BMH INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BMH INC (EIN 20-5126945)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201843189349311094
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T15:22:31-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205126945 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BMHI | BusinessNameControlTxt |
| Phone | 2087854100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1Txt |
| City | BLACKFOOT | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 832211799 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN FULLMER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2087854100 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LUKE ZARECOR | PreparerPersonNm |
| PTIN | P02161725 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2018-11-14 | 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 | 2018-11-14 | IPDt |
| IP Tm | 16:22:31 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AB0260C9A42DF407710DF0D66D93E7824888E325 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | 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 | JACOB ERICKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1Txt |
| City | BLACKFOOT | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $138,526,287 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BINGHAMMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | ENDEAVORING TO PROVIDE QUALITY HEALTHCARE SERVICES FOR RESIDENTS AND VISITORS TO BINGHAM COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 897 | TotalEmployeeCnt |
| Total Volunteers | 89 | TotalVolunteersCnt |
| Total Gross UBI | $478,547 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $56,115 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $979,112 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,899,926 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $107,285,653 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $112,929,953 | CYProgramServiceRevenueAmt |
| PY Investment Income | $990,910 | PYInvestmentIncomeAmt |
| CY Investment Income | $536,611 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,948,737 | PYOtherRevenueAmt |
| CY Other Revenue | $4,112,590 | CYOtherRevenueAmt |
| PY Total Revenue | $113,204,412 | PYTotalRevenueAmt |
| CY Total Revenue | $119,479,080 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $171,363 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $151,465 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,158,890 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $58,822,132 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $16,062 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $56,058,762 | PYOtherExpensesAmt |
| CY Other Expenses | $59,375,789 | CYOtherExpensesAmt |
| PY Total Expenses | $112,389,015 | PYTotalExpensesAmt |
| CY Total Expenses | $118,349,386 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $815,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,129,694 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $71,470,583 | TotalAssetsBOYAmt |
| Total Assets EOY | $86,500,530 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,865,064 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $41,770,711 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,605,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,729,819 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $58,391,072 | ExpenseAmt |
| Grant | $151,465 | GrantAmt |
| Revenue | $85,023,350 | RevenueAmt |
| Desc | 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 2,033 INPATIENTS, 352 NEWBORN INFANTS, AND 9,406 EMERGENCY ROOM PATIENTS AS WELL AS PERFORMING 7,916 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 660,908 FOR CHARITY CARE, 62,877,877 FOR MEDICARE, 21,384,614 FOR MEDICAID, AND 52,930,556 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2017. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $34,910,025 | ExpenseAmt |
| Revenue | $25,638,031 | RevenueAmt |
| Desc | 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 119,899 SEPARATE SERVICE ENCOUNTERS FOR INDIVIDUAL PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,848,481 | ExpenseAmt |
| Revenue | $2,162,141 | RevenueAmt |
| Desc | BMH OPERATES A NURSING HOME WHICH AVERAGED 38.1 RESIDENTS PER DAY RECEIVING INPATIENT SERVICES (EITHER SHORT-TERM OR LONG-TERM SKILLED CARE) DURING THE YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $97,149,578 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 897 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | 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 | JOHN FULLMER | PersonNm |
| Phone | 2087853803 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1Txt |
| City | BLACKFOOT | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83221 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ADAM WRAY | |||||||||
| CHIEF OF STA | 70.00 | Yes (X) | $1,265,946 | $0 | $1,742 | ||||
| DAVID PETERSON | |||||||||
| DIRECTOR | 70.00 | Yes (X) | $669,693 | $0 | $459 | ||||
| JOSEPH CANNON | |||||||||
| CHAIR | 10.00 | Yes (X) | $0 | $0 | $221 | Yes (X) | |||
| WAYNE BROWER | |||||||||
| VICE CHAIR | 10.00 | Yes (X) | $0 | $0 | $232 | Yes (X) | |||
| T LAYNE VAN ORDEN | |||||||||
| SECRETARY/TR | 10.00 | Yes (X) | $0 | $0 | $254 | Yes (X) | |||
| ALICE CANNON | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $89 | ||||
