TETON VALLEY HEALTH CARE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- TETON VALLEY HEALTH CARE INC (EIN 45-4551946)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-05-31
- IRS object ID
- 201911519349300311
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-31T13:54:51-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454551946 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TETON VALLEY HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TETO | BusinessNameControlTxt |
| Phone | 2083542383 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST HOWARD AVENUE | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH GNAGEY | PersonNm |
| Person Title | CHAIR/CEO | PersonTitleTxt |
| Phone | 2083542383 | PhoneNum |
| Signature | 2019-05-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2019-05-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.131.236.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-31 | IPDt |
| IP Tm | 13:54:51 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB0260C9A42DF407710DF0D66D93E7824888E325 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH GNAGEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST HOWARD AVE | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,479,016 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TVHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HEALTH OF OUR COMMUNITY BY DELIVERING QUALITY, PATIENT- CENTERED MEDICAL SERVICES WITH COMPASSION INTEGRITY AND RESPECT. WE OPERATE IN A SUSTAINABLE MANNER TO ENSURE CONTINUED ECONOMIC VIABILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 187 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $600,678 | PYContributionsGrantsAmt |
| CY Contributions Grants | $458,568 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,587,242 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,903,384 | CYProgramServiceRevenueAmt |
| PY Investment Income | $38,043 | PYInvestmentIncomeAmt |
| CY Investment Income | $54,717 | CYInvestmentIncomeAmt |
| PY Other Revenue | $39,019 | PYOtherRevenueAmt |
| CY Other Revenue | $62,347 | CYOtherRevenueAmt |
| PY Total Revenue | $17,264,982 | PYTotalRevenueAmt |
| CY Total Revenue | $17,479,016 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,443,613 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,921,056 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $29,818 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,020,207 | PYOtherExpensesAmt |
| CY Other Expenses | $7,666,288 | CYOtherExpensesAmt |
| PY Total Expenses | $16,463,820 | PYTotalExpensesAmt |
| CY Total Expenses | $17,587,344 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $801,162 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$108,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,259,782 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,234,238 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,795,851 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,878,635 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,463,931 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,355,603 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE THE HEALTH OF OUR COMMUNITY BY DELIVERING QUALITY, PATIENT- CENTERED MEDICAL SERVICES WITH COMPASSION INTEGRITY AND RESPECT. WE OPERATE IN A SUSTAINABLE MANNER TO ENSURE CONTINUED ECONOMIC VIABILITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,572,824 | ExpenseAmt |
| Revenue | $16,903,384 | RevenueAmt |
| Desc | THE HOSPITAL OPERATES A 13-BED CRITICAL ACCESS HOSPITAL (CAH) AND 2 RURAL HEALTH CLINICS WHICH PROVIDE HEALTHCARE SERVICES TO PATIENTS IN THE TETON COUNTY, IDAHO AREA. THE HOSPITAL PROVIDED 488 DAYS OF INPATIENT SERVICES, 21,098 OUTPATIENT VISITS, 2,228 EMERGENCY ROOM VISITS, AND 457 SURGERIES FOR THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 137,937 FOR CHARITY CARE, 2,645,792 FOR MEDICARE, 751,757 FOR MEDICAID, AND 2,011,700 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
