BMH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BMH INC (EIN 20-5126945)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349304465
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T11:05:48-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12707 COLBY AVENUE SUITE 801AddressLine1
CityEVERETTCity
StateWAState
ZIP Code982013510ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205126945EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BMH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBMHINameControl
Phone2087854100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line198 POPLAR STREETAddressLine1
CityBLACKFOOTCity
StateIDState
ZIP Code832211799ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameD JEFFERY DANIELSName
TitleCFOTitle
Phone2087853803Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT GRANNUMName
Phone4252597227Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOUIS KRAMLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line198 POPLAR STREETAddressLine1
CityBLACKFOOTCity
StateIDState
ZIP Code832211799ZIPCode
FieldValueIRS element (for citing)
Gross Receipts90175861GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BINGHAMMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileIDStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR DESCRIPTIONActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees788TotalNbrEmployees
Total Nbr Volunteers51TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year214685ContributionsGrantsPriorYear
Contributions Grants Current Year46396ContributionsGrantsCurrentYear
Program Service Revenue Prior Year63055847ProgramServiceRevenuePriorYear
Program Service Revenue CY72208252ProgramServiceRevenueCY
Investment Income Prior Year1558399InvestmentIncomePriorYear
Investment Income Current Year2742362InvestmentIncomeCurrentYear
Other Revenue Prior Year1296185OtherRevenuePriorYear
Other Revenue Current Year1188056OtherRevenueCurrentYear
Total Revenue Prior Year66125116TotalRevenuePriorYear
Total Revenue Current Year76185066TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7400GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32715525SalariesEtcPriorYear
Salaries Etc Current Year36652142SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1600TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year587TotalFundrsngExpCurrentYear
Other Expense Prior Year33604937OtherExpensePriorYear
Other Expenses Current Year36067588OtherExpensesCurrentYear
Total Expenses Prior Year66329462TotalExpensesPriorYear
Total Expenses Current Year72719730TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-204346RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3465336RevenuesLessExpensesCY
Total Assets BOY54153890TotalAssetsBOY
Total Assets EOY51745850TotalAssetsEOY
Total Liabilities BOY33487048TotalLiabilitiesBOY
Total Liabilities EOY28397801TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20666842NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23348049NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission 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.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense39442871Expense
Revenue54662345Revenue
DescriptionACUTE CARE HOSPITAL - THE HOSPITAL PROVIDED SERVICE TO 2,330 INPATIENTS, WHICH INCLUDED 3,964 TOTAL SURGERIES (INPATIENT AND OUTPATIENT), 472 NEWBORN INFANTS, AND 9,693 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

FieldValueIRS element (for citing)
Expense15041949Expense
Revenue14423959Revenue
DescriptionCLINIC SERVICES - THE HOSPITAL EMPLOYES AND CONTRACTS WITH PHYSICIANS TO PROVIDE MEDICAL CARE TO INDIVIDUALS IN THE COMMUNITY AND SERVICE AREA. DURING THE YEAR, THESE PHYSICIANS PROVIDE 69,841 SEPARATE SERVICE ENCOUNTERS FOR INDIVIDUAL PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2384956Expense
Revenue3857876Revenue
DescriptionNURSING HOME - THE NURSING HOME AVERAGED 49.2 RESIDENTS PER DAY RECEIVING INPATIENT SERVICES (EITHER SKILLED OR LONG-TERM CARE) DURING THE YEAR.Description
FieldValueIRS element (for citing)
Total Program Service Expense56869776TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096149NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees788NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledIDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1D JEFFERY DANIELSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2087853803TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line198 POPLARAddressLine1
CityBLACKFOOTCity
StateIDState
ZIP Code83221ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ALICE CANNON
DIRECTOR5.00X0088
GORDON ARAVE
DIRECTOR3.00X0046
HOWARD HARRINGTON
DIRECTOR5.00X00116
JOHN FULLMER
DIRECTOR3.00X001049
LEE KNIFFIN
DIRECTOR5.00X00104
NORMAN STANLEY
DIRECTOR3.00X00150
WALLACE DRISCOLL
DIRECTOR3.00X00280
JOE CANNON
DIRECTOR3.00X0042
DR CLARK ALLEN
DIRECTOR3.00X0014
LOUIS KRAML
CEO70.00446038060936X
JEFF DANIELS
CFO70.00315584040583X
DAN COCHRAN
COO70.00216007032291X
JUDY MOORE
CRO70.00128010021986X
CINDY CHRISTENSON
CNO70.0072062019252X
DR ADAM WRAY
PHYSICIAN40.00776507044106X
DR HUGH SELZNICK
PHYSICIAN40.00472728017810X
DR TIMOTHY WOODS
PHYSICIAN40.00469370037077X
DR GAIL FIELDS
PHYSICIAN40.00477659026027X
