BMH INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BMH INC (EIN 20-5126945)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349306292
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T16:45:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 COLBY AVENUE SUITE 801 | AddressLine1 |
| City | EVERETT | City |
| State | WA | State |
| ZIP Code | 982013510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205126945 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BMHI | NameControl |
| Phone | 2087854100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1 |
| City | BLACKFOOT | City |
| State | ID | State |
| ZIP Code | 832211799 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | D JEFFERY DANIELS | Name |
| Title | CFO | Title |
| Phone | 2087853803 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT GRANNUM | Name |
| PTIN | P00355876 | PTIN |
| Phone | 4252597227 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LOUIS KRAML | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1 |
| City | BLACKFOOT | City |
| State | ID | State |
| ZIP Code | 832211799 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 97263588 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BINGHAMMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O FOR DESCRIPTIONBINGHAM 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 832 | TotalNbrEmployees |
| Total Nbr Volunteers | 51 | TotalNbrVolunteers |
| Total Gross UBI | 998875 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 315480 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 472564 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 77035131 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 81972492 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 292960 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1106858 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1076290 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2806145 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 78719861 | TotalRevenuePriorYear |
| Total Revenue Current Year | 86358059 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 73542 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 93868 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 39496701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40123479 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38506529 | OtherExpensePriorYear |
| Other Expenses Current Year | 41044272 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 78076772 | TotalExpensesPriorYear |
| Total Expenses Current Year | 81261619 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 643089 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5096440 | RevenuesLessExpensesCY |
| Total Assets BOY | 52378387 | TotalAssetsBOY |
| Total Assets EOY | 60509854 | TotalAssetsEOY |
| Total Liabilities BOY | 28686912 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29950653 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23691475 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30559201 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 44266568 | Expense |
| Grants | 93868 | Grants |
| Revenue | 58024539 | Revenue |
| Description | ACUTE CARE HOSPITAL - THE HOSPITAL PROVIDED SERVICE TO 2,140 INPATIENTS, WHICH INCLUDED 6,596 TOTAL SURGERIES (INPATIENT AND OUTPATIENT), 377 NEWBORN INFANTS, AND 9,903 EMERGENCY ROOM PATIENTS. THE HOSPITAL HAS A FULL SERVICE RADIOLOGY, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY AND LABORATORY TO SUPPORT THE NEEDS OF THE HOSPITAL'S INPATIENTS AND OUTPATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17345704 | Expense |
| Revenue | 19603453 | Revenue |
| Description | CLINIC SERVICES - THE HOSPITAL EMPLOYS AND CONTRACTS WITH PHYSICIANS TO PROVIDE MEDICAL CARE TO INDIVIDUALS IN THE COMMUNITY AND SERVICE AREA. DURING THE YEAR, THESE PHYSICIANS PROVIDED 66,982 SEPARATE SERVICE ENCOUNTERS FOR INDIVIDUAL PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3493056 | Expense |
| Revenue | 5144453 | Revenue |