| Total Program Service Expenses | $13,572,824 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 187 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH GNAGEY | PersonNm |
| Phone | 2083542383 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST HOWARD AVE | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KEITH GNAGEY | ||||||||
| CHAIR/CEO | 40.00 | 3.00 | Yes (X) | Yes (X) | $274,511 | $0 | $23,998 | |
| ROBERT WHIPPLE | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GIL HUNDLEY | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AARON HANSEN | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALICE BONEY | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL WINE | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DUNCAN MOORE | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LETITIA MILLER | ||||||||
| CFO FROM APR | 40.00 | Yes (X) | $53,478 | $0 | $0 | |||
| TOM BIRMINGHAM | ||||||||
| CFO THRU NOV | 40.00 | Yes (X) | $42,057 | $0 | $0 | |||
| JIM HEILSBURG | ||||||||
| INTERIM CFO | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| MAURICE BROWN MD | ||||||||
| PHYSICIAN | 32.00 | $559,310 | $0 | $8,631 | Yes (X) | |||
| CHAD HORROCKS MD | ||||||||
| PHYSICIAN | 40.00 | $409,990 | $0 | $8,461 | Yes (X) | |||
| NATHAN LEVANGER | ||||||||
| PHYSICIAN | 40.00 | $284,640 | $0 | $5,745 | Yes (X) | |||
| JUANITA PRISSEL | ||||||||
| PHYSICIAN | 32.00 | $275,436 | $0 | $0 | Yes (X) | |||
| JAMES POHL | ||||||||
| PHYSICIAN | 32.00 | $251,180 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,150,602 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $46,835 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| WILKINSON-MONTESANO BUILDERS | ||||||
| 784 ROCKY ROAD INDUSTRIAL LOOP | DRIGGS | ID | 83422 | CONSTRUCTION | $527,763 | |
| PHARMGO LLC | ||||||
| 1790 DEER VALLEY DRIVE | IDAHO FALLS | ID | 83401 | PHARMACIST | $384,725 | |
| HIGH PEAKS PHYSICAL THERAPY | ||||||
| 500 SKI HILL ROAD | DRIGGS | ID | 83422 | PHYSICAL THERAP | $280,251 | |
| INTERMOUNTAIN EMERGENCY PHYSICIANS | ||||||
| 725 S WOODRUFF AVE | IDAHO FALLS | ID | 83401 | ED DOCTORS | $275,400 | |
| HEALTHCARE SERVICES GROUP | ||||||
| 3220 TILLMAN DRIVE | BENSALEM | PA | 19020 | DIETARY SERVICE | $268,713 | SUITE 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $397,523 | RelatedOrganizationsAmt |
| Government Grants | $54,945 | GovernmentGrantsAmt |
| All Other Contributions | $6,100 | AllOtherContributionsAmt |
| Total Contributions | $458,568 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE, NET | 624100 | $16,898,579 | $16,898,579 |
| RENT INCOME | 621910 | $4,805 | $4,805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,903,384 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,717 | TotalRevenueColumnAmt |
| Exclusion | $54,717 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722320 | $44,137 | $44,137 |
| OTHER REVENUE | 900099 | $18,210 | $18,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $62,347 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,479,016 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,903,384 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $117,064 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,690 | TotalAmt |
| Management And General | $334,690 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,474,220 | TotalAmt |
| Program Services | $6,659,720 | ProgramServicesAmt |
| Management And General | $1,796,814 | ManagementAndGeneralAmt |
| Fundraising | $17,686 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,223 | TotalAmt |
| Program Services | $117,352 | ProgramServicesAmt |
| Management And General | $37,560 | ManagementAndGeneralAmt |
| Fundraising | $311 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,522 | TotalAmt |
| Program Services | $238,037 | ProgramServicesAmt |
| Management And General | $82,080 | ManagementAndGeneralAmt |
