Totals
- Total revenue
- $30,938,673
- Total expenses
- $29,668,667
- Contributions and grants received
- $1,490,784
- Grants paid
- $0
- Program service revenue
- $29,242,009
- Investment income
- $109,549
- Other revenue
- $96,331
- Total assets, end of year
- $32,052,568
- Total liabilities, end of year
- $10,949,723
- Net assets or fund balances, end of year
- $21,102,845
- Program services expenses (Part IX)
- $25,897,240
- Management and general expenses
- $3,771,427
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $25,897,240
Program services were 87.3% 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
$55,000
-
1e · Government grants (contributions)
$1,435,784
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $28,626,131 · related or exempt $28,626,131
-
2b · Program service revenue: 340(B) PHARMACY REVENUE
total $516,233 · related or exempt $516,233
-
2c · Program service revenue: JOINT VENTURE MRI INCOME
total $72,083 · related or exempt $72,083
-
2d · Program service revenue: MOB RENTAL
total $23,942 · related or exempt $23,942
-
2e · Program service revenue: MEDICAL RECORDS
total $3,620 · excluded $3,620
-
3 · Investment income
total $317,724 · excluded $317,724
-
6a · Gross rents
real property $10,775
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $10,775
-
6d · Net rental income or loss
total $10,775 · excluded $10,775
-
7a · Gross sales of assets other than inventory
securities $1,905,341 · other assets $1,500
-
7b · Less cost or other basis and sales expenses
securities $2,115,016 · other assets $0
-
7c · Gain or loss
securities -$209,675 · other assets $1,500
-
7d · Net gain or loss
total -$208,175 · excluded -$208,175
-
11a · Other revenue: CAFETERIA REVENUE
total $70,926 · excluded $70,926
-
11d · All other revenue
total $14,630 · excluded $14,630
-
11e · Other revenue, total
$85,556
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $824,993 · program services $337,529 · management and general $487,464
-
7 · Other salaries and wages
total $13,818,045 · program services $12,423,840 · management and general $1,394,205
-
8 · Pension plan contributions
total $176,815 · program services $149,707 · management and general $27,108
-
9 · Other employee benefits
total $1,541,183 · program services $1,358,741 · management and general $182,442
-
10 · Payroll taxes
total $1,257,877 · program services $1,138,580 · management and general $119,297
-
11b · Fees: legal
total $24,950 · program services $318 · management and general $24,632
-
11c · Fees: accounting
total $53,254 · management and general $53,254
-
11d · Fees: lobbying
total $8,739 · management and general $8,739
-
11g · Fees: other
total $4,153,671 · program services $3,675,853 · management and general $477,818
-
13 · Office expenses
total $738,282 · program services $648,375 · management and general $89,907
-
14 · Information technology
total $44,678 · program services $40,421 · management and general $4,257
-
16 · Occupancy
total $486,628 · program services $322,322 · management and general $164,306
-
17 · Travel
total $132,570 · program services $114,070 · management and general $18,500
-
20 · Interest
total $269,755 · program services $269,755
-
22 · Depreciation, depletion and amortization
total $761,290 · program services $524,220 · management and general $237,070
-
23 · Insurance
total $289,298 · program services $289,298
-
24a · Other expenses: MEDICAL SUPPLIES & DRUG
total $3,778,818 · program services $3,721,780 · management and general $57,038
-
24b · Other expenses: BAD DEBT
total $533,154 · program services $533,154
-
24c · Other expenses: LICENSES & TAXES
total $513,551 · program services $263,482 · management and general $250,069
-
24d · Other expenses: RECRUITMENT
total $112,898 · program services $21,324 · management and general $91,574
-
24e · All other expenses
total $148,218 · program services $64,471 · management and general $83,747
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $15,114,369 · end of year $11,980,717
-
4 · Accounts receivable
beginning of year $3,233,150 · end of year $3,788,556
-
7 · Other notes and loans receivable
beginning of year $285,372 · end of year $377,985
-
8 · Inventories for sale or use
beginning of year $1,540,697 · end of year $1,576,161
-
9 · Prepaid expenses and deferred charges
beginning of year $33,165 · end of year $173,863
-
10a · Land, buildings and equipment: cost or other basis
$19,334,531
-
10b · Land, buildings and equipment: accumulated depreciation
$14,853,351
-
10c · Land, buildings and equipment, net
beginning of year $3,926,426 · end of year $4,481,180
-
11 · Investments: publicly traded securities
beginning of year $8,827,388 · end of year $7,593,477
-
15 · Other assets
beginning of year $2,047,506 · end of year $2,080,629
-
17 · Accounts payable and accrued expenses
beginning of year $3,498,971 · end of year $3,907,487
-
19 · Deferred revenue
beginning of year $1,203,737 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $6,013,668 · end of year $5,877,735
-
25 · Other liabilities
beginning of year $3,249,149 · end of year $1,164,501
-
27 · Net assets without donor restrictions
beginning of year $20,743,586 · end of year $20,837,810
-
28 · Net assets with donor restrictions
beginning of year $298,962 · end of year $265,035
Mission and programs · 2022
Mission
CLARK FORK VALLEY HOSPITAL AND FAMILY MEDICINE NETWORK WILL PARTNER WITH OUR COMMUNITIES TO IMPROVE THE HEALTH OF THOSE WE SERVE.