| Description | NURSING HOME - THE NURSING HOME AVERAGED 44.9 RESIDENTS PER DAY RECEIVING INPATIENT SERVICES (EITHER SKILLED OR LONG-TERM CARE) DURING THE YEAR. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 65105328 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 144 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 832 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | ID | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | D JEFFERY DANIELS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2087853803 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR | AddressLine1 |
| City | BLACKFOOT | City |
| State | ID | State |
| ZIP Code | 83221 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LEE KNIFFIN | |||||||
| CHAIRMAN | 10.00 | X | X | 0 | 0 | 78 | |
| HOWARD HARRINGTON | |||||||
| CHAIRMAN | 10.00 | X | X | 0 | 0 | 73 | |
| ALICE CANNON | |||||||
| VICE CHAIRMAN | 10.00 | X | X | 0 | 0 | 66 | |
| WALLACE DRISCOLL | |||||||
| TREASURER | 10.00 | X | X | 0 | 0 | 284 | |
| GORDON ARAVE | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 58 | ||
| JOHN FULLMER | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 53 | ||
| JOSEPH CANNON | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 74 | ||
| DR CLARK ALLEN | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 152 | ||
| MARK BAIR | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 0 | ||
| NORMAN STANLEY | |||||||
| DIRECTOR | 6.00 | X | 0 | 0 | 25 | ||
| LOUIS KRAML | |||||||
| CEO | 70.00 | X | 378512 | 0 | 88148 | ||
| JEFF DANIELS | |||||||
| CFO | 70.00 | X | 316204 | 0 | 26218 | ||
| DAN COCHRAN | |||||||
| COO | 70.00 | X | 225522 | 0 | 20893 | ||
| CINDY CHRISTENSON | |||||||
| CNO | 70.00 | X | 125849 | 0 | 17451 | ||
| DR ADAM WRAY | |||||||
| PHYSICIAN | 40.00 | 924750 | 0 | 27692 | X | ||
| DR DAVID SHELLEY | |||||||
| PHYSICIAN | 40.00 | 908505 | 0 | 18836 | X | ||
| DR BALDWIN STUTTS | |||||||
| PHYSICIAN | 40.00 | 853374 | 0 | 14736 | X | ||
| DR DAVID PETERSON | |||||||
| PHYSICIAN | 40.00 | 556847 | 0 | 17585 | X | ||
| HUGH SELZNICK | |||||||
| PHYSICIAN | 20.00 | 504381 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4793944 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 232422 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| IDAHO PATHOLOGY LABORATORY LLC | |||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | PATHOLOGICAL LABORATORY SERVICES | 1270657 |
| HOLLAND & HART | |||||
| PO BOX 17283 | DENVER | CO | 80217 | LITIGATION SERVICES | 478242 |
| MSVM GROUP LLC | |||||
| PO BOX 4864 | POCATELLO | ID | 83201 | MARKETING | 476197 |
| COLTRIN & ASSOCIATES INC | |||||
| 801 FLORAL VALE BLVD | MORRISVILLE | PA | 19067 | MARKETING | 324664 |
| INTERMOUNTAIN NEUROSURGERY PA | |||||
| 285 VISTA DR | POCATELLO | ID | 83201 | PHYSICIAN MEDICAL SERVICES | 320000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Government Grants | 439117 | GovernmentGrants |
| All Other Contributions | 33447 | AllOtherContributions |
| Total Contributions | 472564 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621110 | 163778199 | 163778199 |
| PROFESSIONAL FEES REVENUE | 621110 | 7861018 | 7861018 |
| ANCILLARY CARE SERIVCES | 621500 | 3371109 | 3371109 |
| FACILITY FEES REVENUE | 621110 | 721834 | 721834 |
| CONTRACTUAL ALLOWANCE & CHARITY C | 621110 | -93759668 | -93759668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 81972492 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 213253 | TotalRevenueColumn |
| Exclusion | $213,253 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98531 | Real |
| Personal | 172764 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98531 | Real |
| Personal | 172764 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11512806 | Securities |
| Other | 5000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10624201 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 888605 | Securities |
| Other | 5000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 893605 | TotalRevenueColumn |
| Exclusion | $893,605 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 10048 | GrossSalesOfInventory |
