IDAHO ELKS REHABILITATION HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- IDAHO ELKS REHABILITATION HOSPITAL INC (EIN 82-0302317)
- Tax period
- 2013-06-01 to 2014-05-31
- Filed
- 2014-12-08
- IRS object ID
- 201433429349300713
- Schema version
- 2013v3.1
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-12-08T11:37:46-06:00 | ReturnTs |
| Tax Period End | 2014-05-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1 |
| City | SPOKANE VALLEY | City |
| State | WA | State |
| ZIP Code | 992066130 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820302317 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO ELKS REHABILITATION HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | IDAH | BusinessNameControlTxt |
| Phone | 2083432583 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 N ROBBINS ROAD | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH CAROSELLI | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 2083432583 | PhoneNum |
| Signature | 2014-11-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2014-12-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELKS REHAB SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH CAROSELLI ADMINISTRATOR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 N ROBBINS ROAD | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,653,518 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELKSREHAB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | REHABILITATION SERVICES TO THE PHYSICALLY CHALLENGED PERSONS THROUGHOUT IDAHO AND 11 NEIGHBORING STATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 792 | TotalEmployeeCnt |
| Total Volunteers | 66 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $472,311 | PYContributionsGrantsAmt |
| CY Contributions Grants | $528,235 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,212,459 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,325,833 | CYProgramServiceRevenueAmt |
| PY Investment Income | $160,345 | PYInvestmentIncomeAmt |
| CY Investment Income | $501,713 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,721,897 | PYOtherRevenueAmt |
| CY Other Revenue | $1,688,892 | CYOtherRevenueAmt |
| PY Total Revenue | $27,567,012 | PYTotalRevenueAmt |
| CY Total Revenue | $29,044,673 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,858,300 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,852,258 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $122,236 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,837,773 | PYOtherExpensesAmt |
| CY Other Expenses | $12,418,096 | CYOtherExpensesAmt |
| PY Total Expenses | $34,696,073 | PYTotalExpensesAmt |
| CY Total Expenses | $34,270,354 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,129,061 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,225,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $63,751,046 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,281,290 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,696,062 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,275,953 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,054,984 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,005,337 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | REHABILITATION SERVICES TO THE PHYSICALLY CHALLENGED PERSONS THROUGHOUT IDAHO AND 11 NEIGHBORING STATES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,383,246 | ExpenseAmt |
| Revenue | $26,325,833 | RevenueAmt |
| Desc | IDAHO ELKS REHABILITATION HOSPITAL, INC. (IERH) IS THE NORTHWEST'S PREMIER PROVIDER OF REHABILITATION SERVICES. SINCE 1947, OUR THERAPY SERVICES HAVE GIVEN PEOPLE WITH STROKE, TRAUMATIC BRAIN INJURY, ORTHOPEDIC DISORDERS, SPINAL CORD INJURIES OR OTHER ILLNESSES THE CHANCE TO LIVE LIFE TO ITS FULLEST. OUR TEAM OF BOARD MEMBERS, PHYSICIANS, NEUROPSYCHOLOGISTS, PHYSICAL, OCCUPATIONAL, RECREATIONAL, RESPIRATORY, AND SPEECH THERAPISTS, NURSES, SOCIAL WORKERS, CLINICAL NUTRITIONISTS, PHARMACY AND OTHER STAFF CHALLENGE OUR PATIENTS TO REACH THEIR HIGHEST GOALS. FAMILIES ARE SUPPORTED WITH COMPASSION AND EDUCATION TO MOVE TOWARD RECOVERY. DURING FISCAL YEAR ENDED MAY 31, 2014, IERH PROVIDED 10,752 INPATIENT DAYS OF PATIENT CARE AND 185,186 TOTAL TREATMENTS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND AUDIOLOGY. IERH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO THOSE PATIENTS WHO ARE POOR AND QUALIFY UNDER THE IERH CHARITY CARE POLICY. NET PATIENT SERVICE REVENUES ARE REFLECTED NET OF CHARITY CARE. CHARGES FOREGONE UNDER THE IERH CHARITY CARE POLICY TOTALED 528,817 DURING FISCAL YEAR ENDED MAY 31, 2014. | Desc |
| Total Program Service Expenses | $23,383,246 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 792 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH CAROSELLI | PersonNm |
