BMH INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BMH INC (EIN 20-5126945)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-17
- IRS object ID
- 202533219349309493
- Schema version
- 2024v5.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-17T14:19:44-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | 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 | DZA 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 | 2024-01-01 | 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 | 832211758 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACOB ERICKSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2087854100 | PhoneNum |
| Signature | 2025-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RIKKI PATCH | PreparerPersonNm |
| PTIN | P01472231 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2025-11-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 | $196,404,001 | 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 | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1307 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $723,689 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $238,884 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,531,801 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,535,753 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $172,423,529 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $183,369,196 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,221,103 | PYInvestmentIncomeAmt |
| CY Investment Income | $966,079 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,763,533 | PYOtherRevenueAmt |
| CY Other Revenue | $3,328,691 | CYOtherRevenueAmt |
| PY Total Revenue | $179,939,966 | PYTotalRevenueAmt |
| CY Total Revenue | $189,199,719 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $458,513 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $271,007 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $99,887,419 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,200,605 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $44,189 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $76,199,980 | PYOtherExpensesAmt |
| CY Other Expenses | $84,834,901 | CYOtherExpensesAmt |
| PY Total Expenses | $176,545,912 | PYTotalExpensesAmt |
| CY Total Expenses | $186,306,513 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,394,054 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,893,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,389,227 | TotalAssetsBOYAmt |
| Total Assets EOY | $143,716,925 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $69,320,888 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $66,091,999 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,068,339 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $77,624,926 | 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 | $79,422,212 | ExpenseAmt |
| Grant | $271,007 | GrantAmt |
| Revenue | $135,580,231 | 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 1,142 INPATIENTS, 310 NEWBORN INFANTS, AND 10,051 EMERGENCY ROOM PATIENTS AS WELL AS PERFORMING 11,843 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 1,398,025 FOR CHARITY CARE, 94,390,486 FOR MEDICARE, 40,276,319 FOR MEDICAID, AND 104,501,373 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED DECEMBER 31, 2024. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $72,462,494 | ExpenseAmt |
| Revenue | $46,845,015 | 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 204,912 SEPARATE SERVICE ENCOUNTERS FOR INDIVIDUAL PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,991,020 | ExpenseAmt |
| Revenue | $943,950 | RevenueAmt |
| Desc | BMH OPERATES A NURSING HOME WHICH AVERAGED 16.7 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 | $154,875,726 | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 | 116 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1307 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 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 | JEFF DANIELS | 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 (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| CLARK ALLEN | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,317,894 | $0 | $33,413 | ||
| DAVID PETERSON | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,272,850 | $0 | $5,942 | ||
| MICHAEL JONES | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,227,547 | $0 | $36,175 | ||
| ADAM WRAY | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $963,229 | $0 | $36,313 | ||
| SCOTT HUNEYCUTT | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $848,650 | $0 | $36,175 | ||
| JACOB ERICKSON | |||||||