| DEAN JONES | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $323 | ||||
| GARY BAUMGARTNER | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $373 | ||||
| LINDA VALENTINE | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $1,602 | ||||
| HERB BOHRER | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $303 | ||||
| BRYCE JOLLEY | |||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $243 | ||||
| JEFFREY DANIELS | |||||||||
| CEO THRU 10/ | 70.00 | $401,213 | $0 | $17,128 | Yes (X) | ||||
| JACOB ERICKSON | |||||||||
| CEO | 70.00 | $266,503 | $0 | $419 | Yes (X) | ||||
| JOHN FULLMER | |||||||||
| CFO | 70.00 | $235,254 | $0 | $438 | Yes (X) | ||||
| CAROLYN HANSEN | |||||||||
| CNO | 70.00 | $233,059 | $0 | $438 | Yes (X) | ||||
| DAVE LOWRY | |||||||||
| COO | 70.00 | $191,150 | $0 | $356 | Yes (X) | ||||
| WILLIAM HUNEYCUTT | |||||||||
| PHYSICIAN | 40.00 | $1,187,280 | $0 | $47,627 | Yes (X) | ||||
| ROBERT JOHNSON | |||||||||
| PHYSICIAN | 40.00 | $763,952 | $0 | $459 | Yes (X) | ||||
| BALDWIN STUTTS | |||||||||
| PHYSICIAN | 40.00 | $759,014 | $0 | $459 | Yes (X) | ||||
| NATHAN RICHARDSON | |||||||||
| PHYSICIAN | 40.00 | $620,893 | $0 | $459 | Yes (X) | ||||
| DAVID SHELLEY | |||||||||
| PHYSICIAN | 40.00 | $561,055 | $0 | $2,346 | Yes (X) | ||||
| LOUIS KRAML | |||||||||
| FORMER CEO | 0.00 | $951,486 | $0 | $268 | Yes (X) | ||||
| DAN COCHRAN | |||||||||
| FORMER COO | 0.00 | $500,000 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,606,498 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $76,238 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| TD THERAPY SERVICES LLC | |||||
| 1757 LANCE DR | POCATELLO | ID | 83204 | THERAPY SERVICE | $2,268,783 |
| IDAHO PATHOLOGY LABORATORY | |||||
| 98 POPLAR | BLACKFOOT | ID | 83221 | PATHOLOGY LAB | $2,261,792 |
| HEALTHCARE ADMINISTRATIVE PARTNERS | |||||
| PO BOX 90 | SALT LAKE CITY | UT | 84110 | CODING | $541,340 |
| RADIAL FIRST CARDIOVASCULAR ASSOC | |||||
| 2001 S WOODRUFF SUITE 3 | IDAHO FALLS | ID | 83404 | CARDIOLOGY | $321,786 |
| GEBBS HEALTHCARE SOLUTIONS INC | |||||
| 600 CORPORATE POINTE SUITE 1250 | CULVER CITY | CA | 90230 | CODING SERVICES | $236,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,365,041 | GovernmentGrantsAmt |
| All Other Contributions | $534,885 | AllOtherContributionsAmt |
| Total Contributions | $1,899,926 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $111,564,498 | $111,564,498 |
| PROGRAM RELATED INVESTMENTS | 621110 | $1,365,455 | $1,365,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $112,929,953 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $371,219 | TotalRevenueColumnAmt |
| Exclusion | $371,219 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $139,482 | RealAmt |
| Personal | $180,614 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,002 | RealAmt |
| Personal | $1,073 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,480 | RealAmt |
| Personal | $179,541 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $243,021 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $71,173 | UnrelatedBusinessRevenueAmt |
| Exclusion | $171,848 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,679,381 | SecuritiesAmt |
| Other | $6,938 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,518,374 | SecuritiesAmt |
| Other | $2,553 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $161,007 | SecuritiesAmt |
| Other | $4,385 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,392 | TotalRevenueColumnAmt |
| Exclusion | $165,392 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,784,486 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $449,205 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,335,281 | TotalRevenueColumnAmt |
| Exclusion | $1,335,281 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER | 561000 | $900,612 | $900,612 |
| HOSPITAL MANAGEMENT SERVICES | 541610 | $750,300 | $750,300 |
| CAFETERIA | 722210 | $476,002 | $476,002 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,374 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $407,374 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,534,288 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,479,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $112,929,953 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $478,547 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,170,654 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,750 | TotalAmt |
| Program Services | $142,750 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,715 | TotalAmt |
| Program Services | $8,715 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,287,438 | TotalAmt |
| Program Services | $2,171,337 | ProgramServicesAmt |
| Management And General | $1,116,101 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,342,446 | TotalAmt |
| Program Services | $40,552,038 | ProgramServicesAmt |
| Management And General | $5,790,408 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,952 | TotalAmt |
| Program Services | $353,409 | ProgramServicesAmt |
| Management And General | $57,543 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,892,328 | TotalAmt |
| Program Services | $4,741,353 | ProgramServicesAmt |
| Management And General | $1,150,975 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,888,968 | TotalAmt |
