TETON VALLEY HEALTH CARE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- TETON VALLEY HEALTH CARE INC (EIN 45-4551946)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-07-15
- IRS object ID
- 202541969349300819
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-07-15T11:22:01-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4585 Coleman St Ste 200 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454551946 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teton Valley Health Care | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TETO | BusinessNameControlTxt |
| Phone | 2083542383 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 East Howard Avenue | AddressLine1Txt |
| City | Driggs | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Troy Christensen | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2083542383 | PhoneNum |
| Signature | 2025-07-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2025-07-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Troy Christensen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 East Howard Avenue | AddressLine1Txt |
| City | Driggs | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,521,490 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.tvhcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | To encourage and support a healthier community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 274 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,998,346 | PYContributionsGrantsAmt |
| CY Contributions Grants | $645,987 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,400,569 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,816,989 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,998 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,521 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,878 | PYOtherRevenueAmt |
| CY Other Revenue | $22,111 | CYOtherRevenueAmt |
| PY Total Revenue | $27,414,791 | PYTotalRevenueAmt |
| CY Total Revenue | $33,513,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $66,763 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,992,584 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,223,828 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $151,902 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,247,548 | PYOtherExpensesAmt |
| CY Other Expenses | $14,404,671 | CYOtherExpensesAmt |
| PY Total Expenses | $29,306,895 | PYTotalExpensesAmt |
| CY Total Expenses | $33,633,699 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,892,104 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$120,091 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,374,110 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,664,503 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,020,396 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,430,880 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,353,714 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,233,623 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To encourage and support a healthier community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,072,247 | ExpenseAmt |
| Grant | $5,200 | GrantAmt |
| Revenue | $32,839,100 | RevenueAmt |
| Desc | The organization operates a critical access hospital and two rural health clinics. The hospital admitted 166 patients that spent 1,098 cumulative days on the acute floor. The emergency department experienced 3,565 visits. 606 surgical procedures and 377 colonoscopies were performed in our operating suite. The two rural health clinics provided 26,228 visits during this same period. | Desc |
| Total Program Service Expenses | $28,072,247 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 274 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Leianne Everett | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2083546340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 East Howard Avenue | AddressLine1Txt |
| City | Driggs | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JoAnne Kay | |||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Janet Conway | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ken Dunn | |||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Kevin Mayberry | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tyler McKellar | |||||||||
| Director (July 2024-Sept 2024) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gene Marcowka | |||||||||
| Director (Jan 2024-Sept 2024) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Anjali Tate | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Troy Christensen | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $92,214 | $0 | $9,951 | |||
| Lori Leianne Everett | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $133,840 | $0 | $0 | |||
| Lisa Loughran Carlson | |||||||||
| CNO/COO | 40.00 | 0.00 | Yes (X) | $330,243 | $0 | $14,688 | |||
| Nathan Levanger | |||||||||
| CMO | 40.00 | 0.00 | $375,122 | $0 | $32,370 | Yes (X) | |||
| Stefan Turkula | |||||||||
| Orthopedic Surgeon | 40.00 | 0.00 | $472,431 | $0 | $19,437 | Yes (X) | |||
| Joshua Clutter | |||||||||
| ER Physician | 32.00 | 0.00 | $319,948 | $0 | $0 | Yes (X) | |||
| Stephen Houmes | |||||||||
| ER Physician, Director | 48.00 | 0.00 | $399,619 | $0 | $31,679 | Yes (X) | |||
| Jacob Moss | |||||||||
| Family Practice Physician, Director | 40.00 | 0.00 | $301,474 | $0 | $30,544 | Yes (X) | |||
| Keith Gnagey | |||||||||
| Former Officer | 0.00 | 0.00 | $165,777 | $0 | $0 | Yes (X) | |||
| Letitia Miller | |||||||||
| Former CFO | 0.00 | 0.00 | $176,097 | $0 | $6,873 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,766,765 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $145,542 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PMNagle Consulting LLC | |||||
| 3816 Salish Trail | Stevensville | MT | 59870 | Revenue Cycle Services | $395,000 |
