2026-08-15T14:54:07-04:00 2025-09-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-10-01 261938641 NORTH CANYON MEDICAL CENTER INC NORT 2089348765 267 NORTH CANYON DRIVE GOODING ID 83330 J'DEE ADAMS TRUSTEE/CEO 2089348765 2026-08-06 true true RIKKI PATCH P01472231 5092420874 2026-08-15 2024 2025-03-06 01:10:19Z J'DEE ADAMS 267 NORTH CANYON DRIVE GOODING ID 83330 76938641 false X WWW.NORTHCANYON.ORG X 2007 ID POWERED BY EXCELLENCE, WE ARE GROWING A MEDICAL ORGANIZATION THAT SERVES OUR COMMUNITIES. 11 9 451 20 1546308 123511 334328 359035 70207881 73191504 1056775 1505365 631945 1730456 72230929 76786360 17964 13864 0 35663321 37800510 0 32731 30722700 35261502 66403985 73075876 5826944 3710484 97341703 100679598 72898385 72258560 24443318 28421038 X POWERED BY EXCELLENCE, WE ARE GROWING A MEDICAL ORGANIZATION THAT SERVES OUR COMMUNITIES. false false 11400000 29500000 NORTH CANYON MEDICAL CENTER (NCMC) OPERATES AN 18-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES SERVICES THAT INCLUDE: ACUTE CARE, SWING BED CARE, DIAGNOSTIC IMAGING, DIABETIC EDUCATION, EMERGENCY CARE, LABORATORY SERVICES, REHABILITATION SERVICES, RESPIRATORY THERAPY, ADDICTION MEDICINE, BEHAVORIAL HEALTH, DERMATOLOGY, SLEEP STUDIES, ORTHOPEDICS, SPINE, FOOT AND ANKLE, HAND AND WRIST, PAIN MANAGEMENT, UROLGY, GENERAL SURGERY, SURGICAL SERVICES, AND FAMILY MEDICINE. NCMC'S SURGICAL DEPARTMENT PERFORMS SURGICAL AND ENDOSCOPIC PROCEDURES. NCMC EMPLOYS A SPINE SURGEON, TWO ORTHOPEDIC SURGEONS, A HAND/WRIST SURGEON, A GENERAL SURGEON, A PODIATRIST, A UROLOGIST, AS WELL AS WELCOMING VISITING SPECIALISTS. IN 2025, THE SURGICAL DEPARTMENT PERFORMED 2,142 CASES. 3200000 6100000 NORTH CANYON MEDICAL CENTERS EMERGENCY DEPARTMENT OFFERS 24-HOUR-A-DAY ACCESS TO MEDICAL CARE AT OUR FULL-SERVICE ER. WE PROVIDE COMPREHENSIVE URGENT CARE, PERFORMING DIAGNOSTIC TESTS AND LABS NEEDED TO HELP DETERMINE A DIAGNOSIS. WE ENSURE THAT OUR STAFF PROVIDES THE MOST CURRENT AND COMPREHENSIVE CARE AVAILABLE BY MAINTAINING CERTIFICATIONS IN ADVANCED CARDIAC LIFE SUPPORT, PEDIATRIC LIFE SUPPORT, ADVANCED TRAUMA LIFE SUPPORT, AND THE TRAUMA NURSING CORE COURSE. THE HOSPITAL HAD 5,302 ER VISITS IN 2025. 3000000 6600000 NORTH CANYON MEDICAL CENTER OFFERS STATE OF THE ART RADIOLOGY EQUIPMENT NOT NORMALLY FOUND IN A RURAL SETTING. NORTH CANYON MEDICAL CENTER EMPLOYS ONLY CERTIFIED RADIOLOGIC TECHNOLOGISTS TO PERFORM EXAMS, EACH HAVING SPECIALIZED TRAINING IN THE TYPE OF EXAM BEING GIVEN. NORTH CANYON MEDICAL CENTER EMPLOYS A RADIOLOGIST WHO READS EXAMS ON SITE. ALSO, NORTH CANYON MEDICAL CENTER RECEIVES DONATIONS FROM THE TOUGH ENOUGH TO WEAR PINK ORGANIZATION THAT ARE USED TO FURTHER BREAST CANCER AWARENESS BY AIDING IN PURCHASING NEW EQUIPMENT AND PROVIDING FREE OR DISCOUNTED MAMMAGRAMS. 