2011-11-15T11:05:48-06:00 2010-12-31 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 982013510 990 2010-01-01 205126945 BMH INC BMHI 2087854100 98 POPLAR STREET BLACKFOOT ID 832211799 D JEFFERY DANIELS 2087853803 2011-11-14 1 ROBERT GRANNUM 4252597227 2010 2016-03-07 17:11:31Z LOUIS KRAML 98 POPLAR STREET BLACKFOOT ID 832211799 90175861 0 X WWW.BINGHAMMEMORIAL.ORG X 2006 ID SEE SCHEDULE O FOR DESCRIPTION 9 6 788 51 0 0 214685 46396 63055847 72208252 1558399 2742362 1296185 1188056 66125116 76185066 7400 0 0 0 32715525 36652142 1600 0 587 33604937 36067588 66329462 72719730 -204346 3465336 54153890 51745850 33487048 28397801 20666842 23348049 X 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. 1 0 39442871 54662345 ACUTE 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. 15041949 14423959 CLINIC 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. 2384956 3857876 NURSING HOME - THE NURSING HOME AVERAGED 49.2 RESIDENTS PER DAY RECEIVING INPATIENT SERVICES (EITHER SKILLED OR LONG-TERM CARE) DURING THE YEAR. 56869776 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 149 0 1 788 1 0 0 0 0 0 0 0 0 X 9 6 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 ID X D JEFFERY DANIELS 2087853803 98 POPLAR BLACKFOOT ID 83221 ALICE CANNON 5.00 X 0 0 88 GORDON ARAVE 3.00 X 0 0 46 HOWARD HARRINGTON 5.00 X 0 0 116 JOHN FULLMER 3.00 X 0 0 1049 LEE KNIFFIN 5.00 X 0 0 104 NORMAN STANLEY 3.00 X 0 0 150 WALLACE DRISCOLL 3.00 X 0 0 280 JOE CANNON 3.00 X 0 0 42 DR CLARK ALLEN 3.00 X 0 0 14 LOUIS KRAML 70.00 X 446038 0 60936 JEFF DANIELS 70.00 X 315584 0 40583 DAN COCHRAN 70.00 X 216007 0 32291 JUDY MOORE 70.00 X 128010 0 21986 CINDY CHRISTENSON 70.00 X 72062 0 19252 DR ADAM WRAY 40.00 X 776507 0 44106 DR HUGH SELZNICK 40.00 X 472728 0 17810 DR TIMOTHY WOODS 40.00 X 469370 0 37077 DR GAIL FIELDS 40.00 X 477659 0 26027 DR DAVID PETERSON 40.00 X 469413 0 35426 3843378 0 337383 42 0 1 0 MSVM GROUP LLC PO BOX 4864 POCATELLO ID 83201 MARKETING 498111 NORTHWEST EMERGENCY PHYSICIANS PO BOX 634850 CINCINNATI OH 452634850 EMERGENCY ROOM PHYSICIANS 497969 AFCO 4501 COLLEGE BLVD SUITE 320 LEAWOOD KS 66211 INSURANCE SERVICES 356288 GE MEDICAL SYSTEMS PO BOX 843553 DALLAS TX 75284 SUPPPORT SERVICES 341629 INTERMOUNTAIN NEUROSURGERY PA 285 VISTA DR POCATELLO ID 83201 PHYSICIAN SERVICES 320000 19 46396 46396 PATIENT REVENUE 621110 139204810 139204810 CHARITY CARE 621110 -1274755 -1274755 CONTRACTUAL ALLOWANCE 621110 -65721803 -65721803 72208252 2049747 2049747 59417 172764 59417 172764 0 0 0 14437795 1150 13746330 691465 1150 692615 692615 13967 12284 1683 1683 MANAGEMENT SERVICE CON 624200 534810 534810 CAFETERIA 722210 450445 450445 K-1 ACTIVITY 900099 138278 138278 62840 62840 1186373 76185066 72944180 0 3194490 1765180 430576 1334604 28995330 23001491 5993839 1037742 802342 235400 3062958 2299235 763723 1790932 1321365 469567 47128 47128 136335 136335 88850 88850 1929446 1825073 104373 1156595 21732 1134853 10 5651885 4093421 1557887 577 440980 440980 2777434 1531198 1246236 368112 85194 282918 131435 81202 50233 643048 643048 2001014 2001014 588938 588938 MEDICAL EXPENSES 9885798 9883363 2435 BAD DEBT EXPENSE 5503061 5503061 CONTRACTED SERVICES 3376422 2048987 1327435 EQUIPMENT RENTAL 496061 394785 101276 REPAIRS AND MAINTENANCE 424202 184574 239628 420844 129177 291667 72719730 56869776 15849367 587 2290685 1543779 973095 933602 10370455 11130222 11635929 3079975 2183325 2483589 828963 748182 44294516 25794781 14880651 18499735 10047115 13062849 632234 311438 263917 54153890 51745850 6617790 8576075 16464889 11606416 10404369 8215310 33487048 28397801 X 20666842 23348049 20666842 23348049 54153890 51745850 X 3465336 -784129 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8673 8673 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE PORTION OF IDAHO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING WAS $6,219 AND $2,454 RESPECTIVELY. 771904 771904 21784570 14354227 7430343 598860 195423 403437 18087624 11245131 6842493 3051558 3051558 18499735 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 5390853 OBLIGATION UNDER CAPITAL LEASE 1195110 OBLIGATION UNDER PENSION PLAN 1054058 INVESTMENTS IN AFFILIATES 575289 8215310 76185066 72719730 3465336 -97998 -2722 -683409 -784129 2681207 75081923 -97998 390843 292845 74789078 1395988 1395988 76185066 72784000 1321980 1321980 71462020 1257710 1257710 72719730 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. 1 1 1 X 1 X 1 1 1 1 0 606783 606783 0.00900 10159836 9956183 203653 0.00300 10766619 9956183 810436 0.01200 7 10732 230435 230435 0.00340 1 46101 46101 0.00070 8 10732 276536 276536 0.00410 8 10732 11043155 9956183 1086972 0.01610 1 5503061 1274755 18734719 20778021 -2043302 X 1 1 1 PIETRA LLC 0.60000 0.10000 2 BMH PHYSICIANS CLINIC LLC 0.58720 0.19420 1 1 BINGHAM MEMORIAL HOSPITAL