| Phone | 2084894662 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 N ROBBINS ROAD | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CHARLES SCHMOEGER | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PHILLIP OBERRECHT | ||||||||
| PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN EVANS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HERMAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM CALL DO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL DELACK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES KILE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEITH MILLS | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| J CURTIS NEELY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN POOR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT SHAW | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH P CAROSELLI | ||||||||
| PAST CEO | 40.00 | Yes (X) | $217,097 | $0 | $12,878 | 2.00 | ||
| RICK MEWHIRTER | ||||||||
| INTERIM CFO | 40.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| MELISSA HONSINGER | ||||||||
| INTERIM CEO | 40.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| DOUGLAS LEWIS | ||||||||
| INTERIM CFO | 25.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| TIM POWERS | ||||||||
| INTERIM CFO | 25.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| LEE KORNFIELD MD | ||||||||
| EIM DIRECTOR | 40.00 | $269,662 | $0 | $11,230 | Yes (X) | |||
| MARK WEINROBE MD | ||||||||
| EIM PHYSICIA | 40.00 | $225,305 | $0 | $10,202 | Yes (X) | |||
| MARIAN SHAW MD | ||||||||
| EIM PHYSICIA | 40.00 | $172,070 | $0 | $3,435 | Yes (X) | |||
| CYNTHIA STEVENSON | ||||||||
| WOUND CARE D | 40.00 | $145,192 | $0 | $2,899 | Yes (X) | |||
| MICHAEL STURMAK | ||||||||
| HEARING/BALA | 40.00 | $120,501 | $0 | $10,930 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,149,827 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $51,574 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BOISE PHYSIATRY LLC | |||||
| 1000 N CURTIS RD SUITE 202 | BOISE | ID | 83706 | PHYSICIANS | $231,858 |
| NORTH CANYON MEDICAL CENTER | |||||
| 267 NORTH CANYON DRIVE | GOODING | ID | 83330 | MGMT SERVICES | $197,096 |
| MEDICAL STAFFING NETWORK | |||||
| 901 YAMATO ROAD SUITE 110 | BOCA RATON | FL | 33431 | NURSING STAFF | $181,165 |
| MOVEMENT DISORDER CONSULTANTS | |||||
| 1592 N WATSON WAY | EAGLE | ID | 83616 | PHYSICIANS | $170,744 |
| HEALTHCARE MANAGEMENT SYSTEMS | |||||
| 9020 STONY POINT PARKWAY SUITE 165 | RICHMOND | VA | 23235 | IS SUPPORT | $155,982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $528,235 | AllOtherContributionsAmt |
| Total Contributions | $528,235 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $24,067,715 | $24,067,715 |
| CONTRACTED SERVICES | 624100 | $1,547,738 | $1,547,738 |
| MEALS ON WHEELS | 624210 | $710,380 | $710,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,325,833 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $371,767 | TotalRevenueColumnAmt |
| Exclusion | $371,767 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,330,069 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,330,069 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,330,069 | TotalRevenueColumnAmt |
| Exclusion | $1,330,069 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,738,791 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,595,891 | SecuritiesAmt |
| Other | $12,954 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $142,900 | SecuritiesAmt |
| Other | -$12,954 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,946 | TotalRevenueColumnAmt |
| Exclusion | $129,946 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 900099 | $155,551 | $155,551 |
| OTHER REVENUE | 900099 | $152,422 | $152,422 |
| FOOD CARAVAN | 900099 | $33,128 | $33,128 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,722 | TotalRevenueColumnAmt |
| Exclusion | $17,722 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $358,823 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,044,673 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,325,833 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,190,605 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,362 | TotalAmt |
| Management And General | $525,362 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,211,048 | TotalAmt |
| Program Services | $12,916,568 | ProgramServicesAmt |
| Management And General | $5,222,666 | ManagementAndGeneralAmt |
| Fundraising | $71,814 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,436 | TotalAmt |
| Program Services | $191,949 | ProgramServicesAmt |
| Management And General | $85,420 | ManagementAndGeneralAmt |