44905214 13864 30991504 NCMC PROVIDES A WIDE RANGE OF HEALTHCARE SERVICES IN TECHNOLOGICALLY ADVANCED FACILITIES. SERVICES INCLUDE ORTHOPEDICS, SPINE CARE, FOOT AND ANKLE, HAND AND WRIST, GENERAL SURGERY, PAIN MANAGEMENT, UROLOGY, BEHAVIORAL HEALTH, CARDIOLOGY, DERMATOLOGY, SLEEP STUDIES, AND REHABILITATION SERVICES. OUR REHABILITATION SERVICES ARE PROVIDED BY TRAINED, LICENSED PROFESSIONALS WHO SPECIALIZE IN PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. WE PROVIDE INPATIENT AND OUTPATIENT THERAPY AT NCMC. ADDITIONAL SERVICES PROVIDED BY NCMC INCLUDE DIAGNOSTIC IMAGING, ADDICTION MEDICINE, NUTRITION SERVICES, A SPECIALTY CLINIC, FAMILY PRACTICE CLINICS, AND WOUND CARE. NCMC OFFERS A FULL-SERVICE LABORATORY DEPARTMENT STAFFED BY A TEAM OF SPECIALISTS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY DIAGNOSTIC SERVICES FOR HEALTH CARE PROVIDERS AND PATIENTS. THE LABORATORY UTILIZES CUTTING- EDGE ANALYZERS AND EQUIPMENT TO ENSURE QUALITY AND ACCURACY. LABORATORY STAFF IS AVAILABLE 24 HOURS A DAY. OUR LABORATORY PERFORMS THE FOLLOWING AREAS OF TESTING: HEMATOLOGY, CLINICAL CHEMISTRY, IMMUNOASSAY, SEROLOGY, COAGULATION, MOLECULAR TESTING, MICROBIOLOGY, URINALYSIS, AND BLOOD BANK. THE LAB PERFORMED AND PROCESSED 112,489 TESTS IN 2025. NCMC 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 399,121 FOR CHARITY CARE, 16,306,012 FOR MEDICARE, 10,710,241 FOR MEDICAID, AND 38,255,958 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 44905214 13864 30991504 62505214 true true false true false false false false true false true false false true true true true false false false false false false false false false true true true false true true false false false false false true false false false false false false false false false false false false false true 62 0 true 451 true true true false false false false false false false false false false false X 11 9 false false false false false false false true true false false true true true true true true true true false X RYAN WILSON 2089348765 267 NORTH CANYON DRIVE GOODING ID 83330 TOBY ANDERTON PHYSICIAN 40.00 X 1455893 0 8062 DAVID VERST PHYSICIAN 40.00 X 1045164 0 10235 GUY GROOMS PHYSICIAN 40.00 X 752484 0 13800 KYLE GROOMS PHYSICIAN 40.00 X 617650 0 10350 GREG BOETTCHER TRUSTEE/PHYS 40.00 X 250339 0 8781 KYLE NAY PHYSICIAN 40.00 X 552018 0 9972 J'DEE ADAMS TRUSTEE/CEO 40.00 X X 238667 0 36790 RYAN WILSON CFO 40.00 X 161230 0 21949 JJ MCBRIDE CHAIR 1.00 X X 0 0 0 PAT HAMILTON VICE CHAIR 1.00 X X 0 0 0 LINDA CASTRO-PINA SECRETARY 1.00 X X 0 0 0 BONNIE MARSHALL TREASURER 1.00 X X 0 0 0 ELAINE BRYANT TRUSTEE 1.00 X 0 0 0 JIM MCCAUGHEY TRUSTEE 1.00 X 0 0 0 LUCY OSBORNE TRUSTEE 1.00 X 0 0 0 REID LOFGRAN TRUSTEE 1.00 X 0 0 0 LAIRD STONE TRUSTEE 1.00 X 0 0 0 5073445 119939 48 false true false CENTRAL IDAHO ANESTHESIA 1115 8TH AVE E JEROME ID 83338 ANESTHESIA SVS 1568700 MOONLIT EM PARTNERS PO BOX 71 TERRETON ID 83405 ER PRACTITIONER 686380 PAIN & SPINE CONSULTANTS PLLC 3400 MERLIN DR IDAHO FALLS ID 83404 PAIN SPECIALIST 685256 PHYSICIANS IMMEDIATE CARE CENTER 243 CHENEY DR W STE 200 TWIN FALLS ID 83301 PHYSICIAN