| Fundraising | $1,405 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,401 | TotalAmt |
| Program Services | $478,569 | ProgramServicesAmt |
| Management And General | $156,832 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,936 | TotalAmt |
| Management And General | $18,936 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,464 | TotalAmt |
| Management And General | $165,464 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,215,726 | TotalAmt |
| Program Services | $2,075,470 | ProgramServicesAmt |
| Management And General | $1,137,953 | ManagementAndGeneralAmt |
| Fundraising | $2,303 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,253 | TotalAmt |
| Program Services | $9,547 | ProgramServicesAmt |
| Management And General | $242,706 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,012 | TotalAmt |
| Program Services | $328,340 | ProgramServicesAmt |
| Management And General | $121,011 | ManagementAndGeneralAmt |
| Fundraising | $2,661 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,342 | TotalAmt |
| Program Services | $333,393 | ProgramServicesAmt |
| Management And General | $31,395 | ManagementAndGeneralAmt |
| Fundraising | $2,554 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,002 | TotalAmt |
| Program Services | $30,278 | ProgramServicesAmt |
| Management And General | $98,724 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209 | TotalAmt |
| Program Services | $209 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,887 | TotalAmt |
| Program Services | $515,460 | ProgramServicesAmt |
| Management And General | $64,529 | ManagementAndGeneralAmt |
| Fundraising | $2,898 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,901 | TotalAmt |
| Program Services | $106,878 | ProgramServicesAmt |
| Management And General | $22,023 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,982,618 | $1,982,618 | |
| REPAIRS & MAINTENANCE | $261,089 | $224,715 | $36,374 |
| OTHER EXPENSE | $68,048 | $68,038 | $10 |
| DUES & SUBSCRIPTIONS | $41,801 | $7,093 | $34,708 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Program Services | $397,107 | ProgramServicesAmt |
| Management And General | -$397,107 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,587,344 | TotalAmt |
| Program Services | $13,572,824 | ProgramServicesAmt |
| Management And General | $3,984,702 | ManagementAndGeneralAmt |
| Fundraising | $29,818 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,572,465 | BOYAmt |
| EOY | $3,047,408 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,346 | BOYAmt |
| EOY | $645,633 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,796,540 | BOYAmt |
| EOY | $2,542,917 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,732 | BOYAmt |
| EOY | $839,738 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,522 | BOYAmt |
| EOY | $669,693 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,153,967 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,959,605 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,326,724 | BOYAmt |
| EOY | $3,194,362 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,453 | BOYAmt |
| EOY | $1,194,487 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,259,782 | BOYAmt |
| EOY | $12,234,238 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,734,628 | BOYAmt |
| EOY | $1,878,635 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,223 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,795,851 | BOYAmt |
| EOY | $1,878,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,463,931 | BOYAmt |
| EOY | $10,355,603 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,463,931 | BOYAmt |
| EOY | $10,355,603 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,259,782 | BOYAmt |
| EOY | $12,234,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$108,328 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,122 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,122 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,671 | OtherCostOrOtherBasisAmt |