| CEO | 40.00 | $658,190 | $0 | $51,942 | Yes (X) | ||
| GARY ULLERY | |||||||
| DIRECTOR/PHY | 40.00 | $628,421 | $0 | $58,442 | Yes (X) | ||
| BRIAN THOMAS | |||||||
| DIRECTOR/PHY | 40.00 | $322,348 | $0 | $29,399 | Yes (X) | ||
| RANDALL NIGHTENGALE | |||||||
| CFO | 40.00 | $279,473 | $0 | $49,620 | Yes (X) | ||
| SCOTT REESE | |||||||
| CHAIR | 6.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BILL SPONENBURGH | |||||||
| VICE CHAIR | 6.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CHRISTIAN CANNON | |||||||
| TREASURER/SE | 6.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KEVIN KOTTER | |||||||
| DIRECTOR | 6.00 | $0 | $0 | $0 | Yes (X) | ||
| LUKE JOLLEY | |||||||
| DIRECTOR | 6.00 | $0 | $0 | $0 | Yes (X) | ||
| JESSICA LEWIS | |||||||
| DIRECTOR | 6.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,518,602 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $337,421 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 161 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TD THERAPY SERVICES LLC | |||||
| PO BOX 235 | POCATELLO | ID | 83204 | THERAPY SERVICE | $2,425,704 |
| MEDICAL INFORMATION TECHNOLOGY INC | |||||
| PO BOX 74569 | CHICAGO | IL | 60696 | EHR SERVICES | $2,230,611 |
| IDAHO PATHOLOGY LABORATORY | |||||
| 1551 NW MAIN ST | BLACKFOOT | ID | 83221 | PATHOLOGY LAB | $1,793,582 |
| LABCORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | PATHOLOGY LAB | $1,582,656 |
| IE PRODUCTIONS | |||||
| 2975 MCNEIL DRIVE | IDAHO FALLS | ID | 83402 | PUBLISHING | $474,066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $26,413 | GovernmentGrantsAmt |
| All Other Contributions | $1,509,340 | AllOtherContributionsAmt |
| Total Contributions | $1,535,753 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $182,404,593 | $182,404,593 |
| PROGRAM RELATED INVESTMENTS | 621110 | $964,603 | $964,603 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $183,369,196 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $988,063 | TotalRevenueColumnAmt |
| Exclusion | $988,063 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $638,409 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $178,719 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $459,690 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $459,690 | TotalRevenueColumnAmt |
| Exclusion | $459,690 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,160,801 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,036 | SecuritiesAmt |
| Other | $6,168,749 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$14,036 | SecuritiesAmt |
| Other | -$7,948 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,984 | TotalRevenueColumnAmt |
| Exclusion | -$21,984 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,189,283 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $842,778 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $346,505 | TotalRevenueColumnAmt |
| Exclusion | $346,505 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER | 900099 | $873,126 | $873,126 | |
| CAFETERIA | 722210 | $613,218 | $613,218 | |
| MANAGEMENT SERVICES | 541611 | $434,908 | $434,908 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $601,244 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $288,781 | UnrelatedBusinessRevenueAmt |
| Exclusion | $312,463 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,522,496 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,199,719 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $183,369,196 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $723,689 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,571,081 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,507 | TotalAmt |
| Program Services | $260,507 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,500 | TotalAmt |
| Program Services | $10,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,077,837 | TotalAmt |
| Program Services | $1,038,611 | ProgramServicesAmt |
| Management And General | $1,039,226 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,422,673 | TotalAmt |
| Program Services | $71,440,006 | ProgramServicesAmt |
| Management And General | $7,957,667 | ManagementAndGeneralAmt |
| Fundraising | $25,000 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $832,591 | TotalAmt |
| Program Services | $812,814 | ProgramServicesAmt |
| Management And General | $19,478 | ManagementAndGeneralAmt |
| Fundraising | $299 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,027,302 | TotalAmt |
| Program Services | $10,014,417 | ProgramServicesAmt |
| Management And General | $4,012,722 | ManagementAndGeneralAmt |
