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        <TotalCommunityBenefitExpnsAmt>27081924</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15594886</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11487038</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06170</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <PersonsServedCnt>128647</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>38240</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1289993</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00690</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>108862</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>108862</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>305240</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>305240</DirectOffsettingRevenueAmt>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>271007</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>271007</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <PersonsServedCnt>128647</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2013342</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>343480</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1669862</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00900</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>128647</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>29095266</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15938366</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>13156900</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07060</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5570674</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1392669</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>22161324</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>23547951</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1386627</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>BMH PHYSICIANS CLINI</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>RENTAL REAL ESTATE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.59000</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.41000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>IDAHO PATHOLOGY LAB</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>PATHOLOGY SERVICES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.55000</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.45000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>CRESTWOOD ENTERPRISE</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>RENTAL REAL ESTATE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.38000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>SKYLINE ASC HOLDING</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.33000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>BINGHAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>832211799</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BINGHAMMEMORIAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>36</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>GROVE CREEK MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>350 N MERIDIAN</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>832211799</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.GROVECREEKMC.ORG</WebsiteAddressTxt>
        <StateLicenseNum>66</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BINGHAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BINGHAMMEMORIAL.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.BINGHAMMEMORIAL.ORG/ABOUT-BMH/COMM</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>GROVE CREEK MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.GROVECREEKMC.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>GROVECREEKMC.ORG</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 17 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED IN COLLABORATION WITH RESEARCH &amp; BUSINESS DEVELOPMENT CENTER (RBDC).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATIONS ARE GIVEN TO INCOME LEVEL IN COMBINATION WITH OTHER LISTED FACTORS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATIONS ARE GIVEN TO MEDICAID/MEDICARE AND HOMELESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, BINGHAM MEMORIAL HOSPITAL - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 17 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED IN COLLABORATION WITH RESEARCH &amp; BUSINESS DEVELOPMENT CENTER (RBDC).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATIONS ARE GIVEN TO INCOME LEVEL IN COMBINATION WITH OTHER LISTED FACTORS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATIONS ARE GIVEN TO MEDICAID/MEDICARE AND HOMELESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 15E</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATIONS ARE GIVEN TO INCOME LEVEL, MEDICAL INDIGENCE, INSURANCE STATUS, UNINSURED DISCOUNT, MEDICAID/MEDICARE, ASSET LEVEL, AND HOMELESSNESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, GROVE CREEK MEDICAL CENTER - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>16</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BINGHAM MEMORIAL SKILLED NURSING &amp;</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
            <CityNm>BLACKFOOT</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83221</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BINGHAM MEMORIAL FAMILY MEDICINE 2</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1595 BANNOCK HWY</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83204</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BMH PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
            <CityNm>BLACKFOOT</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83221</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BINGHAM MEMORIAL SPECIALTY PLAZA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>326 POPLAR STREET</AddressLine1Txt>
            <CityNm>BLACKFOOT</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83221</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1ST CHOICE URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1350 PARKWAY DRIVE</AddressLine1Txt>
            <CityNm>BLACKFOOT</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83221</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHYSICIANS &amp; SURGEONS CLINIC OF POC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1151 HOSPITAL WAY BLDG D</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83201</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHYSICIANS &amp; SURGEONS CLINIC OF SHE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>275 W LOCUST</AddressLine1Txt>
            <CityNm>SHELLEY</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83274</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BINGHAM SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>235 POPLAR STREET</AddressLine1Txt>
            <CityNm>BLACKFOOT</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83221</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH &amp; WELLNESS SLEEP INSTITUTE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1553 E CENTER STREET</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83201</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BINGHAM SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1975 MARTHA AVENUE</AddressLine1Txt>
            <CityNm>IDAHO FALLS</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83404</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMPREHENSIVE CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3302 VALENCIA DR SUITE 201</AddressLine1Txt>
            <CityNm>IDAHO FALLS</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83404</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>POCATELLO WOMEN'S HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>777 HOSPITAL WAY SUITE 300</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83201</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CLIFFORD AND CLARK FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4742 YELLOWSTONE AVE</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83202</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1ST CHOICE URGENT CARE YELLOWSTONE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>850 YELLOWSTONE AVE</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83201</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1ST CHOICE URGENT CARE CHUBBUCK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4750 YELLOWSTONE</AddressLine1Txt>
            <CityNm>POCATELLO</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83202</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AMMON MEDICAL AND URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3456 E 17TH ST BLDG 125</AddressLine1Txt>
            <CityNm>AMMON</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83406</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE IS THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BENGAL SPORTS PROPERTIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 843038</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64184</ZIPCd>
        </USAddress>
        <RecipientEIN>470911648</RecipientEIN>