| Cost Of Goods Sold | 10033 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15 | TotalRevenueColumn |
| Exclusion | $15 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| MANAGEMENT SERVICE CONTRACT-DHHS | 561000 | 998875 | 998875 | ||
| K-1 ACTIVITY | 900099 | 799953 | 799953 | ||
| DHHS DISTRIBUTION | 900099 | 600000 | $600,000 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 407302 | TotalRevenueColumn |
| Exclusion | $407,302 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2806130 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86358059 | TotalRevenueColumn |
| Related Or Exempt Function Income | 82772445 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 998875 | UnrelatedBusinessRevenue |
| Exclusion | $2,114,175 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88368 | Total |
| Program Services | 88368 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5500 | Total |
| Program Services | 5500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199662 | Total |
| Program Services | 143331 | ProgramServices |
| Management And General | 1056331 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32101325 | Total |
| Program Services | 27721595 | ProgramServices |
| Management And General | 4379730 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233371 | Total |
| Program Services | 233371 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4614656 | Total |
| Program Services | 3630489 | ProgramServices |
| Management And General | 984167 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974465 | Total |
| Program Services | 1682689 | ProgramServices |
| Management And General | 291776 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6311855 | Total |
| Program Services | 4878196 | ProgramServices |
| Management And General | 1433659 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 833777 | Total |
| Management And General | 833777 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123874 | Total |
| Management And General | 123874 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28680 | Total |
| Management And General | 28680 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2090405 | Total |
| Program Services | 2082959 | ProgramServices |
| Management And General | 7446 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1464411 | Total |
| Management And General | 1464411 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1818930 | Total |
| Program Services | 200230 | ProgramServices |
| Management And General | 1618700 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 885373 | Total |
| Management And General | 885373 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1736136 | Total |
| Program Services | 1220351 | ProgramServices |
| Management And General | 515785 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323759 | Total |
| Program Services | 91590 | ProgramServices |
| Management And General | 232169 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156184 | Total |
| Program Services | 122756 | ProgramServices |
| Management And General | 33428 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625667 | Total |
| Management And General | 625667 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3231516 | Total |
| Program Services | 3231516 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 532203 | Total |
| Program Services | 532203 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EXPENSES | 12341316 | 12341316 | |
| BAD DEBT EXPENSE | 5220865 | 5220865 | |
| OTHER SUPPLIES | 1584493 | 1467204 | 117289 |
| STATE ASSESSMENT | 807473 | 807473 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 927355 | Total |
| Program Services | 210799 | ProgramServices |
| Management And General | 716556 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81261619 | Total |
| Program Services | 65105328 | ProgramServices |
| Management And General | 16156291 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101762 | BOY |
| EOY | 1385326 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250000 | BOY |
| EOY | 25000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14740300 | BOY |