| Fundraising | $163 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840,202 | TotalAmt |
| Program Services | $4,217,632 | ProgramServicesAmt |
| Management And General | $620,632 | ManagementAndGeneralAmt |
| Fundraising | $1,938 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,114 | TotalAmt |
| Management And General | $169,114 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,452 | TotalAmt |
| Management And General | $159,452 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,116 | TotalAmt |
| Management And General | $133,116 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,501,098 | TotalAmt |
| Program Services | $14,392,763 | ProgramServicesAmt |
| Management And General | $5,107,526 | ManagementAndGeneralAmt |
| Fundraising | $809 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230,020 | TotalAmt |
| Program Services | $106,381 | ProgramServicesAmt |
| Management And General | $1,123,186 | ManagementAndGeneralAmt |
| Fundraising | $453 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,969,090 | TotalAmt |
| Program Services | $2,227,211 | ProgramServicesAmt |
| Management And General | $1,738,220 | ManagementAndGeneralAmt |
| Fundraising | $3,659 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,408,412 | TotalAmt |
| Program Services | $4,090,991 | ProgramServicesAmt |
| Management And General | $317,421 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,997 | TotalAmt |
| Program Services | $516,941 | ProgramServicesAmt |
| Management And General | $232,056 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,129 | TotalAmt |
| Program Services | $209,737 | ProgramServicesAmt |
| Management And General | $47,392 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,164 | TotalAmt |
| Program Services | $541,279 | ProgramServicesAmt |
| Management And General | $145,885 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,263,097 | TotalAmt |
| Management And General | $4,263,097 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,046 | TotalAmt |
| Program Services | $1,138,138 | ProgramServicesAmt |
| Management And General | $66,908 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $42,436,414 | $42,436,414 | |
| STATE ASSESSMENT | $2,456,155 | $2,456,155 | |
| REPAIRS & MAINTENANCE | $1,241,120 | $1,136,376 | $104,744 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,969,477 | TotalAmt |
| Program Services | $285,008 | ProgramServicesAmt |
| Management And General | $1,672,601 | ManagementAndGeneralAmt |
| Fundraising | $11,868 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,306,513 | TotalAmt |
| Program Services | $154,875,726 | ProgramServicesAmt |
| Management And General | $31,386,598 | ManagementAndGeneralAmt |
| Fundraising | $44,189 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,015,929 | BOYAmt |
| EOY | $816,961 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,975,333 | BOYAmt |
| EOY | $4,548,361 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,674,542 | BOYAmt |
| EOY | $40,889,355 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,422,551 | BOYAmt |
| EOY | $5,523,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279,509 | BOYAmt |
| EOY | $1,573,665 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $104,568,600 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $72,184,018 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,786,826 | BOYAmt |
| EOY | $32,384,582 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,491,490 | BOYAmt |
| EOY | $23,464,016 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,519,273 | BOYAmt |
| EOY | $2,498,175 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,657,643 | BOYAmt |
| EOY | $4,043,129 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,566,131 | BOYAmt |
| EOY | $27,975,364 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,389,227 | BOYAmt |
| EOY | $143,716,925 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,848,009 | BOYAmt |
| EOY | $13,381,572 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,728,660 | BOYAmt |
| EOY | $17,942,238 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,727,423 | BOYAmt |
| EOY | $1,612,480 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,016,796 | BOYAmt |
| EOY | $33,155,709 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,320,888 | BOYAmt |
| EOY | $66,091,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,068,339 | BOYAmt |
| EOY | $77,624,926 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,068,339 | BOYAmt |
| EOY | $77,624,926 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,389,227 | BOYAmt |