| Fundraising | $1,067 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $800,178 | TotalAmt |
| Program Services | $551,629 | ProgramServicesAmt |
| Management And General | $245,482 | ManagementAndGeneralAmt |
| Fundraising | $3,067 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,037,234 | TotalAmt |
| Program Services | $1,404,435 | ProgramServicesAmt |
| Management And General | $624,990 | ManagementAndGeneralAmt |
| Fundraising | $7,809 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,327 | TotalAmt |
| Management And General | $635,327 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,894 | TotalAmt |
| Management And General | $92,894 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,822 | TotalAmt |
| Management And General | $71,822 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,568,085 | TotalAmt |
| Program Services | $1,237,936 | ProgramServicesAmt |
| Management And General | $2,324,149 | ManagementAndGeneralAmt |
| Fundraising | $6,000 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,210 | TotalAmt |
| Program Services | $34,997 | ProgramServicesAmt |
| Management And General | $117,005 | ManagementAndGeneralAmt |
| Fundraising | $12,208 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,491,004 | TotalAmt |
| Program Services | $981,314 | ProgramServicesAmt |
| Management And General | $498,251 | ManagementAndGeneralAmt |
| Fundraising | $11,439 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,399 | TotalAmt |
| Management And General | $30,399 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,142,167 | TotalAmt |
| Program Services | $1,025,314 | ProgramServicesAmt |
| Management And General | $116,853 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,680 | TotalAmt |
| Program Services | $30,893 | ProgramServicesAmt |
| Management And General | $26,951 | ManagementAndGeneralAmt |
| Fundraising | $1,836 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,630 | TotalAmt |
| Program Services | $12,658 | ProgramServicesAmt |
| Management And General | $27,687 | ManagementAndGeneralAmt |
| Fundraising | $285 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,669 | TotalAmt |
| Program Services | $330,951 | ProgramServicesAmt |
| Management And General | $37,718 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,448 | TotalAmt |
| Program Services | $1,065,716 | ProgramServicesAmt |
| Management And General | $453,500 | ManagementAndGeneralAmt |
| Fundraising | $6,232 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,241 | TotalAmt |
| Program Services | $104,241 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $2,649,913 | $2,649,913 | ||
| DSH ASSESSMENT FEES | $129,353 | $129,353 | ||
| REPAIRS & MAINTENANCE | $104,647 | $75,534 | $29,113 | |
| DUES & SUBSCRIPTIONS | $99,994 | $16,722 | $82,793 | $479 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,613 | TotalAmt |
| Program Services | $623,123 | ProgramServicesAmt |
| Management And General | -$483,510 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,270,354 | TotalAmt |
| Program Services | $23,383,246 | ProgramServicesAmt |
| Management And General | $10,764,872 | ManagementAndGeneralAmt |
| Fundraising | $122,236 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,685 | BOYAmt |
| EOY | $50,030 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,500 | BOYAmt |
| EOY | $1,168,447 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,653,687 | BOYAmt |
| EOY | $6,621,529 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,251 | BOYAmt |
| EOY | $421,407 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,950 | BOYAmt |
| EOY | $177,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,540,278 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,639,708 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,163,205 | BOYAmt |
| EOY | $20,900,570 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,288,668 | BOYAmt |
| EOY | $16,435,268 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,630,688 | BOYAmt |
| EOY | $2,606,873 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $359,968 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,121,412 | BOYAmt |
| EOY | $7,539,422 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,751,046 | BOYAmt |
| EOY | $56,281,290 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,102,204 | BOYAmt |
| EOY | $7,264,259 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,658,986 | BOYAmt |
| EOY | $8,004,537 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,934,872 | BOYAmt |
| EOY | $10,007,157 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,696,062 | BOYAmt |
| EOY | $25,275,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,304,260 | BOYAmt |
