2026-08-15T13:28:28-04:00 2025-09-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-10-01 200743054 BLUE MOUNTAIN HOSPITAL BLUE 4356784629 802 SOUTH 200 WEST BLANDING UT 84511 PAM LYMAN DIRECTOR OF FINANCE 4357670517 2026-08-14 true true RIKKI PATCH P01472231 5092420874 2026-08-15 2024 2025-03-06 01:10:19Z JEREMY LYMAN 802 SOUTH 200 WEST BLANDING UT 84511 29555733 false X WWW.BMHUTAH.ORG X 2002 UT TO PROVIDE AN ATMOSPHERE OF EXCELLENCE IN HEALING, QUALITY PHYSICIAN CARE, AND INSPIRED EMPLOYEES. 7 7 194 7 0 227535 3164901 23691211 25395495 -81590 383255 553547 594601 24390703 29538252 10000 0 0 10428107 12043731 0 0 11198877 12794780 21636984 24838511 2753719 4699741 19438818 22658940 10042541 8562922 9396277 14096018 X TO PROVIDE AN ATMOSPHERE OF EXCELLENCE IN HEALING, QUALITY PHYSICIAN CARE, AND INSPIRED EMPLOYEES. false false 19600309 25395495 BLUE MOUNTAIN HOSPITAL (BMH) OPERATES AN 11-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, RENAL DIALYSIS, AND EMERGENCY CARE SERVICES IN BLANDING, UTAH AND THE FOUR CORNERS, INCLUDING THE POPULATIONS OF THE NAVAJO TRIBE AND UTE MOUNTAIN UTE TRIBE. BMH PERFORMED 705 OUTPATIENT AND 71 INPATIENT SURGERIES WHICH INCLUDE GENERAL, ORTHOPEDIC, DENTAL, PODIATRIC AND OTHER SPECIALTY SURGERIES. BMH PROVIDED 2,924 ER VISITS DURING THE YEAR. BMH OFFERS X-RAY, CT, MRI AND FLUOROSCOPIC RADIOLOGY EXAMS AND PERFORMED 5,579 TOTAL PROCEDURES IN OUTPATIENT RADIOLOGY. BMH PERFORMED A VARIETY OF OUTPATIENT INFUSION THERAPIES TO 204 PATIENTS. BMH OFFERS A COMPREHENSIVE PANEL OF LABORATORY TESTS ONSITE AND HELPS NEARBY CLINICS PERFORMING 45,703 TESTS DURING THE YEAR. 19600309 true false false true false false false false false false true false false true true true true false false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 53 0 true 194 true false false false false false false false false false false false false X 7 7 false false false false false true false true true false false true true true true true true true true true true X DERRILL KENT TUREK 4356784629 802 SOUTH 200 WEST BLANDING UT 84511 MATTHEW LYMAN PHYSICIAN 40.00 X 505546 0 84651 ALTON PUGH CRNA 40.00 X 312690 0 45001 JEREMY LYMAN CEO 40.00 X 263997 0 75312 JOSHUA YARDLEY CRNA 40.00 X 287313 0 45001 SHANE GURLEY PHARM. DIR. 40.00 X 176994 0 29463 DERRILL KENT TUREK CFO 40.00 X 152560 0 51682 ROBERT LYMAN PA-C 40.00 X 116928 0 73793 GLORIA BEGAYE BOARD MEMBER 1.00 X 7750 0 0 WILFRED JONES BOARD MEMBER 1.00 X 7555 0 0 GRISELDA ROGERS BOARD MEMBER 1.00 X 7527 0 0 BRADLEY HIGHT BOARD MEMBER 1.00 X 5885 0 0 SPENCER SINGER BOARD CHAIR 1.00 X X 4850 0 0 LYNN STEVENS BOARD MBR-TE 1.00 X 3752 0 0 MALCOLM LEHI BOARD MEMBER 1.00 X 0 0 0 LYNDRETH WALL BOARD MEMBER 1.00 X 0 0 0 1853347 404903 14 false true false INTERMOUNTAIN CENTRAL LABORATORY PO BOX 30180 SALT LAKE CITY UT 84130 LAB 482911 SOUTHEAST UTAH SURGICAL CONSULTING 34 EAST 200 NORTH BLANDING UT 84511 SURGEON 378199 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING 352174 SAN JUAN HEALTH SERVICES PO BOX 308 MONTICELLO UT 84535 SURGEON 350820 UTAH NAVAJO HEALTH SYSTEMS POBOX 130 MONTEZUMA CREEK UT 84534 ER PHYSICIAN 236021 8 3164901 3164901 NET PATIENT SERVICE REVENUE 624100 25395495 25395495 25395495 