ASST. 329267 BOISE RADIOLOGY GROUP LLC 620 W HAYS STREET BOISE ID 83702 DIAGNOSTIC IMAG 284760 9 232567 126468 359035 PATIENT SERVICE REVENUE, NET 624100 71544442 71544442 COSMETIC CLINIC REVENUE 620000 1546308 1546308 RENTAL INCOME 621110 100754 100754 73191504 1076770 1076770 580876 152281 428595 428595 428595 LEGAL SETTLEMENT 900099 1150000 1150000 CAFETERIA 900099 337568 337568 REBATES 900099 188681 188681 54207 54207 1730456 76786360 71645196 1546308 3235821 X 13864 13864 790466 271629 518837 28536817 25177455 3359362 735159 681654 53505 5690060 4961298 728762 2048008 1781043 266965 332922 332922 125850 125850 42971 42971 11155543 8656768 2498082 693 172350 2975 167395 1980 900085 445432 453027 1626 71386 71386 4704612 3925490 779122 111146 88018 23128 209610 116473 92757 380 202860 162034 40826 5158225 4444396 713829 497446 414938 82508 MEDICAL SUPPLIES & DRUGS 10420403 10420403 TAXES & LICENSES 655502 655502 DUES & SUBSCRIPTIONS 128848 46993 79835 2020 371743 238849 106862 26032 73075876 62505214 10537931 32731 4155896 5161487 29841101 24809468 10575678 9384587 300000 225000 978971 1607232 430158 742704 90129245 39414978 46412973 50714267 2571964 2772142 2074962 5262711 97341703 100679598 12680318 8907274 57558165 57092883 631258 1520162 2028644 4738241 72898385 72258560 X 24443318 28421038 24443318 28421038 97341703 100679598 3710484 267236 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9186 9186 false SCHEDULE C, PART II-B, LINE 1 NCMC DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. NCMC PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. true 44343 66347 54314 56376 false 3598476 3598476 63200090 25022576 38177514 23262746 14392402 8870344 67933 67933 50714267 OPERATING LEASE RIGHT-OF-USE ASSETS 4078120 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 835444 TAXES & OTHER RECEIVABLES 349147 5262711 OPERATING LEASE LIABILITIES 4333241 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 405000 4738241 X 77010625 267236 267236 76743389 42971 42971 76786360 73032905 73032905 42971 42971 73075876 SCHEDULE D, PAGE 2, PART IV, LINE 1B NCMC HAS AN AUXILIARY THAT OPERATES USING THE EIN OF NCMC. THE INCOME AND EXPENSES OF THE AUXILIARY ARE EXCLUDED FROM THE 990, PART VIII AND IX. THE ASSETS, LIABILITIES, AND EQUITIES ARE ALSO EXCLUDED FROM THE 990, PART X. SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2025 AND 2024, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X 1.750000000000 true true false true true 199561 199561 0.00270 9460613 8210984 1249629 0.01710 9660174 8210984 1449190 0.01980 470696 46465 424231 0.00580 4650943 3098415 1552528 0.02120 5121639 3144880 1976759 0.02710 14781813 11355864 3425949 0.04690 3865 3865 0.00010 84750 84750 0.00120 88615 88615 0.00120 true 1363068 199561 11025972 11112638 -86666 X true true 1 1 NORTH CANYON MEDICAL CENTER INC 267 NORTH CANYON DRIVE GOODING ID 83330 X X X X NORTH CANYON MEDICAL CENTER INC 1 false false true