2023-11-11T21:53:02-05:00 2022-12-31 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-01-01 863190906 CARIBOU MEDICAL CENTER INC CARI 2085473341 300 S 3RD WEST SODA SPRINGS ID 83276 CHRISTINA THOMAS PRESIDENT/CEO 2085473341 2023-11-01 true CHRISTINA THOMAS 999009999 false THOMAS DINGUS P00951009 5092420874 2023-11-11 2022 2023-04-26 12:10:37Z DILLON LIECHTY 300 S 3RD WEST SODA SPRINGS ID 83276 23983657 false X CARIBOUMC.ORG X 2021 ID TO PROVIDE HOSPITAL SERVICES TO THE RESIDENTS OF CARIBOU COUNTY, IDAHO AND THE SURROUNDING COMMUNITY. 5 5 208 5 0 18495517 36786 9886972 22826783 23603 77087 51654 202001 28457746 23142657 0 0 5689069 14514981 0 0 3719127 9572452 9408196 24087433 19049550 -944776 21168579 20024821 2119029 2002038 19049550 18022783 TO PROVIDE HOSPITAL SERVICES TO THE RESIDENTS OF CARIBOU COUNTY, IDAHO AND THE SURROUNDING COMMUNITY. false false 19244862 22826783 CARIBOU MEDICAL CENTER (CMC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND THREE HEALTH CLINICS. CMC PROVIDED 1,402 DAYS OF INPATIENT SERVICES, 16,548 OUTPATIENT VISITS, 2,339 EMERGENCY VISITS, 29 BIRTHS, AND 12,824 CLINIC VISITS. CMC TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY PROVIDING 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 92,048 FOR CHARITY CARE, 2,472,271 FOR MEDICAID, 4,990,263 FOR MEDICARE, AND 3,070,547 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 19244862 true true false true false false false false false false true false false false false true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 27 0 true 208 true false false false false false false false false false false false false X 5 5 false false false false false false false true true false true true false true true true true true true true false X RYAN SPEAS 2085473341 300 S 3RD WEST SODA SPRINGS ID 83276 GREGORY JENSEN PHYSICIAN 40.00 X 516925 0 25813 JOHN FRANSON PHYSICIAN 40.00 X 478293 0 22310 JONATHAN HOUSLEY PHYSICIAN/CM 40.00 X 351605 0 41777 ALAN ROBINSON CFO 40.00 X 320326 0 0 CHRISTINA THOMAS PRESIDENT/CE 40.00 X 275889 0 21951 JOSHUA TORMAN PHYSICIAN 40.00 X 241796 0 36942 DAVID EDWARDS PHYSICIAN AS 40.00 X 230936 0 29819 WESLEY BROWN CHAIR 1.00 X X 0 0 0 TRACIE ERICKSON SECRETARY/TR 1.00 X X 0 0 0 CRAIG MANSFIELD TRUSTEE 1.00 X 0 0 0 LORRAINE MYERS VICE CHAIR 1.00 X X 0 0 0 CURTIS TOONE TRUSTEE 1.00 X 0 0 0 2415770 178612 19 false true false CUSHING TERRELL PO BOX 30071 BILLINGS MT 59107 ARCHITECTS 931242 DIAGNOSTIC IMAGING OF IDAHO LLC 1951 BENCH RD STE F POCATELLO ID 83201 IMAGING 475590 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 19182 DIETARY 471897 HEALTHTECH MANAGEMENT SERVICDES INC 5110 MARYLAND WAY STE 200 BRENTWOOD TN 37027 CONSULTANT 352536 ALAN ROBINSON 1370 RED FOX TRACE LOGAN UT 84321 FINANCIAL 320326 9 36786 36786 NET PATIENT SERVICE REVENUE 624100 22826783 22826783 22826783 103561 103561 11818 11818 11818 11818 814526 841000 -26474 -26474 -26474 OTHER 900099 140853 140853 CAFETERIA 722514 49330 49330 190183 23142657 22826783 279088 X 618166 618166 11273974 9707010 1566964 599302 500124 99178 1102098 909170 192928 921441 753521 167920 15935 15935 145919 145919 3992238 2696712 1295526 52112 52112 446352 260184 186168 318007 289513 28494 150594 64491 86103 136 136 1018016 926805 91211 157383 85664 71719 MEDICAL SUPPLIES & DRUGS 2625634 2625634 REPAIRS & MAINTENANCE 371507 358981 12526 278619 67053 211566 24087433 19244862 4842571 0 1761391 514085 5454730 