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Nonprofiteer
← KOOTENAI HEALTH INC

Form 990 for tax year 2025

Filed by KOOTENAI HEALTH INC.

Totals

Total revenue
$1,175,246,868
Total expenses
$1,111,740,802
Contributions and grants received
$2,256,685
Grants paid
$157,834
Program service revenue
$1,136,773,512
Investment income
$10,390,462
Other revenue
$25,826,209
Total assets, end of year
$960,781,692
Total liabilities, end of year
$305,077,627
Net assets or fund balances, end of year
$655,704,065
Program services expenses (Part IX)
$933,968,040
Management and general expenses
$177,772,762
Fundraising expenses
$0
Program service expenses (Part III)
$933,968,040

Program services were 84.0% 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)

    $668,279

  • 1f · All other contributions, gifts and grants

    $1,588,406

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $913,343,938 · related or exempt $913,343,938

  • 2b · Program service revenue: PHARMACY REVENUE

    total $221,929,574 · related or exempt $221,929,574

  • 2c · Program service revenue: FEE FOR SERVICE

    total $1,500,000 · related or exempt $1,500,000

  • 3 · Investment income

    total $15,737,108 · excluded $15,737,108

  • 6a · Gross rents

    real property $1,841,571

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,841,571

  • 6d · Net rental income or loss

    total $1,841,571 · excluded $1,841,571

  • 7a · Gross sales of assets other than inventory

    securities $914,999

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

    securities $6,238,891 · other assets $22,754

  • 7c · Gain or loss

    securities -$5,323,892 · other assets -$22,754

  • 7d · Net gain or loss

    total -$5,346,646 · excluded -$5,346,646

  • 11a · Other revenue: OTHER REVENUE

    total $18,932,663 · related or exempt $18,932,663

  • 11b · Other revenue: MEDICARE SHARED SAVINGS

    total $3,707,565 · related or exempt $3,707,565

  • 11c · Other revenue: EQUITY EARNINGS IN JOINT VENTURES

    total $1,344,410 · related or exempt $1,344,410

  • 11e · Other revenue, total

    $23,984,638

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $157,834 · program services $157,834

  • 5 · Compensation of officers, directors and key employees

    total $2,073,410 · management and general $2,073,410

  • 7 · Other salaries and wages

    total $457,127,322 · program services $372,592,337 · management and general $84,534,985

  • 8 · Pension plan contributions

    total $13,997,180 · program services $11,375,827 · management and general $2,621,353

  • 9 · Other employee benefits

    total $65,398,802 · program services $53,114,408 · management and general $12,284,394

  • 10 · Payroll taxes

    total $32,828,709 · program services $26,641,188 · management and general $6,187,521

  • 11b · Fees: legal

    total $982,418 · management and general $982,418

  • 11c · Fees: accounting

    total $274,982 · management and general $274,982

  • 11f · Fees: investment management

    total $402,153 · management and general $402,153

  • 11g · Fees: other

    total $58,329,402 · program services $43,597,765 · management and general $14,731,637

  • 12 · Advertising and promotion

    total $2,151,841 · program services $16,583 · management and general $2,135,258

  • 13 · Office expenses

    total $9,177,248 · program services $3,883,140 · management and general $5,294,108

  • 14 · Information technology

    total $15,534,664 · program services $832,063 · management and general $14,702,601

  • 16 · Occupancy

    total $7,120,335 · program services $6,804,688 · management and general $315,647

  • 17 · Travel

    total $502,574 · program services $382,103 · management and general $120,471

  • 20 · Interest

    total $7,130,270 · program services $6,188,683 · management and general $941,587

  • 22 · Depreciation, depletion and amortization

    total $35,272,130 · program services $30,614,273 · management and general $4,657,857

  • 23 · Insurance

    total $4,273,602 · program services $3,709,252 · management and general $564,350

  • 24a · Other expenses: PHARMACEUTICALS

    total $215,930,170 · program services $215,811,132 · management and general $119,038

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $108,362,162 · program services $108,236,155 · management and general $126,007

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $38,161,280 · program services $33,977,191 · management and general $4,184,089

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $19,831,436 · program services $2,651,787 · management and general $17,179,649

  • 24e · All other expenses

    total $16,720,878 · program services $13,381,631 · management and general $3,339,247

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $18,407 · end of year $19,216