| Quest Diagnostics | |||||
| PO Box 912400 | Pasadena | CA | 91110 | Reference Labs | $321,389 |
| Russell H McUne MD PC | |||||
| 3835 E 530 N | Rigby | ID | 83442 | ER Physician Services | $264,411 |
| Qualivis LLC | |||||
| PO Box 674913 | Dallas | TX | 75267 | Nurse Staffing Services | $237,328 |
| Mountain View Hospital | |||||
| 2325 Coronado Street | Idaho Falls | ID | 83404 | Physician Staffing Services | $225,044 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $562,538 | RelatedOrganizationsAmt |
| Government Grants | $83,449 | GovernmentGrantsAmt |
| Total Contributions | $645,987 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 624100 | $31,981,980 | $31,981,980 |
| 340B Revenue | 456110 | $447,433 | $447,433 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $387,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $387,576 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,816,989 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,403 | TotalRevenueColumnAmt |
| Exclusion | $36,403 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,111 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,111 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,111 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,111 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,882 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,882 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,882 | TotalRevenueColumnAmt |
| Exclusion | -$7,882 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,513,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,839,100 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $28,521 | 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 | $1,923 | TotalAmt |
| Program Services | $1,923 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,277 | TotalAmt |
| Program Services | $3,277 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,292 | TotalAmt |
| Management And General | $889,292 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,784 | TotalAmt |
| Management And General | $348,784 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,178,099 | TotalAmt |
| Program Services | $13,449,531 | ProgramServicesAmt |
| Management And General | $1,650,348 | ManagementAndGeneralAmt |
| Fundraising | $78,220 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,013 | TotalAmt |
| Program Services | $239,856 | ProgramServicesAmt |
| Management And General | $20,775 | ManagementAndGeneralAmt |
| Fundraising | $382 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458,696 | TotalAmt |
| Program Services | $1,214,308 | ProgramServicesAmt |
| Management And General | $244,198 | ManagementAndGeneralAmt |
| Fundraising | $190 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087,944 | TotalAmt |
| Program Services | $858,137 | ProgramServicesAmt |
| Management And General | $223,234 | ManagementAndGeneralAmt |
| Fundraising | $6,573 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,141 | TotalAmt |
| Management And General | $68,141 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,744,937 | TotalAmt |
| Program Services | $4,462,519 | ProgramServicesAmt |
| Management And General | $1,281,149 | ManagementAndGeneralAmt |
| Fundraising | $1,269 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,024 | TotalAmt |
| Management And General | $154,024 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,979 | TotalAmt |
| Program Services | $88,438 | ProgramServicesAmt |
| Management And General | $69,778 | ManagementAndGeneralAmt |
| Fundraising | $4,763 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,286 | TotalAmt |
| Program Services | $202,531 | ProgramServicesAmt |
| Management And General | $95,755 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,686 | TotalAmt |
| Program Services | $96,048 | ProgramServicesAmt |
| Management And General | $69,638 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,779 | TotalAmt |
| Program Services | $13,779 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,385,583 | TotalAmt |
| Program Services | $1,305,618 | ProgramServicesAmt |
| Management And General | $79,965 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,538 | TotalAmt |
| Program Services | $293,538 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $5,239,290 | $5,169,581 | $69,709 | |
| Lease and Rental Expens | $351,799 | $271,126 | $20,168 | $60,505 |
| Repairs and Maintenance | $330,079 | $326,763 | $3,316 | |
| Recruitment Expense | $90,792 | $60,709 | $30,083 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,758 | TotalAmt |
| Program Services | $14,565 | ProgramServicesAmt |
| Management And General | $91,193 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,633,699 | TotalAmt |
| Program Services | $28,072,247 | ProgramServicesAmt |
| Management And General | $5,409,550 | ManagementAndGeneralAmt |
| Fundraising | $151,902 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,971 | BOYAmt |
| EOY | $2,232,732 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,417,948 | BOYAmt |
| EOY | $1,427,981 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,194 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,829,124 | BOYAmt |
| EOY | $5,895,662 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,184,320 | BOYAmt |
| EOY | $1,588,169 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,753 | BOYAmt |
| EOY | $146,590 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,492,844 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,374,881 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,429,880 | BOYAmt |
| EOY | $3,117,963 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,855,920 | BOYAmt |
| EOY | $3,255,406 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,374,110 | BOYAmt |