| EOY | $143,716,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,893,206 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $690,626 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,245 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $57,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $10,162 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $67,162 | 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 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. THE HOSPITAL ALSO PAYS AN INDEPENDENT CONTRACTOR FOR CRITICAL ACCESS HOSPITAL (CAH) LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,120,618 | OtherCostOrOtherBasisAmt |
| Book Value | $4,120,618 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,051,421 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,907,422 | DepreciationAmt |
| Book Value | $17,143,999 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,286,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $992,547 | DepreciationAmt |
| Book Value | $293,703 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,876,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,677,205 | DepreciationAmt |
| Book Value | $9,198,979 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $678,121 | OtherCostOrOtherBasisAmt |
| Book Value | $678,121 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,435,420 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT-OF-USE ASSETS | $24,718,882 |
| 3RD PARTY SETTLEMENTS | $2,317,470 |
| OTHER RECEIVABLES | $939,012 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $27,975,364 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITIES | $26,467,811 |
| LINE OF CREDIT | $4,034,380 |
| DUE TO RELATED ORGANIZATION | $1,660,233 |
| FINANCE LEASE LIABILITIES | $993,285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,155,709 | 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 EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2024 AND 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $601,151 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $601,151 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,480,773 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,594,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,885,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05840 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,081,924 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,594,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,487,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 128647 | PersonsServedCnt |
| Total Community Benefit Expns | $1,328,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,240 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,289,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $305,240 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $305,240 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $271,007 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $271,007 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 128647 | PersonsServedCnt |
| Total Community Benefit Expns | $2,013,342 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $343,480 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,669,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 128647 | PersonsServedCnt |
| Total Community Benefit Expns | $29,095,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,938,366 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,156,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,570,674 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,392,669 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $22,161,324 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,547,951 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,386,627 | 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 (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| BMH PHYSICIANS CLINI | ||
| RENTAL REAL ESTATE | 0.59000 | 0.41000 |
| IDAHO PATHOLOGY LAB | ||
| PATHOLOGY SERVICES | 0.55000 | 0.45000 |
| CRESTWOOD ENTERPRISE | ||
| RENTAL REAL ESTATE | 0.38000 | |
| SKYLINE ASC HOLDING | ||
| SURGICAL SERVICES | 0.33000 | |
| 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) |
| GROVE CREEK MEDICAL CENTER | ||||||||||||
