEAVE THE MEETING DURING THE DISCUSSION OF AN VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A INTEGRATED HEALTHCARE STRATEGIES, A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION FIRM EVALUATES ALL EXECUTIVE POSITIONS FOR COMPENSATION. IN ADDITION, AN EXECUTIVE COMPENSATION REVIEW COMMITTEE REVIEWS COMPENSATION. THE BOARD OF DIRECTORS ESTABLISHES THE CEO COMPENSATION AND THE CEO ESTABLISHES THE OTHER EXECUTIVES' COMPENSATION WITH THE APPROVAL OF THE BOARD OF DIRECTORS. THESE PROCEDURES ARE COMPLETED EVERY TWO TO THREE YEARS, AND THE PROCEDURES WERE COMPLETED IN 2016. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 BMH MAKES ITS CONFLICT OF INTEREST POLICY, FORM 990, FORM 1023, FINANCIAL STATEMENTS AND OTHER GOVERNANCE DOCUMENTS AVAILABLE UPON REQUEST BY CONTACTING JOHN FULLMER, CFO, AT 98 POPLAR ST, BLACKFOOT, ID 83221. THE ORGANIZATIONS' AUDITED, CONSOLIDATED FINANCIAL STATEMENTS ARE PUBLICALLY AVAILABLE THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD AT HTTP://EMMAMSRBORG/DEFAULT.ASPX FORM 990, PART IX, LINE 11G 10,836,833 4,439,104 0 FORM 990, PART XI, LINE 9 INVENTORY EXPENSE 601,700 RENTAL EXPENSES 31,489 BAD DEBT EXPENSE -5,892,057 INVENTORY EXPENSE -601,700 RENTAL EXPENSES -31,489 BAD DEBT EXPENSE 5,892,057 BINGHAM LAND LLC 98 POPLAR STREET BLACKFOOT ID 83221 711035721 REAL ESTAT ID 288446 542127 BMH INC CMRGO LLC 350 N MERIDIAN BLACKFOOT ID 83221 470917145 REAL ESTAT ID 297167 1819016 BMH INC CRCA MANAGEMENT COMPANY LLC 98 POPLAR STREET BLACKFOOT ID 83221 364873992 PHYSICIANS ID -1364710 -1689125 BMH INC FERRIS HOLDINGS LLC 98 POPLAR STREET BLACKFOOT ID 83221 205126945 INVESTMENT ID 1500 BMH INC MOUNTAIN RIVER BIRTHING & SURGERY CENTER 98 POPLAR STREET BLACKFOOT ID 83221 470917144 BIRTH/SURG ID DOCTORS & HOSPITAL HEALTH SYSTEM OF IDAHO DOCTORS & HOSPITAL HEALTH SYSTEM OF IDAHO LLC 98 POPLAR STREET BLACKFOOT ID 83221 208167113 SURGICAL ID BMH INC RELATED -779771 2786063 false true 1.00000 IDAHO PATHOLOGY LABORATORY LLC 98 POPLAR STREET BLACKFOOT ID 83221 450956263 PATHOLOGY ID BMH INC RELATED 1053864 456346 false true 0.55000 HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO PLLC 1553 E CENTER STREET POCATELLO ID 83201 371529937 SLEEP CTR ID BMH INC RELATED false true 1.00000 BMH PHYSICIANS CLINIC LLC 98 POPLAR STREET BLACKFOOT ID 83221 263952823 REAL RENTA ID BINGHAM LAND LLC RELATED 130451 5355226 false true 0.58720 ORANGE LLC 98 POPLAR STREET BLACKFOOT ID 83221 475046728 MEDICAL ID BMH INC RELATED -52101 false true 1.00000 true false false true true false false false false false true true true false false false false false true IDAHO PATHOLOGY LABORATORY LLC D 237124 GAAP ACCOUNTING BMH PHYSICIANS CLINIC LLC D 441496 GAAP ACCOUNTING HEALTH & WELLNESS SLEEP INSTITUTE D 117107 GAAP ACCOUNTING ORANGE LLC D 162264 GAAP ACCOUNTING IDAHO PATHOLOGY LABORATORY LLC E 1249733 GAAP ACCOUNTING BMH PHYSICIANS CLINIC LLC K 1007318 GAAP ACCOUNTING IDAHO PATHOLOGY LABORATORY LLC L 250571 GAAP ACCOUNTING IDAHO PATHOLOGY LABORATORY LLC M 2718148 GAAP ACCOUNTING IDAHO PATHOLOGY LABORATORY LLC S 1012000 CASH DISTRIBUTIONS