BLUE MOUNTAIN HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BLUE MOUNTAIN HOSPITAL (EIN 20-0743054)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-07-30
- IRS object ID
- 202432129349300233
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-07-30T11:44:33-04:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200743054 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE MOUNTAIN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 4356784629 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 SOUTH 200 WEST | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DERRILL KENT TUREK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4357670517 | PhoneNum |
| Signature | 2024-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2024-07-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEREMY LYMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 SOUTH 200 WEST | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,079,907 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BMHUTAH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | UT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AN ATMOSPHERE OF EXCELLENCE IN HEALING, QUALITY PHYSICIAN CARE, AND INSPIRED EMPLOYEES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 170 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $59,085 | PYContributionsGrantsAmt |
| CY Contributions Grants | $349,302 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,132,215 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,786,306 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,395 | PYInvestmentIncomeAmt |
| CY Investment Income | $488,924 | CYInvestmentIncomeAmt |
| PY Other Revenue | $341,704 | PYOtherRevenueAmt |
| CY Other Revenue | $439,754 | CYOtherRevenueAmt |
| PY Total Revenue | $16,534,399 | PYTotalRevenueAmt |
| CY Total Revenue | $19,064,286 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $300 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,295,712 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,396,554 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,629 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,749,237 | PYOtherExpensesAmt |
| CY Other Expenses | $10,302,709 | CYOtherExpensesAmt |
| PY Total Expenses | $17,044,949 | PYTotalExpensesAmt |
| CY Total Expenses | $19,699,563 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$510,550 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$635,277 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,126,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,306,329 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,269,389 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,663,771 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,856,858 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,642,558 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE AN ATMOSPHERE OF EXCELLENCE IN HEALING, QUALITY PHYSICIAN CARE, AND INSPIRED EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,276,407 | ExpenseAmt |
| Grant | $300 | GrantAmt |
| Revenue | $17,786,306 | RevenueAmt |
| Desc | BLUE MOUNTAIN HOSPITAL (BMH) OPERATES AN 11-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, RENAL DIALYSIS, AND EMERGENCY CARE SERVICES IN BLANDING, UTAH AND THE FOUR CORNERS, INCLUDING THE POPULATIONS OF THE NAVAJO TRIBE AND UTE MOUNTAIN UTE TRIBE. BMH PERFORMED 674 OUTPATIENT AND 92 INPATIENT SURGERIES WHICH INCLUDE GENERAL, ORTHOPEDIC, DENTAL, PODIATRIC AND OTHER SPECIALTY SURGERIES. BMH PROVIDED 3,066 ER VISITS DURING THE YEAR. BMH OFFERS X-RAY, CT, MRI AND FLUOROSCOPIC RADIOLOGY EXAMS AND PERFORMED 5,292 TOTAL PROCEDURES IN OUTPATIENT RADIOLOGY. BMH PERFORMED A VARIETY OF OUTPATIENT INFUSION THERAPIES TO 179 PATIENTS. BMH OFFERS A COMPREHENSIVE PANEL OF LABORATORY TESTS ONSITE AND HELPS NEARBY CLINICS PERFORMING 44,518 TESTS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $15,276,407 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 170 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DERRILL KENT TUREK | PersonNm |
| Phone | 4356784629 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 SOUTH 200 WEST | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MATTHEW LYMAN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $519,919 | $0 | $29,692 | ||
| JEREMY LYMAN | ||||||||
| CEO | 40.00 | 0.00 | $272,218 | $0 | $33,629 | Yes (X) | ||
| ALTON PUGH | ||||||||
| CRNA | 40.00 | 0.00 | Yes (X) | $201,159 | $0 | $21,720 | ||
| MITCHELL BAILEY | ||||||||
| CRNA | 40.00 | 0.00 | Yes (X) | $182,420 | $0 | $26,297 | ||
| SHANE GURLEY | ||||||||
| PHARM D | 40.00 | 0.00 | Yes (X) | $157,825 | $0 | $28,777 | ||
| DERRILL KENT TUREK | ||||||||