| 2 | 350 N MERIDIAN | BLACKFOOT | ID | 832211799 | WWW.GROVECREEKMC.ORG | 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 | 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 | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | 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) | 22 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | WWW.BINGHAMMEMORIAL.ORG | Yes (X) | Yes (true) | 22 | Yes (true) | WWW.BINGHAMMEMORIAL.ORG/ABOUT-BMH/COMM | 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) | SEE PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| GROVE CREEK MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | WWW.GROVECREEKMC.ORG | Yes (X) | Yes (true) | 22 | Yes (true) | GROVECREEKMC.ORG | 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 (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | ||
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 17 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) IN 2022. BINGHAM TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SOLICITATING COMMENTS FROM KEY STAKEHOLDERS THROUGH AN ELECTRONIC SURVEY AS WELL AS CONDUCTING ORAL INTERVIEWS THROUGH VIDEO CHATS. KEY STAKEHOLDERS WERE FROM A DIVERSE GROUP OF COMMUNITY MEMBERS BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS (SOCIAL SERVICE AND PUBLIC HEALTH AGENCIES, LOCAL SCHOOLS, LOCAL CITY AND COUNTY GOVERNMENT, MEDICAL PROVIDERS, VOLUNTEER FIREMAN, ETC.). |
| FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 6B | THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED IN COLLABORATION WITH RESEARCH & BUSINESS DEVELOPMENT CENTER (RBDC). |
| FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 11 | ANALYSIS AND COMPARISONS OF THE PRIMARY (KEY STAKEHOLDER SURVEYS) AND SECONDARY (PUBLIC DATABASES) SOURCES OF DATA FACILITATED THE IDENTIFICATION OF HEALTH NEEDS IN BINGHAM'S SERVICE AREA. THE FOLLOWING WERE IDENTIFIED AS THE 5 MOST HIGHLY PRIORITIZED HEALTH NEEDS: 1) HEALTH LITERACY 2) HIGH UNINSURED RATES 3) MEDICAL PROVIDER SHORTAGE 4) OBESITY, AND 5) MATERNAL CARE AMONG ALL THE STAKEHOLDERS, THERE WAS A SINCERE CONCERN FOR ALL THE UNDERSERVED COMMUNITIES SUCH AS LOW-INCOME, IMMIGRANT FAMILIES. PROPOSED SOLUTIONS TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING: INCREASE HEALTH EDUCATION - HOLD COMMUNITY HEALTH EDUCATION RELATING TO HEALTH LIFESTYLES AND BEHAVIORS. INCREASE SUPPORT FOR PATIENTS IN NAVIGATING PAPERWORK AND ALTERNATIVE PAYMENT OPTIONS - MORE HEALTH ADVOCACY WORKERS TO BE AVAILABLE TO HELP PATIENTS IN BOTH ENGLISH AND SPANISH FILL OUT PAPERWORK, IDENTIFY AND APPLY FOR ALTERNATIVE PAYMENT OPTIONS IF NEEDED, AND TO PROMOTE AWARENESS IN THE COMMUNITY REGARDING OPPORTUNITIES TO GET HEALTH INSURANCE. MORE FOLLOW UP TO ENSURE THAT PATIENTS WHO QUALIFY FOR THESE SERVICES DONT MISS THEM DUE TO POOR COMMUNICATION OR FAILURE TO PROPERLY EXPLAIN HOW THE VARIOUS PROGRAMS ACTUALLY WORK. INCREASE BILINGUAL AND BICULTURAL STAFF AND PROVIDERS FOR SPANISH SPEAKERS. MORE HEALTH INFORMATION IN SPANISH TO BE MADE AVAILABLE TO AND ACTIVELY DISSEMINATED AMONG THE HISPANIC POPULATIONS PARTICULARLY IN POWER AND BLAINE COUNTY. MORE VISUAL GUIDES THAT CAN BE UNDERSTOOD WITHOUT NEEDING A HIGH LEVEL OF EDUCATION TO BE SHARED THROUGH THE SCHOOLS TO THE FAMILIES. INCREASE INVOLVEMENT OF THE WHOLE FAMILY AND COMMUNITY IN ADDRESSING HEALTH NEEDS. RECRUIT AND INCREASE NUMBER OF HEALTHCARE PROVIDERS. BINGHAM WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. BINGHAM'S DESIRE TO EXCEED EXPECTATIONS MEANS THAT IT IS CONTINUALLY IMPROVING ON THESE AREAS OF NEEDS THROUGH NEW PROGRAMS AND AFFILIATIONS. WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. 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. BINGHAM OFFERS A FINANCIAL ASSISTANCE PROGRAM AND ALSO PARTNERS WITH LOCAL AGENCIES TO ASSIST IN INFORMING THE PUBLIC REGARDING THE PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY. BINGHAM HEALTHCARE CURATED A COMMUNITY RESOURCE BOOKLET THAT IS AVAILABLE TO ALL EASTERN IDAHOANS. THIS BOOKLET AIMS TO EXPAND SUPPORT TO THE COMMUNITY. THERE ARE MANY ORGANIZATIONS WITHIN THE COMMUNITY THAT PROVIDE ASSISTANCE IN A VARIETY OF SERVICES THAT HELP PEOPLE LIVE HEALTHY AND PRODUCTIVE. COMMUNITY MEMBERS CAN ACCESS THIS BOOKLET ONLINE OR REQUEST A FREE COPY AT THIS WEBSITE. HTTPS://WWW.BINGHAMMEMORIAL.ORG/BMH-SERVICES/COMMUNITY-RESOURCE-BOOKLET |
| 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. DETAILS REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.BINGHAMMEMORIAL.ORG/BMH-SERVICES/FINANCIAL-SERVICES THE FAP APPLICATION CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: BINGHAMMEMORIAL.ORG/UPLOADS/FINANCIAL%20STATEMENT%20APPLICATION%20FORM.PDF |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 17 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 5 | GCMC TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SOLICITATING COMMENTS FROM KEY STAKEHOLDERS THROUGH AN ELECTRONIC SURVEY AS WELL AS CONDUCTING ORAL INTERVIEWS THROUGH VIDEO CHATS. KEY STAKEHOLDERS WERE FROM A DIVERSE GROUP OF COMMUNITY MEMBERS BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS (SOCIAL SERVICE AND PUBLIC HEALTH AGENCIES, LOCAL SCHOOLS, LOCAL CITY AND COUNTY GOVERNMENT, MEDICAL PROVIDERS, VOLUNTEER FIREMAN, ETC.). |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 6B | THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED IN COLLABORATION WITH RESEARCH & BUSINESS DEVELOPMENT CENTER (RBDC). |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 11 | ANALYSIS AND COMPARISONS OF THE PRIMARY (KEY STAKEHOLDER SURVEYS) AND SECONDARY (PUBLIC DATABASES) SOURCES OF DATA FACILITATED THE IDENTIFICATION OF HEALTH NEEDS IN GCMC'S SERVICE AREA. LOW HEALTH EDUCATION ATTAINMENT WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED. GCMC WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO BINGHAM MEMORIAL HOSPITAL AND OTHER LOCAL AGENCIES BETTER SUITED TO ADDRESS THOSE NEEDS IDENTIFIED. WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. GCMC OFFERS A FINANCIAL ASSISTANCE PROGRAM AND ALSO PARTNERS WITH BINGHAM MEMORIAL HOSPITAL AND LOCAL AGENCIES TO ASSIST IN INFORMING THE PUBLIC REGARDING THE PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY. |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 13B | CONSIDERATIONS ARE GIVEN TO INCOME LEVEL IN COMBINATION WITH OTHER LISTED FACTORS. |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 13H | CONSIDERATIONS ARE GIVEN TO MEDICAID/MEDICARE AND HOMELESS. |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 15E | CONSIDERATIONS ARE GIVEN TO INCOME LEVEL, MEDICAL INDIGENCE, INSURANCE STATUS, UNINSURED DISCOUNT, MEDICAID/MEDICARE, ASSET LEVEL, AND HOMELESSNESS. |
| FACILITY 2, GROVE CREEK MEDICAL CENTER - 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 | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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 FAMILY MEDICINE 2 | ||||
| 1595 BANNOCK HWY | POCATELLO | ID | 83204 | PHYSICIAN OFFICES |
| BMH PHYSICIANS | ||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| BINGHAM MEMORIAL SPECIALTY PLAZA | ||||
| 326 POPLAR STREET | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| 1ST CHOICE URGENT CARE | ||||
| 1350 PARKWAY DRIVE | BLACKFOOT | ID | 83221 | 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 |
| BINGHAM SPECIALTY CLINIC | ||||
| 235 POPLAR STREET | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| HEALTH & WELLNESS SLEEP INSTITUTE | ||||
| 1553 E CENTER STREET | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| BINGHAM SPECIALTY CLINIC | ||||
| 1975 MARTHA AVENUE | IDAHO FALLS | ID | 83404 | PHYSICIAN OFFICES |
| COMPREHENSIVE CARE CLINIC | ||||
| 3302 VALENCIA DR SUITE 201 | IDAHO FALLS | ID | 83404 | PHYSICIAN OFFICES |
| POCATELLO WOMEN'S HEALTH CLINIC | ||||
| 777 HOSPITAL WAY SUITE 300 | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| CLIFFORD AND CLARK FAMILY MEDICINE | ||||
| 4742 YELLOWSTONE AVE | POCATELLO | ID | 83202 | PHYSICIAN OFFICES |
| 1ST CHOICE URGENT CARE YELLOWSTONE | ||||
| 850 YELLOWSTONE AVE | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| 1ST CHOICE URGENT CARE CHUBBUCK | ||||
| 4750 YELLOWSTONE | POCATELLO | ID | 83202 | PHYSICIAN OFFICES |
| AMMON MEDICAL AND URGENT CARE | ||||
| 3456 E 17TH ST BLDG 125 | AMMON | ID | 83406 | PHYSICIAN OFFICES |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 2 | THE COSTING METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE IS THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 3 | 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%. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 13 BEGINNING ON PAGE 21 OF THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | 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 1,386,627. 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 24 CLINICS (BOTH PRIMARY CARE AND SPECIALTY). BINGHAM RECRUITS AND EMPLOYS PHYSICIANS AND MID-LEVEL PROFESSIONALS TO HELP PROVIDE 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. |
| SCHEDULE H, PART III, LINE 9B | 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. |
| SCHEDULE H, PART VI, LINE 2 | THE 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 HTTPS://GROVECREEKMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| SCHEDULE H, PART VI, LINE 3 | 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. DETAILS REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.BINGHAMMEMORIAL.ORG/BMH-SERVICES/FINANCIAL-SERVICES THE FAP APPLICATION CAN BE FOUND ON OUR WEBSITE AT THE FOLLOWING URL: BINGHAMMEMORIAL.ORG/UPLOADS/FINANCIAL%20STATEMENT%20APPLICATION%20FORM.PDF |