| EOY | 13764451 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1445208 | BOY |
| EOY | 5626808 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2849770 | BOY |
| EOY | 3177964 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1550105 | BOY |
| EOY | 1176346 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 51453286 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31179031 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19602670 | BOY |
| EOY | 20274255 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11163572 | BOY |
| EOY | 14158315 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 185134 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 36255 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 675000 | BOY |
| EOY | 700000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52378387 | BOY |
| EOY | 60509854 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11182992 | BOY |
| EOY | 12425180 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12619360 | BOY |
| EOY | 11177787 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4884560 | BOY |
| EOY | 6347686 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28686912 | BOY |
| EOY | 29950653 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23691475 | BOY |
| EOY | 30559201 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23691475 | BOY |
| EOY | 30559201 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52378387 | BOY |
| EOY | 60509854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5096440 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 161064 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 1136030 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 474192 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,443 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3443 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A SMALL PORTION OF THE ORGANIZATION'S IDAHO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES ARE ALLOCATED TO LOBBYING ACTIVITIES BASED ON STUDIES CONDUCTED BY THE RESPECTIVE ASSOCIATIONS. THE PORTION OF IDAHO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING WAS $954 AND $2,489 RESPECTIVELY. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1111209 | OtherCostOrOtherBasis |
| Book Value | 1111209 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21268887 | OtherCostOrOtherBasis |
| Depreciation | 15831574 | Depreciation |
| Book Value | 5437313 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1792218 | OtherCostOrOtherBasis |
| Depreciation | 605088 | Depreciation |
| Book Value | 1187130 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25125715 | OtherCostOrOtherBasis |
| Depreciation | 14742369 | Depreciation |
| Book Value | 10383346 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2155257 | OtherCostOrOtherBasis |
| Book Value | 2155257 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20274255 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $3,968,455 |
| OBLIGATION UNDER CAPITAL LEASE | $1,160,691 |
| OBLIGATION UNDER PENSION PLAN | $1,218,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6347686 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. EFFECTIVE JANUARY 1, 2009, THE ORGANIZATION ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 OR 2011. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1594910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 906229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 688681 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 13171349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12667367 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 503982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 120981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 103205 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17776 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 14887240 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13676801 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1210439 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Persons Served | 20161 | PersonsServed |
