2026-08-17T17:15:21-05:00 2025-09-30 423603499 Eide Bailly Advisory LLC 4585 Coleman St Ste 200 Bismarck ND 585034101 990 2024-10-01 454551946 Teton Valley Health Care TETO 2083542383 120 East Howard Avenue Driggs ID 83422 Leianne Everett CEO 2083542383 2026-08-17 1 1 Lisa Chaffee P00193453 7012551091 2026-08-17 2024 2025-03-06 01:10:19Z Leianne Everett 120 East Howard Avenue Driggs ID 83422 40413003 0 X www.tvhcare.org X 2012 ID To encourage and support a healthier community. 7 7 291 7 0 0 645987 1063079 32816989 39051443 28521 30319 22111 34903 33513608 40179744 5200 0 0 0 19223828 21011406 0 0 326851 14404671 17029739 33633699 38041145 -120091 2138599 17664503 21633012 4430880 6260790 13233623 15372222 To encourage and support a healthier community. 0 0 30480800 39086346 The organization operates a critical access hospital and two rural health clinics. The hospital admitted 146 patients that spent 1,354 cumulative days on the acute floor. The emergency department experienced 3,379 visits, 690 surgical procedures, and 352 colonoscopies were performed in our operating suite. The two rural health clinics provided 24,845 visits during this same period. 30480800 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 34 0 1 291 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Leianne Everett 2083546340 120 East Howard Avenue Driggs ID 83422 JoAnne Kay Chair 1.00 X X 0 0 0 Janet Conway Treasurer 1.00 X X 0 0 0 Ken Dunn Secretary 1.00 1.00 X X 0 0 0 Kevin Mayberry Director 1.00 X 0 0 0 Tyler McKellar Director 1.00 X 0 0 0 Gene Marcowka Director 1.00 X 0 0 0 Anjali Tate Director 1.00 X 0 0 0 Joseph Troy Christensen CEO 40.00 X 340548 0 31695 Lori Leianne Everett CFO 40.00 X 243942 0 12649 Nathan Levanger DO CMO 40.00 X 327317 0 44835 Lisa Loughran Carlson CNO/COO 40.00 X 256796 0 33432 Stefan Turkula Orthopedic Surgeon 40.00 X 589634 0 42225 Stephen Houmes ER Phsician 40.00 X 378819 0 53731 Luke Martin General Surgeon 40.00 X 378388 0 35303 Gretchen Stumhofer ER Phsician 40.00 X 393767 0 28047 Juanita Prissel Hospitalist 40.00 X 315376 0 36836 3224587 0 318753 39 0 1 0 Russell H McUne MD PC 3835 E 530 N Rigby ID 83442 Physician Service 264411 Teton Valley Anesthesia LLC 2217 Apsaroke Trail Tetonia ID 83452 Physician Service 201030 Heidi J Helms 1307 Moorest Unit 801 Brookings OR 97415 Revenue Cycle 198950 Sylvester Medical Company 117 Mores Creek Dr Idaho City ID 83631 Physician Service 170967 Felipe Caetano 8005 N HWY 32 Tetonia ID 83452 Physician Service 139595 6 935042 128037 1063079 Patient Service Revenue 624100 38131170 38131170 340B Revenue 456110 775526 775526 144747 144747 39051443 33706 33706 34903 0 34903 34903 34903 229872 233259 -3387 -3387 -3387 40179744 39086346 0 30319 X 1303340 1303340 16805975 14764557 1777668 263750 247313 197818 45914 3581 1472271 1061291 399516 11464 1182507 963767 201451 17289 53207 53207 7033432 4848841 2171907 12684 113215 475 112010 730 84927 41288 43478 161 307440 193717 113411 312 183785 158243 25542 15891 6617 9132 142 848431 813815 34616 378637 810 377827 Medical Supplies 6269521 6176884 90480 2157 Lease and Rental Expens 940497 669064 256852 14581 Repairs and Maintenance 452983 426156 26827 Recruitment Expense 103576 71852 31724 244197 85605 158592 38041145 30480800 7233494 326851 2232732 3273862 1427981 590845 5895662 8489509 1588169 1788873 146590 377428 10250463 7021339 3117963 3229124 3255406 3883371 17664503 21633012 3416524 4861198 262533 1170308 751823 229284 4430880 6260790 X 13233623 15372222 13233623 15372222 17664503 21633012 2138599 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1626 1626 0 Schedule C, Part II-B, Line 1 The Hospital does not directly perform any lobbying activities. The Hospital pays membership dues to National and State Hospital Associations. The associations use a portion of such dues to carry out lobbying activities. 