| Program Services | $2,432,653 | ProgramServicesAmt |
| Management And General | $456,315 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,231,340 | TotalAmt |
| Program Services | $10,121,007 | ProgramServicesAmt |
| Management And General | $3,110,333 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,292 | TotalAmt |
| Management And General | $130,292 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,640 | TotalAmt |
| Management And General | $106,640 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,675 | TotalAmt |
| Management And General | $55,675 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,818 | TotalAmt |
| Program Services | $1,314,086 | ProgramServicesAmt |
| Management And General | $16,732 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,155,216 | TotalAmt |
| Management And General | $2,144,911 | ManagementAndGeneralAmt |
| Fundraising | $10,305 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,701,557 | TotalAmt |
| Program Services | $2,408,285 | ProgramServicesAmt |
| Management And General | $1,290,022 | ManagementAndGeneralAmt |
| Fundraising | $3,250 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,878 | TotalAmt |
| Management And General | $1,525,878 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,400,276 | TotalAmt |
| Program Services | $885,975 | ProgramServicesAmt |
| Management And General | $1,514,301 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $669,380 | TotalAmt |
| Program Services | $323,654 | ProgramServicesAmt |
| Management And General | $343,219 | ManagementAndGeneralAmt |
| Fundraising | $2,507 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,120 | TotalAmt |
| Program Services | $230,190 | ProgramServicesAmt |
| Management And General | $67,930 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,356 | TotalAmt |
| Management And General | $1,076,356 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,537,838 | TotalAmt |
| Program Services | $3,537,838 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,070 | TotalAmt |
| Program Services | $757,070 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $20,326,716 | $20,324,998 | $1,718 |
| BAD DEBT EXPENSE | $6,495,718 | $6,495,718 | |
| STATE ASSESSMENT | $164,010 | $164,010 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412,889 | TotalAmt |
| Program Services | $184,492 | ProgramServicesAmt |
| Management And General | $1,228,397 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,349,386 | TotalAmt |
| Program Services | $97,149,578 | ProgramServicesAmt |
| Management And General | $21,183,746 | ManagementAndGeneralAmt |
| Fundraising | $16,062 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,945 | BOYAmt |
| EOY | $254,772 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,064,604 | BOYAmt |
| EOY | $2,253,177 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,980,321 | BOYAmt |
| EOY | $17,876,375 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,439,582 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,144,518 | BOYAmt |
| EOY | $4,020,951 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,163 | BOYAmt |
| EOY | $2,036,184 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $79,829,909 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,564,749 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,720,865 | BOYAmt |
| EOY | $32,265,160 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,727,336 | BOYAmt |
| EOY | $20,713,672 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,871,602 | BOYAmt |
| EOY | $3,161,651 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,000 | BOYAmt |
| EOY | $131,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,363,647 | BOYAmt |
| EOY | $3,787,588 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,470,583 | BOYAmt |
| EOY | $86,500,530 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,893,551 | BOYAmt |
| EOY | $17,157,021 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,855,000 | BOYAmt |
| EOY | $3,650,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,970,441 | BOYAmt |
| EOY | $16,848,438 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,146,072 | BOYAmt |
| EOY | $4,115,252 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,865,064 | BOYAmt |
| EOY | $41,770,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,605,519 | BOYAmt |
| EOY | $44,729,819 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,605,519 | BOYAmt |
| EOY | $44,729,819 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,470,583 | BOYAmt |
| EOY | $86,500,530 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,129,694 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,551,472 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $317,050 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $126,084 | OtherChangesInNetAssetsAmt |
| 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 | $3,946 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,946 | 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 STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS ALLOCATE A PORTION OF SUCH DUES TO LOBBYING ACTIVITIES BASED ON STUDIES CONDUCTED BY THE RESPECTIVE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,131,594 | OtherCostOrOtherBasisAmt |