| Total Community Benefit Expense | 313873 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24740 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 289133 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1568753 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1526253 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 167666 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33559 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 134107 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 78680 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 78680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Persons Served | 20161 | PersonsServed |
| Total Community Benefit Expense | 2128972 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100799 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2028173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 51 | NumberOfActivitiesOrPrograms |
| Persons Served | 20161 | PersonsServed |
| Total Community Benefit Expense | 17016212 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13777600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3238612 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,220,865 | BadDebtExpenseAmount |
| Amount Attributable To | 1305216 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 26687286 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28168920 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1481634 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 PIETRA LLC | ||
| ENDOSCOPY SERVICES | 0.60000 | 0.40000 |
| 2 BMH PHYSICIANS CLINIC LLC | ||
| RENTAL REAL ESTATE | 0.58720 | 0.41280 |
| 3 IDAHO PATHOLOGY LAB LLC | ||
| PATHOLOGY SERVICES | 0.55000 | 0.45000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BINGHAM MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR STREET | AddressLine1 |
| City | BLACKFOOT | City |
| State | ID | State |
| ZIP Code | 832211799 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BINGHAM MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| BINGHAM MEMORIAL SKILLED NURSING & REHAB | ||||
| 98 POPLAR | BLACKFOOT | ID | 83221 | SKILLED NURSING FACILITY |
| BMH PHYSICIANS | ||||
| 98 POPLAR | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| PHYSICIANS & SURGEONS CLINIC OF POCATELL | ||||
| 1151 HOSPITAL WAY | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| FIRST CHOICE URGENT CARE | ||||
| 1350 PARKWAY DR | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| TORO FAMILY MEDICINE | ||||
| 315 W IDAHO ST | BLACKFOOT | ID | 83221 | PHYSICIAN OFFICES |
| SUPERIOR HEALTH CLINIC | ||||
| 2302 E TERRY ST | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| PHYSICIANS & SURGEONS CLINIC OF SHELLEY | ||||
| 275 W LOCUST | SHELLEY | ID | 83274 | PHYSICIAN OFFICES |
| BINGHAM MEMORIAL HOSPITAL SLEEP LAB | ||||
| 53 POPLAR STREET | BLACKFOOT | ID | 83274 | HOSPITAL OFFICES |
| BINGHAM MEMORIAL HOSPITAL BUSINESS OFFIC | ||||
| 1600 HIGHLAND | BLACKFOOT | ID | 83221 | HOSPITAL OFFICES |
| AEGIS HEALTH SYSTEMS | ||||
| 145 W IDAHO ST | BLACKFOOT | ID | 83221 | HOSPITAL OFFICES |
| BMH HEALTH INFORMATION | ||||
| 124 N OAK ST | BLACKFOOT | ID | 83221 | HOSPITAL OFFICES |
| PORTNEUF FAMILY MEDICINE | ||||
| 353 N 4TH AVE 102 | POCATELLO | ID | 83201 | PHYSICIAN OFFICES |
| IDAHO PAIN GROUP | ||||
| 2375 SUNNYSIDE RD SUITE F | IDAHO FALLS | ID | 83404 | PHYSICIAN OFFICES |
| HUMAN RESOURCES | ||||
| 9 AIRPORT WAY | BLACKFOOT | ID | 83221 | HOSPITAL OFFICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5220865. | ||