DR DAVID PETERSON
PHYSICIAN40.00469413035426X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3843378TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation337383TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MSVM GROUP LLC
PO BOX 4864POCATELLOID83201MARKETING498111
NORTHWEST EMERGENCY PHYSICIANS
PO BOX 634850CINCINNATIOH452634850EMERGENCY ROOM PHYSICIANS497969
AFCO
4501 COLLEGE BLVD SUITE 320LEAWOODKS66211INSURANCE SERVICES356288
GE MEDICAL SYSTEMS
PO BOX 843553DALLASTX75284SUPPPORT SERVICES341629
INTERMOUNTAIN NEUROSURGERY PA
285 VISTA DRPOCATELLOID83201PHYSICIAN SERVICES320000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Government Grants46396GovernmentGrants
Total Contributions46396TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621110139204810139204810
CHARITY CARE621110-1274755-1274755
CONTRACTUAL ALLOWANCE621110-65721803-65721803
FieldValueIRS element (for citing)
Total Program Service Revenue72208252TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2049747TotalRevenueColumn
Exclusion$2,049,747ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real59417Real
Personal172764Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real59417Real
Personal172764Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14437795Securities
Other1150Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13746330Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities691465Securities
Other1150Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column692615TotalRevenueColumn
Exclusion$692,615ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory13967GrossSalesOfInventory
Cost Of Goods Sold12284CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1683TotalRevenueColumn
Exclusion$1,683ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MANAGEMENT SERVICE CON624200534810534810
CAFETERIA722210450445$450,445
K-1 ACTIVITY900099138278138278

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column62840TotalRevenueColumn
Related Or Exempt Function Income62840RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1186373TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column76185066TotalRevenueColumn
Related Or Exempt Function Income72944180RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,194,490ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1765180Total
Program Services430576ProgramServices
Management And General1334604ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total28995330Total
Program Services23001491ProgramServices
Management And General5993839ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1037742Total
Program Services802342ProgramServices
Management And General235400ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3062958Total
Program Services2299235ProgramServices
Management And General763723ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1790932Total
Program Services1321365ProgramServices
Management And General469567ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total47128Total
Management And General47128ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total136335Total
Management And General136335ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total88850Total
Management And General88850ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1929446Total
Program Services1825073ProgramServices
Management And General104373ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1156595Total
Program Services21732ProgramServices
Management And General1134853ManagementAndGeneral
Fundraising10Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5651885Total
Program Services4093421ProgramServices
Management And General1557887ManagementAndGeneral
Fundraising577Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total440980Total
Management And General440980ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2777434Total
Program Services1531198ProgramServices
Management And General1246236ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total368112Total
Program Services85194ProgramServices
Management And General282918ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total131435Total
Program Services81202ProgramServices
Management And General50233ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total643048Total
Program Services643048ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2001014Total
Program Services2001014ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total588938Total
Program Services588938ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES988579898833632435
BAD DEBT EXPENSE55030615503061
CONTRACTED SERVICES337642220489871327435
EQUIPMENT RENTAL496061394785101276
REPAIRS AND MAINTENANCE424202184574239628

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total420844Total
Program Services129177ProgramServices
Management And General291667ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72719730Total
Program Services56869776ProgramServices
Management And General15849367ManagementAndGeneral
Fundraising587Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2290685BOY
EOY1543779EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY973095BOY
EOY933602EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10370455BOY