| Book Value | $92,671 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,145,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,463,147 | DepreciationAmt |
| Book Value | $1,682,533 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,877,069 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,496,458 | DepreciationAmt |
| Book Value | $1,380,611 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,547 | OtherCostOrOtherBasisAmt |
| Book Value | $38,547 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,194,362 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENT | $698,000 |
| OTHER RECEIVABLE | $496,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,194,487 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL AND FOUNDATION EVALUATE UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WERE CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2018 AND 2017, THE HOSPITAL AND FOUNDATION HAVE NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,380,542 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,139,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $241,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,481,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,139,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $341,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,735 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,735 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,765 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,551,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,139,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $412,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,046,510 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,664,080 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,973,249 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$309,169 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TETON VALLEY HEALTH CARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST HOWARD AVE | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TVHCARE.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TETON VALLEY HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.TVHCARE.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.TVHCARE.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.TVHCARE.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.TVHCARE.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.TVHCARE.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, TETON VALLEY HEALTH CARE INC. - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 33 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, TETON VALLEY HEALTH CARE INC. - PART V, LINE 5 | TVHC PARTNERED WITH QUORUM HEALTH RESOURCES (QHR) TO DEPLOY A CHNA SURVEY TO LOCAL EXPERT ADVISORS TO GAIN LOCAL INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. EXPERT ADVISORS WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY FEDERAL GUIDELINES AND REGULATIONS AND TVHC'S DESIRE TO REPRESENT THE REGIONS GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATIONS. QHR RECEIVED COMMUNITY INPUT FROM 26 LOCAL EXPERT ADVISORS. A TWO-TIERED SURVEY WAS DISTRIBUTED AND RESPONSES BEGAN NOVEMBER 3, 2015 AND ENDED FEBRUARY 29, 2016. HAVING TAKEN STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A "WISDOM OF CROWDS" METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS. INFORMATION ANALYSIS AUGMENTED BY LOCAL OPINIONS SHOWED HOW TETON COUNTY RELATES TO ITS PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS AS WELL AS OTHER ISSUES OF UNINSURED PERSONS, LOW INCOME PERSONS AND MINORITY GROUPS; RESPONDENTS COMMENTED ON CERTAIN POPULATION GROUPS OR PEOPLE WITH CERTAIN SITUATIONS THAT MAY NEED HELP TO IMPROVE THEIR CONDITION AND IF SO, WHO NEEDS TO DO WHAT. |