| BINGHAM MEMORIAL HOSPITAL'S FOCUS IN SUPPORTING LOCAL PROGRAMS HINGES ON OUR MISSION TO IMPROVE THE OVERALL HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. THIS IS ACCOMPLISHED IN THE ADULT POPULATION AS WE CONDUCT ON-SITE HEALTH FAIRS, SCREENINGS AND AWARENESS EVENTS AT LOCAL BUSINESSES. BY DONATING TO OUR SCHOOLS AND OTHER ORGANIZED ATHLETIC GROUPS, WE PROVIDE FUNDING FOR YOUTH ATHLETIC TEAMS AND EVENTS THAT WON'T HAPPEN WITHOUT OUR SUPPORT. THE HOSPITAL'S PARTICIPATION IN BINGHAM COUNTY'S RELAY FOR LIFE PROVIDES MONEY FOR THE COMMUNITY'S SINGLE LARGEST HEALTH AWARENESS EVENT. ADDITIONALLY, WE SUPPORT NON HEALTH-RELATED ACTIVITIES SUCH AS THE EASTERN IDAHO STATE FAIR, ALLOWING US TO UNITE WITH THE LARGEST EVENTS OF OUR REGION AND PROMOTE HEALTH AND WELLNESS IN AN ENVIRONMENT WHERE YOU TYPICALLY WOULDN'T FIND IT. BINGHAM MEMORIAL HOSPITAL IS PROUD OF THE ECONOMIC SUPPORT WE PROVIDE TO OUR COMMUNITY AND WE BELIEVE OUR EFFORTS MAKE A DIFFERENCE IN OUR REGION'S HEALTH. | PART I, LINE 7E: | |
| PART III, LINE 4: THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE ORGANIZATION'S BAD DEBT EXPENSERECEIVABLE ARISING FROM PATIENT SERVICE REVENUES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS, BASED ON EXPERIENCE, THIRD-PARTY CONTRACTUAL ARRANGEMENTS, AND ANY UNUSUAL CIRCUMSTANCES THAT MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. ACCOUNTS DEEMED UNCLOLLECTIBLE ARE CHARGED AGAINST THIS ALLOWANCE. COSTS SHOWN IN LINES 2 AND 3 OF THIS PART ARE BASED ON A COST TO CHARGE RATIO.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%. | ||
| 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 COSTS ARE BASED ON A COST TO CHARGE RATIO. | ||
| PART III, LINE 9B: ONCE A PATIENT APPLIES, WE HOLD ALL COLLECTIONS EFFORTS UNTIL A DETERMINATION IS MADE. WE SEND THE PATIENT A LETTER NOTIFYING THEM OF APPROVAL OR DENIAL, IF THEY STILL DON'T PAY ACCORDING TO POLICY WE SEND THEM TO A COLLECTION AGENCY. THE APPLICATION IS GOOD FOR 6 MONTHS UNLESS FINANCIAL SITUATION HAS CHANGED. | ||
| RECONCILIATON OF AMOUNT REPORTED ON PART III, LINE 5 $19,921,533 COST REPORT MEDICARE NET REVENUE $4,207,622 PROFESSIONAL FEES MEDICARE NET REVENUE $36,772 OTHER MEDICARE NET REVENUE $2,521,359 PROVIDER PATIENT MEDICARE NET REVENUE$26,687,286 TOTAL ORGANIZATION MEDICARE NET REVENUE RECONCILATION OF AMOUNT REPORTED ON PART III, LINE 6$20,714,127 COST REPORT MEDICARE ALLOWABLE EXPENSES $7,034,933 ADDITIONAL MEDICARE ALLOWABLE EXPENSES* $148,064 MARKETING COST $271,796 RECRUITMENT COST$28,168,920 TOTAL ORGANIZATION MEDICARE NET EXPENSES *BASED ON PROPORTION OF COST TO NET CHARGES FROM COST REPORT | PART III, LINES 5 - 6 | RECONCILIATION OF AMOUNTS REPORTED TO MEDICARE COST REPORT |
| PART V, SECTION B, LINE 14G: ABRIDGED BROCHURE WITH POLICY HIGHLIGHTS AVAILABLE IN ER, ADMISSIONS, AND PATIENT FINANCIAL SERVICES. | BINGHAM MEMORIAL HOSPITAL | |
| PART V, SECTION B, LINE 20D: ALL ADDITIONAL DISCOUNTS ARE CALCULATED AND DETERMINED BASED ON THE INDIVIDUAL PATIENT'S FINANCIAL CAPACITY. | BINGHAM MEMORIAL HOSPITAL | |
| PART VI, LINE 2: BINGHAM MEMORIAL HOSPITAL'S DEPARTMENT OF PUBLIC RELATIONS UTILIZES A COMMUNITY SURVEY TO IDENTIFY THE HEALTHCARE NEEDS OF OUR COMMUNITY. SURVEYS ARE MAILED TO APPROXIMATELY 25% OF OUR COUNTY POPULATION. ON-SITE SURVEYS ARE ALSO DISTRIBUTED AT HOSPITAL EVENTS. SURVEYS ASK WHICH SERVICES AND EDUCATION PROGRAMS COMMUNITY MEMBERS ARE INTERESTED IN. THE RESULTS ARE SHARED WITH ADMINISTRATION, AFTER WHICH, COMMUNITY EVENTS AND OUTREACH EFFORTS ARE PLANNED ACCORDINGLY.THE HOSPITAL ALSO RECEIVES A VARIETY OF DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND MEMBERS TO PROVIDE SERVICES AND EDUCATION. EXAMPLES INCLUDE DISCOUNTED FLU CLINICS, DISCOUNTED LAB TESTING, FREE HEALTH EDUCATION CLASSES AND SEMINARS RELATED TO JOINT PAIN, ARTHRITIS PAIN, WEIGHT LOSS,AND BACK PAIN. WE PERFORM FREE PHYSICAL EXAMS FOR STUDENT ATHLETES, PLACE AN ATHLETIC TRAINER FREE OF CHARGE AT HIGH SCHOOL SPORTING EVENTS, AND PROVIDE FREE EXAMS FOR STUDENT ATHLETES HURT AT A SPORTING EVENT. | ||
| 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. | ||
| PART VI, LINE 4: BMH, INC. SERVES THE 45,000 RESIDENTS OF BINGHAM COUNTY WITH MEDICAL SERVICES. LOCATED BETWEEN THE FOURTH AND FIFTH LARGEST CITIES IN IDAHO, BINGHAM COUNTY INCORPORATES JUST OVER 2,000 SQUARE MILES. THE COUNTY POPULATION CONSISTS MOSTLY OF YOUNGER FAMILIES WITH CHILDREN WITH A MEDIAN AGE OF 30. THE COUNTY'S POPULATION AGE BREAKDOWN IS AS FOLLOWS: 32% AGE 0-18, 10% AGE 18-25, 12% AGE 25-35, 12% AGE 35-45, 11% AGE 45-55, 8% AGE 55-65, AND 15% OVER AGE 65. ADDITIONALLY, BMH SERVES THE FORT HALL INDIAN RESERVATION AND ITS 3,000 INHABITANTS, AS WELL AS A NUMBER OF BANNOCK AND BONNEVILLE RESIDENTS. | ||