92671 92671 3867649 2429661 1437988 6164724 4539584 1625140 125419 52094 73325 3229124 ERC Receivable 2174459 Operating ROU Assets 222433 Financing ROU Assets 33147 Related Party Receivable 626336 Goodwill 826996 3883371 Operating Lease Liability 229284 229284 X 40179744 0 40179744 0 40179744 38041145 0 38041145 0 38041145 Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 1 0 0 236000 236000 0.00620 2411760 1793773 617987 0.01620 2647760 1793773 853987 0.02240 14728 14728 0.00040 14805743 7870882 6934861 0.18230 14820471 7870882 6949589 0.18270 17468231 9664655 7803576 0.20510 8855 8855 0.00020 244 244 0.00000 6733 6733 0.00020 15832 15832 0.00040 1 1681300 16813 9367158 9405878 -38720 X 1 1 1 1 Teton Valley Health Care Inc 120 East Howard Ave Driggs ID 83422 www.tvhcare.org 31 X X X X 2 RHCs Teton Valley Health Care Inc 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X https://tvhcare.org/about/community-engagement/ X 1 24 1 https://tvhcare.org/about/community-engagement/ 0 1 X 200.000000000000 350.000000000000 X X X 1 1 X X X 1 X https://tvhcare.org/financial-services/ X https://tvhcare.org/financial-services/ X https://tvhcare.org/financial-services/ X X X X X X X 1 X 0 X X X X 1 X 0 1 Teton Valley Health Care Inc. Part V, Section B, Line 5: A standard process of gathering community input was utilized. In addition to gathering data from the above sources, a CHNA survey was deployed to local expert advisors and the general public to gain input on local health needs and the needs of priority populations. Local expert advisors were local individuals selected according to criteria required by the Federal guidelines and regulations and the Hospital's desire to represent the region's economic, racial, and geographically diverse population. Six hundred and six (606) survey responses from community members were gathered in February 2025. Input was obtained from the required three minimum federally required sources and expanded to include other representative groups. The Hospital asked all those participating in the written comment solicitation process to self-identify into any of the following representative classifications, which are detailed in the appendix to this report. Additionally, survey respondents were asked to identify their age, race/ethnicity, and income level to ensure a diverse range of responses were collected. Teton Valley Health Care Inc. Part V, Section B, Line 11: The Hospital does not have adequate resources to solve all the significant needs identified. Some issues are beyond the mission of the Hospital and action is best suited for a response by others. Some improvements will require personal actions by individuals rather than the response of an organization. We view this as a plan for how we, along with other area organizations and agencies, can collaborate to bring the best each has to offer to support change and to address the most pressing identified needs. The significant health needs identified in the latest CHNA were: * Healthcare affordability * Improvement of prevention services * Improving mental health services * Women's health * Cancer careDue to the timing of the most recent CHNA, the Hospital was only able to address the needs from ther prior CHNA. In this current tax year, we engaged in the following activities to address the needs identified in the 2021 tax year CHNA: 1. We implemented Health events and programs: Diabetes Self-Management Education, Chronic Care Management Program, Breast Health Support Fund.2. We prioritized Core community benefits: increased medical screenings and free specialized clinics, on-site medical support for community events, community trainings, local school support, sponsorship of community events, and more. 3. We invested in Community partnerships: training and certifications with EMS, law enforcement, and the Mental Health Coalition, free education and therapies provided monthly at Seniors West of the Teton, connection to community resources through Case Management Services. Teton Valley Health Care Inc. Part V, Section B, Line 13h: The organization considers other assets the patient may have, as well as proof of eligibility for Medicaid and/or state-funded medical coverage. Teton Valley Health Care Inc. Part V, Section B, Line 16j: Collaborate with the Community Resource Center of Teton Valley to ensure that they are aware of our resources so that they can share our FAP with their clientele. Teton Valley Health Care Inc. Part V, Section B, Line 20e: The organization does not use presumptive eligibility for hospital services. The organization does use presumptive eligibility for the rural health clinic services. Teton Valley Health Care Inc. Part V, Section B, Line 24: The financial assistance policy clearly states that it provides free or discounted services for medically necessary care. We do not discount services provided in our aesthetics department. 