  • 2 · Savings and temporary cash investments

    beginning of year $104,256,950 · end of year $178,078,886

  • 4 · Accounts receivable

    beginning of year $132,320,690 · end of year $123,397,254

  • 8 · Inventories for sale or use

    beginning of year $23,073,070 · end of year $30,723,414

  • 9 · Prepaid expenses and deferred charges

    beginning of year $20,998,838 · end of year $25,706,479

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

    $623,211,383

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

    $377,578,241

  • 10c · Land, buildings and equipment, net

    beginning of year $262,806,142 · end of year $245,633,142

  • 11 · Investments: publicly traded securities

    beginning of year $230,840,700 · end of year $246,737,392

  • 14 · Intangible assets

    beginning of year $6,289,093 · end of year $6,015,999

  • 15 · Other assets

    beginning of year $109,937,924 · end of year $104,469,910

  • 17 · Accounts payable and accrued expenses

    beginning of year $109,122,459 · end of year $116,909,218

  • 19 · Deferred revenue

    beginning of year $4,650 · end of year $14,967

  • 20 · Tax-exempt bond liabilities

    beginning of year $99,477,134 · end of year $96,622,134

  • 23 · Secured mortgages and notes payable

    beginning of year $50,719,061 · end of year $41,216,778

  • 25 · Other liabilities

    beginning of year $60,276,614 · end of year $50,314,530

  • 27 · Net assets without donor restrictions

    beginning of year $554,679,927 · end of year $636,797,169

  • 28 · Net assets with donor restrictions

    beginning of year $16,261,969 · end of year $18,906,896

Mission and programs · 2025

Mission

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

Activities or mission (Part I)

KOOTENAI HEALTH PROMOTES COMMUNITY HEALTH THROUGH AN OPEN MEDICAL STAFF, A COMMUNITY-BASED BOARD, AND REINVESTMENT OF SURPLUS FUNDS INTO HEALTH PROGRAMS, FACILITY IMPROVEMENTS, AND TARGETED SUPPORT FOR RURAL AND UNDERSERVED AREAS. THE HOSPITAL IMPLEMENTS INITIATIVES IN PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND HEALTH EDUCATION FOR UNDERSERVED POPULATIONS.

  • KOOTENAI HEALTH PROVIDED COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. KOOTENAI HEALTH'S MAIN HOSPITAL FEATURES A CAPACITY OF 381 BEDS. THE HOSPITAL ALSO RECORDED APPROXIMATELY 83,653 INPATIENT DAYS AND 1,034,444 OUTPATIENT VISITS. SERVICES PROVIDED INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY CARE, HEART SERVICES, CANCER SERVICES, FAMILY BIRTH CENTER, ORTHOPEDIC SERVICES, AND SURGICAL SERVICES.KOOTENAI HEALTH, INC. PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED SERVICES VALUED AT APPROXIMATELY $18,263,541, ENSURING ACCESS TO NECESSARY CARE FOR UNINSURED AND UNDERINSURED PATIENTS IN THE COMMUNITY. KOOTENAI HEALTH, INC. ALSO HOSTS DOZENS OF COMMUNITY OUTREACH EVENTS WHICH COVER A VARIETY OF TOPICS INCLUDING HEART DISEASE, CANCER, AND INJURY PREVENTION.THE HOSPITAL SUPPORTED GRADUATE MEDICAL EDUCATION, NURSING EDUCATION, AND HEALTH TRAINING PROGRAMS, SERVING AS A CLINICAL SITE FOR STUDENTS AND RESIDENTS. THESE PROGRAMS HELP ENSURE A FUTURE HEALTHCARE WORKFORCE AND IMPROVE THE QUALITY OF CARE IN THE COMMUNITY.THE HOSPITAL IS ALSO DEDICATED TO PIONEERING CLINICAL RESEARCH TO IMPROVE HEALTH OUTCOMES IN OUR COMMUNITY AND BEYOND, ONE PATIENT AT A TIME. KOOTENAI HEALTH RESEARCH SERVICES CURRENTLY SUPPORTS CLINICAL TRIALS AND INVESTIGATOR-LED RESEARCH IN: CARDIOLOGY, IMAGING SERVICES, INFECTIOUS DISEASE, NEONATOLOGY, NEUROLOGY, ONCOLOGY, PRIMARY CARE/BEHAVIORAL HEALTH INTEGRATION, AND PULMONARY/CRITICAL CARE.