| Book Value | $3,131,594 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,518,344 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,771,854 | DepreciationAmt |
| Book Value | $17,746,490 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,645,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,496,808 | DepreciationAmt |
| Book Value | $1,148,726 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,197,106 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,296,087 | DepreciationAmt |
| Book Value | $9,901,019 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $337,331 | OtherCostOrOtherBasisAmt |
| Book Value | $337,331 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,265,160 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $3,207,966 |
| PENSION PLAN OBLIGATIONS | $711,286 |
| MALPRACTICE INSURANCE LIABILITY | $196,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,115,252 | TotalLiabilityAmt |
| 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 ORGANIZATION IS A NOT-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 UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 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, 2017 OR 2016. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| 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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $280,797 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $280,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,014,594 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,569,026 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,445,568 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01290 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $407,017 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $407,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,702,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,569,026 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,133,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 101417 | PersonsServedCnt |
| Total Community Benefit Expns | $828,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $792,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,594,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,422,291 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,172,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,297 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,297 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $135,724 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $135,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 101417 | PersonsServedCnt |
| Total Community Benefit Expns | $4,620,384 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,519,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,100,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 101417 | PersonsServedCnt |
| Total Community Benefit Expns | $20,322,792 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,088,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,234,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,602,028 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,650,507 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,459,546 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,480,207 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,020,661 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct |
|---|---|---|---|
| PIETRA LLC | |||
| ENDOSCOPY SERVICES | 1.00000 | ||
| BMH PHYSICIANS CLINI | |||
| RENTAL REAL ESTATE | 0.59000 | 0.41000 | |
| IDAHO PATHOLOGY LAB | |||
| PATHOLOGY SERVICES | 0.55000 | 0.45000 | |
| DOCTORS & HOSPITAL | |||
| SURGICAL SERVICES | 0.60000 | 0.40000 | |
| 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 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Emergency Room OtherEmergencyRoomOtherInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BINGHAM MEMORIAL HOSPITAL | ||||||||||||
| 1 | 98 POPLAR STREET | BLACKFOOT | ID | 832211799 | WWW.BINGHAMMEMORIAL.ORG | 36 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| IDAHO DOCTORS HOSPITAL | ||||||||||||
| 2 | 98 POPLAR STREET | BLACKFOOT | ID | 832211799 | IDAHO DOCTORS HOSPITAL | 66 | Yes (X) | Yes (X) | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other MethodOtherMethodInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BINGHAM MEMORIAL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | WWW.BINGHAMMEMORIAL.ORG | Yes (X) | Yes (true) | 16 | Yes (true) | WWW.BINGHAMMEMORIAL.ORG/ABOUT-BMH/COMM | false | false | Yes (true) | Yes (X) | 150.000000000000 | 200.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| IDAHO DOCTORS HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | Yes (true) | false | false | Yes (true) | Yes (X) | 150.000000000000 | 200.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | |||||||||||||||||||||||
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | IDAHO DOCTOR'S HOSPITAL WAS ACQUIRED IN 2016. |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 6,495,718. |
| 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 2,020,661. 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ISU FOUNDATION | |||||||
| 921 S 8TH AVENUE STOP 8050 | POCATELLO | ID | 83209 | 826013543 | 501C3 | $25,000 | BUSINESS SCHOLARSHIP |
| IDAHO HOMETOWN HEROES | |||||||