X X X X X X X X X X 25 true false false true X WWW.NORTHCANYON.ORG X true 25 true WWW.NORTHCANYON.ORG false true X 100.000000000000 175.000000000000 true true X X X X true X WWW.NORTHCANYON.ORG X WWW.NORTHCANYON.ORG X WWW.NORTHCANYON.ORG X X X X X true X false true X false true FACILITY 1, NORTH CANYON MEDICAL CENTER, INC. - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 42 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, NORTH CANYON MEDICAL CENTER, INC. - PART V, LINE 5 TO ENSURE INPUT WAS GATHERED FROM INDIVIDUALS WITH A BROAD UNDERSTANDING OF THE COMMUNITY, A COMMUNITY HEALTH SURVEY WAS CONDUCTED FROM MARCH THROUGH APRIL 2025. THE SURVEY WAS DISTRIBUTED THROUGH NCMCS SOCIAL MEDIA PLATFORMS AND DISPLAYED IN REGISTRATION AREAS AND OTHER HIGH-TRAFFIC LOCATIONS ACROSS ALL FACILITIES. A TOTAL OF 114 INDIVIDUALS COMPLETED THE SURVEY, PROVIDING INSIGHT INTO A VARIETY OF PUBLIC HEALTH CONCERNS AFFECTING THE COMMUNITY. IN ADDITION, FOCUS GROUPS WERE CONDUCTED TO FACILITATE DISCUSSION AND GATHER FURTHER INPUT REGARDING COMMUNITY HEALTH NEEDS, AVAILABLE RESOURCES, AND AREAS FOR IMPROVEMENT. SURVEY PARTICIPANTS REPRESENTED RESIDENTS FROM GOODING, BLAINE, JEROME, AND TWIN FALLS COUNTIES IN IDAHO. NORTH CANYON MEDICAL CENTER HELD INTERVIEWS BETWEEN MARCH AND APRIL WITH COMMUNITY STAKEHOLDERS TO FACILITATE DISCUSSION AND GET INPUT AROUND THE HEALTH NEEDS AND RESOURCES IN THE COMMUNITY. MULTIPLE EFFORTS WERE MADE TO ENGAGE REPRESENTATIVES FROM THE DEPARTMENT OF HEALTH, INDIVIDUALS AND LOCAL SCHOOL DISTRICTS; HOWEVER, DESPITE REPEATED OUTREACH, NO INPUT WAS ABLE TO BE OBTAINED FROM THESE GROUPS. FACILITY 1, NORTH CANYON MEDICAL CENTER, INC. - PART V, LINE 11 THE NCMC CHNA ADVISORY COMMITTEE IS MADE UP OF SELECTED INDIVIDUALS WITH A WIDE RANGE OF BACKGROUNDS IN HEALTH RELATED AGENCIES AND WITH HEALTH RELATED QUALIFICATIONS. COLLECTIVELY, THESE INDIVIDUALS ADVOCATE ON BEHALF OF THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS WITHIN THE COMMUNITY THROUGH THEIR ORGANIZATIONS. IN ORDER TO GATHER FEEDBACK FROM INDIVIDUALS NOT PARTICIPATING IN THE COMMUNITY ADVISORY COMMITTEE, A SURVEY TOOL WAS DEVELOPED TO ADDRESS GENERAL QUESTIONS RELATED TO THE HEALTH OF THE COMMUNITY. THE SURVEY WAS DISTRIBUTED THROUGH NCMC'S SOCIAL MEDIA PLATFORMS AND DISPLAYED IN REGISTRATION AREAS AND OTHER HIGH-TRAFFIC LOCATIONS ACROSS ALL FACILITIES. THE SURVEYS WERE RETURNED FOR INDEPENDENT REVIEW AND ANALYSIS. THE SURVEYS WERE COMPLETED BY COMMUNITY MEMBERS REPRESENTING A MIX OF THE COMMUNITY DEMOGRAPHICS. ONCE THE HEALTH NEEDS WERE PRIORITIZED, THE ADVISORY COMMITTEE DEVELOPED AN IMPLEMENTATION STRATEGY IN ORDER TO HAVE A CLEAR SET OF GOALS TO RESPOND TO THE PRIORITIES IDENTIFIED THROUGH THE CHNA. THE IMPLEMENTATION STRATEGY INCLUDED A WRITTEN PLAN THAT ADDRESSED EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, DESCRIBED HOW THE HOSPITAL PLANNED TO MEET THE HEALTH NEEDS, AND IDENTIFIED HEALTH NEEDS THE HOSPITAL DID NOT INTEND TO MEET AND WHY. THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED THROUGH THE CHNA PROCESS. FOR EACH PRIORITY, AN OBJECTIVE OR STRATEGY WAS IDENTIFIED. EACH OBJECTIVE INCLUDED TACTICS ON HOW TO ACHIEVE THE OBJECTIVE, THE RESOURCES NEEDED, THE IMPACT THE PROGRAM OR RESOURCES WOULD HAVE, THE ACCOUNTABLE PARTIES, AND ANY PARTNERSHIPS OR COLLABORATIONS. 