1 1 - TVHC Physical Therapy Freestanding 125 E Howard Avenue Driggs ID 83422 Outpatient Physical Therapy Part I, Line 3c: The organization considers other assets the patient may have, as well as proof of eligibility for Medicaid and/or state-funded medical coverage. Part I, Line 7: The Organization calculated the cost for providing financial assistance reported in Part I, line 7a by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. Medicaid on line 7b and subsidized health services on line 7g are reported according to costs allocated to the relevant costs centers on the Medicare Cost Report. The Organization used actual expenses to determine the cost for Community Health Improvement Services line 7e. Part II, Community Building Activities: Teton Valley Health promoted the health and well-being of the communities it serves through a variety of community-building activities focused on health education, prevention, mental health awareness, community engagement, and environmental stewardship.Throughout the year, Teton Valley Health provided educational programs on topics including memory loss and dementia, nutrition, women's health, senior wellness, sexual assault awareness, and safe medication disposal. The organization also supported mental health initiatives through participation in Mental Health Coalition events and community discussions focused on bullying prevention and mental wellness.Community outreach efforts at events such as Downtown Sounds, the Tin Cup Challenge, the Teton County Fair, Wrun for Wray, and Teton Valley Cares connected residents with information about local healthcare services, financial assistance programs, cancer screening resources, and specialty care services. Preventive health services, screenings, and safety education were also offered to help improve community health outcomes.Teton Valley Health further supported community well-being through healthcare career education for local students, emergency preparedness training for ski patrol and search and rescue personnel, and participation in community beautification projects such as Driggs Clean Up Day and Downtown Driggs Association Planting Day. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The Hospital estimated the amount of implicit price concessions that would qualify for community benefit if patients completed the financial assistance application by multiplying the line 2 implicit price concessions by the estimated ten percent of the population that is under the FPG. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 12 and 13 of the attached audited financial statements. Part III, Line 8: Any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole. Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall, if any, is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $85,127.Medicare fee schedule revenue $292,845Medicare estimated costs of care relating to payments $377,973Net (shortage) $(85,127) Part III, Line 9b: Our first 3 billing statements sent to the patient contain a reference to our financial assistance program and direct patients to contact our office for financial assistance information and applications. Once the patient's balance reaches 90 days past due from their first billing statement received, their account is sent to an early out program vendor wherein they will receive a minimum of two phone calls and 3 written notices offering the option to apply for financial assistance. When the patient's unpaid balance is past 180 days from first date of billing it becomes eligible for collections and is transferred to an outside collection agency, however, once in collections, if the patient wants to still pursue financial assistance, they will have 365 days from first date of billing to apply. During the application process their account is cancelled with the collection agency and no further ECA efforts are pursued until their application has been processed, finalized and a determination has been made that they do not qualify for financial assistance. Part VI, Line 2: Management, Hospital department staff and managers, and the Board of Directors are comprised of members within the community. They are able to gather and communicate the health care needs of the community itserves and continually address them at staff and board meetings. TVHC has providers on boards, such as Ski Patrol and Search & Rescue, and TVHC participaties in several Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) Patients' Perspectives of Care Surveys throughout the year. Part VI, Line 3: In compliance with the collection policies of TVHC, an annual review is performed for all credit/collection and financial assistance policies. Once reviewed and revised, the