        <CashGrantAmt>48000</CashGrantAmt>
        <PurposeOfGrantTxt>ISU SPORT ACTIVITIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IE PRODUCTIONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2975 MCNEIL DR</AddressLine1Txt>
          <CityNm>IDAHO FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83402</ZIPCd>
        </USAddress>
        <RecipientEIN>820490984</RecipientEIN>
        <CashGrantAmt>55000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EASTERN IDAHO STATE FAIR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 250</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <RecipientEIN>826001069</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>27000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY EVENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IDAHO FALLS AUDITORIUM DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1690 EVENT CENTER DR</AddressLine1Txt>
          <CityNm>IDAHO FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83402</ZIPCd>
        </USAddress>
        <RecipientEIN>864003457</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>MAC CENTER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IDAHO FALLS CHUKARS BASEBALL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2183</AddressLine1Txt>
          <CityNm>IDAHO FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83403</ZIPCd>
        </USAddress>
        <RecipientEIN>820386141</RecipientEIN>
        <CashGrantAmt>17000</CashGrantAmt>
        <PurposeOfGrantTxt>YOUTH SPORTS DONATIO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEM STATE CLASSIC PRO RODEO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>97 PARK ST</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <RecipientEIN>826001069</RecipientEIN>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>PRIDE DAY FIREWORKS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JUNIPER HILLS COUNTRY CLUB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6600 BANNOCK HWY</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83204</ZIPCd>
        </USAddress>
        <RecipientEIN>820397730</RecipientEIN>
        <CashGrantAmt>9400</CashGrantAmt>
        <PurposeOfGrantTxt>GOLF TOURNAMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KBTK EVENTS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1170 ST CLAIR AVE UNIT 1</AddressLine1Txt>
          <CityNm>IDAHO FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83404</ZIPCd>
        </USAddress>
        <RecipientEIN>932749377</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOME AND GARDEN SHOW</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SE IDAHO YOUTH FOOTBALL LEAGUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1303</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83204</ZIPCd>
        </USAddress>
        <RecipientEIN>820405362</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>TEAM SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>7</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>17</RecipientCnt>
        <CashGrantAmt>10500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RECIPIENTS OF GRANTS ARE REQUIRED TO MAKE SOME KIND OF PUBLIC RECOGNITION OF THE FUNDS GIVEN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLARK ALLEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>101100</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1216794</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2913</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1351307</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID PETERSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>521468</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>751382</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>5942</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1278792</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL JONES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>60776</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1166771</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5675</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1263722</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM WRAY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>213920</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>749309</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>32885</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3428</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>999542</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT HUNEYCUTT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>117081</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>731569</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5675</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>884825</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACOB ERICKSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>518690</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>139500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>46000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5942</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>710132</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ULLERY</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>263215</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>365206</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>52500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5942</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>686863</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN THOMAS</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>305938</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3333</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13077</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6399</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>351747</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDALL NIGHTENGALE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>231973</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>47500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>43678</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5942</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>329093</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>IDAHO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>826051863</BondIssuerEIN>
        <BondIssuedDt>2018-12-01</BondIssuedDt>
        <IssuePriceAmt>20507070</IssuePriceAmt>
        <PurposeDesc>REFUND PRIOR DEBT AND FINANCE IMPROVEMENT AND ACQUISITION PROJECTS.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2329942</RetiredAmt>
        <TotalProceedsAmt>20507070</TotalProceedsAmt>
        <InReserveFundAmt>299983</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>291381</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>2780017</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>17135689</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>IDAHO HEALTH FACILITIES AUTHORITY REFUND PRIOR DEBT AND FINANCE IMPROVEMENT AND ACQUISITION PROJECTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc9">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ADAM WRAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>661609</TransactionAmt>
        <TransactionDesc>JOINT VENTURE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>14,392,763 5,107,526 809</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INVENTORY EXPENSE 842,778 RENTAL EXPENSES 178,719 NON-CONTROLLING DISTRIBUTIONS -27,245 INVENTORY EXPENSE -842,778 RENTAL EXPENSES -178,719 TOTAL -27,245</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BINGHAM LAND LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <EIN>711035721</EIN>
        <PrimaryActivitiesTxt>REAL ESTAT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <TotalIncomeAmt>338221</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2108670</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CMRGO LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 N MERIDIAN</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <EIN>470917145</EIN>
        <PrimaryActivitiesTxt>REAL ESTAT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FERRIS HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <EIN>205126945</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>1500</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOCTORS &amp; HOSPITAL HEALTH SYSTEM</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>OF IDAHO LLC</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>98 POPLAR STREET</AddressLine1Txt>
          <CityNm>BLACKFOOT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83221</ZIPCd>
        </USAddress>
        <EIN>208167113</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <TotalIncomeAmt>-1005180</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1826487</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMH INC</BusinessNameLine1Txt>
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      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
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  </ReturnData>
</Return>