| CFO | 40.00 | 0.00 | $140,010 | $0 | $27,975 | Yes (X) | ||
| TRENTON HERRING | ||||||||
| COO | 40.00 | 0.00 | Yes (X) | $123,663 | $0 | $26,867 | ||
| LYNN STEVENS | ||||||||
| BOARD CHAIR | 1.00 | $3,450 | $0 | $0 | Yes (X) | Yes (X) | ||
| BRADLEY HIGHT | ||||||||
| BOARD MEMBER | 1.00 | $3,450 | $0 | $0 | Yes (X) | |||
| WILFRED JONES | ||||||||
| BOARD MEMBER | 1.00 | $3,450 | $0 | $0 | Yes (X) | |||
| GLORIA BEGAYE | ||||||||
| BOARD MEMBER | 1.00 | $3,200 | $0 | $0 | Yes (X) | |||
| SPENCER SINGER | ||||||||
| BOARD MEMBER | 1.00 | $2,950 | $0 | $0 | Yes (X) | |||
| GRISELDA ROGERS | ||||||||
| BOARD MEMBER | 1.00 | $2,950 | $0 | $0 | Yes (X) | |||
| LYNDRETH WALL | ||||||||
| BOARD MEMBER | 1.00 | $450 | $0 | $0 | Yes (X) | |||
| MALCOLM LEHI | ||||||||
| BOARD MEMBER | 1.00 | $150 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,617,264 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $194,957 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UTAH NAVAJO HEALTH SYSTEMS | |||||
| POBOX 130 | MONTEZUMA CREEK | UT | 84534 | ER PHYSICIAN | $222,233 |
| VIZIENT | |||||
| PO BOX 842175 | DALLAS | TX | 75284 | CONSULTING | $169,648 |
| SOUTHEASTERN UTAH SURGICAL CONSULT | |||||
| 34 EAST 200 NORTH | BLANDING | UT | 84511 | SURGEON | $162,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $349,302 | GovernmentGrantsAmt |
| Total Contributions | $349,302 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $17,786,306 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,786,306 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,786,306 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $488,924 | TotalRevenueColumnAmt |
| Exclusion | $488,924 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $42,600 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,621 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,979 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,979 | TotalRevenueColumnAmt |
| Exclusion | $26,979 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| FOOD SERVICES | 722320 | $345,284 | $345,284 |
| OTHER | 900099 | $67,491 | $67,491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $412,775 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,064,286 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,786,306 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $928,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300 | TotalAmt |
| Program Services | $300 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,224 | TotalAmt |
| Program Services | $18,800 | ProgramServicesAmt |
| Management And General | $457,424 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,713,950 | TotalAmt |
| Program Services | $5,247,244 | ProgramServicesAmt |
| Management And General | $1,466,706 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,746 | TotalAmt |
| Program Services | $125,823 | ProgramServicesAmt |
| Management And General | $19,923 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,709 | TotalAmt |
| Program Services | $810,842 | ProgramServicesAmt |
| Management And General | $745,867 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,925 | TotalAmt |
| Program Services | $382,688 | ProgramServicesAmt |
| Management And General | $121,237 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,626 | TotalAmt |
| Management And General | $16,626 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,427,661 | TotalAmt |
| Program Services | $2,748,810 | ProgramServicesAmt |
| Management And General | $678,851 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,222 | TotalAmt |
| Management And General | $32,222 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,144 | TotalAmt |
| Program Services | $550,468 | ProgramServicesAmt |
| Management And General | $163,676 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,827 | TotalAmt |
| Program Services | $101,850 | ProgramServicesAmt |
| Management And General | $101,977 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,730 | TotalAmt |
| Program Services | $196,441 | ProgramServicesAmt |
| Management And General | $25,289 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,561 | TotalAmt |
| Program Services | $5,914 | ProgramServicesAmt |
| Management And General | $6,647 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,904 | TotalAmt |
| Program Services | $31,398 | ProgramServicesAmt |
| Management And General | $92,506 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,079 | TotalAmt |
| Program Services | $115,967 | ProgramServicesAmt |
| Management And General | $194,112 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,358,249 | TotalAmt |