| EOY | $17,664,503 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,154 | BOYAmt |
| EOY | $3,416,524 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,825 | BOYAmt |
| EOY | $262,533 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,268,417 | BOYAmt |
| EOY | $751,823 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,020,396 | BOYAmt |
| EOY | $4,430,880 | 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 | $13,353,714 | BOYAmt |
| EOY | $13,233,623 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,353,714 | BOYAmt |
| EOY | $13,233,623 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,374,110 | BOYAmt |
| EOY | $17,664,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$120,091 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,165 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,165 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | 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 National and State 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 | $92,671 | OtherCostOrOtherBasisAmt |
| Book Value | $92,671 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,836,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,147,112 | DepreciationAmt |
| Book Value | $1,689,829 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,475,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,185,121 | DepreciationAmt |
| Book Value | $1,290,742 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,648 | DepreciationAmt |
| Book Value | $44,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,117,963 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ERC Receivable | $2,500,190 |
| Operating ROU Assets | $684,804 |
| Financing ROU Assets | $67,913 |
| Related Party Receivable | $2,499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,255,406 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Operating Lease Liability | $701,394 |
| Financing Lease Liability | $50,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $751,823 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,513,608 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,513,608 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,513,608 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,633,699 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $33,633,699 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,633,699 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $152,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,559,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,755,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $804,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,711,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,755,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $956,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,635 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,635 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,638,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,359,145 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,279,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21640 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,653,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,359,145 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,294,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,365,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,115,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,250,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24530 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,563 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,739 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,302 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,216,456 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $22,165 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,708,674 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,744,164 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$35,490 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | Teton Valley Health Care Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 East Howard Ave | AddressLine1Txt |
| City | Driggs | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.tvhcare.org | WebsiteAddressTxt |
| State License | 31 | 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teton Valley Health Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://tvhcare.org/about/community-engagement/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://tvhcare.org/about/community-engagement/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.tvhcare.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.tvhcare.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.tvhcare.org | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Teton Valley Health Care Inc. | Part V, Section B, Line 5: Community opinion data was gathered through surveys and interviews. A CHNA survey was deployed to local expert advisors and the general public to gain input on local health needs and the needs of priority populations. Local expert advisors were local individuals selected according to criteria required by the Federal guidelines and regulations and the Hospital's desire to represent the region's geographically diverse population. 