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Nonprofiteer
← CHALLIS AREA HEALTH CENTER

Form 990 for tax year 2022

Filed by CHALLIS AREA HEALTH CENTER.

Totals

Total revenue
$4,128,061
Total expenses
$2,804,055
Contributions and grants received
$1,927,855
Grants paid
$0
Program service revenue
$2,180,717
Investment income
$9,795
Other revenue
$9,694
Total assets, end of year
$4,618,289
Total liabilities, end of year
$115,403
Net assets or fund balances, end of year
$4,502,886
Program services expenses (Part IX)
$2,503,112
Management and general expenses
$300,943
Fundraising expenses
$0
Program service expenses (Part III)
$2,503,112

Program services were 89.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $1,839,363

  • 1e · Government grants (contributions)

    $23,344

  • 1f · All other contributions, gifts and grants

    $65,148

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $1,807,385 · related or exempt $1,807,385

  • 2b · Program service revenue: 340B PROGRAM REVENUE

    total $323,343 · related or exempt $323,343

  • 2c · Program service revenue: HEALTH CONNECTIONS

    total $49,989 · related or exempt $49,989

  • 3 · Investment income

    total $9,795 · excluded $9,795

  • 11a · Other revenue: INCOME FROM COOPERATIV

    total $9,694 · excluded $9,694

  • 11e · Other revenue, total

    $9,694

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $273,041 · management and general $273,041

  • 7 · Other salaries and wages

    total $1,482,356 · program services $1,482,356

  • 8 · Pension plan contributions

    total $43,305 · program services $43,305

  • 9 · Other employee benefits

    total $122,216 · program services $122,216

  • 10 · Payroll taxes

    total $126,525 · program services $115,238 · management and general $11,287

  • 11b · Fees: legal

    total $6,628 · program services $6,037 · management and general $591

  • 11g · Fees: other

    total $160,219 · program services $145,926 · management and general $14,293

  • 12 · Advertising and promotion

    total $11,426 · program services $11,426

  • 13 · Office expenses

    total $54,047 · program services $54,047

  • 14 · Information technology

    total $150,505 · program services $150,505

  • 16 · Occupancy

    total $34,572 · program services $34,572

  • 17 · Travel

    total $8,235 · program services $7,500 · management and general $735

  • 22 · Depreciation, depletion and amortization

    total $97,007 · program services $97,007

  • 23 · Insurance

    total $11,160 · program services $10,164 · management and general $996

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $154,433 · program services $154,433

  • 24b · Other expenses: RECRUITING & RETENTION

    total $45,654 · program services $45,654

  • 24c · Other expenses: EDUCATION

    total $14,456 · program services $14,456

  • 24d · Other expenses: MEMBERSHIP DUES

    total $8,270 · program services $8,270

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,443,489 · end of year $1,085,145

  • 2 · Savings and temporary cash investments

    beginning of year $514,067 · end of year $1,522,449

  • 4 · Accounts receivable

    beginning of year $176,017 · end of year $172,550

  • 8 · Inventories for sale or use

    beginning of year $4,859 · end of year $4,740

  • 9 · Prepaid expenses and deferred charges

    beginning of year $30,386 · end of year $19,344

  • 10a · Land, buildings and equipment: cost or other basis

    $1,798,096

  • 10b · Land, buildings and equipment: accumulated depreciation

    $277,180

  • 10c · Land, buildings and equipment, net

    beginning of year $872,233 · end of year $1,520,916

  • 12 · Investments: other securities

    beginning of year $204,109 · end of year $212,419

  • 13 · Investments: program-related

    beginning of year $80,726 · end of year $80,726

  • 17 · Accounts payable and accrued expenses

    beginning of year $123,662 · end of year $115,403

  • 19 · Deferred revenue

    beginning of year $23,344 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $2,291,715 · end of year $2,981,970

  • 28 · Net assets with donor restrictions

    beginning of year $887,165 · end of year $1,520,916

Mission and programs · 2022

Mission

WE PROVIDE QUALITY HEALTHCARE TO OUR COMMUNITY.

  • CHALLIS AREA HEALTH CENTER OPERATES A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN CHALLIS, IDAHO.

    Expenses $2,503,112 · Revenue $2,180,717

As filed on the 2022 return.

Listed in Part VII

  • Thomas Fife

    PHYSICIAN ASSISTANT

    Total calculated
    $194,899
    From this org
    $177,181
    From related orgs
    $0
    Other
    $17,718
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,118
    Bonus
    $5,063
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,718
    Filer's total
    $194,899
  • Miles Haeberle

    PHYSICIAN ASSISTANT

    Total calculated
    $175,573
    From this org
    $159,612
    From related orgs
    $0
    Other
    $15,961
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,442
    Bonus
    $7,170
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,961
    Filer's total
    $175,573
  • Stephen D Rembelski

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $170,561
    From this org
    $155,055
    From related orgs
    $0
    Other
    $15,506
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $147,774
    Bonus
    $7,281
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,506
    Filer's total
    $170,561
  • S Max Smith

    PHYSICIAN ASSISTANT

    Total calculated
    $163,560
    From this org
    $148,691
    From related orgs
    $0
    Other
    $14,869
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,807
    Bonus
    $6,884
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,869
    Filer's total
    $163,560
  • M Chad Banks

    PHYSICIAN ASSISTANT

    Total calculated
    $149,306
    From this org
    $135,733
    From related orgs
    $0
    Other
    $13,573
    Hours/week
    40
  • Sharlene Miller

    CHIEF FINANCIAL OFFICER

    Total calculated
    $90,684
    From this org
    $82,440
    From related orgs
    $0
    Other
    $8,244
    Hours/week
    40 + 4.5 related
  • JD Bennetts

    CHAIR

    Total calculated
    $0
    Hours/week
    1.5 + 0.75 related
  • Robert Boren

    VICE CHAIR & DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2 + 0.75 related
  • Raynae Chamberlain

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    1.2 + 0.6 related
  • Corinne Jones

    SECRETARY

    Total calculated
    $0
    Hours/week
    1.2
  • Teila Leuzinger

    TREASURER

    Total calculated
    $0
    Hours/week
    1.5 + 0.6 related
  • Shelbie Bryant

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2 + 0.6 related
  • Jen Butterfield

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2
  • Matt Cahoon

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2
  • Betsy Doughty

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2 + 0.6 related
  • Stephanie Strand

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2 + 0.6 related
  • Rayna Westergard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 5
ALL EMPLOYEES PARTICIPATE IN AN INCENTIVE COMPENSATION PROGRAM. REVENUE-RELATED GOALS COMPRISE 25 PERCENT OF THE INCENTIVE COMPENSATION DETERMINATION. PATIENT SATISFACTION, QUALITY MEASURES AND PATIENT VOLUME COMPRISE THE OTHER 75 PERCENT. THE INCENTIVE COMPENSATION AMOUNTS CAN BE UP TO 5 PERCENT OF EACH INDIVIDUAL'S TOTAL COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • NORTH CUSTER HOSPITAL DISTRICT

    115 · EMERGENCY & PRIMARY HEALTHCARE · ID

Provenance

Return type
form_990
Tax year
2022
Filed
30 July 2024
IRS schema version
2022v5.0
Source object
202422159349301007

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