Totals
- Total revenue
- $23,142,657
- Total expenses
- $24,087,433
- Contributions and grants received
- $36,786
- Grants paid
- $0
- Program service revenue
- $22,826,783
- Investment income
- $77,087
- Other revenue
- $202,001
- Total assets, end of year
- $20,024,821
- Total liabilities, end of year
- $2,002,038
- Net assets or fund balances, end of year
- $18,022,783
- Program services expenses (Part IX)
- $19,244,862
- Management and general expenses
- $4,842,571
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $19,244,862
Program services were 79.9% 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.
-
1e · Government grants (contributions)
$36,786
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $22,826,783 · related or exempt $22,826,783
-
3 · Investment income
total $103,561 · excluded $103,561
-
6a · Gross rents
real property $11,818
-
6c · Rental income or loss
real property $11,818
-
6d · Net rental income or loss
total $11,818 · excluded $11,818
-
7a · Gross sales of assets other than inventory
securities $814,526
-
7b · Less cost or other basis and sales expenses
securities $841,000
-
7c · Gain or loss
securities -$26,474
-
7d · Net gain or loss
total -$26,474 · excluded -$26,474
-
11a · Other revenue: OTHER
total $140,853 · excluded $140,853
-
11b · Other revenue: CAFETERIA
total $49,330 · excluded $49,330
-
11e · Other revenue, total
$190,183
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $618,166 · management and general $618,166
-
7 · Other salaries and wages
total $11,273,974 · program services $9,707,010 · management and general $1,566,964
-
8 · Pension plan contributions
total $599,302 · program services $500,124 · management and general $99,178
-
9 · Other employee benefits
total $1,102,098 · program services $909,170 · management and general $192,928
-
10 · Payroll taxes
total $921,441 · program services $753,521 · management and general $167,920
-
11b · Fees: legal
total $15,935 · management and general $15,935
-
11c · Fees: accounting
total $145,919 · management and general $145,919
-
11g · Fees: other
total $3,992,238 · program services $2,696,712 · management and general $1,295,526
-
12 · Advertising and promotion
total $52,112 · management and general $52,112
-
13 · Office expenses
total $446,352 · program services $260,184 · management and general $186,168
-
16 · Occupancy
total $318,007 · program services $289,513 · management and general $28,494
-
17 · Travel
total $150,594 · program services $64,491 · management and general $86,103
-
20 · Interest
total $136 · management and general $136
-
22 · Depreciation, depletion and amortization
total $1,018,016 · program services $926,805 · management and general $91,211
-
23 · Insurance
total $157,383 · program services $85,664 · management and general $71,719
-
24a · Other expenses: MEDICAL SUPPLIES & DRUGS
total $2,625,634 · program services $2,625,634
-
24b · Other expenses: REPAIRS & MAINTENANCE
total $371,507 · program services $358,981 · management and general $12,526
-
24e · All other expenses
total $278,619 · program services $67,053 · management and general $211,566
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,761,391 · end of year $514,085
-
2 · Savings and temporary cash investments
beginning of year $5,454,730 · end of year $91,460
-
4 · Accounts receivable
beginning of year $3,690,852 · end of year $4,175,413
-
8 · Inventories for sale or use
beginning of year $350,059 · end of year $385,083
-
9 · Prepaid expenses and deferred charges
beginning of year $326,439 · end of year $353,890
-
10a · Land, buildings and equipment: cost or other basis
$10,797,252
-
10b · Land, buildings and equipment: accumulated depreciation
$1,422,962
-
10c · Land, buildings and equipment, net
beginning of year $9,072,356 · end of year $9,374,290
-
11 · Investments: publicly traded securities
end of year $4,283,535
-
15 · Other assets
beginning of year $512,752 · end of year $847,065
-
17 · Accounts payable and accrued expenses
beginning of year $2,000,029 · end of year $2,002,038
-
25 · Other liabilities
beginning of year $119,000
-
27 · Net assets without donor restrictions
beginning of year $19,049,550 · end of year $18,022,783
Mission and programs · 2022
Mission
TO PROVIDE HOSPITAL SERVICES TO THE RESIDENTS OF CARIBOU COUNTY, IDAHO AND THE SURROUNDING COMMUNITY.
-
CARIBOU MEDICAL CENTER (CMC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND THREE HEALTH CLINICS. CMC PROVIDED 1,402 DAYS OF INPATIENT SERVICES, 16,548 OUTPATIENT VISITS, 2,339 EMERGENCY VISITS, 29 BIRTHS, AND 12,824 CLINIC VISITS. CMC TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY PROVIDING 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 92,048 FOR CHARITY CARE, 2,472,271 FOR MEDICAID, 4,990,263 FOR MEDICARE, AND 3,070,547 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR.
Expenses $19,244,862 · Revenue $22,826,783
As filed on the 2022 return.
Listed in Part VII
-
Gregory JensenGREGORY JENSEN
PHYSICIAN
- Total calculated
- $542,738
- From this org
- $516,925
- From related orgs
- $0
- Other
- $25,813
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $516,925
- Bonus
- not reported
- Other
- not reported
- Deferred
- $20,500
- Nontaxable benefits
- $5,313
- Filer's total
- $542,738
-
John FransonJOHN FRANSON
PHYSICIAN
- Total calculated
- $500,603
- From this org
- $478,293
- From related orgs
- $0
- Other
- $22,310
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $478,293
- Bonus
- not reported
- Other
- not reported
- Deferred
- $21,362
- Nontaxable benefits
- $948
- Filer's total
- $500,603
-
Jonathan HousleyJONATHAN HOUSLEY
PHYSICIAN/CM
- Total calculated
- $393,382
- From this org
- $351,605
- From related orgs
- $0
- Other
- $41,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $351,605
- Bonus
- not reported
- Other
- not reported
- Deferred
- $24,320
- Nontaxable benefits
- $17,457
- Filer's total
- $393,382
-
Alan RobinsonALAN ROBINSON
CFO
- Total calculated
- $320,326
- From this org
- $320,326
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $320,326
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $320,326
-
Christina ThomasCHRISTINA THOMAS
PRESIDENT/CE
- Total calculated
- $297,840
- From this org
- $275,889
- From related orgs
- $0
- Other
- $21,951
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $275,889
- Bonus
- not reported
- Other
- not reported
- Deferred
- $12,273
- Nontaxable benefits
- $9,678
- Filer's total
- $297,840
-
Joshua TormanJOSHUA TORMAN
PHYSICIAN
- Total calculated
- $278,738
- From this org
- $241,796
- From related orgs
- $0
- Other
- $36,942
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $241,796
- Bonus
- not reported
- Other
- not reported
- Deferred
- $20,228
- Nontaxable benefits
- $16,714
- Filer's total
- $278,738
-
David EdwardsDAVID EDWARDS
PHYSICIAN AS
- Total calculated
- $260,755
- From this org
- $230,936
- From related orgs
- $0
- Other
- $29,819
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $230,936
- Bonus
- not reported
- Other
- not reported
- Deferred
- $17,744
- Nontaxable benefits
- $12,075
- Filer's total
- $260,755
-
Wesley BrownWESLEY BROWN
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Tracie EricksonTRACIE ERICKSON
SECRETARY/TR
- Total calculated
- $0
- Hours/week
- 1
-
Craig MansfieldCRAIG MANSFIELD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Lorraine MyersLORRAINE MYERS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Curtis TooneCURTIS TOONE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
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 · Written employment contract
- 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
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313159349302116
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