| SCHEDULE H, PART VI, LINE 4 | BMHS COMMUNITY INCLUDES BINGHAM COUNTY AND THE SEVEN SURROUNDING COUNTIES THAT TOUCH BINGHAM COUNTY, GEOGRAPHICALLY. THIS INCLUDES BANNOCK, BLAINE, BONNEVILLE, BUTTE, CARIBOU, JEFFERSON AND POWER COUNTIES. BONNEVILLE HAS THE HIGHEST POPULATION OUT OF ALL THE COUNTIES. BMH SERVES A WIDE VARIETY OF POPULATIONS INCLUDING WOMEN, CHILDREN, GERIATIC, MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY GROUPS. SIX OF THE COUNTIES HAVE SIGNIFICANTLY MORE RURAL LAND THAN THE IDAHO AVERAGE (29.4%). WITH SO MUCH RURAL LAND, THE DISTANCE TO THE LOCAL HOSPITAL CAN BE FAR, MAKING IT HARDER FOR PEOPLE TO RECEIVE EMERGENCY CARE OR PREVENTATIVE CARE. BINGHAM MEMORIAL HOSPITAL IS A KEY HOSPITAL FOR THESE COUNTIES TO RECEIVE CARE. BMH, INC. PRIMARILY SERVES THE 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. BINGHAM COUNTY IS HOME TO THE SHOSHONE-BANNOCK TRIBE AND SERVES THE FORT HALL INDIAN RESERVATION. BINGHAM COUNTY'S RURAL COMMUNITIES HAVE AN UNINSURED RATE OF APPROXIMATELY 15% COMPARED TO THE STATE AVERAGE OF 13% AND IT IS ESTIMATED TO HAVE AN EVEN GREATER PERCENTAGE OF UNDERINSURED INDIVIDUALS. IN BINGHAM COUNTY'S AGRICULTURAL BASED ECONOMY, THE MEDIAN HOUSEHOLD INCOME IS 65,700 (2020). |
| SCHEDULE H, PART VI, LINE 5 | HOSPITAL BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA AND DEDICATE TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY. THE COMMUNITY BOARD STEERS THE ORGANIZATIONAL GOALS AND MISSION TOWARDS PROVIDING THE BEST HEALTHCARE FOR THE COMMUNITY. BINGHAM 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. ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION ALLOWING THE HOSPITAL TO FOCUS ON MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY. 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. COMMUNITY ACTIVITIES INCLUDE HEALTH FAIR, FREE FLU SHOT CLINICS, SKIN CANCER SCREENINGS, STUDENT ATHLETE PHYSICALS, AND NUMEROUS HEALTH, WELLNESS, AND EDUCATION ACTIVITIES TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, 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. |
| SCHEDULE H, PART VI, LINE 6 | N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|
| BENGAL SPORTS PROPERTIES | |||||||
| PO BOX 843038 | KANSAS CITY | MO | 64184 | 470911648 | $48,000 | ISU SPORT ACTIVITIES | |
| IE PRODUCTIONS | |||||||
| 2975 MCNEIL DR | IDAHO FALLS | ID | 83402 | 820490984 | $55,000 | SPONSORSHIP | |
| EASTERN IDAHO STATE FAIR | |||||||
| PO BOX 250 | BLACKFOOT | ID | 83221 | 826001069 | $27,000 | COMMUNITY EVENT | GOV |
| IDAHO FALLS AUDITORIUM DISTRICT | |||||||
| 1690 EVENT CENTER DR | IDAHO FALLS | ID | 83402 | 864003457 | $20,000 | MAC CENTER | 501C3 |
| IDAHO FALLS CHUKARS BASEBALL | |||||||
| PO BOX 2183 | IDAHO FALLS | ID | 83403 | 820386141 | $17,000 | YOUTH SPORTS DONATIO | |
| GEM STATE CLASSIC PRO RODEO | |||||||
| 97 PARK ST | BLACKFOOT | ID | 83221 | 826001069 | $7,500 | PRIDE DAY FIREWORKS | |
| JUNIPER HILLS COUNTRY CLUB | |||||||
| 6600 BANNOCK HWY | POCATELLO | ID | 83204 | 820397730 | $9,400 | GOLF TOURNAMENTS | |
| KBTK EVENTS LLC | |||||||
| 1170 ST CLAIR AVE UNIT 1 | IDAHO FALLS | ID | 83404 | 932749377 | $10,000 | HOME AND GARDEN SHOW | |
| SE IDAHO YOUTH FOOTBALL LEAGUE | |||||||
| PO BOX 1303 | POCATELLO | ID | 83204 | 820405362 | $6,000 | TEAM SPONSORSHIP | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 7 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 17 | RecipientCnt |
| Cash Grant | $10,500 | 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| CLARK ALLEN | ||||||
| PHYSICIAN | $101,100 | $1,216,794 | $30,500 | $2,913 | $1,351,307 | |
| DAVID PETERSON | ||||||
| PHYSICIAN | $521,468 | $751,382 | $5,942 | $1,278,792 | ||
| MICHAEL JONES | ||||||
| PHYSICIAN | $60,776 | $1,166,771 | $30,500 | $5,675 | $1,263,722 | |
| ADAM WRAY | ||||||
| PHYSICIAN | $213,920 | $749,309 | $32,885 | $3,428 | $999,542 | |
| SCOTT HUNEYCUTT | ||||||
| PHYSICIAN | $117,081 | $731,569 | $30,500 | $5,675 | $884,825 | |
| JACOB ERICKSON | ||||||
| CEO | $518,690 | $139,500 | $46,000 | $5,942 | $710,132 | |
| GARY ULLERY | ||||||
| DIRECTOR/PHYSICIAN | $263,215 | $365,206 | $52,500 | $5,942 | $686,863 | |
| BRIAN THOMAS | ||||||
| DIRECTOR/PHYSICIAN | $305,938 | $3,333 | $23,000 | $6,399 | $351,747 | $13,077 |
| RANDALL NIGHTENGALE | ||||||
| CFO | $231,973 | $47,500 | $43,678 | $5,942 | $329,093 | |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | IT IS ESTIMATED THAT 2 EXECUTIVES ARE ACCOMPANIED BY SPOUSES ON APPROXIMATELY 3-4 BUSINESS TRIPS PER YEAR FOR A TOTAL OF APPROXIMATELY 8 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 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 WITH ALL BUT ONE INDIVIDUAL THAT HAS NOT FULLY WITHDRAWN THEIR BALANCE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 826051863 | BondIssuerEIN |