information is distributed to the community in a variety of ways. The facility published a brochure that is placed in public areas of all the TVHC facilities, as well as included in all formal admission packets to patients. The patient account representative's hand out the information during patient consults as well. The information is also available on the TVHC website and included with every patient account statement.Signs and/or Rack Cards are posted at each point of patient registration and in waiting areas. Financial Assistance information is posted on the organization's website and on patient statements. CFO and/or Revenue Cycle representatives attend community functions to inform the community of financial assistance programs. Medical staff and managers are educated annually on the policy to promote at time of care if appropriate. Patient Financial Advocates promote and provide financial counseling. Part VI, Line 4: Teton County Idaho covers 450 square miles of Southeastern Idaho. The 2025 population was 12,544 compared to a 2020 population of 11,630. Median age is 36.3, median household income is $95,580 compared to $72,634for the State of Idaho, and an unemployment rate of 2.1% compared to 2.7% for the state and 3.7% for the U.S. Hispanics make up 16% of the population with 81% white/non-Hispanic.Teton Valley Health Care, Inc. (TVHC) has been serving the healthcare needs of the Teton County area since 1938. The Hospital is now a nonprofit, thirteen bed critical access facility built in 1997. TVHC offers a continuum of care including inpatient hospital services, outpatient services as well as outpatient clinics in the cities of Victor and Driggs. TVHC employs over 291 individuals, with an annual payroll in excess of $16.8 million. Part VI, Line 5: Teton Valley Health Care's Board of Directors is comprised of community members representing multiple facets of the community from the financial sector to small business owners to retirees. The Board has dedicatedtheir time to ensuring they understand the health and welfare needs of greater community.Medical staff privileges at TVHC are open to all medical providers with active licensure. While they have instituted an arduous credentialing process to ensure practitioners of the highest caliber are privileged, they encourage practitioners from numerous specialties to meet the ever expanding healthcare needs of the community.As a non-profit corporation, TVHC does not have any shareholders. Therefore surplus funds are reinvested into the facility's equipment and employee education. The absence of shareholders eliminates the potential for conflicts of interest related to attaining inflated profit margins and allows Teton Valley Healthcare to focus on what is important; meeting the health and welfare needs of the communities they serve in an economically viable fashion.The Hospital participates in multiple activities within its community to promote the health of the community it serves including donating to an annual health fair where medical tests are provided at reduced prices to ensure the community knows their numbers and risks and focusing on prevention and intervention.In addition, the Hospital continues to collaborate with local officials to provide needed services and donates time and effort to the community. We provide substantial amounts of uncompensated care to individuals that are in need.One of the services provided to patients is Chronic Care Management. The Hospital has two nurses who create care plans with patients from referrals of our Primary care providers in the clinics. The provide monthly follow up phone calls with these patients to check on them and make sure they have what they need to follow their care plans. They also educate patients on how to best manage their chronic conditions. They do A1c testing for patients. They also meet face to face with patients throughout the week to help them overcome barriers to their care plans. The Hospital also hosts a booth at several area events to promote health, hospital services, and provide resources. In addition the Hospital provides sponsorships for several area events such as Snowscapes Downtown, 4th of July Parade, Teton County Fair, Music on Main, Turkey Trot fun run, Shakespeare in the Park, Plein Air Festival, Downtown Sounds, Downtown Driggs Association Scarecrow and Meet and Greet for Community.The organization has not experienced surplus funds for reinvestment. However, retained earnings have