| EOY | $31,005,337 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,742 | BOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,982 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,054,984 | BOYAmt |
| EOY | $31,005,337 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,751,046 | BOYAmt |
| EOY | $56,281,290 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,225,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $931,301 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$3,918,509 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $163,242 | 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 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 | 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 | $1,529 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,529 | 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 NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,582,769 | BeginningYearBalanceAmt |
| Contributions | $8,295 | ContributionsAmt |
| Investment Earnings Or Losses | $89,506 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,929,835 | OtherExpendituresAmt |
| Administrative Expenses | $11 | AdministrativeExpensesAmt |
| End Year Balance | $750,724 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,332,024 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $250,745 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,582,769 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,438,646 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$24,803 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $81,819 | OtherExpendituresAmt |
| End Year Balance | $2,332,024 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,325,111 | BeginningYearBalanceAmt |
| Contributions | $207,537 | ContributionsAmt |
| Other Expenditures | $94,002 | OtherExpendituresAmt |
| End Year Balance | $2,438,646 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,216,234 | BeginningYearBalanceAmt |
| Contributions | $220,641 | ContributionsAmt |
| Other Expenditures | $111,764 | OtherExpendituresAmt |
| End Year Balance | $2,325,111 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.42000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.58000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,143,787 | OtherCostOrOtherBasisAmt |
| Book Value | $2,143,787 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,237,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,678,589 | DepreciationAmt |
| Book Value | $16,559,391 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,334,241 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,197,485 | DepreciationAmt |
| Book Value | $2,136,756 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $824,270 | OtherCostOrOtherBasisAmt |
| Depreciation | $763,634 | DepreciationAmt |
| Book Value | $60,636 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,900,570 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM JOINT VENTURES | $4,513,953 |
| THIRD-PARTY SETTLEMENTS | $1,145,275 |
| RETIREMENT PLAN ASSETS | $895,933 |
| CASH SURRENDER VALUE OF LIFE INSURAN | $574,288 |
| OTHER RECEIVABLES | $282,728 |
| BOND ISSUANCE COSTS | $127,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,539,422 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO JOINT VENTURES | $9,111,224 |
| RETIREMENT PLAN LIABILITIES | $895,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,007,157 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,139,216 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $931,301 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $163,242 | OtherRevenueAmt |
| Revenue Not Reported | $1,094,543 | RevenueNotReportedAmt |
| Revenue Subtotal | $29,044,673 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $29,044,673 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,188,863 | TotExpnsEtcAuditedFinclStmtAmt |
| Prior Year Adjustments | $3,918,509 | PriorYearAdjustmentsAmt |
| Expenses Not Reported | $3,918,509 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,270,354 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $34,270,354 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE IERH PERMANENTLY RESTRICTED ENDOWMENT CONSISTS OF A FUND ESTABLISHED BY A DONOR FOR THE PURPOSES OF EDUCATION. THE IERH TEMPORARILY RESTRICTED ENDOWMENT CONSISTS OF A FUND ESTABLISHED FOR THE PURPOSES OF SPECIAL PROGRAMS, LIBRARY MATERIALS AND CAPITAL EQUIPMENT. |
