Skip to content
Nonprofiteer
← CLEARWATER VALLEY HOSPITAL & CLINICS INC

Form 990 for tax year 2023

Filed by CLEARWATER VALLEY HOSPITAL & CLINICS INC.

Totals

Total revenue
$25,984,793
Total expenses
$23,775,111
Contributions and grants received
$360,473
Grants paid
$27,861
Program service revenue
$25,379,510
Investment income
$119,470
Other revenue
$125,340
Total assets, end of year
$18,948,139
Total liabilities, end of year
$3,461,874
Net assets or fund balances, end of year
$15,486,265
Program services expenses (Part IX)
$17,539,788
Management and general expenses
$6,227,886
Fundraising expenses
$7,437
Program service expenses (Part III)
$17,539,788

Program services were 73.8% 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

    $8,830

  • 1e · Government grants (contributions)

    $258,616

  • 1f · All other contributions, gifts and grants

    $93,027

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $25,278,260 · related or exempt $25,278,260

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

    total $101,250 · related or exempt $101,250

  • 3 · Investment income

    total $117,888 · excluded $117,888

  • 6a · Gross rents

    real property $10,000

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $10,000

  • 6d · Net rental income or loss

    total $10,000 · excluded $10,000

  • 7a · Gross sales of assets other than inventory

    securities $24,000

  • 7b · Less cost or other basis and sales expenses

    securities $22,418

  • 7c · Gain or loss

    securities $1,582

  • 7d · Net gain or loss

    total $1,582 · excluded $1,582

  • 11a · Other revenue: MEDICARE SHARED SAVINGS

    total $100,994 · excluded $100,994

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $14,346 · excluded $14,346

  • 11e · Other revenue, total

    $115,340

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $27,861 · program services $27,861

  • 5 · Compensation of officers, directors and key employees

    total $635,830 · program services $414,767 · management and general $221,063

  • 7 · Other salaries and wages

    total $13,185,578 · program services $9,839,236 · management and general $3,339,826 · fundraising $6,516

  • 8 · Pension plan contributions

    total $353,217 · program services $226,670 · management and general $126,441 · fundraising $106

  • 9 · Other employee benefits

    total $743,086 · program services $476,861 · management and general $266,002 · fundraising $223

  • 10 · Payroll taxes

    total $1,001,375 · program services $642,613 · management and general $358,462 · fundraising $300

  • 11c · Fees: accounting

    total $22,379 · management and general $22,379

  • 11d · Fees: lobbying

    total $1,208 · management and general $1,208

  • 11f · Fees: investment management

    total $206 · management and general $206

  • 11g · Fees: other

    total $2,483,273 · program services $1,829,220 · management and general $654,053

  • 12 · Advertising and promotion

    total $66,078 · management and general $66,078

  • 13 · Office expenses

    total $237,292 · program services $95,835 · management and general $141,457

  • 14 · Information technology

    total $161,268 · program services $103,491 · management and general $57,729 · fundraising $48

  • 16 · Occupancy

    total $195,435 · program services $125,416 · management and general $69,960 · fundraising $59

  • 17 · Travel

    total $86,539 · program services $56,966 · management and general $29,573

  • 20 · Interest

    total $49,705 · management and general $49,705

  • 22 · Depreciation, depletion and amortization

    total $869,640 · program services $554,028 · management and general $315,449 · fundraising $163

  • 23 · Insurance

    total $90,720 · program services $62,469 · management and general $28,251

  • 24a · Other expenses: PHARMACEUTICALS

    total $930,318 · program services $930,318

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $814,476 · program services $814,476

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $656,953 · program services $422,362 · management and general $234,591

  • 24d · Other expenses: BAD DEBT

    total $488,130 · program services $488,130

  • 24e · All other expenses

    total $674,544 · program services $429,069 · management and general $245,453 · fundraising $22

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,961,530 · end of year $1,009,528

  • 2 · Savings and temporary cash investments

    beginning of year $2,011,175 · end of year $3,638,573

  • 3 · Pledges and grants receivable

    beginning of year $78,211 · end of year $77,442

  • 4 · Accounts receivable

    beginning of year $3,220,162 · end of year $3,392,076

  • 7 · Other notes and loans receivable

    beginning of year $16,000 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $225,373 · end of year $350,879

  • 9 · Prepaid expenses and deferred charges

    beginning of year $350,287 · end of year $236,247

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

    $20,300,258

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

    $11,422,008

  • 10c · Land, buildings and equipment, net

    beginning of year $9,524,826 · end of year $8,878,250

  • 12 · Investments: other securities

    beginning of year $998,737 · end of year $1,088,770

  • 15 · Other assets

    beginning of year $472,350 · end of year $276,374

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,795,189 · end of year $1,718,244

  • 19 · Deferred revenue

    beginning of year $2,694 · end of year $677

  • 23 · Secured mortgages and notes payable

    beginning of year $1,319,887 · end of year $844,873

  • 25 · Other liabilities

    beginning of year $2,504,107 · end of year $898,080

  • 27 · Net assets without donor restrictions

    beginning of year $13,236,774 · end of year $15,486,265

Mission and programs · 2023

Mission

TO IMPROVE HEALTH ONE PATIENT AT A TIME IN A FRIENDLY AND PROFESSIONAL CULTURE COMMITTED TO SUPERIOR QUALITY AND SAFETY.