410 survey responses from community members were gathered.Focus groups and individual interviews were conducted to validate survey findings, gather additional information, and gain additional input from priority populations including seniors, racial and ethnic minority groups, and young adults.The survey respondents participated in a structured communication technique called the "Wisdom of Crowds" method. This approach relies on the assumption that the collective wisdom of participants is superior to the opinion of any one individual, regardless of their professional credentials.Input was obtained from the required three minimum sources and expanded to include other representative groups. TVHC asked all those participating in the written comment solicitation process to self-identify into any of thefollowing representative classifications. Participants self-identified as follows:1) Public Health Official2) Government Employee or Representative3) Minority or Underserved Population4) Chronic Disease Groups5) Community Resident6) Educator7) Healthcare Professional8) OtherInformation analysis augmented by local opinions showed how Teton County relates to its peers in terms of primary and chronic needs as well as other issues of uninsured persons, low income persons and minority groups; espondents commented on certain population groups or people with certain situations that may need help to improve their condition and if so, who needs to do what. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 6b: TVHC partnered with QHR Health to complete a CHNA report. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 11: The Hospital does not have adequate resources to solve all the significant needs identified. Some issues are beyond the mission of the Hospital and action is best suited for a response by others. Some improvements will require personal actions by individuals rather than the response of an organization. We view this as a plan for how we, along with other area organizations and agencies, can collaborate to bring the best each has to offer to support change and to address the most pressing identified needs. The significant health needs identified in the latest CHNA were: * Affordable Housing * Behavior Health: Mental Health and Drug/Substance Abuse * Affordability of Healthcare * Education System * Access to Healthcare Services: Presence of Services * Access to Senior Services * Livable Wage * Access to Childcare, * Access to Healthy Food * CancerThe only item identified that will not be directly addressed by the facility is basic needs (affordable housing, food, transportation). We do not engage in these activities but rely on our community partners to address this and we support their efforts however possible. In this current tax year, TVHC engaged in the following activities to address the needs identified in the 2021 CHNA: 1. Expanded the hours of our tele-mental health services in our clinics, to meet an increasing need. 2. Increased our infusion offerings and hired an oncologist on-site to support cancer services. 3. Implemented cardio-pulmonary services to support cardiology. 4. Improved our financial support services to support lower income care. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 13h: The organization considers other assets the patient may have, as well as proof of eligibility for Medicaid and/or state-funded medical coverage. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 16j: TVHC collaborates with the Community Resource Center of Teton Valley to ensure that they are aware of our resources so that they can share our FAP with their clientele. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 20e: The organization does not use presumptive eligibility for hospital services. The organization does use presumptive eligibility for the rural health clinic services. |
| Teton Valley Health Care Inc. | Part V, Section B, Line 24: The financial assistance policy clearly states that it provides free or discounted services for medically necessary care. We do not discount services provided in our aesthetics department. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Driggs Health Clinic | ||||
| 283 North First East | Driggs | ID | 83422 | Rural Health Clinic |
| 2 - Victor Health Clinic | ||||
| 83 N Main Street | Victor | ID | 83455 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The organization considers other assets the patient may have, as well as proof of eligibility for Medicaid and/or state-funded medical coverage. |
| Part I, Line 7: | The Organization calculated the cost for providing financial assistance reported in Part I, line 7a by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. Medicaid on line 7b and subsidized health services on line 7g are reported according to costs allocated to the relevant costs centers on the Medicare Cost Report. The Organization used actual expenses to determine the cost for Community Health Improvement Services line 7e. |
| Part II, Community Building Activities: | Teton Valley Health Care provided a community breakfast for breast cancer awareness, as well a hosted Tough Enough to Wear Pink for breast cancer awareness. In addition, the organization hosted a community booth to recruit staff to their area, and hosted high school field trips to the hospital to provide education about medical careers. |
| Part III, Line 2: | The amount reported on line 2 represents implicit price concessions. The hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The Hospital estimated the amount of implicit price concessions that would qualify for community benefit if patients completed the financial assistance application by multiplying the line 2 implicit price concessions by the estimated ten percent of the population that is under the FPG. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on pages 12 and 13 of the attached audited financial statements. |
| Part III, Line 8: | Any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole. Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall, if any, is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $102,583.Medicare fee schedule revenue $283,095Medicare estimated costs of care relating to payments $385,948Net (shortage) $(102,853) |