| FACILITY 1, TETON VALLEY HEALTH CARE INC. - PART V, LINE 11 | DATA WAS GATHERED FROM MULTIPLE WELL-RESPECTED SECONDARY SOURCES TO BUILD AN ACCURATE PICTURE OF THE CURRENT COMMUNITY AND ITS HEALTH NEEDS. A SURVEY OF A SELECT GROUP OF LOCAL EXPERTS WAS PERFORMED TO REVIEW THE PRIOR CHNA AND PROVIDE FEEDBACK, AND TO ASCERTAIN WHETHER THE PREVIOUSLY IDENTIFIED NEEDS ARE STILL A PRIORITY. A SECOND SURVEY WAS DISTRIBUTED TO THE SAME GROUP THAT REVIEWED THE DATA GATHERED FROM THE SECONDARY SOURCES AND DETERMINED THE SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA FOR TETON COUNTY ARE: 1. AFFORDABILITY/ACCESSIBILITY - ALSO A 2013 SIGNIFICANT NEED; LOCAL EXPERT CONCERN; 21.8% OF ADULTS NOT VISITING DOCTOR DUE TO COST; 28.6% WORST AMONG PEER COUNTIES FOR AFFORDABILITY; WORST AMONG PEERS FOR AFFORDABILITY; 2ND WORST AMONG PEERS FOR ACCESSIBILITY 2. MENTAL HEALTH/SUICIDE - ALSO A 2013 SIGNIFICANT NEED; SUICIDE 6 LEADING CAUSE OF DEATH; 19.2 DEATHS PER 100,000 - HIGHER RATE THAN EXPECTED 3. PREVENTION/WELLNESS - ALSO A 2013 SIGNIFICANT NEED - LOCAL EXPERTS SUPPORT 4. ALCOHOL ABUSE/SUBSTANCE ABUSE - ALSO A 2013 SIGNIFICANT NEED; LOCAL EXPERTS SUPPORT; EXCESSIVE DRINKING ABOVE ID AND US VALUES. TVHC DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION STRATEGY FOR THIS SIGNIFICANT NEED: WE ARE UNABLE TO PROVIDE A SUBSTANCE ABUSE TREATMENT CENTER AT THIS TIME. WE DO ASSIST WITH PREVENTION EFFORTS THROUGH AD CAMPAIGNS, FINANCIAL AND STAFFING SUPPORT FOR COLLABORATIVE PARTNERS SUCH AS THE COMMUNITY RESOURCE CENTER OF TETON VALLEY, AND KEEPING UPDATED REFERRAL INFORMATION FOR PEOPLE SEEKING HELP WITH SUBSTANCE ABUSE ADDICTIONS. WE ALSO IMPLEMENT NARCOTICS CONTRACTS BETWEEN PATIENTS AND THEIR PROVIDERS, AND PARTICIPATE IN THE IDAHO PRESCRIPTION MONITORING PROGRAM THAT SHARES PRESCRIPTION OPIOID INFORMATION AMONG PHARMACIES, HEALTHCARE PROFESSIONALS, AND OTHER CARE PROVIDERS. 5. ACCIDENTS - ALSO A 2013 SIGNIFICANT NEED; 3 LEADING CAUSE OF DEATH; 47.7 DEATHS PER 100,000 - HIGHER RATE THAN EXPECTED; INJURY DEATHS HIGHER THAN US AND ID AVERAGE. THE HOSPITAL HAS DEVELOPED IMPLEMENTATION STRATEGIES FOR FOUR OF THE FIVE NEEDS INCLUDING ACTIVITIES TO CONTINUE/PURSUE, COMMUNITY PARTNERS TO WORK ALONGSIDE, AND LEADING AND LAGGING INDICATORS TO TRACK. AMONG THE TOP 15 CAUSES OF DEATH IN THE U.S., ONLY ALZHEIMER'S OCCURRED AT AN EXPECTED RATE IN TETON COUNTY. ACCIDENTS, SUICIDE, AND PARKINSON'S OCCURRED AT HIGHER RATES THAN EXPECTED. HEART DISEASE, CANCER, STROKE, LUNG DISEASE, FLU/PNEUMONIA, DIABETES, KIDNEY DISEASE, BLOOD POISONING, LIVER DISEASE, HYPERTENSION, AND HOMICIDE OCCURRED AT LOWER RATES THAN EXPECTED. THE TOP 10 CAUSES OF DEATH IN TETON COUNTY ARE: 1. HEART DISEASE WITH TETON RANKING 39 AMONG 43 ID COUNTIES (WHERE 1 IS WORST IN STATE) 2. CANCER RANKING 42 IN ID 3. ACCIDENTS RANKING 11 IN ID 4. STROKE RANKING 36 IN ID 5. LUNG DISEASE RANKING 40 IN ID 6. SUICIDE RANKING 7 IN ID 7. ALZHEIMER'S RANKING 24 IN ID 8. FLU/PNEUMONIA RANKING 38 IN ID 9. DIABETES RANKING 40 IN ID 10. PARKINSON'S RANKING 22 IN ID |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| DRIGGS HEALTH CLINIC | ||||
| 283 NORTH FIRST EAST | DRIGGS | ID | 83422 | RURAL HEALTH CLINIC |
| VICTOR HEALTH CLINIC | ||||
| 252 SOUTH MAIN STREET | VICTOR | ID | 83455 | RURAL HEALTH CLINIC |
| CACHE CLINIC | ||||
| 120 E HOWARD | DRIGGS | ID | 83422 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE COSTING METHODOLOGY USED BY THE HOSPITAL INCLUDES THE COST-TO-CHARGE RATIO OF PATIENT CARE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 7 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE HOSPITAL'S BUSINESS OFFICE STAFF FOLLOW UP ON ACCOUNTS 15 TO 30 DAYS AFTER THE ACCOUNTS ARE BILLED. THE STAFF CONTACT THE INSURERS TO VERIFY CLAIMS HAVE BEEN RECEIVED AND TO RESEND THE CLAIMS IF NECESSARY. AFTER VERIFYING CLAIMS HAVE BEEN RECEIVED, THE STAFF CONTINUE TO CONTACT THE INSURERS EVERY 30 DAYS, AS NECESSARY, TO FOLLOW UP ON THE STATUS OF THE CLAIMS. ONCE INSURANCE BALANCES ARE EXHAUSTED, THE REMAINING SELF-PAY BALANCES ARE THEN MANAGED BY AN OUTSIDE BILLING COMPANY (AARM) WHICH ATTEMPTS TO COLLECT FOR 120 DAYS. IF PAYMENT FOR NON- MEDICARE ACCOUNTS IS STILL NOT COLLECTED OR IF PAYMENT TERMS ARE NOT ADHERED TO THEN THE BALANCE IS SENT TO COLLECTIONS (ACSI). MEDICARE ACCOUNTS ARE RETURNED TO THE HOSPITAL AND WRITTEN OFF AS UNCOLLECTIBLE MEDICARE BAD DEBT. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | 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://ISSUU.COM/TVHEALTHCARE/DOCS/2016_CHNA_FINAL_LONG_SMALLER? E=8635668/39406985 |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | IN COMPLIANCE WITH THE COLLECTION POLICIES OF TVHC, AN ANNUAL REVIEW IS PERFORMED FOR ALL CREDIT/COLLECTION AND FINANCIAL ASSISTANCE POLICIES. ONCE REVIEWED AND REVISED, THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. THE FACILITY PUBLISHED A BROCHURE THAT IS PLACED IN PUBLIC AREAS OF ALL THE TVHC FACILITIES, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. THE PATIENT ACCOUNT REPRESENTATIVE'S HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. THE INFORMATION IS ALSO AVAILABLE ON THE TVHC WEBSITE AND INCLUDED WITH EVERY PATIENT ACCOUNT STATEMENT. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON OUR WEBSITE. IT IS UPDATED ANNUALLY WITH NEW POVERTY GUIDELINES. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | TETON COUNTY IDAHO COVERS 450 SQUARE MILES OF SOUTHEASTERN IDAHO. THE 2016 POPULATION WAS 10,430 COMPARED TO A 2000 POPULATION OF 5,999 REPRESENTING A POPULATION GAIN OF 74% SINCE 2000. MEDIAN AGE IS 36.3, MEDIAN HOUSEHOLD INCOME IS 54,896 COMPARED TO 48,905 FOR THE STATE OF IDAHO, AND AN UNEMPLOYMENT RATE OF 4% COMPARED TO 3.9% FOR THE STATE AND 4.9% FOR THE U.S. HISPANICS MAKE UP 17.7% OF THE POPULATION WITH 80.2% WHITE/NON-HISPANIC. TETON VALLEY HEALTH CARE, INC. (TVHC) HAS BEEN SERVING THE HEALTHCARE NEEDS OF THE TETON COUNTY AREA SINCE 1938. THE HOSPITAL IS NOW A NON- PROFIT, THIRTEEN BED CRITICAL ACCESS FACILITY BUILT IN 1997. TVHC OFFERS A CONTINUUM OF CARE INCLUDING INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES AS WELL AS OUTPATIENT CLINICS IN THE CITIES OF VICTOR AND DRIGGS. TVHC EMPLOYS OVER 180 INDIVIDUALS, WITH AN ANNUAL PAYROLL IN EXCESS OF 8.4 MILLION. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | TETON VALLEY HEALTH CARE'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF THE COMMUNITY FROM THE FINANCIAL SECTOR TO SMALL BUSINESS OWNERS TO RETIREES. THE BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF GREATER COMMUNITY. MEDICAL STAFF PRIVILEGES AT TVHC ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THEY HAVE INSTITUTED AN ARDUOUS CREDENTIALING PROCESS TO ENSURE PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, THEY ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, TVHC DOES NOT HAVE ANY SHAREHOLDERS. THEREFORE SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY'S EQUIPMENT AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ELIMINATES THE POTENTIAL FOR CONFLICTS OF INTEREST RELATED TO ATTAINING INFLATED PROFIT MARGINS AND ALLOWS TETON VALLEY HEALTHCARE TO FOCUS ON WHAT IS IMPORTANT; MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES THEY SERVE IN AN ECONOMICALLY VIABLE FASHION. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | N/A |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | IDAHO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|
| KEITH GNAGEY | ||||
| CHAIR/CEO | $274,511 | $23,998 | $298,509 | |
| MAURICE BROWN MD | ||||
| PHYSICIAN | $559,310 | $531 | $567,941 | $8,100 |
| CHAD HORROCKS MD | ||||
| PHYSICIAN | $409,990 | $361 | $418,451 | $8,100 |
| NATHAN LEVANGER | ||||
| PHYSICIAN | $284,640 | $345 | $290,385 | $5,400 |
| JUANITA PRISSEL | ||||
| PHYSICIAN | $275,436 | $275,436 | ||
| JAMES POHL | ||||