| Program Services | $1,203,339 | ProgramServicesAmt |
| Management And General | $154,910 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,936 | TotalAmt |
| Program Services | $120,057 | ProgramServicesAmt |
| Management And General | $63,879 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,174,200 | $3,174,200 | |
| REPAIR & MAINTENANCE | $400,902 | $380,930 | $19,972 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,668 | TotalAmt |
| Program Services | $61,336 | ProgramServicesAmt |
| Management And General | $59,703 | ManagementAndGeneralAmt |
| Fundraising | $1,629 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,699,563 | TotalAmt |
| Program Services | $15,276,407 | ProgramServicesAmt |
| Management And General | $4,421,527 | ManagementAndGeneralAmt |
| Fundraising | $1,629 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,315,378 | BOYAmt |
| EOY | $1,271,011 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,500,006 | BOYAmt |
| EOY | $1,750,006 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,941,940 | BOYAmt |
| EOY | $3,321,219 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,091 | BOYAmt |
| EOY | $86,826 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,218 | BOYAmt |
| EOY | $125,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,303,277 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,471,189 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,685,117 | BOYAmt |
| EOY | $8,832,088 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,047 | BOYAmt |
| EOY | $333,684 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,450 | BOYAmt |
| EOY | $1,585,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,126,247 | BOYAmt |
| EOY | $17,306,329 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,913,014 | BOYAmt |
| EOY | $2,282,353 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,454,671 | BOYAmt |
| EOY | $7,332,256 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,901,704 | BOYAmt |
| EOY | $1,049,162 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,269,389 | BOYAmt |
| EOY | $10,663,771 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,856,858 | BOYAmt |
| EOY | $6,642,558 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,856,858 | BOYAmt |
| EOY | $6,642,558 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,126,247 | BOYAmt |
| EOY | $17,306,329 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$635,277 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $420,977 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,803 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,803 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $426,977 | OtherCostOrOtherBasisAmt |
| Book Value | $426,977 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,103,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,668,838 | DepreciationAmt |
| Book Value | $6,434,272 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,738,052 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,802,351 | DepreciationAmt |
| Book Value | $1,935,701 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,138 | OtherCostOrOtherBasisAmt |
| Book Value | $35,138 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,832,088 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| REINSURANCE RECEIVABLE | $993,018 |
| OTHER RECEIVABLES | $592,928 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,585,946 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EHR CONTINGENCY | $543,546 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $288,000 |
| LEASE LIABILITIES | $217,616 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,049,162 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,500,884 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $436,598 | OtherRevenueAmt |
| Revenue Not Reported | $436,598 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,064,286 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $19,064,286 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,715,184 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $15,621 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $15,621 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,699,563 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $19,699,563 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 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, 2023 AND 2022, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENT EXPENSE 15,621 CHANGE IN EHR SETTLEMENT 420,977 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENT EXPENSE 15,621 