1. OBESITY 2. MENTAL HEALTH 3. HEALTHCARE ACCESS (PRIMARY CARE) 4. TRANSPORTATION SOME HEALTH ISSUES OR NEEDS THAT WERE IDENTIFIED THROUGH THE CHNA PROCESS ARE NOT PRIORITIZED AS THIS TIME DUE TO BEING OUTSIDE THE SCOPE/ABILITIES OF NCMC AND/OR THE ISSUE IS BEING ADDRESSED BY OTHER COMMUNITY RESOURCES OR ORGANIZATIONS. IN OTHER INSTANCES, THERE ARE ALREADY INITIATIVES IN PLACE AT NORTH CANYON MEDICAL CENTER TO ADDRESS SOME NEEDS. NCMC IS NOT IGNORING THESE ISSUES BUT PLANS TO COLLABORATE (WITHIN ITS ABILITY) WITH OTHER ORGANIZATIONS TO ADDRESS AND MAKE PROGRESS. NCMC ALSO HAS PROGRAMS IN PLACE INCLUDING A SLIDING FEE SCALE, WALK IN CLINIC, PATIENT TRANSPORT, AND FINANCIAL COUNSELORS AVAILABLE WHICH HELP TO ADVOCATE FOR THE PATIENT. FACILITY 1, NORTH CANYON MEDICAL CENTER, INC. - PART V, LINE 16J THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ALSO COMMUNICATED VERBALLY UPON ADMISSION. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE HOSPITAL WEBSITE. WEBSITE: HTTPS://NORTHCANYON.ORG/PATIENT-INFO/BILLING/FINANCIAL-ASSISTANCE/ FACILITY 1, NORTH CANYON MEDICAL CENTER, INC. - PART V, LINE 24 PATIENTS ARE BILLED THE GROSS CHARGE FOR ALL SERVICES RECEIVED. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE BILL IS ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES. 6 NORTH CANYON FAMILY MEDICINE 267 NORTH CANYON DRIVE GOODING ID 83330 RURAL HEALTH CLINIC NORTH CANYON BUHL CLINIC 718 HWY 30 BUHL ID 83316 RURAL HEALTH CLINIC NORTH CANYON TWIN FALLS CLINIC 2167 VILLAGE PARK AVE SUITE 200 TWIN FALLS ID 83301 OUTPATIENT CLINIC NORTH CANYON JEROME CLINIC 491 HERITAGE DR JEROME ID 83338 RURAL HEALTH CLINIC NORTH CANYON HAILEY CLINIC 15 W GALENA STREET HAILEY ID 83333 OUTPATIENT CLINIC NORTH CANYON COSMETIC SURGERY 1341 FILLMORE ST SUITE 200 TWIN FALLS ID 83301 OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES). SCHEDULE H, PART II GOODING COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DOES NOT OFFER DISCOUNTS FOR PAYMENT ON BAD DEBT. THE HOSPITAL APPLIES FUNDS COLLECTED ON BAD DEBT AGAINST THE PATIENT ACCOUNT. WE ESTIMATE THAT OF THE CHARITY CARE APPLICATIONS GIVEN OUT, ABOUT HALF OF THEM COME BACK. DURING THE YEAR, WE RECORDED 399,121 OF CHARITY CARE AT GROSS PATIENT CHARGES WHICH WAS CONVERTED TO 199,560 UTILIZING THE COST TO CHARGE RATIO OF PATIENT CARE. THEREFORE, WE ESTIMATE AN ADDITIONAL 199,561 OF BAD DEBT EXPENSE WHICH COULD BE ATTRIBUTABLE TO PATIENTS UNDER THE CHARITY CARE POLICY. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 STARTING ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR EXPLICIT PRICE CONCESSIONS (BAD DEBT) IS INCLUDED IN FOOTNOTE 10 STARTING ON PAGE 20 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B THE BILLING DEPARTMENT BILLS PATIENTS AND INSURANCE WITHIN 4 DAYS FROM THE DATE OF SERVICE. AFTER INSURANCE PAYMENTS ARE MADE, THE OPEN ACCOUNT GOES TO SELF PAY STATUS AND IS BILLED DIRECTLY TO PATIENTS. ON THE 1ST DAY AFTER INSURANCE HAS PAID, SELF PAY ACCOUNTS ARE SENT A STATEMENT OF CHARGES, WHICH SERVES AS AN INVOICE. THE SAME IS TRUE AFTER INSURANCE PAYMENTS ARE MADE AND THE OPEN ACCOUNT GOES TO SELF PAY STATUS. THROUGHOUT A FULL 120 DAYS, VARIOUS PHONE CALLS AND LETTERS ARE USED TO CONTACT THE PATIENT IN ORDER TO FOLLOW THROUGH WITH COLLECTION PROCESSES AND TO TRY TO QUALIFY PATIENTS FOR CHARITY CARE OR FINANCIAL ASSISTANCE. AT 121 DAYS, A LIST OF UNPAID ACCOUNTS IS COMPILED TO BE SENT TO OUTSIDE COLLECTIONS. THE HOSPITAL'S PATIENT FINANCIAL COUNSELORS REVIEW THIS LIST FOR ACCURACY PRIOR TO SENDING IT TO AN OUTSIDE COLLECTION AGENCY. ANY COLLECTIONS FROM THE OUTSIDE COLLECTION AGENCY ARE APPLIED AS A RECOVERY AGAINST BAD DEBT. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY CONSIDERING SERVICES BEYOND THE TYPICAL SCOPE OF A CRITICAL ACCESS HOSPITAL TO DETERMINE WHICH SERVICES TO PROVIDE BASED UPON STATISTICAL ANALYSIS AND SERVICE REQUIREMENTS THAT THE COMMUNITY IS DEMANDING. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://NORTHCANYON.ORG/ABOUT/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENTS/ SCHEDULE H, PART VI, LINE 3 THE HOSPITAL HAS A PATIENT FINANCIAL SERVICES (PFS) DEPARTMENT THAT STRIVES TO TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT AND COMPASSION. PFS INFORMS PATIENTS ABOUT PROGRAMS AVAILABLE, INCLUDING THE CHARITY CARE PROGRAM. IF THE PATIENT IS INTERESTED IN THE PROGRAM, PFS WILL VERBALLY INFORM THE PATIENT ABOUT THE GUIDELINES AND/OR SEND FORMS THAT ARE REQUIRED TO JOIN THE PROGRAM(S). SCHEDULE H, PART VI, LINE 4 GOODING, IDAHO IS A RURAL COMMUNITY WITH APPROXIMATELY 3,700 RESIDENTS. THERE ARE TWO OTHER HOSPITALS IN COMMUNITIES WITHIN 35 MILES. THE MARKET PLACE IS PRIMARILY COMPRISED OF MEDICAID AND MEDICARE RESIDENTS, DEMONSTRATED BY THE HOSPITAL'S PAYOR MIX. MEDICAID AND MEDICARE MAKE UP APPROXIMATELY 34% OF THIS MIX. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM BUSINESS OWNERS TO HOMEMAKERS TO RETIREES. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE AVAILABLE TO QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITY WE SERVE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER GROWING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND PROFESSIONAL EDUCATION OF OUR EMPLOYEES IN ORDER TO PROVIDE THE HIGHEST QUALITY HEALTHCARE POSSIBLE. THE HOSPITAL ALSO ASSESSES THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY TO DETERMINE IF ADDITIONAL SERVICES TO OUR PATIENTS ARE NEEDED. THE HOSPITAL ALSO PROMOTES HEALTH IN THE COMMUNITY BY OFFERING OR PARTICPATING IN THE FOLLOWING SERVICES: OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY PARTICIPATES IN EDUCATION OF HEALTHCARE PROFESSIONALS PARTICIPATES IN GOVERNMENT SPONSORED HEALTH PROGRAMS SUCH AS MEDICARE AND MEDICAID VOLUNTEER OPPORTUNITIES AVAILABLE SPONSORS AN ANNUAL HEALTH FAIR THAT GIVES COMMUNITY MEMBERS OPPORTUNITIES TO HAVE TESTS PERFORMED AT VERY DISCOUNTED RATES SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI THE COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST. true CHILDREN'S MUSEUM OF THE MAGIC VALL PO BOX 2139 TWIN FALLS ID 83303 832068910 501C3 10000 MUSEUM CONSTRUCTION 1 SCHEDULE I, PAGE 1, PART I, LINE 2 FUNDS ARE PAID DIRECTLY TO VENDORS OR SUPPLIERS ON BEHALF OF THE DESIGNATED BENEFICIARY OF THE GRANTS OR CONTRIBUTIONS. REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED BY THE BOARD PRIOR TO DISBURSEMENT. X false true false false false false false false false TOBY ANDERTON PHYSICIAN 825577 630316 8062 1463955 DAVID VERST PHYSICIAN 749224 295940 10235 1055399 GUY GROOMS PHYSICIAN 659851 92633 13800 766284 KYLE GROOMS PHYSICIAN 407947 209703 10350 628000 GREG BOETTCHER TRUSTEE/PHYSICIAN 230024 20315 8781 259120 KYLE NAY PHYSICIAN 223358 328660 9972 561990 J'DEE ADAMS TRUSTEE/CEO 220447 18220 28390 8400 275457 RYAN WILSON CFO 150960 10270 15449 6500 183179 SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE HOSPITAL PAYS ANNUAL PREMIUMS TO A SPLIT DOLLAR LIFE INSURANCE PLAN FOR THE CEO AND CFO. WHAT THE HOSPITAL PAYS TO THE LIFE INSURANCE POLICIES WILL CONVERT TO FUNDING A 457(F) PLAN AT RETIREMENT AGE. NO PAYMENTS WERE RECEIVED FROM THE PLAN DURING THE YEAR AND IF THE CEO OR CFO LEAVES BEFORE THE RETIREMENT AGE OF THE PLAN, NOTHING IS RECEIVED. A IDAHO HEALTH FACILITIES AUTHORITY 826051863 451295XYO 2015-11-25 15500000 PAYOFF MORTGAGE OF HOSPITAL FACILITY false false false B IDAHO HEALTH FACILITIES AUTHORITY 826051863 451295XYO 2023-10-17 45783306 BUILDING IMPROVEMENT PROJECT & REFUND PREVIOUS DEBT false false false A 2260000 15500000 1075549 630277 13794174 2016 false false true true B 210000 45783306 3930523 678014 915655 18044332 23107005 2024 false false true true A false false false false false false false B false false false false false false false A false false false false false false false false true B false false false false false false false false true A false B false PURPOSE OF ISSUE DESCRIPTION IDAHO HEALTH FACILITIES AUTHORITY PAYOFF MORTGAGE OF HOSPITAL FACILITY PURPOSE OF ISSUE DESCRIPTION IDAHO HEALTH FACILITIES AUTHORITY BUILDING IMPROVEMENT PROJECT & REFUND PREVIOUS DEBT TOBY ANDERTON TRUSTEE/PHYSICIAN COMP. ADV. INTEREST-BEARING LOAN X 300000 225000 false true true 225000 FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS CONTRIBUTE THEIR TIME AND TALENTS TO ENHANCE THE HOSPITAL FOUNDATION, THRIFT STORE, AND INTERNAL VOLUNTEER POSITIONS. FORM 990, PAGE 2, PART III, LINE 4D NCMC PROVIDES A WIDE RANGE OF HEALTHCARE SERVICES IN TECHNOLOGICALLY ADVANCED