383255 383255 42600 17481 25119 25119 25119 FOOD SERVICES 722320 525707 525707 REBATES & OTHER 900099 43775 43775 569482 29538252 25395495 977856 X 565303 36126 529177 8752245 7059414 1692831 154415 137503 16912 1931163 1438357 492806 640605 507616 132989 83136 83136 4525922 3372441 1153481 50643 3289 47354 916269 802430 113839 378553 137317 241236 210059 186071 23988 15941 9745 6196 264453 73305 191148 217818 84071 133747 944219 836391 107828 256627 154594 102033 MEDICAL SUPPLIES 4214406 4214406 REPAIR & MAINTENANCE 506160 474703 31457 210574 72530 138044 24838511 19600309 5238202 0 4381615 5198057 509362 530722 4204772 4561251 89475 250345 107785 92705 27531352 19291144 8196501 8240208 199882 434883 1749426 3350769 19438818 22658940 2632462 2555096 6168010 4940487 1242069 1067339 10042541 8562922 X 9396277 14096018 9396277 14096018 19438818 22658940 X 4699741 X X false true X true false X false false false false false false false false true 4887 4887 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 426977 426977 16173270 10643996 5529274 10803500 8647148 2156352 127605 127605 8240208 OTHER RECEIVABLES 1774949 UPL RECEIVABLE 558344 ERC RECEIVABLE 530380 ESTIMATED THIRD-PARTY SETTLEMENTS 308000 REINSURANCE RECEIVABLE 179096 3350769 ESTIMATED THIRD-PARTY SETTLEMENTS 787018 LEASE LIABILITIES 280321 1067339 X 29555733 17481 17481 29538252 29538252 24855992 17481 17481 24838511 24838511 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2025 AND 2024, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENT EXPENSE 17,481 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENT EXPENSE 17,481 true true false true X true true false false 28082 28082 0.00110 7447215 7447215 7475297 7447215 28082 0.00110 69416 69416 0.00280 85147 42738 42409 0.00170 154563 42738 111825 0.00450 7629860 7489953 139907 0.00560 24153 24153 0.00100 156 156 24309 24309 0.00100 false 439061 100106 6886605 7263468 -376863 X true true BMH KIDNEY CARE LLC HOME-BASED DIALYSIS SERVICES 0.50000 0.50000 1 1 BLUE MOUNTAIN HOSPITAL 802 SOUTH 200 WEST BLANDING UT 84511 WWW.BMHUTAH.ORG NO LICENSE IN UTAH X X X X RENAL DIALYSIS BLUE MOUNTAIN HOSPITAL 1 false false true X X X X X X X X X X 22 true true true true X WWW.BMHUTAH.ORG X true 22 true WWW.BMHUTAH.ORG false true X 200.000000000000 X true true X X X X true X SEE PART VI, PAGE 10 X SEE PART VI, PAGE 10 X SEE PART VI, PAGE 10 X X X X X X true X false X X X X true X false false FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 26 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 5 BLUE MOUNTAIN HOSPITAL COLLABORATED WITH THE UTAH DEPARTMENT OF HEALTH, INTERMOUNTAIN HEALTH AND SAN JUAN PUBLIC HEALTH TO IDENTIFY HEALTH INDICATORS, GATHER DATA AND COMMUNITY INPUT, ANALYZE, AND THEN PRIORITIZE THOSE INDICATORS TO DETERMINE SIGNIFICANT HEALTH NEEDS TO ADDRESS. A COMMUNITY INPUT MEETING DID THIS; INVITEES INCLUDED REPRESENTATIVES FROM THE FOLLOWING GROUPS: HEALTHCARE PROVIDERS, LOCAL GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICT, LOCAL HEALTH DEPARTMENTS, BEHAVIORAL HEALTH, COMMUNITY MEMBERS, AND A REPRESENTATIVE FROM THE LOCAL UNIVERSITY, REPRESENTED A BROAD RANGE OF INTERESTS INCLUDING THE HEALTHCARE NEEDS OF UNINSURED AND