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,289,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,067,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $222,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,312,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,067,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $244,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,541 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,577 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,577 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,386,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,104,246 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,183 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $125 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,886 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,194 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $56,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $376,572 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $100,921 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,296,784 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,676,613 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$379,829 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH KIDNEY CARE LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOME-BASED DIALYSIS SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE MOUNTAIN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 SOUTH 200 WEST | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BMHUTAH.ORG | WebsiteAddressTxt |
| State License | NO LICENSE IN UTAH | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RENAL DIALYSIS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE MOUNTAIN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BMHUTAH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BMHUTAH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART VI, PAGE 10 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART VI, PAGE 10 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART VI, PAGE 10 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 26 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 5 | BLUE MOUNTAIN HOSPITAL COLLABORATED WITH THE UTAH DEPARTMENT OF HEALTH, INTERMOUNTAIN HEALTH AND SAN JUAN PUBLIC HEALTH TO IDENTIFY HEALTH INDICATORS, GATHER DATA AND COMMUNITY INPUT, ANALYZE, AND THEN PRIORITIZE THOSE INDICATORS TO DETERMINE SIGNIFICANT HEALTH NEEDS TO ADDRESS. A COMMUNITY INPUT MEETING DID THIS; INVITEES INCLUDED REPRESENTATIVES FROM THE FOLLOWING GROUPS: HEALTHCARE PROVIDERS, LOCAL GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICT, LOCAL HEALTH DEPARTMENTS, BEHAVIORAL HEALTH, COMMUNITY MEMBERS, AND A REPRESENTATIVE FROM THE LOCAL UNIVERSITY, REPRESENTED A BROAD RANGE OF INTERESTS INCLUDING THE HEALTHCARE NEEDS OF UNINSURED AND LOW-INCOME PEOPLE, AND WERE INVITED TO ATTEND THE MEETING TO SHARE THEIR PERSPECTIVES ON HEALTH NEEDS IN THE COMMUNITY. THIS MEETING WAS CONDUCTED ON 04/28/2022. |
| FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 6A | THE HOSPITAL CHNA WAS CONDUCTED WITH UTAH NAVAJO HEALTH SYSTEM. |
| FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 6B | THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PERFORMED BY BLUE MOUNTAIN HOSPITAL IN CONJUNCTION WITH THE UTAH DEPARTMENT OF HEALTH, INTERMOUNTAIN HEALTH, AND SAN JUAN PUBLIC HEALTH TO DISCUSS COMMUNITY HEALTH NEEDS. THIS REPORT CAN BE FOUND ON WWW.BMHUTAH.ORG. |
| FACILITY 1, BLUE MOUNTAIN HOSPITAL - PART V, LINE 11 | BLUE MOUNTAIN HOSPITAL PUBLISHED THE 2022 CHNA TO WWW.BMHUTAH.ORG IN DECEMBER 2022. COLLABORATING WITH COMMUNITY PARTNERS, SAN JUAN PUBLIC HEALTH, INTERMOUNTAIN HEALTH, UTAH NAVAJO HEALTH SYSTEM, AND THE UTAH DEPARTMENT OF HEALTH. ONCE THE CHNA WAS PUBLISHED, WORK BEGAN ON AN IMPLEMENTATION PLAN. BELOW REPRESENTS THE ACTIONS WORKED ON IN FY 2023 FOR THE 2022 CHNA. GOAL 1 - IMPROVING COORDINATION OF CARE BMH HAS A RELATIVELY NEW POSITION THAT IS A DISCHARGE PLANNER AND UTILIZATION REVIEW. THIS POSITION HELPS TO SIGNIFICANTLY IMPROVE THE COORDINATION OF CARE FOR OUR PATIENTS. THIS ROLE ENSURES A SEAMLESS TRANSITION FROM HOSPITAL TO HOME OR OTHER CARE SETTINGS BY CLOSELY MONITORING PATIENT PROGRESS AND DISCHARGE READINESS. THE DISCHARGE PLANNER COLLABORATES WITH HEALTHCARE PROVIDERS TO DEVELOP INDIVIDUALIZED DISCHARGE PLANS, ADDRESSING BOTH MEDICAL AND NON-MEDICAL NEEDS. THIS COORDINATION REDUCES READMISSION RATES AND ENHANCES PATIENT OUTCOMES BY ENSURING CONTINUITY OF CARE, TIMELY FOLLOW-UPS, AND APPROPRIATE USE OF HEALTHCARE RESOURCES. ADDITIONALLY, THE UTILIZATION REVIEW MANAGER'S OVERSIGHT ENSURES EFFICIENT RESOURCE USE, ALIGNING PATIENT NEEDS WITH APPROPRIATE CARE LEVELS AND AVOIDING UNNECESSARY HOSPITAL STAYS. IN FY23 BMH APPLIED FOR A GRANT