| SCHEDULE D, PAGE 3, PART X | IERH RECEIVED DETERMINATION FROM THE INTERNAL REVENUE SERVICE (IRS) AS A 501(C)(3) NONPROFIT ORGANIZATION THAT IT IS NOT SUBJECT TO FEDERAL INCOME TAX. IERH IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IERH 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. IERH 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 FINANCIAL STATEMENTS. IERH 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. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN CHARITABLE TRUST 163,242 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| 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 | $391,325 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $391,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,155,067 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $224,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,930,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,546,392 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $224,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,321,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $776,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $710,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $776,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $710,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,322,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $935,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,387,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,106,478 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,460,632 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,497,334 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,036,702 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct |
|---|---|
| CENTER FOR WOUND CAR | |
| REHABILITATION SERVICES | 0.10000 |
| ST LUKE'S IDAHO ELK | |
| REHABILITATION SERVICES | 0.50000 |
| 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 | IDAHO ELKS REHABILIATION HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 N ROBBINS ROAD | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT REHAB FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO ELKS REHABILIATION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ELKSREHAB.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 3 | REPRESENTATIVES OF TREASURE VALLEY UNITED WAY, BOISE STATE UNIVERSITY, UTAH FOUNDATION AND UNITED WAY OF SALT LAKE LEAD THE COMMUNITY HEALTH NEEDS ASSESSMENT MOST RECENTLY CONDUCTED. |
| FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 4 | THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER AND ST. LUKE'S HEALTH SYSTEM. |
| FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 14G | IERH PROVIDES NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNS POSTED IN WAITING ROOMS AND ADMISSION OFFICE, IN THE BILLING INVOICES AND ON THEIR WEBSITE. |
| FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 20D | IERH APPLIES THE SLIDING FEE DISCOUNT DIRECTLY TO THE GROSS CHARGES. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | DURING THE FISCAL YEAR PATIENTS WHOSE INCOME IS EQUAL TO OR LESS THAN 200% OF THE FPG WERE ELIGIBLE FOR AN ELIMINATION OR A REDUCTION OF CHARGES ON A SLIDING FEE SCHEDULE. PATIENTS MAY BE GRANTED CHARITY BASED ON THE FOLLOWING SLIDING FEE SCHEDULE: A. 20% OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 151% AND 200% OF THE FEDERAL POVERTY LEVEL (FPL). B. 40% OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL (FPL). C. 100% OF THE BALANCE FOR THOSE BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | CHARITY CARE WAS CONVERTED TO COST BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE IERH BY THE GROSS UNCOMPENSATED CHARGES. THE OVERALL HOSPITAL RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE COSTS FOR UNREIMBURSED MEDICAID. COMMUNITY HEALTH IMPROVEMENT SERVICES AND RESEARCH WERE CALCULATED USING ACTUAL COSTS WITH ACTUAL OVERHEAD ALLOCATIONS BASED ON THE MEDICARE COST REPORT. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE BAD DEBT EXPENSE REPRESENTS THE UNCOLLECTED PORTION OF THE PATIENT ACCOUNT. ANY DISCOUNTS WOULD BE TREATED AS A REDUCTION IN REVENUE. ALL FORMS OF PAYMENT, INCLUDING SELF-PAY, INSURANCE, CONTRACTUAL ALLOWANCES, AND DISCOUNTS REDUCE THE PATIENT'S ACCOUNT PRIOR TO THE ACCOUNT BEING CLASSIFIED AS BAD DEBT. A PAYMENT RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | IERH REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE MANAGEMENT ASSOCIATION STATEMENT NO. 15, THEREFORE NO BAD DEBT IS CONSIDERED TO BE ATTRIBUTABLE TO PATIENTS THAT ARE ELIGIBLE UNDER THE CHARITY CARE POLICY AS A COMMUNITY BENEFIT. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERED HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. ACCOUNTS DEEMED UNCOLLECTABLE AND ALL PRIVATE PAY BALANCES OVER 180 DAYS OVERDUE ARE CHARGED AGAINST THIS ALLOWANCE. THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGES 11-12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 4 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | IERH REPORTS THE FULL VALUE OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE RATIONALE FOR THIS TREATMENT IS CONSISTENT WITH THE AMERICAN HOSPITAL ASSOCIATION'S POSITION THAT PROVIDING CARE TO MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. MANY MEDICARE BENEFICIARIES ARE POOR AND ELIGIBLE FOR MEDICAID COVERAGE IN ADDITION TO MEDICARE. MEDICARE UNDER PAYMENT IS A COST THAT IERH MUST COVER IN ORDER TO CONTINUE TREATMENT THE ELDERLY AND POOR IN THE COMMUNITY WE SERVE. THE COSTING METHODOLOGY IS BASED ON THE ACTUAL MEDICARE ALLOWABLE COST REPORTED ON THE IERH MEDICARE COST REPORT. THIS METHODOLOGY WAS CONSISTENT WITH THE GUIDELINES AND INSTRUCTIONS PROVIDED BY THE CENTERS FOR MEDICARE SERVICES (CMS) FOR THE FILED COST REPORT FOR THE FISCAL YEAR. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | IERH DOES NOT PROVIDE EMERGENCY CARE, ALL SERVICES ARE CONSIDERED ELECTIVE PROCEDURES. AS SUCH IERH PRE-APPROVES ALL PATIENTS BEFORE THE MEDICAL SERVICES ARE PROVIDED. DURING THE PRE-APPROVAL PROCESS PATIENTS ARE IDENTIFIED AS POSSIBLY QUALIFYING FOR FINANCIAL ASSISTANCE. AT THAT TIME DATA IS GATHERED FOR EVALUATION. IN THE EVENT THE PATIENT REFUSES TO PROVIDE DATA SUCH AS INCOME AND ASSETS THEY ARE AUTOMATICALLY DISQUALIFIED FROM FINANCIAL ASSISTANCE UNTIL SUCH INFORMATION IS PROVIDED. PATIENTS WHOSE PERSONAL FINANCIAL POSITION FALLS WITHIN THE SCOPE OF QUALIFYING FOR THE CHARITY CARE ARE CONSIDERED ELIGIBLE AND THE RESPECTIVE AMOUNTS ARE APPLIED TO CHARITY CARE. IF A PATIENT FALLS WITHIN THE SCOPE OF DISCOUNTED CARE, A TWELVE MONTH PAYMENT PLAN IS OFFERED FOR THE UNPAID PORTION. PATIENTS THAT ARE UNABLE TO PAY THEIR BALANCE WITHIN THE TWELVE MONTHS ARE ELIGIBLE FOR A LONG TERM PAYMENT PLAN OF 60 MONTHS. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE COMMUNITY NEEDS ASSESSMENT AS DESCRIBED IN PART V, SERVES AS THE BASE FOR DETERMINING REHABILITATIVE HEALTH NEEDS. ADDITIONALLY, IERH CONDUCTS SATISFACTION SURVEYS AND FOCUS GROUPS TO BETTER MEET THE ONGOING NEEDS OF THE PEOPLE WE SERVE. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.IDAHOELKSREHAB.ORG/PDF/2011_COMMUNITY_ASSESSMENT.PDF |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS ARE REFERRED TO IERH FOR REHABILITATION SERVICES AND WHEN A PHYSICIAN DETERMINED THAT THE PATIENT HAS REHABILITATION NEEDS AND COULD BENEFIT FROM IERH SERVICES. DURING THE ADMISSION PROCESS WHEN IT IS DETERMINED THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE ADMISSIONS LIAISON INITIATES THE FINANCIAL ASSISTANCE PROCESS: (1) COORDINATES ELIGIBILITY AND APPROVAL PROCESS FOR UNCOMPENSATED CARE; (2) PROVIDE A COPY OF THE POLICY, AND A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE STATEMENT TO BE COMPLETED BY PATIENT AS PART OF THE INTAKE PROCESS; (3) DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATIONS FOR SUCH PROGRAMS, WHERE APPLICABLE. IERH USES A CONTINUOUS APPROACH (FROM ADMISSION THROUGH BILLING) FOR QUALIFICATION FOR FINANCIAL ASSISTANCE. CHANGING PATIENT CONDITIONS SUCH AS INABILITY TO WORK, LOSS OF INSURANCE COVERAGE OR UNANTICIPATED LARGE MEDICAL BILLS MAY RESULT IN THE PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE AFTER THE INITIAL FINANCIAL ASSISTANCE APPLICATION. IERH USES FINANCIAL COUNSELORS TO ASSIST ALL PATIENTS IN QUALIFICATION FOR ASSISTANCE PROGRAMS. THIS ENSURES THAT ALL PATIENTS HAVE ACCESS TO QUALITY HEALTH CARE SERVICES WITHOUT DISCRIMINATION BASED ON THE ABILITY TO PAY. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | IERH PROVIDES INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO PEOPLE WHO HAVE A PHYSICAL DISABILITY THAT CAN BENEFIT FROM REHABILITATION SERVICES. THE PRIMARY SERVICE AREA IS BOISE ID AND SURROUNDING COMMUNITIES GENERALLY KNOWN AS THE TREASURY VALLEY. IERH CONSISTS OF ONE INPATIENT REHABILITATION FACILITY, 1 OUTPATIENT WOUND CARE AND HYPERBARIC TREATMENT CENTER, AND 4 OUTPATIENT HEARING AND BALANCE CENTERS. IERH ALSO PROVIDES OUTPATIENT REHABILITATION SERVICES AT 1 WOUND CENTER AND MORE THAN 20 ADULT AND CHILDREN THERAPY CLINICS THAT ARE JOINTLY OWNED THROUGH A PARTNERSHIP WITH ST. LUKE'S REGIONAL MEDICAL CENTER. THE PRIMARY SERVICE REGION OF ADA AND CANYON COUNTIES CONSISTS OF A POPULATION OF APPROXIMATELY 531,288 FOR 2010. THE AVERAGE INCOME FOR ADA AND CANYON COUNTY IS 39,734 AND 23,575 RESPECTIVELY; AND THE PERCENT OF THE POPULATION THAT FALL BELOW THE FEDERAL POVERTY GUIDELINES IS 13.4% AND 20.1% RESPECTIVELY. IERH IS COMMITTED TO SERVING REHABILITATION PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. APPROXIMATELY 7% OF ALL SERVICES WERE PROVIDED TO MEDICAID RECIPIENTS AND 49% OF ALL SERVICES WERE PROVIDED TO MEDICARE RECIPIENTS DURING THE YEAR. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE BOARD OF DIRECTORS ARE INDEPENDENT PERSONS, NOT EMPLOYEES, AND RESIDE IN THE IERH PRIMARY SERVICE AREA. IERH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE SURPLUS FUNDS ARE APPLIED TO IMPROVE PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. IERH SUPPORTS MANY COMMUNITY EVENTS THROUGH SPONSORSHIPS, DONATIONS AND PROVIDING HUNDREDS OF VOLUNTEERS FOR NEIGHBORHOOD CAUSES. MEALS ON WHEELS- IERH IS THE ONLY PROVIDER OF MEALS ON WHEELS IN THE BOISE COMMUNITY. MEALS ON WHEELS PROVIDES NUTRITIOUS MEALS TO THE ELDERLY. THERE ARE KNOWN HEALTH CONSEQUENCES OF FOOD INSECURITY AMONG THE ELDERLY. WITHOUT THE MEALS ON WHEELS PROGRAM THESE INDIVIDUALS ARE MORE LIKELY TO BE IN POOR OR FAIR HEALTH AND MORE LIKELY TO HAVE LIMITATIONS IN DAILY LIVING. PROVIDING THE MEALS PROVIDES A DIRECT IMPACT ON THESE INDIVIDUALS' HEALTH. IDAHO WHEELCHAIR CAMP- IN 1988 THE IDAHO YOUTH WHEELCHAIR SPORTS CAMP (IYWSC) BEGAN, SPONSORED BY IERH AND BOISE PARKS AND RECREATION DEPARTMENT. IT WAS ESTABLISHED TO PROVIDE RECREATIONAL, ATHLETIC AND COMPETITIVE OPPORTUNITIES FOR YOUTH. IT IS DESIGNED FOR YOUNG PEOPLE USING WHEELCHAIRS OR OTHER ASSISTIVE DEVICES (I.E. CRUTCHES, WALKERS, AND BRACES). SINCE ITS INCEPTION, THE IYWSC HAS PROVIDED A VARIETY OF EXPERIENCES FOR OVER 325 YOUNG ATHLETES FROM IDAHO, OREGON, UTAH AND WASHINGTON. EACH ATHLETE IS PAIRED WITH A VOLUNTEER TO ASSIST AND SUPPORT AS NEEDED. AMERICAN HEART ASSOCIATION HEART WALK- THE TREASURE VALLEY START HEART WALK IS AN ANNUAL EVENT DESIGNED TO BRING PUBLIC AWARENESS OF PHYSICAL ACTIVITY AND HEART-HEALTHY LIFESTYLES AND RAISE CRITICAL DOLLARS TO FUND THE LIFE-SAVING MISSION OF THE AMERICAN HEART ASSOCIATION. WALKERS FROM ALL OVER THE TREASURE VALLEY STEP OUT TO SUPPORT THE FIGHT AGAINST OUR NATION'S LEADING CAUSE OF DEATH - HEART DISEASE. HEALTH FAIRS- ELKS REHAB HOSPITAL PARTICIPATES IN MANY FREE HEALTH FAIRS IN IDAHO AND OREGON. WE PROVIDE FREE SCREENINGS AND COMMUNITY INFORMATION FOR A VARIETY OF ISSUES SUCH AS: CERTIFIED THERAPY DOG SERVICES FOR PATIENTS. ELKS HEALTH CHECK PROGRAMS - GROUP SCREENS HELD IN LOCAL SENIOR CENTERS/RETIREMENT HOMES FOR STROKE, BALANCE, HEARING, DIABETIC FOOT ULCERS, MEDICATIONS, AND ORTHOPEDIC ISSUES. PHYSICAL THERAPY SERVICES TO THE UNINSURED POPULATION OF BOISE THROUGH THE FRIENDSHIP CLINIC. IERH VOLUNTEERS FOR THE "ADVENTURE PROGRAM" TO PROVIDE ACCESS TO OUTDOOR ACTIVITIES FOR THOSE WITH DISABILITIES. EMPLOYEE ENGAGEMENT- IERH EMPLOYEES ARE INVOLVED IN THE COMMUNITY. IERH SUPPORTS A NUMBER OF COMMUNITY EVENTS INCLUDING: SPONSOR OF THE ELITE WHEELCHAIR RACERS IN ST. LUKE'S WOMEN'S FITNESS CELEBRATION SPONSOR OF AMERICAN HEART ASSOCIATION "GO RED FOR WOMEN" SPONSORED FOOD DRIVE FOR IDAHO FOOD BANK PROVIDED RESPIRATORY THERAPY SERVICES FOR THE IRONMAN RACE, BOISE, IDAHO PARTICIPATED IN UNITED WAY OF THE TREASURE VALLEY CAMPAIGN PARTICIPATED IN MS WALK PRESENTED AND CURATED THE 3RD ANNUAL CREATIVE HEALING ART EXHIBIT RESEARCH EXPENSES CONSIST OF COSTS FROM STUDYING THE EFFECTS OF DRUG DEVELOPMENTS ON PATIENTS WITH MOVEMENT DISORDERS RELATED TO HUNTINGTON'S AND PARKINSON'S DISEASE. THE INFORMATION IS DOCUMENTED AND MADE AVAILABLE TO THE PUBLIC. |
| ADDITIONAL INFORMATION | IN REGARDS TO SCHEDULE H, PART V, SECTION C, THE HOSPITAL HAS FIVE HOSPITAL BASED FACILITIES THAT ASSIST IN PROVIDING REHABILITATION SERVICES THROUGHOUT THE AREA. THESE FIVE FACILITIES ARE TREATED AS DEPARTMENTS OF THE HOSPITAL FOR MEDICARE COST REPORT PURPOSES, AND THE PATIENTS ARE ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY. |
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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| JOSEPH P CAROSELLI | ||||
| PAST CEO | $217,097 | $4,547 | $9,944 | $229,975 |
| LEE KORNFIELD MD | ||||
| EIM DIRECTOR | $269,662 | $4,939 | $7,904 | $280,892 |
| MARK WEINROBE MD | ||||
| EIM PHYSICIAN | $225,305 | $4,528 | $7,287 | $235,507 |
| MARIAN SHAW MD | ||||
| EIM PHYSICIAN | $172,070 | $3,435 | $1,537 | $175,505 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO HEALTH FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 826051863 | BondIssuerEIN |
| Bond Issued | 2009-11-01 | BondIssuedDt |
| Issue Price | $10,480,000 | IssuePriceAmt |
| Purpose | CURRENT REFUNDING OF PRIOR ISSUE | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | Yes (true) | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $10,287,924 | RetiredAmt |
| Total Proceeds | $10,375,400 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $87,476 | IssuanceCostsFromProceedsAmt |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.03000 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.03000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN EVANS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | CEO OF BANK | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND AUDIOLOGY. IERH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO THOSE PATIENTS WHO ARE POOR AND QUALIFY UNDER THE IERH CHARITY CARE POLICY. NET PATIENT SERVICE REVENUES ARE REFLECTED NET OF CHARITY CARE. CHARGES FOREGONE UNDER THE IERH CHARITY CARE POLICY TOTALED 528,817 DURING FISCAL YEAR ENDED MAY 31, 2014. |