98 POPLAR BLACKFOOT ID 832211799

X X X X X X OUTPATIENT PHYSICIAN CLINIC; RURAL HEALTH CLINIC; NURSING HOME-SKILLED BEDS BINGHAM MEMORIAL HOSPITAL 1 11 SNRC

98 POPLAR BLACKFOOT ID 83221

SKILLED NURSING FACILITY MEDICAL OFFICE BUILDING

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 DR TORO'S OFFICE

315 W IDAHO ST BLACKFOOT ID 83221

PHYSICIAN OFFICES SUPERIOR HEALTH CLINIC

2302 E TERRY ST POCATELLO ID 83201

PHYSICIAN OFFICES SHELLEY CLINIC

275 W LOCUST SHELLEY ID 83274

PHYSICIAN OFFICES DR FIELDS OLD BUILDING

98 POPLAR BLACKFOOT ID 83221

HOSPITAL OFFICES BUSINESS OFFICE

1600 HIGHLAND BLACKFOOT ID 83221

HOSPITAL OFFICES AEGIS BUILDING

145 W IDAHO ST BLACKFOOT ID 83221

HOSPITAL OFFICES OAK STREET BUILDING

124 N OAK ST BLACKFOOT ID 83221

VACANT 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 REPORTS FILED WITH STATES PART VI, LINE 7 ID X 0 1 0 0 0 0 0 0 0 LOUIS KRAML 441734 0 4304 0 0 0 0 0 60936 0 506974 0 0 0 JEFF DANIELS 303780 0 11804 0 0 0 0 0 40583 0 356167 0 0 0 DAN COCHRAN 191703 0 24304 0 0 0 0 0 32291 0 248298 0 0 0 DR ADAM WRAY 297087 0 479420 0 0 0 0 0 44106 0 820613 0 0 0 DR HUGH SELZNICK 472500 0 228 0 0 0 0 0 17810 0 490538 0 0 0 DR TIMOTHY WOODS 468837 0 533 0 0 0 0 0 37077 0 506447 0 0 0 DR GAIL FIELDS 477050 0 609 0 0 0 0 0 26027 0 503686 0 0 0 DR DAVID PETERSON 468906 0 507 0 0 0 0 0 35426 0 504839 0 0 0 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 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. GORDON ARAVE DIRECTOR 101570 LEASE 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 DIRECTOR 101570 LEASE 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 DIRECTOR 50184 LEASE 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 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE HOSPITAL OPENED AN INTERVENTIONAL RADIOLOGY PRACTICE AND SURGICAL SUITE AND A NEW PATHOLOGY LABORATORY. FORM 990, PART VI, SECTION A, LINE 2 TWO 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 11 AFTER 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 12C BOARD MEMBER MAY DECLARE CONFLICT AT A BOARD MEETING, DURING DISCUSSION AND ANNUALLY WITH CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 IN 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 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. 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 REPORTING FORM 990, PART XI, LINE 2C THE HOSPITAL'S FINANCE COMMITTEE ANNUALLY ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF ITS ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. BINGHAM LAND LLC 98 POPLAR ST BLACKFOOT ID 83221 711035721 REAL ESTATE HOLDING COMPANY ID 0 11039122 BINGHAM MEMORIAL HOSPITAL INC PIETRA LLC 98 POPLAR STREET BLACKFOOT ID 83221 263634345 ENDOSCOPY SERVICES ID BINGHAM MEMORIAL HOSPITAL INC RELATED 87627 51729 0 0 0.60000 BMH PHYSICIANS CLINIC LLC 98 POPLAR STREET BLACKFOOT ID 83221 RENTAL REAL ESTATE ID BINGHAM LAND LLC RELATED 50651 6393700 0 0 0.58720 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 BINGHAM PHYSICIANS CLINIC LLC J 1007318 GAAP ACCOUNTING PIETRA LLC L 222158 GAAP ACCOUNTING BINGHAM PHYSICIANS CLINIC LLC A 27356 GAAP ACCOUNTING BINGHAM PHYSICIANS CLINIC LLC D 949028 GAAP ACCOUNTING BINGHAM LAND LLC D 409976 GAAP ACCOUNTING