LOW-INCOME PEOPLE, AND WERE INVITED TO ATTEND THE MEETING TO SHARE THEIR PERSPECTIVES ON HEALTH NEEDS IN THE COMMUNITY. THIS MEETING WAS CONDUCTED ON 04/28/2022. FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 6A THE HOSPITAL CHNA WAS CONDUCTED WITH UTAH NAVAJO HEALTH SYSTEM. FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 6B THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PERFORMED BY BLUE MOUNTAIN HOSPITAL IN CONJUNCTION WITH THE UTAH DEPARTMENT OF HEALTH, INTERMOUNTAIN HEALTH, AND SAN JUAN PUBLIC HEALTH TO DISCUSS COMMUNITY HEALTH NEEDS. THIS REPORT CAN BE FOUND ON WWW.BMHUTAH.ORG. FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 11 BLUE MOUNTAIN HOSPITAL PUBLISHED THE 2022 CHNA TO WWW.BMHUTAH.ORG IN DECEMBER 2022. COLLABORATING WITH COMMUNITY PARTNERS, SAN JUAN PUBLIC HEALTH, INTERMOUNTAIN HEALTH, UTAH NAVAJO HEALTH SYSTEM, AND THE UTAH DEPARTMENT OF HEALTH. ONCE THE CHNA WAS PUBLISHED, WORK BEGAN ON AN IMPLEMENTATION PLAN. BELOW REPRESENTS THE ACTIONS WORKED ON IN FY 2023 FOR THE 2022 CHNA. GOAL 1 - IMPROVING COORDINATION OF CARE BMH HAS A RELATIVELY NEW POSITION THAT IS A DISCHARGE PLANNER AND UTILIZATION REVIEW. THIS POSITION HELPS TO SIGNIFICANTLY IMPROVE THE COORDINATION OF CARE FOR OUR PATIENTS. THIS ROLE ENSURES A SEAMLESS TRANSITION FROM HOSPITAL TO HOME OR OTHER CARE SETTINGS BY CLOSELY MONITORING PATIENT PROGRESS AND DISCHARGE READINESS. THE DISCHARGE PLANNER COLLABORATES WITH HEALTHCARE PROVIDERS TO DEVELOP INDIVIDUALIZED DISCHARGE PLANS, ADDRESSING BOTH MEDICAL AND NON-MEDICAL NEEDS. THIS COORDINATION REDUCES READMISSION RATES AND ENHANCES PATIENT OUTCOMES BY ENSURING CONTINUITY OF CARE, TIMELY FOLLOW-UPS, AND APPROPRIATE USE OF HEALTHCARE RESOURCES. ADDITIONALLY, THE UTILIZATION REVIEW MANAGER'S OVERSIGHT ENSURES EFFICIENT RESOURCE USE, ALIGNING PATIENT NEEDS WITH APPROPRIATE CARE LEVELS AND AVOIDING UNNECESSARY HOSPITAL STAYS. IN FY23 BMH APPLIED FOR A GRANT THAT WOULD ALLOW THE HOSPITAL TO PURCHASE AND ENGAGE IN THEIR OWN PROACTIVE PATIENT TRANSPORTATION FOR PATIENTS WHO DO NOT HAVE THE MEANS OF TRANSPORTATION TO SEEK CARE. THE GRANT WILL BE AWARDED SOMETIME IN DECEMBER 2024. GOAL 2 - HEALTHCARE STAFFING SHORTAGES- BMH'S GOAL IS TO BE FULLY STAFFED WITH LICENSED HEALTHCARE PROVIDERS AND HAVE MULTIPLE APPLICANTS FOR AVAILABLE POSITIONS. IN FY 23, BLUE MOUNTAIN HOSPITAL (BMH) MAINTAINED VALUABLE PARTNERSHIPS WITH THE UNIVERSITY OF UTAH, UTAH STATE UNIVERSITY, AND SAN JUAN COUNTY TO EFFECTIVELY ADDRESS STAFFING SHORTAGES. RECOGNIZING THE IMPORTANCE OF A WELL-EDUCATED WORKFORCE, BMH STAFF ACTIVELY SEEK HEALTHCARE PARTNERS WHO SHOW POTENTIAL FOR GROWTH THROUGH EDUCATION, LICENSURE, AND CERTIFICATIONS, WITH THE INTENTION OF OFFERING EMPLOYMENT OPPORTUNITIES WITHIN OUR FACILITY. UNFORTUNATELY, THE LINGERING EFFECTS OF THE COVID-19 PANDEMIC HAVE CREATED OBSTACLES IN FINDING LICENSED AND CERTIFIED HEALTHCARE PROVIDERS INTERESTED IN JOINING OUR TEAM. NONETHELESS, BMH REMAINS STEADFAST IN ITS COMMITMENT TO SUPPORTING STAFF MEMBERS IN OVERCOMING THESE CHALLENGES IN THEIR EDUCATIONAL PURSUITS. WE PROVIDE COMPREHENSIVE RESOURCES AND ACTIVELY EXPLORE ALTERNATIVE OPPORTUNITIES TO ENSURE OUR DEDICATED STAFF AND NEW HIRES HAVE THE NECESSARY