been used to keep the facility and equipment to modern healthcare standards. X X 0 0 0 0 0 0 0 0 0 Stefan Turkula Orthopedic Surgeon 583270 0 120 0 6244 0 4119 0 38133 0 631886 0 0 0 Stephen Houmes ER Phsician 357551 0 13920 0 7348 0 6900 0 46831 0 432550 0 0 0 Gretchen Stumhofer ER Phsician 391479 0 120 0 2168 0 1099 0 26975 0 421841 0 0 0 Luke Martin General Surgeon 345553 0 30000 0 2835 0 0 0 35327 0 413715 0 0 0 Joseph Troy Christensen CEO 268702 0 65230 0 6616 0 3198 0 28524 0 372270 0 0 0 Nathan Levanger DO CMO 305379 0 12000 0 9938 0 10238 0 34625 0 372180 0 0 0 Juanita Prissel Hospitalist 279766 0 32000 0 3610 0 6578 0 30285 0 352239 0 0 0 Lisa Loughran Carlson CNO/COO 221926 0 32400 0 2470 0 2063 0 31397 0 290256 0 0 0 Lori Leianne Everett CFO 240979 0 2370 0 593 0 202 0 12447 0 256591 0 0 0 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the officers of the board and immediate past Chair of the Hospital Board. The Executive Committee can transact regular business on behalf of the board between the governing board meetings. Any matters of substantial importance must be ratified by the governing board. Form 990, Part VI, Section A, line 6 The members of Teton Valley Health Care, Inc. (TVHC) shall consist of a broad representation of the public that TVHC serves and the majority of the members must be citizens of Teton County, Idaho, including residents of each incorporated city in Teton County, Idaho, and the unincorporated area of Teton County. There shall be at least five members which are elected by a majority vote of the existing members. Each member is entitled one vote on any matter submitted to a vote at a meeting of the members. Form 990, Part VI, Section A, line 7a Each member is entitled to vote on any matter submitted to a vote at a meeting of the members, including the election of the Board of Directors. Meetings are held annually as well as any special meetings called by the CEO or at the written request of the members. Form 990, Part VI, Section B, line 11b A copy of the 990 is provided to the CFO and CEO who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the Board of Directors who then approve the 990. Once management is satisfied with the 990, the CEO signs the Form 8879-TE authorizing the preparer to e-file the return. Form 990, Part VI, Section B, line 12c TVCH has officers and board members annually review the conflict of interest policy. An individual is required to disclose to the Board of Directors if a potential conflict arises. The remaining board members discuss the situation with the absence of the individual to determine if a conflict of enough significance and materiality exists. If a conflict with a board member is signficant and material enough, the individual may be suspended or terminated. Form 990, Part VI, Section B, line 15a The Board reviews and approves management wages each year. The sources utilized by TVHC in regards to original fair market value of the CEO salary was an executive compensation survey, published by Critical Data, Inc., and the Idaho Hospital Association (IHA) annual salary survey. These surveys are utilized for setting the salary levels of employees at TVHC. The IHA survey itemizes all hospitals as a group, CAH hospitals, and hospitals by region. The CEO base salary increase is equal to the average percent increase of all employees. The Board approves the annual incentive compensation of the CEO. The CEO reviews and approves the CFO compensation based on similar compensation survey sources. In regard to setting the salary levels of physicians, TVHC utilizes the MGMA physician compensation and production survey as well as other surveys. This survey itemizes salaries and productivity by physician speciality, years in practice, geographic region, and other categories. TVHC strives to pay market level salaries to all employees of the organization. It is our goal to recruit and retain top talent in every venue, while controlling salary and benefit costs within established targets. Form 990, Part VI, Section C, line 19 TVHC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Others: Program service expenses 4,848,841. Management and general expenses 2,171,907. Fundraising expenses 12,684. Total expenses 7,033,432. Teton Valley Health Care Foundation PO BOX 419 Driggs ID 83422 932017214 Foundation ID 501(c)(3) Line 7 Teton Valley Health Care Inc 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 Teton Valley Health Care Foundation C 935042 Accrual Method