| Part III, Line 9b: | Our first 3 billing statements sent to the patient contain a reference to our financial assistance program and direct patients to contact our office for financial assistance information and applications. Once the patient's balance reaches 90 days past due from their first billing statement received, their account is sent to an early out program vendor wherein they will receive a minimum of two phone calls and 3 written notices offering the option to apply for financial assistance. When the patient's unpaid balance is past 180 days from first date of billing it becomes eligible for collections and is transferred to an outside collection agency, however, once in collections, if the patient wants to still pursue financial assistance, they will have 365 days from first date of billing to apply. During the application process their account is cancelled with the collection agency and no further ECA efforts are pursued until their application has been processed, finalized and a determination has been made they do not qualify for financial assistance. |
| Part VI, Line 2: | Management, Hospital department staff and managers, and the Board of Directors are comprised of members within the community. They are able to gather and communicate the health care needs of the community itserves and continually address them at staff and board meetings. TVHC has providers on boards, such as Ski Patrol and Search & Rescue, and TVHC participaties in several Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) Patients' Perspectives of Care Surveys throughout the year. |
| Part VI, Line 3: | In compliance with the collection policies of TVHC, an annual review is performed for all credit/collection and financial assistance policies. Once reviewed and revised, the information is distributed to the community in a variety of ways. The facility published a brochure that is placed in public areas of all the TVHC facilities, as well as included in all formal admission packets to patients. The patient account representative's hand out the information during patient consults as well. The information is also available on the TVHC website and included with every patient account statement.Signs and/or Rack Cards are posted at each point of patient registration and in waiting areas. Financial Assistance information is posted on the organization's website and on patient statements. CFO and/or Revenue Cycle representatives attend community functions to inform the community of financial assistance programs. Medical staff and managers are educated annually on the policy to promote at time of care if appropriate. Patient Financial Advocates promote and provide financial counseling. |
| Part VI, Line 4: | Teton County Idaho covers 450 square miles of Southeastern Idaho. The 2020 population was 11,630 compared to a 2010 population of 10,170. Median age is 36.3, median household income is $54,896 compared to $48,905for the State of Idaho, and an unemployment rate of 4% compared to 3.9% for the state and 4.9% for the U.S. Hispanics make up 17.7% of the population with 80.2% white/non-Hispanic.Teton Valley Health Care, Inc. (TVHC) has been serving the healthcare needs of the Teton County area since 1938. The Hospital is now a nonprofit, thirteen bed critical access facility built in 1997. TVHC offers a continuum of care including inpatient hospital services, outpatient services as well as outpatient clinics in the cities of Victor and Driggs. TVHC employs over 220 individuals, with an annual payroll in excess of 12.5 million. |
| Part VI, Line 5: | Teton Valley Health Care's Board of Directors is comprised of community members representing multiple facets of the community from the financial sector to small business owners to retirees. The Board has dedicatedtheir time to ensuring they understand the health and welfare needs of greater community.Medical staff privileges at TVHC are open to all medical providers with active licensure. While they have instituted an arduous credentialing process to ensure practitioners of the highest caliber are privileged, they encourage practitioners from numerous specialties to meet the ever expanding healthcare needs of the community.As a non-profit corporation, TVHC does not have any shareholders. Therefore surplus funds are reinvested into the facility's equipment and employee education. The absence of shareholders eliminates the potential for conflicts of interest related to attaining inflated profit margins and allows Teton Valley Healthcare to focus on what is important; meeting the health and welfare needs of the communities they serve in an economically viable fashion.The Hospital participates in multiple activities within its community to promote the health of the community it serves including donating to an annual health fair where medical tests are provided at reduced prices to ensure the community knows their numbers and risks and focusing on prevention and intervention.In addition, the Hospital continues to collaborate with local officials to provide needed services and donates time and effort to the community. We provide substantial amounts of uncompensated care to individuals that are in need.One of the services provided to patients is Chronic Care Management. The Hospital has two nurses who create care plans with patients from referrals of our Primary care providers in the clinics. The provide monthly follow up phone calls with these patients to check on them and make sure they have what they need to follow their care plans. They also educate patients on how to best manage their chronic conditions. They do A1c testing for patients. They also meet face to face with patients throughout the week to help them overcome barriers to their care plans. The Hospital also hosts a booth at several area events to promote health, hospital services, and provide resources. In addition the Hospital provides sponsorships for several area events such as Snowscapes Downtown, 4th of July Parade, Teton County Fair, Music on Main, Turkey Trot fun run, Shakespeare in the Park, Plein Air Festival, Downtown Sounds, Downtown Driggs Association Scarecrow and Meet and Greet for Community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stefan Turkula | ||||||||||||||