TOOLS AND SUPPORT TO SUCCEED IN THEIR CAREERS. BMH ATTENDS JOB FAIRS AND COMMUNITY EVENTS AND CREATES MARKETING CAMPAIGNS TO RECRUIT NEW NURSES AND ANCILLARY STAFF. STAFF PRESENT INFORMATION ABOUT HEALTHCARE CAREERS AND BMH IN LOCAL HIGH SCHOOL HEALTH CLASSES, AND JOB SHADOWING IS OFFERED TO HIGH SCHOOL JUNIORS AND SENIORS. BMH CONTINUES TO SUPPORT THE ER TECH LPN PROGRAM, WHICH WAS IMPLEMENTED IN 2018. IN 2022, THIS PROGRAM WAS CHANGED FROM THE PATIENT CARE TECH TO THE RN PROGRAM, ALLOWING STUDENTS TO EARN A HIGHER WAGE WHILE PURSUING THEIR RN. FY 2023 SHOWS CONTINUED PURPOSE AND GROWTH, RESULTING IN MULTIPLE TECHS MOVING TO THE RN FIELD. THE BMH HEALTHCARE SCHOLARSHIP ANNUAL GOLF TOURNAMENT IS HELD WITH SAN JUAN HEALTH, PROVIDING SCHOLARSHIPS AND TUITION REIMBURSEMENT FOR THOSE SEEKING CAREERS IN HEALTHCARE AND EMPLOYEES SEEKING HIGHER EDUCATION. BMH CONTINUES TO HOST STUDENTS FOR THEIR CLINICAL HOURS IN OUR FACILITY TO PROMOTE AND SUPPORT OUR ACTIVE HIRING PROCESS. GOAL 3 - IMPROVE ACCESS TO CARE FY23: BLUE MOUNTAIN CONTINUES WORK IN STREAMLINING REFERRAL AND FOLLOW UP PROCESSES BY TRANSITIONING ALMOST ENTIRELY TO ATHENA. THIS ENABLES ALL STAFF TO ACCESS A UNIFIED TIMELINE AND THE CURRENT STATUS OF ANY REFERRAL. ADDITIONALLY, WE HAVE CROSS-TRAINED MULTIPLE TEAM MEMBERS TO MANAGE THE FAX FOLDER, ENSURING CONTINUITY EVEN WHEN STAFF MEMBERS ARE OUT OF THE OFFICE. WE HAVE ALSO IMPLEMENTED AND CONTINUE TO IMPROVE OUR REMINDER CALL SYSTEM TO ENSURE PATIENTS ARE NOTIFIED ONCE THEY ARE SCHEDULED AND CONTINUE TO BE REMINDED UP TO THE DAY BEFORE THEIR APPOINTMENT. CURRENTLY, WE ARE IN THE PROCESS OF REVIEWING A NO SHOW POLICY. THIS POLICY AIMS TO NOTIFY THE REFERRING PROVIDER WHEN REFERRED CARE HAS NOT BEEN PROVIDED DUE TO AN INABILITY TO CONTACT THE PATIENT OR PATIENT NO-SHOWS. WE ANTICIPATE FINALIZING THIS POLICY AND HAVING THE NEW PROCESSES FULLY OPERATIONAL BY THE END OF THE YEAR. THE BLUE MOUNTAIN HOSPITAL RADIOLOGY DEPARTMENT HAS CREATED A REFERRAL SYSTEM THAT ALLOWS THE RADIOLOGY DEPARTMENT ALONG WITH THE AUTHORIZATION TEAM TO BE ABLE TO COLLABORATE AND UPDATE NOTES ON WHEN THOSE PROCEDURES ARE REFERRED TO BMH, IF THEY REQUIRE AUTHORIZATION, AND WHEN THE AUTHORIZATION IS COMPLETED. THIS HELPS TO ENSURE THAT EACH PROCEDURE IS SCHEDULED AS QUICKLY AS POSSIBLE AND IS READY TO BE BILLED TO THE INSURANCE COMPANY BECAUSE ALL PRIOR AUTHORIZATIONS HAVE BEEN COMPLETED. WE HAVE A SIMILAR SYSTEM WITH THE SURGERY DEPARTMENT AS THE RADIOLOGY. SURGERY REFERRALS ARE GIVEN TO THE AUTHORIZATION DEPARTMENT AND THOSE ARE REVIEWED TO OBTAIN AUTHORIZATION TO BE PERFORMED AT BMH. WE WORK CLOSELY WITH THE REFERRING PROVIDERS IN ORDER TO OBTAIN ALL NECESSARY INFORMATION TO GET THOSE REQUESTS APPROVED IN A TIMELY MANNER AND THEN GIVE THEM TO THE SURGERY TEAM TO GET SCHEDULED. THERE IS A COLLABORATIVE SPREADSHEET THAT ALL PARTIES CAN UPDATE WITH NOTES REGARDING WHEN AUTHORIZATIONS WERE STARTED AND WHEN THEY HAVE BEEN APPROVED AND SCHEDULED. IN THE INFUSION DEPARTMENT AN EMAIL THREAD IS STARTED FOR EACH REFERRAL WE RECEIVE. A MEMBER OF THE AUTHORIZATION TEAM SENDS THE INITIAL EMAIL TO PHARMACY, THE AUTHORIZATION TEAM AND THE DIRECTOR OF NURSES ENSURING WE HAVE THE MEDICATION, AUTHORIZATION (IF REQUIRED), AND ADEQUATE NURSES ON STAFF TO BE ABLE TO COMPLETE THE REQUESTED INFUSION REFERRALS. ALL PARTIES REPLY BACK WITH THE INFORMATION THEY HAVE AND THE PATIENT IS SCHEDULED. GOAL 4 - COMMUNITY ENGAGEMENT FY23 BLUE MOUNTAIN HOSPITAL: 1. ENHANCING DIGITAL BULLETIN BOARDS: BMH DEDICATED EFFORTS TO CONSISTENTLY UPDATE AND IMPROVE THE CONTENT DISPLAYED ON THE DIGITAL BULLETIN BOARDS. MULTIPLE SLIDES WERE CREATED TO INFORM AND EDUCATE PATIENTS ABOUT VARIOUS TYPES OF EDUCATION AND OPPORTUNITIES AVAILABLE TO THEM WITHIN THE COMMUNITY. 2. COLLABORATING WITH MARKETING SPECIALIST: BMH CONTINUED ITS PARTNERSHIP WITH A MARKETING SPECIALIST WHO PLAYED A PIVOTAL ROLE IN PUBLISHING AND PROMOTING HEALTH-RELATED EDUCATION, EVENTS, AND INFORMATION THROUGH VARIOUS SOCIAL MEDIA CHANNELS. THIS COLLABORATIVE EFFORT AIMED TO RAISE AWARENESS AND KEEP THE COMMUNITY WELL-INFORMED ABOUT THE INITIATIVES AND ACTIVITIES HAPPENING AT BMH. 3. DEPARTMENT LEADERS' CONTRIBUTIONS: TO MAINTAIN TRANSPARENCY AND KEEP THE COMMUNITY CONNECTED, DEPARTMENT LEADERS ACTIVELY PROVIDED VALUABLE CONTENT FOR DISSEMINATION. BY SHARING UPDATES AND RELEVANT INFORMATION, BMH ENSURED THAT THE COMMUNITY COULD STAY ABREAST OF THE ACTIVITIES WITHIN THE HOSPITAL. 4. BMH'S WORKPLACE OF CHOICE COMMITTEE ENGAGES THE COMMUNITY BY HOSTING SPECIAL EVENTS LIKE THE SEATBELT CHECKPOINT EVENT, SUNSCREEN STATIONS FOR SUN EDUCATION, A FLOAT IN THE COMMUNITY 4TH OF JULY PARADE, AN ESCAPE ROOM BUILT BY BMH, PARTICIPATES IN UNHS TEDDY BEAR CLINIC AND WOMEN'S FAIR, AND PARTICIPATES IN THE COMMUNITY'S HALLOWEEN AND CHRISTMAS EVENTS. 5. BMH HOSTS A SERIES OF MONTHLY BARIATRIC SEMINARS AND KIDNEY OPTIONS SEMINARS TO EDUCATE THE COMMUNITY. 6. SCHOLARSHIP SCRAMBLE HELD IN JULY EACH YEAR, THIS IS A GOLF TOURNAMENT AND THE PROCEEDS ARE GIVEN OUT TO UPCOMING HEALTHCARE STUDENTS TO HELP WITH SCHOOLING COSTS. THESE MEASURES COLLECTIVELY DEMONSTRATED BMH'S COMMITMENT TO ENGAGING THE COMMUNITY, PROMOTING HEALTH-RELATED EDUCATION, AND FACILITATING EFFECTIVE COMMUNICATION CHANNELS TO FOSTER A STRONG RELATIONSHIP WITH THE LOCAL POPULATION. NEEDS IDENTIFIED IN THE 2022 CHNA THAT WERE NOT ADDRESSED: BLUE MOUNTAIN HOSPITAL ACKNOWLEDGED AND RECOGNIZED SPECIFIC NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT UNFORTUNATELY REMAINED UNADDRESSED. HERE IS A SUMMARY: - COMMUNITY ISOLATION: THE LINGERING IMPACTS OF COVID-19 HAVE HEIGHTENED FEELINGS OF ISOLATION AND STRESS WITHIN OUR COMMUNITY. - SUICIDAL IDEATION: INSTANCES OF SUICIDAL THOUGHTS HAVE BEEN A GROWING CONCERN. - INCREASED ER VISITS FOR MENTAL HEALTH: THERE HAS BEEN A NOTABLE RISE IN EMERGENCY ROOM VISITS RELATED TO MENTAL HEALTH ISSUES. - SUBSTANCE USE: MENTAL HEALTH-RELATED SUBSTANCE USE REMAINS A PRESSING ISSUE. - MENTAL HEALTH STAFFING SHORTAGE: WE CONTINUE TO FACE CHALLENGES IN RECRUITING AND RETAINING QUALIFIED MENTAL HEALTH PROFESSIONALS. NUTRITION AND FOOD INSECURITY: - LACK OF ACCESS TO AFFORDABLE AND HEALTHY FOODS: MANY COMMUNITY MEMBERS STRUGGLE TO OBTAIN NUTRITIOUS FOOD AT AFFORDABLE PRICES. - LIMITED RESOURCES TO DISTRIBUTE FOOD: THERE IS A SIGNIFICANT GAP IN RESOURCES NECESSARY TO DELIVER FOOD TO THOSE IN NEED, PARTICULARLY IN ISOLATED AREAS. OTHER COMMUN SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FPG'S, INSURANCE STATUS IS ALSO USED TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7G THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. THE COST FOR LINE 7E COMMUNITY HEALTH IMPROVEMENTS AND LINE 7F HEALTH PROFESSIONS EDUCATION IS BASED ON ACTUAL COST. SCHEDULE H, PART II BLUE MOUNTAIN HOSPITAL PARTICIPATES IN A TEDDY BEAR CLINIC THAT GIVES YOUNG CHILDREN IN THE COMMUNITY A CHANCE TO EXPERIENCE THE HOSPITAL IN A NON THREATENING WAY. THIS ALSO HELPS PARENTS KEEP UP TO DATE AND BE AWARE OF THEIR CHILDREN'S IMMUNIZATIONS. BLUE MOUNTAIN HOSPITAL GIVES GENEROUSLY TO ORGANIZATIONS IN THE COUNTY TO HELP SUPPORT LOCAL ACTIVITIES. ORGANIZATIONS INCLUDE: LOCAL SCHOOLS, THEATER, RODEO, ATV SAFARI, 4TH OF JULY PARADE, TRUNK OR TREAT, COMMUNITY GARDEN, COMMUNITY SPORTS, COUNTY 4-H PROGRAM, AND COUNTY FAIR. BLUE MOUNTAIN HOSPITAL CONSTANTLY WORKS ON WORKFORCE DEVELOPMENT INCLUDING RECRUITMENT OF PHYSICIANS AND OTHER MEDICAL STAFF DUE TO MEDICAL SHORTAGE IN THE AREA. SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE. SCHEDULE H, PART III, LINE 3 A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS A COMMUNITY BENEFIT. BASED ON THE COUNTY HOUSEHOLD INCOME AT OR BELOW FEDERAL POVERTY LEVEL, BMH ESTIMATES THAT THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT WOULD QUALIFY AS CHARITY CARE UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 26.8%. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 7 STARTING ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE TOTAL REVENUE RECEIVED FROM MEDICARE AND RELATED MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE FACILITY'S MEDICARE COST REPORT. THE FACILITY IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED FOR HOSPITAL SERVICES BY MEDICARE AT APPROXIMATELY 99% OF MEDICARE'S COST. ALL SHORTFALLS ARE CONSIDERED COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B WE RECOMMEND ACCOUNTS FOR BAD DEBT ONCE THE ACCOUNT HITS 120 DAYS. THE ACCOUNT MUST HAVE RECEIVED AT LEAST 2 CALLS, RECEIVED AT LEAST 3 STATEMENTS, AND ALSO HAVE NO RECENT PAYMENT IN THE LAST 45 DAYS. ADDITIONALLY, THE PATIENT OR ACCOUNT HOLDER MUST BE INFORMED AND ENCOURAGED TO COMPLETE AN APPLICATION FOR CHARITY CARE WITH AND BE GIVEN AT LEAST 30 DAYS TO COMPLETE SAID APPLICATION. THE ACCOUNTS THAT ARE SET UP ON A PAYMENT PLAN AND CURRENT WILL NOT RECEIVE ANY CALLS UNTIL THE PAYMENT PLAN GOES INTO DEFAULT STATUS. FOR ACCOUNTS OF THOSE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE THE COLLECTION ACTIONS ARE STOPPED DURING THE TIME THE PERSON IS COMPLETING THE APPLICATION. SCHEDULE H, PART VI, LINE 2 WE HAVE PROVIDED MULTIPLE WAYS FOR PATIENTS AND COMMUNITY MEMBERS TO CONTACT US, INCLUDING EMAIL, SOCIAL MEDIA, ETC. WHEN THOSE REQUESTS COME IT HELPS US TO IDENTIFY TRENDS OR NEEDS. WHEN WE HAVE A PATIENT COMPLAINT, WE INVESTIGATE ALL ASPECTS AND CAN OFTEN IDENTIFY A SOCIOECONOMIC NEED. WE ALSO TRACK TERMS AND KEYWORDS IN OUR WEBSITE SEARCH BAR. THIS HELPS US TO DETERMINE WHAT WEBSITE VISITORS ARE SEARCHING FOR. THIS ALLOWS US TO PUBLISH INFORMATION OR EDUCATION OUT TO THE COMMUNITY BASED ON THEIR SEARCH. FOR EXAMPLE, WE WOULD PROVIDE COVID EDUCATION IF THERE WERE MULTIPLE COVID SEARCHES ON THE WEBSITE. BMH ALSO OFTEN ROUNDS WITH PATIENTS TO ENSURE THEIR NEEDS ARE MET AND WE REGULARLY ATTEND COMMUNITY EVENTS TO STAY ABREAST OF OUR COMMUNITY NEEDS. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.BMHUTAH.ORG/DOCUMENTS/CONTENT/BLUE-MOUNTAIN-HOSPITAL-2022- CHNA.1).PDF SCHEDULE H, PART VI, LINE 3 BMH HAS A REPRESENTATIVE THAT PERSONALLY CONTACTS UNINSURED PATIENTS AND INFORMS THEM OF WHAT FEDERAL, STATE, OR LOCAL GOVERNMENT ASSISTANCE OR INDIGENT ASSISTANCE MAY BE AVAILABLE TO THEM. PATIENT STATEMENTS AND LETTERS ALSO PROVIDE NOTIFICATIONS ABOUT HEALTHCARE ASSISTANCE. INFORMATION RELATED TO THE HEALTHCARE ASSISTANCE POLICY AND RELATED APPLICATIONS CAN ALSO BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: WWW.BMHUTAH.ORG/PATIENTS-VISITORS/HEALTHCARE-ASSISTANCE-POLICY/ SCHEDULE H, PART VI, LINE 4 SAN JUAN COUNTY HAS A TOTAL AREA OF 7,933 SQUARE MILES - THE LARGEST COUNTY IN UTAH. 2019 CENSUS ESTIMATES - THERE WERE 15,449 PEOPLE AND 6,019 HOUSING UNITS. THE RACIAL AND ETHNIC COMPOSITION OF THE POPULATION WAS 49.4% NATIVE AMERICAN, 47.4% WHITE, 0.8% ASIAN, 0.4% AFRICAN AMERICAN, AND 2.3% REPORTING TWO OR MORE RACES. MEDIAN INCOME PER HOUSEHOLD IS 42,581 WITH A PER CAPITA INCOME OF 17,385 AND 25.9% OF THE POPULATION IS IN POVERTY. THE COMMUNITIES SERVED INCLUDE THE POPULATIONS OF THE NAVAJO TRIBE AND THE UTE MOUNTAIN TRIBE. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PUBLISHES AND DISTRIBUTES A COMMUNITY NEWSLETTER WHICH EDUCATES AND PROMOTES HEALTH AND AWARENESS. THE HOSPITAL SUPPORTS YOUTH SPORTS GROUPS AND OTHER RECREATIONAL ACTIVITIES THAT PROMOTE PHYSICAL HEALTH IN THE COMMUNITY. THE TEDDY BEAR CLINIC IS A COMMUNITY ENGAGEMENT ACTIVITY IN CONJUNCTION WITH UTAH NAVAJO HEALTH SYSTEMS TO INFORM PARENTS IF THEIR CHILDREN ARE CURRENT ON IMMUNIZATIONS. THE HOSPITAL SETS UP BOOTHS TO EDUCATE PARENTS AND CHILDREN ON THE SERVICES AVAILABLE TO THEM AT THE HOSPITAL AND BLANDING FAMILY PRACTICE. A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL AND THE FAMILY PRACTICE ENSURE THAT PATIENTS ARE FULLY VACCINATED. THE MAJORITY OF BLUE MOUNTAIN HOSPITAL'S BOARD OF DIRECTORS RESIDE WITHIN THE HOSPITAL'S SERVICE AREA. NEITHER THE BOARD MEMBERS OR MEMBERS OF THEIR FAMILY ARE CONTRACTORS FOR BMH AND NONE OF THE BOARD MEMBERS ARE EMPLOYEES OF THE HOSPITAL. BLUE MOUNTAIN HOSPITAL'S MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS LIVING WITHIN THE COMMUNITY AND THE INVITATION FOR PRIVILEGES IS EXTENDED TO ALL QUALIFIED PHYSICIANS WITHIN THE SERVICE AREA. ALL SURPLUS FUNDS THAT BLUE MOUNTAIN HOSPITAL EARNS ARE USED TO IMPROVE PATIENT CARE AT THE HOSPITAL AND THE COMMUNITY. THIS IS DONE IN SEVERAL WAYS, THE FUNDS ARE USED FOR NEW OR REPLACEMENT EQUIPMENT, COMMUNITY EDUCATION, AND SERVICE LINE DEVELOPMENT. BMH RESIDES IN A REMOTE AREA OF UTAH WHICH IS DIFFICULT FOR SOME TO TRAVEL TO A SPECIALIST AND OTHER CARE PROVIDERS NEEDED. BMH HAS BEEN ABLE TO USE SURPLUSES TO DEVELOP SPECIALTY SERVICES SUCH AS TELEHEALTH AND SPECIALISTS WHO TRAVEL TO THE COMMUNITY TO SEE PATIENTS. THIS IMPROVES THE HEALTH WITHIN THE COMMUNITY AS MANY WITHIN THE POPULATION WILL NOT TRAVEL FOR HEALTH CARE SERVICES AND WILL GO WITHOUT SPECIALTY