THAT WOULD ALLOW THE HOSPITAL TO PURCHASE AND ENGAGE IN THEIR OWN PROACTIVE PATIENT TRANSPORTATION FOR PATIENTS WHO DO NOT HAVE THE MEANS OF TRANSPORTATION TO SEEK CARE. THE GRANT WILL BE AWARDED SOMETIME IN DECEMBER 2024. GOAL 2 - HEALTHCARE STAFFING SHORTAGES- BMH'S GOAL IS TO BE FULLY STAFFED WITH LICENSED HEALTHCARE PROVIDERS AND HAVE MULTIPLE APPLICANTS FOR AVAILABLE POSITIONS. IN FY 23, BLUE MOUNTAIN HOSPITAL (BMH) MAINTAINED VALUABLE PARTNERSHIPS WITH THE UNIVERSITY OF UTAH, UTAH STATE UNIVERSITY, AND SAN JUAN COUNTY TO EFFECTIVELY ADDRESS STAFFING SHORTAGES. RECOGNIZING THE IMPORTANCE OF A WELL-EDUCATED WORKFORCE, BMH STAFF ACTIVELY SEEK HEALTHCARE PARTNERS WHO SHOW POTENTIAL FOR GROWTH THROUGH EDUCATION, LICENSURE, AND CERTIFICATIONS, WITH THE INTENTION OF OFFERING EMPLOYMENT OPPORTUNITIES WITHIN OUR FACILITY. UNFORTUNATELY, THE LINGERING EFFECTS OF THE COVID-19 PANDEMIC HAVE CREATED OBSTACLES IN FINDING LICENSED AND CERTIFIED HEALTHCARE PROVIDERS INTERESTED IN JOINING OUR TEAM. NONETHELESS, BMH REMAINS STEADFAST IN ITS COMMITMENT TO SUPPORTING STAFF MEMBERS IN OVERCOMING THESE CHALLENGES IN THEIR EDUCATIONAL PURSUITS. WE PROVIDE COMPREHENSIVE RESOURCES AND ACTIVELY EXPLORE ALTERNATIVE OPPORTUNITIES TO ENSURE OUR DEDICATED STAFF AND NEW HIRES HAVE THE NECESSARY TOOLS AND SUPPORT TO SUCCEED IN THEIR CAREERS. BMH ATTENDS JOB FAIRS AND COMMUNITY EVENTS AND CREATES MARKETING CAMPAIGNS TO RECRUIT NEW NURSES AND ANCILLARY STAFF. STAFF PRESENT INFORMATION ABOUT HEALTHCARE CAREERS AND BMH IN LOCAL HIGH SCHOOL HEALTH CLASSES, AND JOB SHADOWING IS OFFERED TO HIGH SCHOOL JUNIORS AND SENIORS. BMH CONTINUES TO SUPPORT THE ER TECH LPN PROGRAM, WHICH WAS IMPLEMENTED IN 2018. IN 2022, THIS PROGRAM WAS CHANGED FROM THE PATIENT CARE TECH TO THE RN PROGRAM, ALLOWING STUDENTS TO EARN A HIGHER WAGE WHILE PURSUING THEIR RN. FY 2023 SHOWS CONTINUED PURPOSE AND GROWTH, RESULTING IN MULTIPLE TECHS MOVING TO THE RN FIELD. THE BMH HEALTHCARE SCHOLARSHIP ANNUAL GOLF TOURNAMENT IS HELD WITH SAN JUAN HEALTH, PROVIDING SCHOLARSHIPS AND TUITION REIMBURSEMENT FOR THOSE SEEKING CAREERS IN HEALTHCARE AND EMPLOYEES SEEKING HIGHER EDUCATION. BMH CONTINUES TO HOST STUDENTS FOR THEIR CLINICAL HOURS IN OUR FACILITY TO PROMOTE AND SUPPORT OUR ACTIVE HIRING PROCESS. GOAL 3 - IMPROVE ACCESS TO CARE FY23: BLUE MOUNTAIN CONTINUES WORK IN STREAMLINING REFERRAL AND FOLLOW UP PROCESSES BY TRANSITIONING ALMOST ENTIRELY TO ATHENA. THIS ENABLES ALL STAFF TO ACCESS A UNIFIED TIMELINE AND THE CURRENT STATUS OF ANY REFERRAL. ADDITIONALLY, WE HAVE CROSS-TRAINED MULTIPLE TEAM MEMBERS TO MANAGE THE FAX FOLDER, ENSURING CONTINUITY EVEN WHEN STAFF MEMBERS ARE OUT OF THE OFFICE. WE HAVE ALSO IMPLEMENTED AND CONTINUE TO IMPROVE OUR REMINDER CALL SYSTEM TO ENSURE PATIENTS ARE NOTIFIED ONCE THEY ARE SCHEDULED AND CONTINUE TO BE REMINDED UP TO THE DAY BEFORE THEIR APPOINTMENT. CURRENTLY, WE ARE IN THE PROCESS OF REVIEWING A NO SHOW POLICY. THIS POLICY AIMS TO NOTIFY THE REFERRING PROVIDER WHEN REFERRED CARE HAS NOT BEEN PROVIDED DUE TO AN INABILITY TO CONTACT THE PATIENT OR PATIENT NO-SHOWS. WE ANTICIPATE FINALIZING THIS POLICY AND HAVING THE NEW PROCESSES FULLY OPERATIONAL BY THE END OF THE YEAR. THE BLUE MOUNTAIN HOSPITAL RADIOLOGY DEPARTMENT HAS CREATED A REFERRAL SYSTEM THAT ALLOWS THE RADIOLOGY DEPARTMENT ALONG WITH THE AUTHORIZATION TEAM TO BE ABLE TO COLLABORATE AND UPDATE NOTES ON WHEN THOSE PROCEDURES ARE REFERRED TO BMH, IF THEY REQUIRE AUTHORIZATION, AND WHEN THE AUTHORIZATION IS COMPLETED. THIS HELPS TO ENSURE THAT EACH PROCEDURE IS SCHEDULED AS QUICKLY AS POSSIBLE AND IS READY TO BE BILLED TO THE INSURANCE COMPANY BECAUSE ALL PRIOR AUTHORIZATIONS HAVE BEEN COMPLETED. WE HAVE A SIMILAR SYSTEM WITH THE SURGERY DEPARTMENT AS THE RADIOLOGY. SURGERY REFERRALS ARE GIVEN TO THE AUTHORIZATION DEPARTMENT AND THOSE ARE REVIEWED TO OBTAIN AUTHORIZATION TO BE PERFORMED AT BMH. WE WORK CLOSELY WITH THE REFERRING PROVIDERS IN ORDER TO OBTAIN ALL NECESSARY INFORMATION TO GET THOSE REQUESTS APPROVED IN A TIMELY MANNER AND THEN GIVE THEM TO THE SURGERY TEAM TO GET SCHEDULED. THERE IS A COLLABORATIVE SPREADSHEET THAT ALL PARTIES CAN UPDATE WITH NOTES REGARDING WHEN AUTHORIZATIONS WERE STARTED AND WHEN THEY HAVE BEEN APPROVED AND SCHEDULED. IN THE INFUSION DEPARTMENT AN EMAIL THREAD IS STARTED FOR EACH REFERRAL WE RECEIVE. A MEMBER OF THE AUTHORIZATION TEAM SENDS THE INITIAL EMAIL TO PHARMACY, THE AUTHORIZATION TEAM AND THE DIRECTOR OF NURSES ENSURING WE HAVE THE MEDICATION, AUTHORIZATION (IF REQUIRED), AND ADEQUATE NURSES ON STAFF TO BE ABLE TO COMPLETE THE REQUESTED INFUSION REFERRALS. ALL PARTIES REPLY BACK WITH THE INFORMATION THEY HAVE AND THE PATIENT IS SCHEDULED. GOAL 4 - COMMUNITY ENGAGEMENT FY23 BLUE MOUNTAIN HOSPITAL: 1. ENHANCING DIGITAL BULLETIN BOARDS: BMH DEDICATED EFFORTS TO CONSISTENTLY UPDATE AND IMPROVE THE CONTENT DISPLAYED ON THE DIGITAL BULLETIN BOARDS. MULTIPLE SLIDES WERE CREATED TO INFORM AND EDUCATE PATIENTS ABOUT VARIOUS TYPES OF EDUCATION AND OPPORTUNITIES AVAILABLE TO THEM WITHIN THE COMMUNITY. 