Totals
- Total revenue
- $3,247,372
- Total expenses
- $2,930,837
- Contributions and grants received
- $1,096,809
- Grants paid
- $0
- Program service revenue
- $2,097,071
- Investment income
- $43,134
- Other revenue
- $10,358
- Total assets, end of year
- $5,002,366
- Total liabilities, end of year
- $182,945
- Net assets or fund balances, end of year
- $4,819,421
- Program services expenses (Part IX)
- $2,560,191
- Management and general expenses
- $370,646
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,560,191
Program services were 87.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
STEPHEN D REMBELSKI
CHIEF EXECUTIVE OFFICER
- Total calculated
- $197,648
- From this org
- $173,521
- From related orgs
- $0
- Other
- $24,127
- Hours/week
- 40 + 10 related
Schedule J breakdown matched by us
- Base
- $168,339
- Bonus
- $5,182
- Other
- $0
- Deferred
- $5,091
- Nontaxable benefits
- $19,036
- Filer's total
- $197,648
-
THOMAS FIFE
PHYSICIAN ASSISTANT
- Total calculated
- $194,681
- From this org
- $161,137
- From related orgs
- $0
- Other
- $33,544
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $157,141
- Bonus
- $3,996
- Other
- $0
- Deferred
- $4,738
- Nontaxable benefits
- $28,806
- Filer's total
- $194,681
-
MILES HAEBERLE
PHYSICIAN ASSISTANT
- Total calculated
- $189,622
- From this org
- $155,878
- From related orgs
- $0
- Other
- $33,744
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $151,146
- Bonus
- $4,732
- Other
- $0
- Deferred
- $4,714
- Nontaxable benefits
- $29,030
- Filer's total
- $189,622
-
S MAX SMITH
PHYSICIAN ASSISTANT
- Total calculated
- $185,701
- From this org
- $142,572
- From related orgs
- $0
- Other
- $43,129
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $138,337
- Bonus
- $4,235
- Other
- $0
- Deferred
- $4,359
- Nontaxable benefits
- $38,770
- Filer's total
- $185,701
-
M CHAD BANKS
PHYSICIAN ASSISTANT
- Total calculated
- $179,647
- From this org
- $140,127
- From related orgs
- $0
- Other
- $39,520
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $137,138
- Bonus
- $2,989
- Other
- $0
- Deferred
- $4,624
- Nontaxable benefits
- $34,896
- Filer's total
- $179,647
-
SHARLENE MILLER
CHIEF FINANCIAL OFFICER
- Total calculated
- $133,802
- From this org
- $92,518
- From related orgs
- $0
- Other
- $41,284
- Hours/week
- 40 + 5 related
-
JD BENNETTS
CHAIR
- Total calculated
- $0
- Hours/week
- 1.5 + 0.75 related
-
RAYNAE CHAMBERLAIN
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1.2 + 0.6 related
-
TEILA LEUZINGER
TREASURER
- Total calculated
- $0
- Hours/week
- 1.5 + 0.6 related
-
CORINNE JONES
SECRETARY
- Total calculated
- $0
- Hours/week
- 1.2
-
ROBERT BOREN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.2 + 0.75 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
-
SHELLY HELM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.2
-
STEPHANIE STRAND
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.2 + 0.6 related
-
RAYNA WESTERGARD
DIRECTOR (THROUGH APRIL 2024)
- 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
- 2023
- Filed
- 17 July 2025
- IRS schema version
- 2023v6.0
- Source object
- 202512029349301316
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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