CARE. SCHEDULE H, PART VI, LINE 6 BLUE MOUNTAIN HOSPITAL BELONGS TO THE UNIVERSITY OF UTAH AFFILIATE NETWORK. NEITHER THIS NETWORK NOR THE UNIVERSITY OF UTAH HAVE ANY CONTROL OR SUPERVISION OVER BMH. THE PURPOSE OF THIS NETWORK IS TO AID IN PROVIDING BETTER CARE AND SERVICES TO THE COMMUNITIES OF THE MEMBERS OF THE NETWORK. THIS NETWORK IS LEVERAGED TO AID IN DEVELOPING SERVICES, QUALITY IMPROVEMENT PROJECTS AND COMMUNITY HEALTH. X X false false false false false false false true false MATTHEW LYMAN PHYSICIAN 293585 211961 39650 45001 590197 ALTON PUGH CRNA 109734 202956 45001 357691 JEREMY LYMAN CEO 181882 82115 30311 45001 339309 JOSHUA YARDLEY CRNA 105534 181779 45001 332314 SHANE GURLEY PHARM. DIR. 175994 1000 29463 206457 DERRILL KENT TUREK CFO 151560 1000 6681 45001 204242 ROBERT LYMAN PA-C 104323 12605 28792 45001 190721 SCHEDULE J, PAGE 1, PART I, LINE 7 ONLY THE CEO IS PROVIDED A NON-FIXED PAYMENT. THE BOARD OF DIRECTORS EVALUATE THE CEO'S PERFORMANCE ANNUALLY AND DETERMINE THE AMOUNT OF BONUS AS A PERCENTAGE OF COMPENSATION. THE BONUS IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART III BMH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 61,047 FOR CHARITY CARE AND 28,054,200 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. FORM 990, PAGE 6, PART VI, LINE 7A TWO INDIVIDUALS EACH HAVE THE RIGHT TO SELECT ONE MEMBER OF THE BOARD OF DIRECTORS IN ADDITION, THE UTAH NAVAJO HEALTH SYSTEM INCORPORATED HAS THE RIGHT TO SELECT TWO MEMBERS OF THE BOARD OF DIRECTORS, AND THE UTE MOUNTAIN UTE TRIBE HAS THE RIGHT TO SELECT FOUR MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY POTENTIAL CONFLICT OF INTEREST SITUATIONS. MOST REVIEWS FOR POTENTIAL CONFLICTS ARE CONDUCTED BY THE HOSPITAL'S ADMINISTRATION IF THE POTENTIAL CONFLICT INVOLVES A MEMBER OF THE HOSPITAL'S ADMINISTRATION. THE BOARD OF DIRECTORS REVIEWS THE POTENTIAL CONFLICT OF INTEREST SITUATION. IF A CONFLICT OF INTEREST IS DETERMINED TO BE PRESENT, THE INDIVIDUAL(S) INVOLVED ARE TO REMOVE THEMSELVES FROM ANY APPLICABLE VOTES AND/OR NEGOTIATIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION FOR OFFICERS IS DECIDED AND/OR REVIEWED BY THE BOARD OF DIRECTORS. REGIONAL/SIZE COMPARISON DATA IS USED TO ENSURE COMPENSATION IS RELATIVE TO THE CURRENT MARKET. THE REGIONAL DATA IS ALSO USED AS A POINT OF COMPARISON FOR ALL OTHER POSITIONS WITHIN THE HOSPITAL. ALL WAGE RECOMMENDATIONS FROM LEADERS GO TO HUMAN RESOURCES FOR COMPARISON, RELEVANCE, AND FINAL APPROVAL. FORM 990, PAGE 6, PART VI, LINE 15B SEE PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE HOSPITAL CONSIDERS EACH REQUEST, DIRECTS INQUIRERS TO SOURCES WHERE DOCUMENTS ARE PUBLICLY AVAILABLE AND WITH NON-PUBLIC DOCUMENTS, MANAGEMENT SHARES DOCUMENTS WITH INQUIRERS AS REQUIRED BY LAW, OR OTHERWISE IN THE BEST INTEREST OF THE HOSPITAL AND THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES 3,371,983 901,453 0 PROFESSIONAL FEES 458 252,028 0 TOTAL 3,372,441 1,153,481 0 FORM 990, PART XI, LINE 9 RENT EXPENSE 17,481 RENT EXPENSE -17,481 FORM 990, PART XII THE AUDIT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2025 IS CURRENTLY IN PROCESS. BMH SERVICES LLC 802 S 200 W STE B BLANDING UT 84511 853441221 DIALYSIS UT BMH