EOY11130222EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY11635929BOY
EOY3079975EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2183325BOY
EOY2483589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY828963BOY
EOY748182EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44294516LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25794781LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14880651BOY
EOY18499735EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10047115BOY
EOY13062849EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY632234BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY311438BOY
EOY263917EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY54153890BOY
EOY51745850EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6617790BOY
EOY8576075EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16464889BOY
EOY11606416EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10404369BOY
EOY8215310EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33487048BOY
EOY28397801EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20666842BOY
EOY23348049EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20666842BOY
EOY23348049EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54153890BOY
EOY51745850EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3465336ReconcilationRevenueExpenses
Reconcilation Other Changes-784129ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$8,673OtherActivitiesAmount
Total Lobbying Expenditures IIB8673TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE PORTION OF IDAHO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING WAS $6,219 AND $2,454 RESPECTIVELY.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis771904OtherCostOrOtherBasis
Book Value771904BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21784570OtherCostOrOtherBasis
Depreciation14354227Depreciation
Book Value7430343BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis598860OtherCostOrOtherBasis
Depreciation195423Depreciation
Book Value403437BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis18087624OtherCostOrOtherBasis
Depreciation11245131Depreciation
Book Value6842493BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3051558OtherCostOrOtherBasis
Book Value3051558BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18499735TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$5,390,853
OBLIGATION UNDER CAPITAL LEASE$1,195,110
OBLIGATION UNDER PENSION PLAN$1,054,058
INVESTMENTS IN AFFILIATES$575,289
FieldValueIRS element (for citing)
Total Of Amounts8215310TotalOfAmounts
Total Revenue76185066TotalRevenue
Total Expenses72719730TotalExpenses
Excess Or Deficit For Year3465336ExcessOrDeficitForYear
Net Unrealized GL On Investments-97998NetUnrealizedGLOnInvestments
Prior Period Adjustments-2722PriorPeriodAdjustments
Other-$683,409OtherAmount
Total Adjustments-784129TotalAdjustments
Excess Or Deficit Per FS2681207ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt75081923TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-97998NetUnrealizedGainsInvestments
Other Revenues390843OtherRevenues
Revenue Not Rptd F990292845RevenueNotRptdF990
Revenue Subtotal74789078RevenueSubtotal
Other Revenues Not Included1395988OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1395988RevenueNotRptdOnFinStmt
Total Revenue Per Form99076185066TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt72784000TotExpensesEtcAuditedFinclStmt
Other Expenses Included1321980OtherExpensesIncluded
Expenses Not Rptd F9901321980ExpensesNotRptdF990
Expenses Subtotal71462020ExpensesSubtotal
Other Expenses Not Included1257710OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1257710ExpensesNotRptdOnFinStmt
Total Expenses Per Form99072719730TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 15. 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, 2010 OR 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:BOOK TAX DIFFERENCES FROM SUBSIDIARIES K-1 -683,409.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GIFT SHOP COST OF GOODS SOLD 12,285. PIETRA, LLC REVENUE 222,546. RENTAL EXPENSES 232,181. BINGHAM PHYSICIANS REVENUE 1,026,669. LOSS ON INTEREST RATE SWAP AGREEMENT -1,102,838.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTERCOMPANY REVENUE ELIMINATED UPON CONSOLIDATION 711,701. PENTALTY EXPENSE 878. BOOK TAX DIFFERENCES FROM SUBSIDIARIES K-1 683,409.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:GIFT SHOP COST OF GOODS SOLD 12,285. PIETRA, LLC EXPENSES 94,816. RENTAL EXPENSES 232,181. BINGHAM PHYSICIANS EXPENSES 982,698.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INTERCOMPANY EXPENSES ELIMINATED UPON CONSOLIDATION 1,256,832. PENALTY EXPENSE 878.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care1UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense606783TotalCommunityBenefitExpense
Net Community Benefit Expense606783NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10159836TotalCommunityBenefitExpense
Direct Offsetting Revenue9956183DirectOffsettingRevenue
Net Community Benefit Expense203653NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10766619TotalCommunityBenefitExpense
Direct Offsetting Revenue9956183DirectOffsettingRevenue