| PART VI, LINE 5: THE COMMUNITY BOARD STEERS THE ORGANIZATIONAL GOALS AND MISSION TOWARDS PROVIDING THE BEST HEALTHCARE FOR THE COMMUNITY. BMH SUPPORTS A MULTITUDE OF PHYSICIAN SPECIALISTS IN THEIR EFFORTS TO PROVIDE CARE TO THE COMMUNITY ON A REGULAR SCHEDULE. WITH THIS ASSISTANCE NUMEROUS PHYSICIANS ARE ABLE TO PROVIDE OUR COMMUNITY WITH SPECIALIZED MEDICAL CARE, FROM NEUROLOGY TO PODIATRY. OUR FINANCIAL ASSISTANCE POLICIES AND PROTOCOLS ALLOW THOSE COMMUNITY MEMBERS WHO MAY HAVE LESS ABILITY TO PAY RECEIVE THE MEDICAL ATTENTION THEY NEED TO LIVE A HEALTHY LIFE. THE VARIOUS SEMINARS, CLASSES AND EVENTS WE PROVIDE TO THE COMMUNITY FREE OF CHARGE GIVES THE COMMUNITY OPPORTUNITIES TO EDUCATE THEMSELVES ABOUT SOME OF THE MAJOR HEALTH CONCERNS PEOPLE HAVE. | ||
| PART VI, LINE 6: N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| EASTERN IDAHO STATE FAIR | |||||||
| PO BOX 250 | BLACKFOOT | ID | 83221 | 820492146 | 501(C)(3) | 15000 | 2012 FAIR SPONSORSHIP |
| IDAHO COMMUNITY FOUNDATION INC DBA IDAHO HOMETOWN HEROES | |||||||
| 444 HOSPITAL WAY SUITE 607 | POCATELLO | ID | 83201 | 820425063 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| BINGHAM HEALTH CARE FOUNDATION | |||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 820525362 | 501(C)(3) | 19625 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 5500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE RECIPIENTS OF GRANTS ARE REQUIRED TO MAKE SOME KIND OF PUBLIC RECOGNITION OF THE FUNDS GIVEN. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOUIS KRAML | ||||||||||||||
| CEO | 331909 | 0 | 7633 | 0 | 38970 | 0 | 59000 | 0 | 29148 | 0 | 466660 | 0 | 0 | 0 |
| JEFF DANIELS | ||||||||||||||
| CFO | 296369 | 0 | 3804 | 0 | 16031 | 0 | 0 | 0 | 26218 | 0 | 342422 | 0 | 0 | 0 |
| DAN COCHRAN | ||||||||||||||
| COO | 178731 | 0 | 35831 | 0 | 10960 | 0 | 0 | 0 | 20893 | 0 | 246415 | 0 | 0 | 0 |
| DR ADAM WRAY | ||||||||||||||
| PHYSICIAN | 337863 | 0 | 586763 | 0 | 124 | 0 | 10000 | 0 | 17692 | 0 | 952442 | 0 | 0 | 0 |
| DR DAVID SHELLEY | ||||||||||||||
| PHYSICIAN | 357403 | 0 | 547661 | 0 | 3441 | 0 | 0 | 0 | 18836 | 0 | 927341 | 0 | 0 | 0 |
| DR BALDWIN STUTTS | ||||||||||||||
| PHYSICIAN | 852425 | 0 | 461 | 0 | 488 | 0 | 0 | 0 | 14736 | 0 | 868110 | 0 | 0 | 0 |
| DR DAVID PETERSON | ||||||||||||||
| PHYSICIAN | 513021 | 0 | 43241 | 0 | 585 | 0 | 0 | 0 | 17585 | 0 | 574432 | 0 | 0 | 0 |
| HUGH SELZNICK | ||||||||||||||
| PHYSICIAN | 504000 | 0 | 381 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 504381 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | IT IS ESTIMATED THAT 3 EXECUTIVES ARE ACCOMPANIED BY SPOUSES ON APPROXIMATELY 3-4 BUSINESS TRIPS PER YEAR FOR A TOTAL OF APPROXIMATELY 10 COMPANION-TRIPS PER YEAR. COSTS INCLUDE ECONOMY-CLASS AIRFARE, MEALS, AND SHARED LODGING. |
| PART I, LINE 4B | THE BMH, INC. SUPPLEMENTAL RETIREMENT PLAN IS AN UNFUNDED AND UNSECURED PLAN MAINTAINED BY BMH PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION PURSUANT TO A PLAN DESCRIBED IN SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE PLAN IS ADMINISTERED AND CONSTRUED IN A MANNER CONSISTENT WITH SAID INTENT AND ACCORDING TO THE LAWS OF THE STATE OF IDAHO TO THE EXTENT THAT SUCH LAWS ARE NOT PREEMPTED BY FEDERAL LAWS. THE PLAN IS A NON-ELECTIVE ACCOUNT BALANCE NONQUALIFIED DEFERRED COMPENSATION PLAN SUBJECT TO CLIFF VESTING. THE PLAN IS INTENDED TO QUALIFIY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM SECTION 409A OF THE CODE. LOUIS KRAML IS THE SOLE PARTICIPANT OF THE PLAN FOR WHOM BMH, INC. CONTRIBUTES AND IN 2012, $0 WAS CONTRIBUTED. AN ADDITIONAL 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. |