| PHYSICIAN | $251,180 | $251,180 | ||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | IN ADDITION TO BASE COMPENSATION, THE HOSPITAL CEO MAY BE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE GOALS OUTLINED IN ANNUAL GOALS AND THE EMPLOYMENT CONTRACT. PERFORMANCE GOALS INCLUDE GROWTH (SUCH AS ADDING SERVICE LINES), COMMUNITY (SUCH AS COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT), AND PROGRAM (SUCH AS ADDING A 340(B) PROGRAM). THE INCENTIVE COMPENSATION IS CONTINGENT ON ACHIEVING BASELINE FINANCIAL PERFORMANCE MEASURES. ALSO, CERTAIN MEDICAL PROVIDERS RECEIVE INCENTIVE COMPENSATION THAT IS BASED ON THE AMOUNT OF SERVICES THEY PERFORM. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERS OF TETON VALLEY HEALTH CARE, INC. (TVHC) SHALL CONSIST OF A BROAD REPRESENTATION OF THE PUBLIC THAT TVHC SERVES AND THE MAJORITY OF THE MEMBERS MUST BE CITIZENS OF TETON COUNTY, IDAHO, INCLUDING RESIDENTS OF EACH INCORPORATED CITY IN TETON COUNTY, IDAHO, AND THE UNINCORPORATED AREA OF TETON COUNTY. THERE SHALL BE AT LEAST FIVE MEMBERS WHICH ARE ELECTED BY A MAJORITY VOTE OF THE EXISTING MEMBERS. EACH MEMBER IS ENTITLED ONE VOTE ON ANY MATTER SUBMITTED TO A VOTE AT A MEETING OF THE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | EACH MEMBER IS ENTITLED TO VOTE ON ANY MATTER SUBMITTED TO A VOTE AT A MEETING OF THE MEMBERS, INCLUDING THE ELECTION OF THE BOARD OF DIRECTORS. MEETINGS ARE HELD ANNUALLY AS WELL AS ANY SPECIAL MEETINGS CALLED BY THE CEO OR AT THE WRITTEN REQUEST OF THE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO AND CEO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ARTICLE 4 OF THE BYLAWS STATES THAT BOARD MEMBERS SHALL NOT USE THEIR POSITION ON THE BOARD OR ANY INFORMATION OBTAINED THROUGH THEIR POSITION FOR PERSONAL ECONOMIC BENEFIT. HOSPITAL BOARD MEMBERS SHALL COMPLY WITH THE CONFLICT OF INTEREST POLICY ADOPTED IN CONNECTION WITH THE HOSPITAL'S APPLICATION FOR TAX EXEMPTION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD REVIEWS AND APPROVES MANAGEMENT WAGES EACH YEAR. THE SOURCES UTILIZED BY TVHC IN REGARDS TO ORIGINAL FAIR MARKET VALUE OF THE CEO SALARY WAS AN EXECUTIVE COMPENSATION SURVEY, PUBLISHED BY CRITICAL DATA, INC., AND THE IDAHO HOSPITAL ASSOCIATION (IHA) ANNUAL SALARY SURVEY. THESE SURVEYS ARE UTILIZED FOR SETTING THE SALARY LEVELS OF EMPLOYEES AT TVHC. THE IHA SURVEY ITEMIZES ALL HOSPITALS AS A GROUP, CAH HOSPITALS, AND HOSPITALS BY REGION. THE CEO BASE SALARY INCREASE IS EQUAL TO THE AVERAGE PERCENT INCREASE OF ALL EMPLOYEES. THE BOARD APPROVES THE ANNUAL INCENTIVE COMPENSATION OF THE CEO. IN REGARD TO SETTING THE SALARY LEVELS OF PHYSICIANS, TVHC UTILIZES THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY AS WELL AS OTHER SURVEYS. THIS SURVEY ITEMIZES SALARIES AND PRODUCTIVITY BY PHYSICIAN SPECIALITY, YEARS IN PRACTICE, GEOGRAPHIC REGION, AND OTHER CATEGORIES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | TVHC STRIVES TO PAY MARKET LEVEL SALARIES TO ALL EMPLOYEES OF THE ORGANIZATION. IT IS OUR GOAL TO RECRUIT AND RETAIN TOP TALENT IN EVERY VENUE, WHILE CONTROLLING SALARY AND BENEFIT COSTS WITHIN ESTABLISHED TARGETS. SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | TVHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | 2,075,470 1,137,953 2,303 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CACHE CLINIC LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HOWARD | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Total Income | $31,470 | TotalIncomeAmt |
| End Of Year Assets | $48,424 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TVHC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TETON VALLEY HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST HOWARD AVE | AddressLine1Txt |
| City | DRIGGS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820471064 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TETON VALLEY HEALTH CARE FOUNDATION | ||
| C | $397,523 | GAAP ACCOUNTING |
| TETON VALLEY HEALTH CARE FOUNDATION | ||
| O | $322,379 | GAAP ACCOUNTING |