2. COLLABORATING WITH MARKETING SPECIALIST: BMH CONTINUED ITS PARTNERSHIP WITH A MARKETING SPECIALIST WHO PLAYED A PIVOTAL ROLE IN PUBLISHING AND PROMOTING HEALTH-RELATED EDUCATION, EVENTS, AND INFORMATION THROUGH VARIOUS SOCIAL MEDIA CHANNELS. THIS COLLABORATIVE EFFORT AIMED TO RAISE AWARENESS AND KEEP THE COMMUNITY WELL-INFORMED ABOUT THE INITIATIVES AND ACTIVITIES HAPPENING AT BMH. 3. DEPARTMENT LEADERS' CONTRIBUTIONS: TO MAINTAIN TRANSPARENCY AND KEEP THE COMMUNITY CONNECTED, DEPARTMENT LEADERS ACTIVELY PROVIDED VALUABLE CONTENT FOR DISSEMINATION. BY SHARING UPDATES AND RELEVANT INFORMATION, BMH ENSURED THAT THE COMMUNITY COULD STAY ABREAST OF THE ACTIVITIES WITHIN THE HOSPITAL. 4. BMH'S WORKPLACE OF CHOICE COMMITTEE ENGAGES THE COMMUNITY BY HOSTING SPECIAL EVENTS LIKE THE SEATBELT CHECKPOINT EVENT, SUNSCREEN STATIONS FOR SUN EDUCATION, A FLOAT IN THE COMMUNITY 4TH OF JULY PARADE, AN ESCAPE ROOM BUILT BY BMH, PARTICIPATES IN UNHS TEDDY BEAR CLINIC AND WOMEN'S FAIR, AND PARTICIPATES IN THE COMMUNITY'S HALLOWEEN AND CHRISTMAS EVENTS. 5. BMH HOSTS A SERIES OF MONTHLY BARIATRIC SEMINARS AND KIDNEY OPTIONS SEMINARS TO EDUCATE THE COMMUNITY. 6. SCHOLARSHIP SCRAMBLE HELD IN JULY EACH YEAR, THIS IS A GOLF TOURNAMENT AND THE PROCEEDS ARE GIVEN OUT TO UPCOMING HEALTHCARE STUDENTS TO HELP WITH SCHOOLING COSTS. THESE MEASURES COLLECTIVELY DEMONSTRATED BMH'S COMMITMENT TO ENGAGING THE COMMUNITY, PROMOTING HEALTH-RELATED EDUCATION, AND FACILITATING EFFECTIVE COMMUNICATION CHANNELS TO FOSTER A STRONG RELATIONSHIP WITH THE LOCAL POPULATION. NEEDS IDENTIFIED IN THE 2022 CHNA THAT WERE NOT ADDRESSED IN FY 2023: IN FY 2023, BLUE MOUNTAIN HOSPITAL ACKNOWLEDGED AND RECOGNIZED SPECIFIC NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT UNFORTUNATELY REMAINED UNADDRESSED. HERE IS A SUMMARY: - COMMUNITY ISOLATION: THE LINGERING IMPACTS OF COVID-19 HAVE HEIGHTENED FEELINGS OF ISOLATION AND STRESS WITHIN OUR COMMUNITY. - SUICIDAL IDEATION: INSTANCES OF SUICIDAL THOUGHTS HAVE BEEN A GROWING CONCERN. - INCREASED ER VISITS FOR MENTAL HEALTH: THERE HAS BEEN A NOTABLE RISE IN EMERGENCY ROOM VISITS RELATED TO MENTAL HEALTH ISSUES. - SUBSTANCE USE: MENTAL HEALTH-RELATED SUBSTANCE USE REMAINS A PRESSING ISSUE. - MENTAL HEALTH STAFFING SHORTAGE: WE CONTINUE TO FACE CHALLENGES IN RECRUITING AND RETAINING QUALIFIED MENTAL HEALTH PROFESSIONALS. NUTRITION AND FOOD INSECURITY: - LACK OF ACCESS TO AFFORDABLE AND HEALTHY FOODS: MANY COMMUNITY MEMBERS STRUGGLE TO OBTAIN NUTRITIOUS FOOD AT AFFORDABLE PRICES. - LIMITED RESOURCES TO DISTRIBUTE FOOD: THERE IS A SIGNIFICANT GAP IN RESOURCES NECESSARY TO DELIVER FOOD TO THOSE IN NEED, PARTICULARLY IN ISOLA |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN ADDITION TO THE FPG'S, INSURANCE STATUS IS ALSO USED TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. |
| SCHEDULE H, PART I, LINE 7G | THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. |
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO DETERMINE THE FINANCIAL ASSISTANCE IS THE COST TO CHARGE RATIO. THE COST FOR LINE 7E COMMUNITY HEALTH IMPROVEMENTS AND LINE 7F HEALTH PROFESSIONS EDUCATION IS BASED ON ACTUAL COST. |
| SCHEDULE H, PART II | BLUE MOUNTAIN HOSPITAL PARTICIPATES IN A TEDDY BEAR CLINIC THAT GIVES YOUNG CHILDREN IN THE COMMUNITY A CHANCE TO EXPERIENCE THE HOSPITAL IN A NON THREATENING WAY. THIS ALSO HELPS PARENTS KEEP UP TO DATE AND BE AWARE OF THEIR CHILDREN'S IMMUNIZATIONS. BLUE MOUNTAIN HOSPITAL GIVES GENEROUSLY TO ORGANIZATIONS IN THE COUNTY TO HELP SUPPORT LOCAL ACTIVITIES. ORGANIZATIONS INCLUDE: LOCAL SCHOOLS, THEATER, RODEO, ATV SAFARI, 4TH OF JULY PARADE, TRUNK OR TREAT, COMMUNITY GARDEN, COMMUNITY SPORTS, COUNTY 4-H PROGRAM, AND COUNTY FAIR. BLUE MOUNTAIN HOSPITAL CONSTANTLY WORKS ON WORKFORCE DEVELOPMENT INCLUDING RECRUITMENT OF PHYSICIANS AND OTHER MEDICAL STAFF DUE TO MEDICAL SHORTAGE IN THE AREA. |