| Bond Issued | 2018-12-01 | BondIssuedDt |
| Issue Price | $20,507,070 | IssuePriceAmt |
| Purpose | REFUND PRIOR DEBT AND FINANCE IMPROVEMENT AND ACQUISITION PROJECTS. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,329,942 | RetiredAmt |
| Total Proceeds | $20,507,070 | TotalProceedsAmt |
| In Reserve Fund | $299,983 | InReserveFundAmt |
| Issuance Costs From Proceeds | $291,381 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $2,780,017 | CapitalExpendituresAmt |
| Other Spent Proceeds | $17,135,689 | OtherSpentProceedsAmt |
| Substantial Completion | 2019 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (true) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | IDAHO HEALTH FACILITIES AUTHORITY REFUND PRIOR DEBT AND FINANCE IMPROVEMENT AND ACQUISITION PROJECTS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM WRAY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $661,609 | TransactionAmt |
| Transaction | JOINT VENTURE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
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 6 | THE MEMBERS OF THE HOSPITAL CONSIST OF A BROAD REPRESENTATION OF THE CITIZENS OF BINGHAM COUNTY, IDAHO, INCLUDING AT LEAST ONE RESIDENT OF EACH INCORPORATED CITY IN BINGHAM COUNTY, IDAHO AND THE UNINCORPORATED AREA OF BINGHAM COUNTY. |
| FORM 990, PAGE 6, PART VI, LINE 7A | DIRECTORS ARE ELECTED BY A MAJORITY OF THE VOTES CAST BY THE MEMBERS ENTITLED TO VOTE IN THE ELECTION AT THE MEETING AT WHICH A QUORUM OF MEMBERS IS PRESENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | EACH MEMBER OF RECORD OF THE HOSPITAL IS ENTITLED TO VOTE AT THE MEETINGS. AN AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS AT A MEETING IN WHICH A QUORUM WAS PRESENT IS AN ACT OF THE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO AND CEO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. A FINAL DRAFT IS REVIEWED BY THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE 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 EVERY TWO TO THREE YEARS. 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. THE MAIN SOURCE AVAILABLE TO THE HOSPITAL IN REGARD TO FAIR MARKET VALUE IN SALARIES IS THE IDAHO HOSPITAL ASSOCIATION ANNUAL SURVEY. THIS SURVEY IS UTILIZED BY THE BOARD IN DETERMINING THE CEO AND OTHER EXECUTIVE COMPENSATION. |
| 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 RANDALL NIGHTENGALE, CFO, AT 98 POPLAR ST, BLACKFOOT, ID 83221. THE ORGANIZATIONS' AUDITED, CONSOLIDATED FINANCIAL STATEMENTS ARE PUBLICALLY AVAILABLE THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD AT HTTPS://EMMA.MSRB.ORG/ |
| FORM 990, PART IX, LINE 11G | 14,392,763 5,107,526 809 |
| FORM 990, PART XI, LINE 9 | INVENTORY EXPENSE 842,778 RENTAL EXPENSES 178,719 NON-CONTROLLING DISTRIBUTIONS -27,245 INVENTORY EXPENSE -842,778 RENTAL EXPENSES -178,719 TOTAL -27,245 |
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 | $338,221 | $2,108,670 | BMH INC | ||
| CMRGO LLC | |||||||||||
| 350 N MERIDIAN | BLACKFOOT | ID | 83221 | 470917145 | REAL ESTAT | ID | BMH INC | ||||
| FERRIS HOLDINGS LLC | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 205126945 | INVESTMENT | ID | $1,500 | BMH INC | |||
| DOCTORS & HOSPITAL HEALTH SYSTEM | |||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 208167113 | HOSPITAL | ID | -$1,005,180 | $1,826,487 | BMH INC | OF IDAHO LLC | |
| 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 (2 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 Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO PATHOLOGY LABORATORY LLC | ||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 450956263 | PATHOLOGY | ID | BMH INC | RELATED | $1,195,722 | $616,404 | false | Yes (true) | 0.55000 | |
| BMH PHYSICIANS CLINIC LLC | ||||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 263952823 | REAL RENTA | ID | BINGHAM | RELATED | $340,595 | $4,183,077 | false | Yes (true) | 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 (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BMH PHYSICIANS CLINIC LLC | ||
| A | $115,260 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| D | $515,551 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| D | $3,144,683 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| E | $2,328,913 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| K | $1,007,318 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| L | $396,930 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| M | $3,247,977 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| S | $1,214,889 | CASH DISTRIBUTIONS |