    Expenses $933,968,040 · Grants $157,834 · Revenue $1,160,758,150

As filed on the 2025 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dr Robert McFarland MD

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • David Bobbitt

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Teri Farr

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Dr Thomas Detar MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Elizabeth Godbehere RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Cynthia Clark RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kathleen Brodie

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Robert Colvin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Darin Hayes

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Shawn Alger-Keough

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Robert Yuditsky

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jameson Smith

    CEO

    Total calculated
    $1,281,078
    From this org
    $1,240,840
    From related orgs
    $0
    Other
    $40,238
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $968,145
    Bonus
    $267,991
    Other
    $4,704
    Deferred
    $10,350
    Nontaxable benefits
    $29,888
    Filer's total
    $1,281,078

  • Michele Bouit

    CFO

    Total calculated
    $792,331
    From this org
    $760,206
    From related orgs
    $0
    Other
    $32,125
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $545,483
    Bonus
    $191,025
    Other
    $23,698
    Deferred
    $10,377
    Nontaxable benefits
    $21,748
    Filer's total
    $792,331

  • Robert Burnett MD

    CARDIOVASCULAR SURGERY MED

    Total calculated
    $1,471,875
    From this org
    $1,449,574
    From related orgs
    $0
    Other
    $22,301
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,329,053
    Bonus
    $120,082
    Other
    $439
    Deferred
    $0
    Nontaxable benefits
    $22,301
    Filer's total
    $1,471,875

  • Erick Montero MD

    CARDIOTHORACIC SURGEON

    Total calculated
    $1,439,001
    From this org
    $1,425,357
    From related orgs
    $0
    Other
    $13,644
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,305,068
    Bonus
    $120,082
    Other
    $207
    Deferred
    $0
    Nontaxable benefits
    $13,644
    Filer's total
    $1,439,001

  • John McGowan MD

    NEUROSURGEON

    Total calculated
    $1,246,849
    From this org
    $1,234,218
    From related orgs
    $0
    Other
    $12,631
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,184,083
    Bonus
    $50,000
    Other
    $135
    Deferred
    $0
    Nontaxable benefits
    $12,631
    Filer's total
    $1,246,849

  • Tori Lennox MD

    CARDIOTHORACIC SURGEON

    Total calculated
    $1,381,020
    From this org
    $1,377,690
    From related orgs
    $0
    Other
    $3,330
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,277,373
    Bonus
    $100,227
    Other
    $90
    Deferred
    $0
    Nontaxable benefits
    $3,330
    Filer's total
    $1,381,020

  • Charles Cui MD

    CARDIOLOGIST

    Total calculated
    $1,289,036
    From this org
    $1,273,139
    From related orgs
    $0
    Other
    $15,897
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,213,033
    Bonus
    $60,000
    Other
    $106
    Deferred
    $0
    Nontaxable benefits
    $15,897
    Filer's total
    $1,289,036

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

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

PART I, LINE 1A
HOUSING STIPEND PAID TO JAMESON SMITH, TODD HOLLING AND DUKE WALKER, INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 4B
PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457F: - JAMESON SMITH - $168,502 WAS CREDITED TO HIS ACCOUNT - NO PAYOUTS DURING 2025 - MICHELE BOUIT - $98,873 WAS CREDITED TO HER ACCOUNT - NO PAYOUTS DURING 2025
PART I, LINE 2:
KOOTENAI HEALTH DOES NOT REQUIRE SUBMISSION OF EXPENSES WITH RESPECT TO HOUSING ALLOWANCES. OUR TALENT ACQUISITION TEAM KEEPS ABREAST OF RENTAL CONDITIONS IN THE LOCAL MARKET. BASED UPON THE MARKET INFORMATION, EXECUTIVES ARE OFFERED A MONTHLY STIPEND TO ASSIST THEM WITH THEIR CAREER TRANSITION TO KOOTENAI HEALTH. THE STIPEND IS ADDED TO W-2 EARNINGS FOR THE RECIPIENT AND IS GENERALLY GRANTED FOR 3-6 MONTHS.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • KOOTENAI URGENT CARE

    HEALTHCARE SERVICES · ID · income $12,265,938

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI CARE NETWORK LLC

    HEALTHCARE SERVICES · ID · income $1,551,931

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI AFFORDABLE CARE ORGANIZATION

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI ACCOUNTABLE CARE LLC

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI VALUE CARE LLC

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI CLINICS LLC

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

  • KOOTENAI HEALTH STAFFING LLC

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

  • NORTH IDAHO IMMEDIATE CARE

    HEALTHCARE SERVICES · ID

    Directly controlled by KOOTENAI HEALTH INC

Related partnerships

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

  • KOOTENAI OUTPATIENT SURGERY CENTER LLC

    RELATED · HEALTHCARE · ID · 51% owned · share of income $1,935,738

    Directly controlled by KOOTENAI HEALTH INC

Provenance

Return type
form_990
Tax year
2025
Filed
31 August 2026
IRS schema version
2025v4.2
Source object
202622439349302012

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