| 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 | A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS A COMMUNITY BENEFIT. BASED ON THE COUNTY HOUSEHOLD INCOME AT OR BELOW FEDERAL POVERTY LEVEL, BMH ESTIMATES THAT THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT WOULD QUALIFY AS CHARITY CARE UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 26.8%. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 7 STARTING ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | THE TOTAL REVENUE RECEIVED FROM MEDICARE AND RELATED MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE FACILITY'S MEDICARE COST REPORT. THE FACILITY IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED FOR HOSPITAL SERVICES BY MEDICARE AT APPROXIMATELY 99% OF MEDICARE'S COST. ALL SHORTFALLS ARE CONSIDERED COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 9B | WE RECOMMEND ACCOUNTS FOR BAD DEBT ONCE THE ACCOUNT HITS 120 DAYS. THE ACCOUNT MUST HAVE RECEIVED AT LEAST 2 CALLS, RECEIVED AT LEAST 3 STATEMENTS, AND ALSO HAVE NO RECENT PAYMENT IN THE LAST 45 DAYS. ADDITIONALLY, THE PATIENT OR ACCOUNT HOLDER MUST BE INFORMED AND ENCOURAGED TO COMPLETE AN APPLICATION FOR CHARITY CARE WITH AND BE GIVEN AT LEAST 30 DAYS TO COMPLETE SAID APPLICATION. THE ACCOUNTS THAT ARE SET UP ON A PAYMENT PLAN AND CURRENT WILL NOT RECEIVE ANY CALLS UNTIL THE PAYMENT PLAN GOES INTO DEFAULT STATUS. FOR ACCOUNTS OF THOSE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE THE COLLECTION ACTIONS ARE STOPPED DURING THE TIME THE PERSON IS COMPLETING THE APPLICATION. |
| SCHEDULE H, PART VI, LINE 2 | WE HAVE PROVIDED MULTIPLE WAYS FOR PATIENTS AND COMMUNITY MEMBERS TO CONTACT US, INCLUDING EMAIL, SOCIAL MEDIA, ETC. WHEN THOSE REQUESTS COME IT HELPS US TO IDENTIFY TRENDS OR NEEDS. WHEN WE HAVE A PATIENT COMPLAINT, WE INVESTIGATE ALL ASPECTS AND CAN OFTEN IDENTIFY A SOCIOECONOMIC NEED. WE ALSO TRACK TERMS AND KEYWORDS IN OUR WEBSITE SEARCH BAR. THIS HELPS US TO DETERMINE WHAT WEBSITE VISITORS ARE SEARCHING FOR. THIS ALLOWS US TO PUBLISH INFORMATION OR EDUCATION OUT TO THE COMMUNITY BASED ON THEIR SEARCH. FOR EXAMPLE, WE WOULD PROVIDE COVID EDUCATION IF THERE WERE MULTIPLE COVID SEARCHES ON THE WEBSITE. BMH ALSO OFTEN ROUNDS WITH PATIENTS TO ENSURE THEIR NEEDS ARE MET AND WE REGULARLY ATTEND COMMUNITY EVENTS TO STAY ABREAST OF OUR COMMUNITY NEEDS. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.BMHUTAH.ORG/DOCUMENTS/CONTENT/BLUE-MOUNTAIN-HOSPITAL-2022- CHNA.1).PDF |
| SCHEDULE H, PART VI, LINE 3 | BMH HAS A REPRESENTATIVE THAT PERSONALLY CONTACTS UNINSURED PATIENTS AND INFORMS THEM OF WHAT FEDERAL, STATE, OR LOCAL GOVERNMENT ASSISTANCE OR INDIGENT ASSISTANCE MAY BE AVAILABLE TO THEM. PATIENT STATEMENTS AND LETTERS ALSO PROVIDE NOTIFICATIONS ABOUT HEALTHCARE ASSISTANCE. INFORMATION RELATED TO THE HEALTHCARE ASSISTANCE POLICY AND RELATED APPLICATIONS CAN ALSO BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: WWW.BMHUTAH.ORG/PATIENTS-VISITORS/HEALTHCARE-ASSISTANCE-POLICY/ |
| SCHEDULE H, PART VI, LINE 4 | SAN JUAN COUNTY HAS A TOTAL AREA OF 7,933 SQUARE MILES - THE LARGEST COUNTY IN UTAH. 2019 CENSUS ESTIMATES - THERE WERE 15,449 PEOPLE AND 6,019 HOUSING UNITS. THE RACIAL AND ETHNIC COMPOSITION OF THE POPULATION WAS 49.4% NATIVE AMERICAN, 47.4% WHITE, 0.8% ASIAN, 0.4% AFRICAN AMERICAN, AND 2.3% REPORTING TWO OR MORE RACES. MEDIAN INCOME PER HOUSEHOLD IS 42,581 WITH A PER CAPITA INCOME OF 17,385 AND 25.9% OF THE POPULATION IS IN POVERTY. THE COMMUNITIES SERVED INCLUDE THE POPULATIONS OF THE NAVAJO TRIBE AND THE UTE MOUNTAIN TRIBE. |
| SCHEDULE H, PART VI, LINE 5 | THE HOSPITAL PUBLISHES AND DISTRIBUTES A COMMUNITY NEWSLETTER WHICH EDUCATES AND PROMOTES HEALTH AND AWARENESS. THE HOSPITAL SUPPORTS YOUTH SPORTS GROUPS AND OTHER RECREATIONAL ACTIVITIES THAT PROMOTE PHYSICAL HEALTH IN THE COMMUNITY. THE TEDDY BEAR CLINIC IS A COMMUNITY ENGAGEMENT ACTIVITY IN CONJUNCTION WITH UTAH NAVAJO HEALTH SYSTEMS TO INFORM PARENTS IF THEIR CHILDREN ARE CURRENT ON IMMUNIZATIONS. THE HOSPITAL SETS UP BOOTHS TO EDUCATE PARENTS AND CHILDREN ON THE SERVICES AVAILABLE TO THEM AT THE HOSPITAL AND BLANDING FAMILY PRACTICE. A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL AND THE FAMILY PRACTICE ENSURE THAT PATIENTS ARE FULLY VACCINATED. THE MAJORITY OF BLUE MOUNTAIN HOSPITAL'S BOARD OF DIRECTORS RESIDE WITHIN THE HOSPITAL'S SERVICE AREA. NEITHER THE BOARD MEMBERS OR MEMBERS OF THEIR FAMILY ARE CONTRACTORS FOR BMH AND NONE OF THE BOARD MEMBERS ARE EMPLOYEES OF THE HOSPITAL. BLUE MOUNTAIN HOSPITAL'S MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS LIVING WITHIN THE COMMUNITY AND THE INVITATION FOR PRIVILEGES IS EXTENDED TO ALL QUALIFIED PHYSICIANS WITHIN THE SERVICE AREA. ALL SURPLUS FUNDS THAT BLUE MOUNTAIN HOSPITAL EARNS ARE USED TO IMPROVE PATIENT CARE AT THE HOSPITAL AND THE COMMUNITY. THIS IS DONE IN SEVERAL WAYS, THE FUNDS ARE USED FOR NEW OR REPLACEMENT EQUIPMENT, COMMUNITY EDUCATION, AND SERVICE LINE DEVELOPMENT. BMH RESIDES IN A REMOTE AREA OF UTAH WHICH IS DIFFICULT FOR SOME TO TRAVEL TO A SPECIALIST AND OTHER CARE PROVIDERS NEEDED. BMH HAS BEEN ABLE TO USE SURPLUSES TO DEVELOP SPECIALTY SERVICES SUCH AS TELEHEALTH AND SPECIALISTS WHO TRAVEL TO THE COMMUNITY TO SEE PATIENTS. THIS IMPROVES THE HEALTH WITHIN THE COMMUNITY AS MANY WITHIN THE POPULATION WILL NOT TRAVEL FOR HEALTH CARE SERVICES AND WILL GO WITHOUT SPECIALTY CARE. |
