2019-05-31T13:54:51-05:00 2018-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2017-10-01 454551946 TETON VALLEY HEALTH CARE INC TETO 2083542383 120 EAST HOWARD AVENUE DRIGGS ID 83422 KEITH GNAGEY CHAIR/CEO 2083542383 2019-05-30 true THOMAS DINGUS P00951009 5092420874 2019-05-31 63.131.236.90 2019-05-31 13:54:51 CD P 2474EFBFE268E1323248D70D812BABF32F861C74 AB0260C9A42DF407710DF0D66D93E7824888E325 2017 2019-02-21 02:37:17Z KEITH GNAGEY 120 EAST HOWARD AVE DRIGGS ID 83422 17479016 false X WWW.TVHCARE.ORG X 2012 ID 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. 7 6 187 12 0 600678 458568 16587242 16903384 38043 54717 39019 62347 17264982 17479016 0 0 9443613 9921056 0 29818 7020207 7666288 16463820 17587344 801162 -108328 12259782 12234238 1795851 1878635 10463931 10355603 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. false false 13572824 16903384 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. 13572824 true true false true false false false false false false true false false true false true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true false false false true 33 0 true 187 true false false false false false false false false false false X 7 6 false false false false true true false true true false false true true true true true true true true true true X KEITH GNAGEY 2083542383 120 EAST HOWARD AVE DRIGGS ID 83422 KEITH GNAGEY CHAIR/CEO 40.00 3.00 X X 274511 0 23998 ROBERT WHIPPLE VICE CHAIR 2.00 X X 0 0 0 GIL HUNDLEY SECRETARY 2.00 X X 0 0 0 AARON HANSEN TREASURER 2.00 X X 0 0 0 ALICE BONEY MEMBER 2.00 X 0 0 0 MICHAEL WINE MEMBER 2.00 X 0 0 0 DUNCAN MOORE MEMBER 2.00 X 0 0 0 LETITIA MILLER CFO FROM APR 40.00 X 53478 0 0 TOM BIRMINGHAM CFO THRU NOV 40.00 X 42057 0 0 JIM HEILSBURG INTERIM CFO 40.00 X 0 0 0 MAURICE BROWN MD PHYSICIAN 32.00 X 559310 0 8631 CHAD HORROCKS MD PHYSICIAN 40.00 X 409990 0 8461 NATHAN LEVANGER PHYSICIAN 40.00 X 284640 0 5745 JUANITA PRISSEL PHYSICIAN 32.00 X 275436 0 0 JAMES POHL PHYSICIAN 32.00 X 251180 0 0 2150602 46835 6 false true false WILKINSON-MONTESANO BUILDERS 784 ROCKY ROAD INDUSTRIAL LOOP DRIGGS ID 83422 CONSTRUCTION 527763 PHARMGO LLC 1790 DEER VALLEY DRIVE IDAHO FALLS ID 83401 PHARMACIST 384725 HIGH PEAKS PHYSICAL THERAPY 500 SKI HILL ROAD DRIGGS ID 83422 PHYSICAL THERAP 280251 INTERMOUNTAIN EMERGENCY PHYSICIANS 725 S WOODRUFF AVE IDAHO FALLS ID 83401 ED DOCTORS 275400 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 DIETARY SERVICE 268713 11 397523 54945 6100 458568 PATIENT SERVICE REVENUE, NET 624100 16898579 16898579 RENT INCOME 621910 4805 4805 16903384 54717 54717 CAFETERIA REVENUE 722320 44137 44137 OTHER REVENUE 900099 18210 18210 62347 17479016 16903384 117064 X 334690 334690 8474220 6659720 1796814 17686 155223 117352 37560 311 321522 238037 82080 1405 635401 478569 156832 18936 18936 165464 165464 3215726 2075470 1137953 2303 252253 9547 242706 452012 328340 121011 2661 367342 333393 31395 2554 129002 30278 98724 209 209 582887 515460 64529 2898 128901 106878 22023 MEDICAL SUPPLIES & DRUGS 1982618 1982618 REPAIRS & MAINTENANCE 261089 224715 36374 OTHER EXPENSE 68048 68038 10 DUES & SUBSCRIPTIONS 41801 7093 34708 397107 -397107 17587344 13572824 3984702 29818 4572465 3047408 832346 645633 250000 100000 2796540 2542917 885732 839738 393522 669693 12153967 8959605 2326724 3194362 202453 1194487 12259782 12234238 1734628 1878635 61223 1795851 1878635 X 10463931 10355603 10463931 10355603 12259782 12234238 -108328 X false true X true false X false false false false false false false false true 1122 1122 false SCHEDULE C, PART II-B, LINE 1 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. 92671 92671 6145680 4463147 1682533 5877069 4496458 1380611 38547 38547 3194362 ESTIMATED THIRD-PARTY SETTLEMENT 698000 OTHER RECEIVABLE 496487 1194487 X SCHEDULE D, PAGE 3, PART X 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. true true true X true X true true true false true true 100694 100694 0.00570 1380542 1139397 241145 0.01370 1481236 1139397 341839 0.01940 31735 31735 0.00180 38765 38765 0.00220 70500 70500 0.00400 1551736 1139397 412339 0.02340 true 1046510 5664080 5973249 -309169 X true true 1 1 TETON VALLEY HEALTH CARE INC 120 EAST HOWARD AVE DRIGGS ID 83422 WWW.TVHCARE.ORG X X X X TETON VALLEY HEALTH CARE INC 1 false false true X X X X X X X X X X 16 true false false true X WWW.TVHCARE.ORG X true 16 true WWW.TVHCARE.ORG false false true X 200.000000000000 200.000000000000 X X true true X X X true X WWW.TVHCARE.ORG X WWW.TVHCARE.ORG X WWW.TVHCARE.ORG X X X X X X true X false X X X X true X false false 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 3 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 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 X X X X X false false false false false false false true false KEITH GNAGEY CHAIR/CEO 274511 23998 298509 MAURICE BROWN MD PHYSICIAN 559310 8100 531 567941 CHAD HORROCKS MD PHYSICIAN 409990 8100 361 418451 NATHAN LEVANGER PHYSICIAN 284640 5400 345 290385 JUANITA PRISSEL PHYSICIAN 275436 275436 JAMES POHL PHYSICIAN 251180 251180 SCHEDULE J, PAGE 1, PART I, LINE 7 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. 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 CACHE CLINIC LLC 120 E HOWARD DRIGGS ID 83422 CLINIC ID 31470 48424 TVHC TETON VALLEY HEALTH CARE FOUNDATION 120 EAST HOWARD AVE DRIGGS ID 83422 820471064 SUPPORT ID 501C3 12A COMMUNITY false false false true false false false false false false false false true true true true false true false false TETON VALLEY HEALTH CARE FOUNDATION C 397523 GAAP ACCOUNTING TETON VALLEY HEALTH CARE FOUNDATION O 322379 GAAP ACCOUNTING