Net Community Benefit Expense810436NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served10732PersonsServed
Total Community Benefit Expense230435TotalCommunityBenefitExpense
Net Community Benefit Expense230435NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense46101TotalCommunityBenefitExpense
Net Community Benefit Expense46101NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served10732PersonsServed
Total Community Benefit Expense276536TotalCommunityBenefitExpense
Net Community Benefit Expense276536NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served10732PersonsServed
Total Community Benefit Expense11043155TotalCommunityBenefitExpense
Direct Offsetting Revenue9956183DirectOffsettingRevenue
Net Community Benefit Expense1086972NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,503,061BadDebtExpenseAmount
Amount Attributable To1274755AmountAttributableTo
Amount Reimbursed By Medicare18734719AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20778021CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2043302MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Organization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 PIETRA LLC
0.600000.10000
2 BMH PHYSICIANS CLINIC LLC
0.587200.19420
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BINGHAM MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line198 POPLARAddressLine1
CityBLACKFOOTCity
StateIDState
ZIP Code832211799ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
Er OtherXErOther
OtherOUTPATIENT PHYSICIAN CLINIC; RURAL HEALTH CLINIC; NURSING HOME-SKILLED BEDSOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BINGHAM MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SNRC
98 POPLARBLACKFOOTID83221SKILLED NURSING FACILITY
MEDICAL OFFICE BUILDING
98 POPLARBLACKFOOTID83221PHYSICIAN OFFICES
PHYSICIANS & SURGEONS CLINIC OF POCATELL
1151 HOSPITAL WAYPOCATELLOID83201PHYSICIAN OFFICES
FIRST CHOICE URGENT CARE
1350 PARKWAY DRBLACKFOOTID83221PHYSICIAN OFFICES
DR TORO'S OFFICE
315 W IDAHO STBLACKFOOTID83221PHYSICIAN OFFICES
SUPERIOR HEALTH CLINIC
2302 E TERRY STPOCATELLOID83201PHYSICIAN OFFICES
SHELLEY CLINIC
275 W LOCUSTSHELLEYID83274PHYSICIAN OFFICES
DR FIELDS OLD BUILDING
98 POPLARBLACKFOOTID83221HOSPITAL OFFICES
BUSINESS OFFICE
1600 HIGHLANDBLACKFOOTID83221HOSPITAL OFFICES
AEGIS BUILDING
145 W IDAHO STBLACKFOOTID83221HOSPITAL OFFICES
OAK STREET BUILDING
124 N OAK STBLACKFOOTID83221VACANT

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $ 5503061.
PART II: N/A
PART III, LINE 4: THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBED BAD DEBT EXPENSE.RECEIVABLES 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 UNCOLLECTIBLE ARE CHARGED AGAINST THIS ALLOWANCE. COSTS SHOWN IN LINE 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO.
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 THEM A LETTER NOTIFYING PATIENT OF APPROVAL OR DENIAL, IF THEY STILL DON'T PAY ACCORDING TO POLICY WE SEND THEM TO CBP (COLLECTION AGENCY). THE APPLICATION IS GOOD FOR 6 MONTHS UNLESS FINANCIAL SITUATION HAS CHANGED.
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 ADMISSIONS CLERK. WHEN THEY PRESENT FOR SERVICES AND WE SCREEN FOR INSURANCE COVERAGE, IF APPROPRIATE WE GET THEM AN APPOINTMENT WITH THE PATIENT FINANCIAL COUNSELOR. AFTER THE SERVICES, WHEN WE CALL THEM FOR PAYMENTS, WE EXPLAIN THE PROCESS 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 AND THE APPLICATION.
PART VI, LINE 4: BMH, INC. SERVES THE 45,000 RESIDENTS OF BINGHAM COUNTY WITH MEDICAL SERVICES. LOCATED BETWEEN THE 2ND AND 3RD 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.
PART VI, LINE 6: 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 7: N/A
IDREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOUIS KRAML
4417340430400000609360506974000
JEFF DANIELS
30378001180400000405830356167000
DAN COCHRAN
19170302430400000322910248298000
DR ADAM WRAY
297087047942000000441060820613000
DR HUGH SELZNICK
472500022800000178100490538000
DR TIMOTHY WOODS
468837053300000370770506447000
DR GAIL FIELDS
477050060900000260270503686000
DR DAVID PETERSON
468906050700000354260504839000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE 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 2010 $0 WAS CONTRIBUTED. OTHER QUALIFIED EMPLOYEES ARE ALLOWED TO CONTRIBUTE; HOWEVER THE FUNDS CONTRIBUTED BY THESE EMPLOYEES ARE WITHHELD FROM THEIR COMPENSATION AND ARE NOT BMH FUNDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GORDON ARAVE
DIRECTOR101570LEASE THE HOSPITAL LEASES PHYSICIAN OFFICE SPACE FROM CRESTWOOD ENTERPRISES, LLC. GORDON ARAVE HAS A 37.5% OWNERSHIP INTEREST IN CRESTWOOD ENTERPRISES, LLC.0
JOHN FULLMER
DIRECTOR101570LEASE THE HOSPITAL LEASES PHYSICIAN OFFICE SPACE FROM CRESTWOOD ENTERPRISES, LLC. JOHN FULLMER HAS A 25% OWNERSHIP INTEREST IN CRESTWOOD ENTERPRISES, LLC.0
COLLEEN ARAVE
FAMILY MEMBER OF DIRECTOR50184LEASE THE HOSPITAL LEASES OFFICE SPACE FROM A PARTNERSHIP IN WHICH COLLEEN ARAVE HAS A 33% OWNERSHIP INTEREST AND STORAGE SPACE FROM A CORPORATION IN WHICH COLLEEN ARAVE HAS A 100% OWNERSHIP INTEREST.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2THE HOSPITAL OPENED AN INTERVENTIONAL RADIOLOGY PRACTICE AND SURGICAL SUITE AND A NEW PATHOLOGY LABORATORY.