FACILITIES. SERVICES INCLUDE ORTHOPEDICS, SPINE CARE, FOOT AND ANKLE, HAND AND WRIST, GENERAL SURGERY, PAIN MANAGEMENT, UROLOGY, BEHAVIORAL HEALTH, CARDIOLOGY, DERMATOLOGY, SLEEP STUDIES, AND REHABILITATION SERVICES. OUR REHABILITATION SERVICES ARE PROVIDED BY TRAINED, LICENSED PROFESSIONALS WHO SPECIALIZE IN PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. WE PROVIDE INPATIENT AND OUTPATIENT THERAPY AT NCMC. ADDITIONAL SERVICES PROVIDED BY NCMC INCLUDE DIAGNOSTIC IMAGING, ADDICTION MEDICINE, NUTRITION SERVICES, A SPECIALTY CLINIC, FAMILY PRACTICE CLINICS, AND WOUND CARE. NCMC OFFERS A FULL-SERVICE LABORATORY DEPARTMENT STAFFED BY A TEAM OF SPECIALISTS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY DIAGNOSTIC SERVICES FOR HEALTH CARE PROVIDERS AND PATIENTS. THE LABORATORY UTILIZES CUTTING- EDGE ANALYZERS AND EQUIPMENT TO ENSURE QUALITY AND ACCURACY. LABORATORY STAFF IS AVAILABLE 24 HOURS A DAY. OUR LABORATORY PERFORMS THE FOLLOWING AREAS OF TESTING: HEMATOLOGY, CLINICAL CHEMISTRY, IMMUNOASSAY, SEROLOGY, COAGULATION, MOLECULAR TESTING, MICROBIOLOGY, URINALYSIS, AND BLOOD BANK. THE LAB PERFORMED AND PROCESSED 112,489 TESTS IN 2025. NCMC 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 399,121 FOR CHARITY CARE, 16,306,012 FOR MEDICARE, 10,710,241 FOR MEDICAID, AND 38,255,958 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE ORGANIZATION'S BOARD OF DIRECTORS ARE ALSO PROVIDED A COPY OF THE FORM 990 PRIOR TO FINALIZING FOR THEIR REVIEW. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE THE ORGANIZATION'S MANAGEMENT HAS APPROVED THE FORM 990, THE CEO SIGNS THE FORM 8879-TE, WHICH AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C A CONFLICT OF INTEREST POLICY CERTIFICATION IS SIGNED BY OFFICERS AND BOARD MEMBERS OF THE ORGANIZATION WHEN THEY BECOME AN EMPLOYEE OR BOARD MEMBER, AND IS UPDATED ANNUALLY FOR ANY CHANGES. OFFICERS AND BOARD MEMBERS ARE SUBJECT TO SELF DISCLOSURE IN THE INTERIM. AT ALL LEVELS THE BOARD IS RESPONSIBLE TO ASSESS, REVIEW AND RESOLVE SUCH CONFLICTS. WHERE A CONFLICT EXISTS, THE AFFECTED PARTIES MUST EXCUSE THEMSELVES FROM PARTICIPATION IN THE SITUATION. FORM 990, PAGE 6, PART VI, LINE 15A NORTH CANYON MEDICAL CENTER'S BOARD OF DIRECTORS EVALUATES THE CEO ON A YEARLY BASIS. THE CEO'S PERFORMANCE EVALUATION IS BASED ON THE FOLLOWING CRITERIA: STRATEGIC THINKING, BUDGET/FINANCIAL MANAGEMENT, EFFECTIVE COMMUNICATION, MOTIVATING AND INSPIRATION, INDIVIDUAL AND TEAM DEVELOPMENT, INNOVATION AND CHANGE, STRATEGIC RESULTS, AND MANAGEMENT OF SELF. EACH BOARD MEMBER EVALUATES THE CEO'S PERFORMANCE ON THE ABOVE MENTIONED CRITERIA AND MEETS TOGETHER TO DISCUSS THE RESULTS. ANY INCREASE OR BONUS IS VOTED ON BY THE BOARD FOLLOWING THIS REVIEW. THE REVIEW IS DONE ANNUALLY AND COINCIDES WITH NCMC'S PERFORMANCE EVALUATION PERIOD. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 NCMC MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 8,656,768 2,498,082 693