| PART I, LINE 7 | SOME PERFORMANCE-BASED BONUSES ARE PAID TO EXECUTIVES. THOSE BONUSES ARE TIED TO PERFORMED WORK DUTIES AND ARE DETERMINED ON AN AD-HOC BASIS BY THE CEO. THESE BONUSES ARE UNDER $20,000 EACH. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE BYLAWS WERE AMENDED TO ADD ADDITIONAL COMMUNITY-BASED QUALIFICATIONS TO BEING A MEMBER OF THE BOARD OF DIRECTORS AND TO ADD A NEW BOARD NOMINATION AND SELECTION PROCESS TO STRENGTHEN THE REQUIREMENTS THAT MEMBERS OF THE BOARD OF DIRECTORS ARE COMMUNITY NEEDS FOCUSED, ARE DEDICATED TO THE CHARITABLE MISSION OF THE HOSPITAL AND HAVE THE SKILLS NECESSARY TO GOVERN A LARGE HEALTH CARE SYSTEM. THE BYLAWS WERE ALSO AMENDED TO FORMALLY ADD THE EXECUTIVE COMPENSATION REVIEW COMMITTEE AND TO ADD A NEW BOARD NOMINATIONS COMMITTEE TO THE BYLAWS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE HOPSITAL 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 OF THE UNINCORPORATED AREA OF BINGHAM COUNTY. | |
| FORM 990, PART VI, SECTION A, 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, PART VI, SECTION A, 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, PART VI, SECTION B, LINE 11 | AFTER PREPARATION OF FORM 990 IT IS REVIEWED BY THE CFO, CEO, AND SUBMITTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | A BOARD MEMBER MAY DECLARE CONFLICT AT A BOARD MEETING, DURING DISCUSSION AND ANNUALLY WITH THE CONFLICT OF INTEREST POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | INTEGRATED HEALTHCARE STRATEGIES, A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION FIRM EVALUATES ALL EXECUTIVE POSITIONS FOR COMPENSATION. THE BOARD OF DIRECTORS ESTABLISHES THE CEO COMPENSATION AND THE CEO ESTABLISHES THE OTHER EXECUTIVES' COMPENSATION. IN 2012 THE BYLAWS WERE AMENDED TO FORMALLY ADD AN EXECUTIVE COMPENSATION REVIEW COMMITTEE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FORM 990, FORM 1023, FINANCIAL STATEMENTS AND OTHER GOVERNANCE DOCUMENTS AVAILABLE UPON REQUEST BY CONTACTING JEFF DANIELS, CFO AT 98 POPLAR ST, BLACKFOOT, ID 83221. THE ORGANIZATIONS' AUDITED, CONSOLIDATED FINANCIAL STATEMENTS ARE PUBLICALLY AVAILABLE THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD AT HTTP://EMMA.MSRB.ORG/DEFAULT.ASPX. | |
| FORM 990, PART XI, LINE 9: | BOOK TAX DIFFERENCES FROM SUBSIDIARIES K-1 662,292. CONTRIBUTION REVENUE REPORTED IN PY FINANCIAL STATEMENTS -188,100. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C: | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. THE HOSPITAL'S FINANCE COMMITTEE ANNUALLY ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF ITS ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BINGHAM LAND LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 POPLAR ST | AddressLine1 |
| City | BLACKFOOT | City |
| State | ID | State |
| ZIP Code | 83221 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 711035721 | EIN |
| Primary Activities | REAL ESTATE HOLDING COMPANY | PrimaryActivities |
| Legal Domicile State | ID | LegalDomicileState |
| Total Income | 90087 | TotalIncome |
| EOY Assets | -525932 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH INC | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIETRA LLC | |||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 263634345 | ENDOSCOPY SERVICES | ID | BMH INC | RELATED | 112452 | 74239 | 0 | 0 | 0.60000 |
| BMH PHYSICIANS CLINIC LLC | |||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 263952823 | RENTAL REAL ESTATE | ID | BINGHAM LAND LLC | RELATED | 64351 | 6126527 | 0 | 0 | 0.58720 |
| IDAHO PATHOLOGY LABORATORY LLC | |||||||||||||
| 98 POPLAR STREET | BLACKFOOT | ID | 83221 | 450956263 | PATHOLOGY SERVICES | ID | BMH INC | RELATED | 623150 | 429134 | 0 | 0 | 0.55000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BMH PHYSICIANS CLINIC LLC | ||
| A | 9613 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| A | 38230 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| D | 583870 | GAAP ACCOUNTING |
| PIETRA LLC | ||
| E | 125386 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| E | 1126701 | GAAP ACCOUNTING |
| BMH PHYSICIANS CLINIC LLC | ||
| J | 1060118 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| K | 623150 | GAAP ACCOUNTING |
| IDAHO PATHOLOGY LABORATORY LLC | ||
| M | 1956100 | GAAP ACCOUNTING |
| PIETRA LLC | ||
| M | 347118 | GAAP ACCOUNTING |
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