| SCHEDULE H, PART VI, LINE 6 | BLUE MOUNTAIN HOSPITAL BELONGS TO THE UNIVERSITY OF UTAH AFFILIATE NETWORK. NEITHER THIS NETWORK NOR THE UNIVERSITY OF UTAH HAVE ANY CONTROL OR SUPERVISION OVER BMH. THE PURPOSE OF THIS NETWORK IS TO AID IN PROVIDING BETTER CARE AND SERVICES TO THE COMMUNITIES OF THE MEMBERS OF THE NETWORK. THIS NETWORK IS LEVERAGED TO AID IN DEVELOPING SERVICES, QUALITY IMPROVEMENT PROJECTS AND COMMUNITY HEALTH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| MATTHEW LYMAN | |||||
| PHYSICIAN | $304,137 | $215,782 | $7,972 | $21,720 | $549,611 |
| JEREMY LYMAN | |||||
| CEO | $200,068 | $72,150 | $11,909 | $21,720 | $305,847 |
| ALTON PUGH | |||||
| CRNA | $201,159 | $21,720 | $222,879 | ||
| MITCHELL BAILEY | |||||
| CRNA | $182,420 | $8,179 | $18,118 | $208,717 | |
| SHANE GURLEY | |||||
| PHARM D | $155,552 | $2,273 | $7,057 | $21,720 | $186,602 |
| DERRILL KENT TUREK | |||||
| CFO | $128,410 | $11,600 | $6,255 | $21,720 | $167,985 |
| TRENTON HERRING | |||||
| COO | $110,258 | $13,405 | $5,147 | $21,720 | $150,530 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | ONLY THE CEO IS PROVIDED A NON-FIXED PAYMENT. THE BOARD OF DIRECTORS EVALUATE THE CEO'S PERFORMANCE ANNUALLY AND DETERMINE THE AMOUNT OF BONUS AS A PERCENTAGE OF COMPENSATION. THE BONUS IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | BMH 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 53,510 FOR CHARITY CARE, 552,356 FOR MEDICARE, AND 27,459,717 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 7A | TWO INDIVIDUALS EACH HAVE THE RIGHT TO SELECT ONE MEMBER OF THE BOARD OF DIRECTORS IN ADDITION, THE UTAH NAVAJO HEALTH SYSTEM INCORPORATED HAS THE RIGHT TO SELECT TWO MEMBERS OF THE BOARD OF DIRECTORS, AND THE UTE MOUNTAIN UTE TRIBE HAS THE RIGHT TO SELECT FOUR MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 8B | THE HOSPITAL DOES NOT HAVE A COMMITTEE WITH THE AUTHORITY TO MAKE DECISIONS ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS 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 CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY POTENTIAL CONFLICT OF INTEREST SITUATIONS. MOST REVIEWS FOR POTENTIAL CONFLICTS ARE CONDUCTED BY THE HOSPITAL'S ADMINISTRATION IF THE POTENTIAL CONFLICT INVOLVES A MEMBER OF THE HOSPITAL'S ADMINISTRATION. THE BOARD OF DIRECTORS REVIEWS THE POTENTIAL CONFLICT OF INTEREST SITUATION. IF A CONFLICT OF INTEREST IS DETERMINED TO BE PRESENT, THE INDIVIDUAL(S) INVOLVED ARE TO REMOVE THEMSELVES FROM ANY APPLICABLE VOTES AND/OR NEGOTIATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION FOR OFFICERS IS DECIDED AND/OR REVIEWED BY THE BOARD OF DIRECTORS. REGIONAL/SIZE COMPARISON DATA IS USED TO ENSURE COMPENSATION IS RELATIVE TO THE CURRENT MARKET. THE REGIONAL DATA IS ALSO USED AS A POINT OF COMPARISON FOR ALL OTHER POSITIONS WITHIN THE HOSPITAL. ALL WAGE RECOMMENDATIONS FROM LEADERS GO TO HUMAN RESOURCES FOR COMPARISON, RELEVANCE, AND FINAL APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE HOSPITAL CONSIDERS EACH REQUEST, DIRECTS INQUIRERS TO SOURCES WHERE DOCUMENTS ARE PUBLICLY AVAILABLE AND WITH NON-PUBLIC DOCUMENTS, MANAGEMENT SHARES DOCUMENTS WITH INQUIRERS AS REQUIRED BY LAW, OR OTHERWISE IN THE BEST INTEREST OF THE HOSPITAL AND THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES 2,686,627 595,924 0 PROFESSIONAL FEES 62,183 82,927 0 TOTAL 2,748,810 678,851 0 |
| FORM 990, PART XI, LINE 9 | RENT EXPENSE 15,621 CHANGE IN EHR SETTLEMENT 420,977 RENT EXPENSE -15,621 TOTAL 420,977 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 S 200 W STE B | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 853441221 | EIN |
| Primary Activities | DIALYSIS | PrimaryActivitiesTxt |
| Legal Domicile State | UT | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH | BusinessNameLine1Txt |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH KIDNEY CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 802 S 200 W STE B | AddressLine1Txt |
| City | BLANDING | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 853247972 | EIN |
| Primary Activities | DIALYSIS | PrimaryActivitiesTxt |
| Legal Domicile State | UT | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $122,540 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH KIDNEY CARE LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $143,000 | InvolvedAmt |
| Method Of Amount Determination | ACTUAL | MethodOfAmountDeterminationTxt |