91460 3690852 4175413 350059 385083 326439 353890 10797252 1422962 9072356 9374290 4283535 512752 847065 21168579 20024821 2000029 2002038 119000 2119029 2002038 X 19049550 18022783 19049550 18022783 21168579 20024821 -944776 -81991 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1408 1408 false SCHEDULE C, PART II-B, LINE 1 CMC DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. CMC PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 560000 560000 4770052 446095 4323957 3675588 976867 2698721 1791612 1791612 9374290 X 23060666 -81991 -81991 23142657 23142657 24087433 24087433 24087433 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS ORGANIZED AS AN IDAHO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS REQUIRED TO FILE AN ANNUAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. AS OF DECEMBER 31, 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X true true true false false 56149 56149 0.00230 2739087 2018036 721051 0.02990 2795236 2018036 777200 0.03230 71171 71171 0.00300 3918431 1852676 2065755 0.08580 17714 17714 0.00070 4007316 1852676 2154640 0.08950 6802552 3870712 2931840 0.12170 22707 22707 0.00090 1241 1241 0.00010 16000 16000 0.00070 39948 39948 0.00170 true 940857 9154834 9178484 -23650 X true true 1 1 CARIBOU MEDICAL CENTER 300 S 3RD WEST SODA SPRINGS ID 83276 CARIBOUMC.ORG 37 X X X X CARIBOU MEDICAL CENTER 1 false true false false true X 100.000000000000 200.000000000000 X true true X X X true X CARIBOUMC.ORG/SERVICES/PAYMENTCOUNSELI X CARIBOUMC.ORG/SERVICES/PAYMENTCOUNSELI X CARIBOUMC.ORG/SERVICES/PAYMENTCOUNSELI X X X X X true X false X X X true X false false FACILITY 1, CARIBOU MEDICAL CENTER - PART V, LINE 2 IN AUGUST 2021, COUNTY-OWNED CARIBOU MEMORIAL HOSPITAL TRANSITIONED THE COUNTY HOSPITALS HOSPITAL SERVICES TO CARIBOU MEDICAL CENTER. THE HOSPITAL IS CURRENTLY IN THE PROCESS OF COMPLETING ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AS A NEWLY FORMED TAX EXEMPT HOSPITAL ORGANIZATION. FACILITY 1, CARIBOU MEDICAL CENTER - PART V, LINE 16J THE FINANCIAL ASSISTANCE POLICY IS ALSO VERBALLY DISCUSSED TO A PATIENT WHEN THEY CALL THE HOSPITAL OR THE HOSPITAL CALLS THEM FOR FOLLOW UP ON PAYMENT STATUS. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE HOSPITAL WEBSITE. SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 1,785,124 IN COLUMN C AND 952,706 IN COLUMN D. SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, 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 CARIBOU 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 SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 7 BEGINNING ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. PROVIDING THESE SERVICES IS ESSENTIAL TO PATIENTS AND THE COMMUNITY AND INCREASES ACCESS TO HEALTHCARE SERVICES REGARDLESS OF PATIENTS ABILITY TO PAY AND/OR THE REIMBURSEMENT EXPECTED TO BE RECEIVED FROM MEDICARE, MEDICAID OR OTHER PAYERS. THEREFORE, ANY MEDICARE PATIENT CARE SHORTFALLS SHOULD BE INCLUDED AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B IF A PATIENT IS UNABLE TO PAY THEIR BILL AS SPECIFIED IN THE BILLING/COLLECTION POLICY, THE HOSPITAL COLLECTS CHARITY CARE AND MEDICAID APPLICATIONS. IF THE PATIENT IS SELF PAY WITHOUT INSURANCE AND DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE, ETC, WE DETERMINE IF THEY ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WITH THE ASSISTANCE OF A PATIENT FINANCIAL COUNSELOR (PFC). A PFC WILL ALSO HELP SET UP A PAYMENT PLAN OR HELP WITH OTHER SOURCES OF FINANCIAL ASSISTANCE AND GOES OVER THE IN-HOUSE CHARITY CARE GUIDELINES AND APPLICATION WITH THE PATIENT. PATIENTS ARE REQUIRED TO PROVIDE FINANCIAL DATA SUCH AS TAX INFORMATION AND ASSET DETAIL AND WILL NOT BE CONSIDERED CHARITY CARE UNTIL MEDICAID DENIES THEIR CLAIM. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. ONCE A PATIENT APPLIES FOR FINANCIAL ASSISTANCE, WE HOLD ALL COLLECTIONS EFFORTS UNTIL A DETERMINATION IS MADE. SCHEDULE H, PART VI, LINE 2 THE BOARD OF DIRECTORS, MANAGEMENT, AND HOSPITAL DEPARTMENT STAFF AND MANAGERS ARE COMPRISED OF MEMBERS WITHIN THE COMMUNITY. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. THE HOSPITAL ALSO REVIEWS LOCAL THIRD PARTY HEALTH DATA, SUCH AS DATA FROM THE HEALTH DEPARTMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE CURRENTLY BEING WORKED ON HOWEVER WERE NOT FINALIZED BY THE END OF 2022. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL DISTRIBUTES ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICY INFORMATION TO THE COMMUNITY IN A VARIETY OF WAYS. IT IS DISPLAYED IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. IT ALSO PROVIDES A COPY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ITS ADMISSION PACKET AS PART OF THE INTAKE PROCESS AND ALSO INCLUDED WITH DISCHARGE MATERIALS. ASSIGNED HOSPITAL STAFF ALSO DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, AS APPLICABLE. THE INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND INCLUDED WITH EVERY PATIENT ACCOUNT STATEMENT. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://CARIBOUMC.ORG/WP-CONTENT/UPLOADS/CMC-%E2%80%93-FINANCIAL- ASSISTANCE-PROGRAM-POLICY.PDF SCHEDULE H, PART VI, LINE 4 THE HOSPITAL IS CURRENTLY THE ONLY HOSPITAL PROVIDER IN SODA SPRINGS, IDAHO AND SERVES RESIDENTS OF CARIBOU COUNTY, IDAHO AND THE SURROUNDING COMMUNITY. CARIBOU COUNTY IS FEDERALLY-DESIGNATED A MEDICALLY UNDERSERVED AREA WHICH HAS A LOW INCOME RURAL POPULATION. THE COUNTY COVERS 1,766 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 7,000. AS OF THE 2010 CENSUS, THE RACIAL MAKEUP OF THE COUNTY WAS 95.3% WHITE, 0.3% AMERICAN INDIAN, 0.2% PACIFIC ISLANDER, 0.2% ASIAN, 0.1% BLACK OR AFRICAN AMERICAN, 2.3% FROM OTHER RACES, AND 1.5% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 4.8% OF THE POPULATION. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS 44,958 AND THE MEDIAN INCOME FOR A FAMILY WAS 53,615. THE PER CAPITA INCOME FOR THE COUNTY WAS 20,637. ABOUT 4.2% OF FAMILIES AND 8.4% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 10.4% OF THOSE UNDER AGE 18 AND 5.0% OF THOSE AGE 65 OR OVER. THE HOSPITAL HAS BEEN SERVING THE HEALTHCARE NEEDS OF CARIBOU COUNTY AREA SINCE 1923. THE 25 BED CRITICAL ACCESS HOSPITAL FACILITY WAS BUILT IN 1969 ALONG ALEXANDER RESERVOIR. IN AUGUST 2021, COUNTY-OWNED CARIBOU MEMORIAL HOSPITAL TRANSITIONED TO A NON-PROFIT 501(C)(3) ENTITY CALLED CARIBOU MEDICAL CENTER. THE HOSPITAL OFFERS A CONTINUUM OF CARE INCLUDING INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES AS WELL AS AN OUTPATIENT CLINIC IN THE CITY OF GRACE, IDAHO. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA INCLUDING BANCROFT, GRACE, SODA SPRINGS AND OTHER INCORPORATED AND UNICORPORATED AREAS OF THE COUNTY RANGING FROM BUSINESS OWNERS TO RETIREES REPRESENTING THE COMMUNITY IT SERVES. THIS VOLUNTEER BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THE CREDENTIALING PROCESS ENSURES PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, PRACTITIONERS FROM NUMEROUS SPECIALTIES ARE ENCOURAGED TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS AND SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ELIMINATES THE POTENTIAL FOR CONFLICTS OF INTEREST RELATED TO INFLATED PROFIT MARGINS AND ALLOWS THE HOSPITAL TO FOCUS ON MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES WE SERVE. THE HOSPITAL PARTICIPATES IN MULTIPLE ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES INCLUDING A HEALTH FAIR EACH YEAR WHERE MEDICAL TESTS ARE PROVIDED AT REDUCED PRICES TO ENSURE THE COMMUNITY KNOWS THEIR NUMBERS AND RISKS, FOCUSING ON PREVENTION AND INTERVENTION. CMC PAUSED ITS COMMUNITY HEALTH FAIR DURING THE COVID PANDEMIC, AND WE PLAN TO BEGIN OFFERING THE HEALTH FAIR AGAIN ONCE THE PANDEMIC IS OVER. THE HOSPITAL ALSO PROVIDES VARIOUS SEMINARS, CLASSES AND EVENTS FREE OF CHARGE TO THE COMMUNITY TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS CONTINUALLY WORKING WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. X X X X false false false false false false false false false GREGORY JENSEN PHYSICIAN 516925 20500 5313 542738 JOHN FRANSON PHYSICIAN 478293 21362 948 500603 JONATHAN HOUSLEY PHYSICIAN/CMO 351605 24320 17457 393382 ALAN ROBINSON CFO 320326 320326 CHRISTINA THOMAS PRESIDENT/CEO 275889 12273 9678 297840 JOSHUA TORMAN PHYSICIAN 241796 20228 16714 278738 DAVID EDWARDS PHYSICIAN ASSIST 230936 17744 12075 260755 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO, AND THE BOARD CHAIR, WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C CMC SHALL DISCLOSE ANY EXISTING OR POTENTIAL CONFLICTS OF INTEREST FOR THOSE WHO PROVIDE CARE, TREATMENT AND SERVICES AS WELL AS MANAGEMENT AND GOVERNANCE ACTIVITIES. ALL CONFLICTS OF INTEREST, INCLUDING POTENTIAL CONFLICTS OF INTEREST, SHALL BE RESEARCHED AND ADDRESSED IN AN EFFORT TO RESOLVE THE CONFLICT OF INTEREST ABIDING BY STATE AND FEDERAL LEGAL REGULATIONS AND REQUIREMENTS. A MEMBER OF THE GOVERNING BODY OR A MEMBER OF A COMMITTEE, WHEN CALLED UPON TO CAST A VOTE FOR OR AGAINST A MATTER WHICH PERSONALLY INVOLVES SUCH INDIVIDUAL, SHALL DISCLOSE HIMSELF/HERSELF INELIGIBLE TO VOTE ON THE GROUNDS OF CONFLICT OF INTEREST. IN CASES WHERE CONFLICT OF INTEREST IS NOT CLEARLY APPARENT, OR WHEN SUCH CONFLICT IS NOT DECLARED BY A PERSON WHO IN THE OPINION OF OTHER MEMBERS HAS POTENTIAL CONFLICT, THE CONFLICT OF INTEREST ISSUE MAY BE BROUGHT BEFORE THE BODY WHO SHALL VOTE ON SUCH ISSUE TO DETERMINE WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. SHOULD THERE BECOME KNOWN, AT ANY TIME, A CONFLICT OF INTEREST BETWEEN ANY MEMBER OF THE GOVERNING BODY AND THE HOSPITAL OR ANY OF ITS AGENTS, THE INDIVIDUAL(S) MAY EXCUSE HIMSELF/HERSELF FROM DISCUSSIONS AND/OR DETERMINATIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE MAIN SOURCES AVAILABLE TO THE HOSPITAL IN REGARD TO FAIR MARKET VALUE IN SALARIES IS THE IDAHO HOSPITAL ASSOCIATION (IHA) ANNUAL SURVEY AND MGMA DATA. THIS DATA IS UTILIZED BY THE HOSPITAL TO ESTABLISH WAGE SCALES AND TO DETERMINE THE CEO'S COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO ALSO UTILIZES THE ANNUAL EVALUATION PROCESS AND THE IHA SURVEY AND MGMA DATA TO REVIEW AND APPROVE THE CFO AND SUPERVISORS' COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 19 CMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 2,696,712 1,295,526 0