| Orthopedic Surgeon | $442,309 | $0 | $30,122 | $0 | $0 | $0 | $0 | $0 | $19,455 | $0 | $491,886 | $0 | $0 | $0 |
| Stephen Houmes | ||||||||||||||
| ER Physician, Director | $399,497 | $0 | $122 | $0 | $0 | $0 | $0 | $0 | $31,706 | $0 | $431,325 | $0 | $0 | $0 |
| Nathan Levanger | ||||||||||||||
| CMO | $308,034 | $0 | $50,122 | $0 | $16,966 | $0 | $9,292 | $0 | $23,125 | $0 | $407,539 | $0 | $0 | $0 |
| Lisa Loughran Carlson | ||||||||||||||
| CNO/COO | $225,996 | $0 | $104,247 | $0 | $0 | $0 | $1,756 | $0 | $13,006 | $0 | $345,005 | $0 | $0 | $0 |
| Jacob Moss | ||||||||||||||
| Family Practice Physician, Director | $301,352 | $0 | $122 | $0 | $0 | $0 | $1,800 | $0 | $28,818 | $0 | $332,092 | $0 | $0 | $0 |
| Joshua Clutter | ||||||||||||||
| ER Physician | $319,826 | $0 | $122 | $0 | $0 | $0 | $0 | $0 | $28 | $0 | $319,976 | $0 | $0 | $0 |
| Letitia Miller | ||||||||||||||
| Former CFO | $136,498 | $0 | $39,599 | $0 | $0 | $0 | $2,665 | $0 | $4,245 | $0 | $183,007 | $0 | $0 | $0 |
| Keith Gnagey | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $165,777 | $0 | $0 | $0 | $0 | $0 | $165,777 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | Keith Gnagney received $165,777 in severance pay for calendar year 2023. |
| Form 990, Part VII, Section A, Line 5: | The Organization paid $128,936 to an unrelated organization, LLD Associates, LLC, for CFO services of Lori Leianne Everett for calendar year 2023. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | The Executive Committee consists of the officers of the board and immediate past Chair of the Hospital Board. The Executive Committee can transact regular business on behalf of the board between the governing board meetings. Any matters of substantial importance must be ratified by the governing board. |
| Form 990, Part VI, Section A, line 6 | The members of Teton Valley Health Care, Inc. (TVHC) shall consist of a broad representation of the public that TVHC serves and the majority of the members must be citizens of Teton County, Idaho, including residents of each incorporated city in Teton County, Idaho, and the unincorporated area of Teton County. There shall be at least five members which are elected by a majority vote of the existing members. Each member is entitled one vote on any matter submitted to a vote at a meeting of the members. |
| Form 990, Part VI, Section A, line 7a | Each member is entitled to vote on any matter submitted to a vote at a meeting of the members, including the election of the Board of Directors. Meetings are held annually as well as any special meetings called by the CEO or at the written request of the members. |
| Form 990, Part VI, Section B, line 11b | A copy of the 990 is provided to the CFO and CEO who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the Board of Directors who then approve the 990. Once management is satisfied with the 990, the CEO signs the Form 8879-TE authorizing the preparer to e-file the return. |
| Form 990, Part VI, Section B, line 12c | TVCH has officers and board members annually review the conflict of interest policy. An individual is required to disclose to the Board of Directors if a potential conflict arises. The remaining board members discuss the situation with the absence of the individual to determine if a conflict of enough significance and materiality exists. If a conflict with a board member is signficant and material enough, the individual may be suspended or terminated. |
| Form 990, Part VI, Section B, line 15a | The Board reviews and approves management wages each year. The sources utilized by TVHC in regards to original fair market value of the CEO salary was an executive compensation survey, published by Critical Data, Inc., and the Idaho Hospital Association (IHA) annual salary survey. These surveys are utilized for setting the salary levels of employees at TVHC. The IHA survey itemizes all hospitals as a group, CAH hospitals, and hospitals by region. The CEO base salary increase is equal to the average percent increase of all employees. The Board approves the annual incentive compensation of the CEO. The CEO reviews and approves the CFO compensation based on similar compensation survey sources. In regard to setting the salary levels of physicians, TVHC utilizes the MGMA physician compensation and production survey as well as other surveys. This survey itemizes salaries and productivity by physician speciality, years in practice, geographic region, and other categories. TVHC strives to pay market level salaries to all employees of the organization. It is our goal to recruit and retain top talent in every venue, while controlling salary and benefit costs within established targets. |
| Form 990, Part VI, Section C, line 19 | TVHC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Others: Program service expenses 4,462,519. Management and general expenses 1,281,149. Fundraising expenses 1,269. Total expenses 5,744,937. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teton Valley Health Care Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E Howard Ave | AddressLine1Txt |
| City | Driggs | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 932017214 | EIN |
| Primary Activities | Foundation | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teton Valley Health Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teton Valley Health Care Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $562,538 | InvolvedAmt |
| Method Of Amount Determination | Accrual Method | MethodOfAmountDeterminationTxt |