| 444 HOSPITAL WAY SUITE 607 | POCATELLO | ID | 83201 | 820425063 | 501C3 | $11,250 | HOMETOWN HERO MEDAL |
| BLACKFOOT CHAMBER OF COMMERCE | |||||||
| 70 W JUDICIAL STREET | BLACKFOOT | ID | 83221 | 820099637 | 501C6 | $7,000 | RELOCATION |
| CITY OF BLACKFOOT | |||||||
| 157 N BROADWAY | BLACKFOOT | ID | 83221 | 826000164 | GOV | $6,500 | MAYOR'S SCHOLARSHIP |
| SNAKE RIVER HIGH SCHOOL | |||||||
| 922 W HWY 39 | BLACKFOOT | ID | 83221 | 826000615 | GOV | $5,850 | SCOREBOARD |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 18 | RecipientCnt |
| Cash Grant | $8,715 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE RECIPIENTS OF GRANTS ARE REQUIRED TO MAKE SOME KIND OF PUBLIC RECOGNITION OF THE FUNDS GIVEN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| ADAM WRAY | |||||
| CHIEF OF STAFF | $324,370 | $923,576 | $18,000 | $1,742 | $1,267,688 |
| DAVID PETERSON | |||||
| DIRECTOR | $490,130 | $179,563 | $459 | $670,152 | |
| JEFFREY DANIELS | |||||
| CEO THRU 10/2017 | $383,213 | $18,000 | $17,128 | $418,341 | |
| JACOB ERICKSON | |||||
| CEO | $227,695 | $33,402 | $5,406 | $419 | $266,922 |
| JOHN FULLMER | |||||
| CFO | $190,441 | $26,813 | $18,000 | $438 | $235,692 |
| CAROLYN HANSEN | |||||
| CNO | $196,496 | $28,763 | $7,800 | $438 | $233,497 |
| DAVE LOWRY | |||||
| COO | $174,212 | $16,938 | $356 | $191,506 | |
| WILLIAM HUNEYCUTT | |||||
| PHYSICIAN | $1,068,522 | $118,758 | $47,627 | $1,234,907 | |
| ROBERT JOHNSON | |||||
| PHYSICIAN | $763,802 | $150 | $459 | $764,411 | |
| BALDWIN STUTTS | |||||
| PHYSICIAN | $758,914 | $100 | $459 | $759,473 | |
| NATHAN RICHARDSON | |||||
| PHYSICIAN | $596,688 | $24,205 | $459 | $621,352 | |
| DAVID SHELLEY | |||||
| PHYSICIAN | $328,686 | $214,369 | $18,000 | $2,346 | $563,401 |
| LOUIS KRAML | |||||
| FORMER CEO | $933,486 | $18,000 | $268 | $951,754 | |
| DAN COCHRAN | |||||
| FORMER COO | $482,000 | $18,000 | $500,000 | ||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | IT IS ESTIMATED THAT 4 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 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 6, PART VI, LINE 2 | JOE CANNON ALICE CANNON CHAIR DIRECTOR BROTHER & SISTER IN-LAW |
| 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 REVIEW 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 CFO 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 XI, LINE 9 | TRANSFER OF NET ASSETS 126,084 INVENTORY EXPENSE 449,205 RENTAL EXPENSES 77,075 BAD DEBT EXPENSE -6,495,718 INVENTORY EXPENSE -449,205 RENTAL EXPENSES -77,075 BAD DEBT EXPENSE 6,495,718 TOTAL 126,084 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BINGHAM LAND LLC | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 711035721 | REAL ESTAT | ID | $291,715 | $253,680 | BMH INC | ||
| CMRGO LLC | |||||||||||
| 350 N MERIDIAN | BLACKFOOT | ID | 83221 | 470917145 | REAL ESTAT | ID | $451,734 | $2,271,847 | BMH INC | ||
| CRCA MANAGEMENT COMPANY LLC | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 364873992 | PHYSICIANS | ID | -$324,415 | -$324,415 | BMH INC | ||
| FERRIS HOLDINGS LLC | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 205126945 | INVESTMENT | ID | $1,500 | BMH INC | |||
| MOUNTAIN RIVER BIRTHING & SURGERY | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 470917144 | BIRTH/SURG | ID | DOCTORS & | CENTER | HOSPITAL HEALTH SYSTEM OF IDAHO | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIETRA LLC | |||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 263634345 | ENDOSCOPY | ID | BMH INC | RELATED | $191,775 | $162,911 | false | false | 0.60000 | ||
| DOCTORS & HOSPITAL HEALTH SYSTEM OF | |||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 208167113 | SURGICAL | ID | BMH INC | RELATED | $739,029 | $2,859,849 | false | false | 0.60000 | IDAHO LLC | |
| IDAHO PATHOLOGY LABORATORY LLC | |||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 450956263 | PATHOLOGY | ID | BMH INC | RELATED | $993,063 | $414,482 | false | Yes (true) | 0.55000 | ||
| HEALTH & WELLNESS SLEEP INSTITUTE | |||||||||||||||
| 1553 E CENTER STREET | POCATELLO | ID | 83201 | 371529937 | SLEEP CTR | ID | BMH INC | RELATED | $14,010 | $66,675 | false | false | 0.55000 | OF POCATELLO PLLC | |
| BMH PHYSICIANS CLINIC LLC | |||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 263952823 | REAL RENTA | ID | BINGHAM | RELATED | $110,327 | $5,427,767 | false | false | 0.58720 | LAND LLC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| IDAHO PATHOLOGY LABORATORY LLC | ||
| D | $258,112 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| D | $469,799 | GAAP ACCOUNTING |
| HEALTH & WELLNESS SLEEP INSTITUTE | ||
| D | $120,182 | GAAP ACCOUNTING |
| IDAHO ORTHOPEDIC & SPORTS CLINIC | ||
| D | $623,828 | GAAP ACCOUNTING |
| PIETRA LLC | ||
| E | $238,546 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| E | $1,042,940 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| K | $1,007,318 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| L | $224,729 | GAAP ACCOUNTING |
| PIETRA LLC | ||
| L | $120,948 | GAAP ACCOUNTING |
| PIETRA LLC | ||
| M | $411,023 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| M | $2,332,003 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| S | $965,557 | CASH DISTRIBUTIONS |
| DOCTORS & HOSPITAL HEALTH SYSTEM | ||
| S | $600,000 | CASH DISTRIBUTIONS |
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