FORM 990, PART VI, SECTION A, LINE 2TWO DIRECTORS OF THE ORGANIZATION DISCLOSED ON SCHEDULE L ARE JOINT OWNERS OF CRESTWOOD ENTERPRISES LLC, FROM WHICH THE HOSPITAL LEASES PHYSICIAN OFFICE SPACE. THE HOSPITAL LEASES ADDITIONAL OFFICE AND STORAGE SPACE FROM A PARTNERSHIP AND A CORPORATION IN WHICH THE OWNERSHIP INTEREST OF THESE ENTITIES IS RELATED AS A FAMILY MEMBER TO ONE OF THE HOSPITAL DIRECTORS. THIS INFORMATION IS DISCLOSED ON SCHEDULE L.
FORM 990, PART VI, SECTION B, LINE 11AFTER PREPARATION OF FORM 990 IT IS REVIEWED BY THE CFO AND CEO PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. AFTER BEING FILED IT IS PROVIDED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBER MAY DECLARE CONFLICT AT A BOARD MEETING, DURING DISCUSSION AND ANNUALLY WITH CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15IN ORDER TO ENSURE THAT OUR EXECUTIVE COMPENSATION IS IN LINE WITH WHERE IT SHOULD BE, WE HAVE COMPARED OUR DATA TO A COUPLE OF DIFFERENT SOURCES, MOST NOTABLY AN EXECUTIVE COMPENSATION EVALUATION CONDUCTED BY MERCER IN 2009. MERCER CONSIDERED OUR TOTAL EXECUTIVE CASH COMPENSATION PROGRAM IN COMPARISON WITH OTHER HOSPITALS OF A SIMILAR SIZE AND REVENUE LEVEL. IN THAT EVALUATION, EACH POSITION WAS MATCHED TO AT LEAST THREE OTHER SURVEY SOURCES TO DEVELOP A MORE COMPREHENSIVE PICTURE OF CURRENT MARKET PRACTICES. IT WAS DETERMINED THAT OVERALL, TARGET TOTAL CASH COMPENSATION IS AT THE MARKET MEDIAN.
FORM 990, PART VI, SECTION C, LINE 19THE 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.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -97,998. PRIOR PERIOD ADJUSTMENTS: -2,722. BOOK TAX DIFFERENCES FROM SUBSIDIARIES K-1 -683,409. TOTAL TO FORM 990, PART XI, LINE 5: -784,129.
FINANCIAL STATEMENTS AND REPORTINGFORM 990, PART XI, LINE 2CTHE 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

FieldValueIRS element (for citing)
Business Name Line1BINGHAM LAND LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line198 POPLAR STAddressLine1
CityBLACKFOOTCity
StateIDState
ZIP Code83221ZIPCode
FieldValueIRS element (for citing)
EIN711035721EIN
Primary ActivitiesREAL ESTATE HOLDING COMPANYPrimaryActivities
Legal Domicile StateIDLegalDomicileState
Total Income0TotalIncome
EOY Assets11039122EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BINGHAM MEMORIAL HOSPITAL INCBusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PIETRA LLC
98 POPLAR STREETBLACKFOOTID83221263634345ENDOSCOPY SERVICESIDBINGHAM MEMORIAL HOSPITAL INCRELATED8762751729000.60000
BMH PHYSICIANS CLINIC LLC
98 POPLAR STREETBLACKFOOTID83221RENTAL REAL ESTATEIDBINGHAM LAND LLCRELATED506516393700000.58720
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BINGHAM PHYSICIANS CLINIC LLC
J1007318GAAP ACCOUNTING
PIETRA LLC
L222158GAAP ACCOUNTING
BINGHAM PHYSICIANS CLINIC LLC
A27356GAAP ACCOUNTING
BINGHAM PHYSICIANS CLINIC LLC
D949028GAAP ACCOUNTING
BINGHAM LAND LLC
D409976GAAP ACCOUNTING

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