Activities or mission (Part I)
CLARK FORK VALLEY HOSPITAL AND FAMILY MEDICINE NETWORK IS A 16-BED CRITICAL ACCESS FACILITY SERVING THE RESIDENTS OF SANDERS COUNTY AND THE SURROUNDING AREA SINCE 1971 (INCORPORATED IN 1992).
-
THE HOSPITAL PROVIDED 1,365 DAYS OF ACUTE CARE SERVICES AND 8,143 DAYS OF SKILLED NURSING CARE. IN ADDITION, THE HOSPITAL PROVIDED 7,818 OBSERVATION HOURS, 18,169 RURAL HEALTH CLINIC VISITS, AND 3,299 HOME HEALTH VISITS. THE HOSPITAL PROVIDED $521,181 IN CHARITABLE SERVICES TO PATIENTS UNABLE TO PAY FOR HEALTH CARE SERVICES. HOSPITAL SERVICES INCLUDE ACUTE CARE, SWINGBED, SKILLED NURSING, EMERGENCY CARE, OBSTETRICS, LABORATORY, RADIOLOGY, PHARMACY, RESPIRATORY THERAPY, EKG, ULTRASOUND, CT SCANNER, DIABETES MANAGEMENT, SURGERY, HOME HEALTH AND HOSPICE.THE HOSPITAL CONTINUED ITS WORK WITH THE NATIONAL RURAL ACO AND EXPERIENCED SUCCESS THROUGH CARE COORDINATION AND FOCUSED QUALITY IMPROVEMENT EFFORTS IN PURSUIT OF MEDICARE SHARED SAVINGS.
Expenses $25,897,240 · Revenue $29,238,389
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Gregory Hanson MDGREGORY HANSON MD
PRESIDENT/CEO
- Total calculated
- $312,759
- From this org
- $268,842
- From related orgs
- $0
- Other
- $43,917
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $262,947
- Bonus
- $5,895
- Other
- $0
- Deferred
- $8,512
- Nontaxable benefits
- $35,405
- Filer's total
- $312,759
-
Carla NeimanCARLA NEIMAN
CFO
- Total calculated
- $174,705
- From this org
- $161,321
- From related orgs
- $0
- Other
- $13,384
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $157,757
- Bonus
- $3,564
- Other
- $0
- Deferred
- $5,063
- Nontaxable benefits
- $8,321
- Filer's total
- $174,705
-
Michael R BaxterMICHAEL R BAXTER
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Jessica Valentine MDJESSICA VALENTINE MD
CHIEF OF STAFF
- Total calculated
- $337,529
- From this org
- $302,400
- From related orgs
- $0
- Other
- $35,129
- Hours/week
- 20
Schedule J breakdown matched by us
- Base
- $302,400
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $25,979
- Filer's total
- $337,529
-
Denise BensonDENISE BENSON
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Bina EggenspergerBINA EGGENSPERGER
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
James GillhouseJAMES GILLHOUSE
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Virginia HollandVIRGINIA HOLLAND
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Devin HuntleyDEVIN HUNTLEY
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Erin McCarthyERIN MCCARTHY
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Darren HerzogDARREN HERZOG
M.D.
- Total calculated
- $516,692
- From this org
- $490,970
- From related orgs
- $0
- Other
- $25,722
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $490,970
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $25,722
- Filer's total
- $516,692
-
Richard IngleRICHARD INGLE
M.D.
- Total calculated
- $274,836
- From this org
- $258,332
- From related orgs
- $0
- Other
- $16,504
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $233,332
- Bonus
- $25,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $16,504
- Filer's total
- $274,836
-
Jeanne WilliamsJEANNE WILLIAMS
M.D.
- Total calculated
- $246,852
- From this org
- $225,205
- From related orgs
- $0
- Other
- $21,647
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $225,205
- Bonus
- $0
- Other
- $0
- Deferred
- $6,900
- Nontaxable benefits
- $14,747
- Filer's total
- $246,852
-
Barry FowlerBARRY FOWLER
DIRECTOR HR/ENV/PLANT/DIETARY
- Total calculated
- $154,580
- From this org
- $135,452
- From related orgs
- $0
- Other
- $19,128
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $132,438
- Bonus
- $3,014
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $19,128
- Filer's total
- $154,580
-
Lisa EberhardtLISA EBERHARDT
DIRECTOR OF NURSING
- Total calculated
- $161,044
- From this org
- $139,222
- From related orgs
- $0
- Other
- $21,822
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $135,781
- Bonus
- $3,441
- Other
- $0
- Deferred
- $600
- Nontaxable benefits
- $21,222
- Filer's total
- $161,044
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.
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.
-
CLARK FORK VALLEY HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING FOR CLARK FORK VALLEY HOSPITAL · MT · controlled entity
Directly controlled by CLARK FORK VALLEY HOSPITAL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343049349302144
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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