| FORM 990, PART VI | THE EXECUTIVE COMMITTEE CONSISTS OF SIX BOARD MEMBERS AND THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 3 | IERH UTILIZED AN EMPLOYEE OF NORTH CANYON MEDICAL CENTER AND LATER TATUM, LLC FOR ITS INTERIM CFO DURING THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE IDAHO STATE ELKS ASSOCIATION IS THE MEMBER OF THE CORPORATION. THE PRESIDENT OF THE IDAHO STATE ELKS ASSOCIATION APPOINTS THE IDAHO ELKS REHABILITATION HOSPITAL, INC. BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | IERH MAY NOT BUY, SELL, OR DISPOSE OF ANY REAL PROPERTY WITHOUT THE APPROVAL OF THE IDAHO STATE ELKS ASSOCIATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | IERH EXECUTIVE MANAGEMENT REVIEWS A DRAFT FORM 990 FOR ACCURACY AND COMPLETENESS. AFTER THE EXECUTIVE MANAGEMENT REVIEW, THE FORM 990 IS DELIVERED ELECTRONICALLY TO EACH BOARD MEMBER. AT THE BOARD MEETING PRECEDING SUBMISSION OF THE FORM 990, EXECUTIVE MANAGEMENT RESPONDS TO ALL BOARD MEMBER REQUESTS FOR CLARIFICATION. THE FORM 990 IS THEN SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL EMPLOYEES, OFFICERS, BOARD MEMBERS AND ELKS ASSOCIATION TRUSTEE REPRESENTATIVES ARE REQUIRED TO MAKE PROMPT AND FULL DISCLOSURE IN WRITING TO THE COMPLIANCE OFFICER OR EXECUTIVE MANAGEMENT OF ANY SITUATION WHICH MAY VIOLATE THE CONFLICTS OF INTEREST SECTION CONTAINED IN THE IERH BUSINESS ETHICS POLICY. WITHOUT PRIOR WRITTEN APPROVAL, EMPLOYEES, OFFICERS, BOARD MEMBERS AND TRUSTEES MAY NOT PARTICIPATE IN A JOINT VENTURE, PARTNERSHIP OR OTHER BUSINESS ARRANGEMENT WITH THE ORGANIZATION. IF A CONFLICT EXISTS THE BOARD MEMBER IS REQUIRED TO LEAVE THE ROOM DURING DELIBERATION AND VOTING ON THE ISSUE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS USING ANNUAL PERFORMANCE REVIEW INCLUDING THE IHA CEO SALARY SURVEY AND OTHER PERTINENT SURVEYS. THIS DELIBERATION IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CHIEF EXECUTIVE OFFICER REVIEWS PERFORMANCE EVALUATIONS FOR THE CHIEF FINANCIAL OFFICER. COMPENSATION IS DETERMINED BASED ON PERFORMANCE EVALUATIONS AND COMPENSATION SURVEYS FOR THE BOISE, IDAHO AREA. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PAGE 7, PART VII | THE CEO AND CFO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS FOLLOWS: ST. LUKE'S IDAHO ELKS REHABILITATION 1 HOUR PER WEEK CENTER FOR WOUND CARE AND HYPERBARIC TREATMENT 1 HOUR PER WEEK |
| FORM 990, PART IX, LINE 11G | 1,237,936 2,324,149 6,000 |
| FORM 990, PART XI, LINE 9 | CHANGE IN CHARITABLE TRUST 163,242 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO ELKS REHABILIATION CHARITABLE | BusinessNameLine1 |
| Business Name Line2 | TRUST | BusinessNameLine2 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 NORTH ROBBINS ROAD | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 936196367 | EIN |
| Primary Activities | SUPPORTING | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 11A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO ELKS | BusinessNameLine1 |
| Business Name Line2 | REHABILIATION HOSPITAL INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Business Name Line2RelatedOrganizationName/BusinessNameLine2 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTER FOR WOUND CARE & HYPERBARIC | |||||||||||||||
| TREATMENT | 204 FORT PLACE | BOISE | ID | 83701 | 900288299 | REHABILITA | ID | IDAHO ELKS | REHABILIATION HOSPITAL INC | RELATED | -$58,184 | $563,809 | false | Yes (true) | 0.10000 |
| ST LUKE'S IDAHO ELKS | |||||||||||||||
| 600 N ROBBINS ROAD | BOISE | ID | 83702 | 820503100 | REHABILITA | ID | IDAHO ELKS | REHABILIATION HOSPITAL | RELATED | $252,333 | $2,043,064 | false | Yes (true) | 0.50000 | |
| 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 | Yes (true) | 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | Business Name Line2OtherOrganizationName/BusinessNameLine2 |
|---|---|---|---|
| ST LUKE'S IDAHO ELKS REHABILIATION | |||
| J | $269,304 | GENERAL LEDGER | |
| ST LUKE'S IDAHO ELKS REHABILIATION | |||
| O | $6,638,973 | GENERAL LEDGER | |
| ST LUKE'S IDAHO ELKS REHABILIATION | |||
| Q | $4,504,443 | GENERAL LEDGER | |
| CENTER FOR WOUND CARE & HYPERBARIC | |||
| J | $130,320 | GENERAL LEDGER | TREATMENT |
| CENTER FOR WOUND CARE & HYPERBARIC | |||
| O | $917,276 | GENERAL LEDGER | TREATMENT |
| CENTER FOR WOUND CARE & HYPERBARIC | |||
| Q | $1,039,920 | GENERAL LEDGER | TREATMENT |