  • CLEARWATER VALLEY HOSPITAL AND CLINICS (CVHC) IS CREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND CONDUCT, DIRECTLY OR INDIRECTLY, AND TO ASSIST AND COORDINATE ACTIVITIES OF FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE AGED AND SOCIAL SERVICES, INCLUDING CHARITABLE CARE TO PERSONS UNABLE TO PAY. CVHC OPERATES A 23-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM PATIENTS IN CLEARWATER COUNTY AND THE SURROUNDING AREAS AND PRIMARY CARE CLINICS IN OROFINO AND PIERCE. CVHC PROVIDED 2,032 HOSPITAL PATIENT DAYS, 14,305 OUTPATIENT VISITS, 4,060 ER VISITS, AND 18,788 CLINIC ENCOUNTERS DURING THE YEAR. CONTINUED ON SCHEDULE O...CVHC 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 $48,200 FOR CHARITY CARE, $6,691,405 FOR MEDICARE, $3,401,560 FOR MEDICAID, AND $3,263,290 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR.

    Expenses $17,539,788 · Grants $27,861 · Revenue $25,379,510

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Cindy O'Brien

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kim Ingram

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Christina Ulmer

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kelly McGrath

    DIRECTOR/CMO

    Total calculated
    $350,556
    From this org
    $328,919
    From related orgs
    $0
    Other
    $21,637
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $316,206
    Bonus
    $1,765
    Other
    $10,948
    Deferred
    $12,241
    Nontaxable benefits
    $9,396
    Filer's total
    $350,556

  • Matt Sartini

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Paul Nusser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sister Lisa Maurer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rene Forsman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jeremy Evans

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sister Barbara Jean Glodowski

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Mark Imus

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Christopher Riggers

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lenne Bonner

    PRESIDENT/CEO

    Total calculated
    $304,775
    From this org
    $0
    From related orgs
    $281,018
    Other
    $23,757
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,018 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,657 related
    Nontaxable benefits
    $0 + $10,100 related
    Filer's total
    $0 + $304,775 related

  • Jyl Ruland

    CFO

    Total calculated
    $177,646
    From this org
    $161,779
    From related orgs
    $0
    Other
    $15,867
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    $161,779
    Bonus
    $0
    Other
    $0
    Deferred
    $6,471
    Nontaxable benefits
    $9,396
    Filer's total
    $177,646

  • Karin Schmidova

    SURGEON

    Total calculated
    $402,992
    From this org
    $381,301
    From related orgs
    $0
    Other
    $21,691
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $381,051
    Bonus
    $250
    Other
    $0
    Deferred
    $12,295
    Nontaxable benefits
    $9,396
    Filer's total
    $402,992

  • Shelly Frayser

    PHYSICIAN

    Total calculated
    $381,899
    From this org
    $363,416
    From related orgs
    $0
    Other
    $18,483
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $363,416
    Bonus
    $0
    Other
    $0
    Deferred
    $9,141
    Nontaxable benefits
    $9,342
    Filer's total
    $381,899

  • Rebecca Katzman

    PHYSICIAN

    Total calculated
    $376,239
    From this org
    $358,084
    From related orgs
    $0
    Other
    $18,155
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,563
    Bonus
    $82,306
    Other
    $9,215
    Deferred
    $8,759
    Nontaxable benefits
    $9,396
    Filer's total
    $376,239

  • Colleen Sholar

    PHYSICIAN

    Total calculated
    $369,630
    From this org
    $348,533
    From related orgs
    $0
    Other
    $21,097
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,404
    Bonus
    $93,601
    Other
    $9,528
    Deferred
    $12,093
    Nontaxable benefits
    $9,004
    Filer's total
    $369,630

  • Ann Lima

    PHYSICIAN

    Total calculated
    $278,980
    From this org
    $259,397
    From related orgs
    $0
    Other
    $19,583
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,019
    Bonus
    $40,944
    Other
    $4,434
    Deferred
    $10,187
    Nontaxable benefits
    $9,396
    Filer's total
    $278,980

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 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 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

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • KOOTENAI URGENT CARE LLC

    MEDICAL · ID

  • KOOTENAI OUTPATIENT SURGERY

    SURGERY · ID

  • KOOTENAI OUTPATIENT IMAGING

    IMAGING · ID

Provenance

Return type
form_990
Tax year
2023
Filed
13 August 2024
IRS schema version
2023v5.1
Source object
202422539349300232

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.